Actively Recruiting
A Phase II Clinical Study to Evaluate HLX43 in Subjects With Advanced Non-small Cell Lung Cancer (NSCLC)
Led by Shanghai Henlius Biotech · Updated on 2025-08-17
243
Participants Needed
2
Research Sites
155 weeks
Total Duration
On this page
Sponsors
S
Shanghai Henlius Biotech
Lead Sponsor
H
Henlius USA Inc.
Collaborating Sponsor
AI-Summary
What this Trial Is About
The study is being conducted to to explore the reasonable dosage and evaluate the efficacy, safety and tolerability of HLX43 (Anti-PD-L1 ADC) in Patients with Advanced Non-small Cell Lung Cancer (NSCLC)
CONDITIONS
Official Title
A Phase II Clinical Study to Evaluate HLX43 in Subjects With Advanced Non-small Cell Lung Cancer (NSCLC)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Able to understand the study and provide signed informed consent
- Aged 18 years or older
- Diagnosed with locally advanced (stage IIIB/IIIC) or metastatic (stage IV) NSCLC not suitable for curative treatment
- For non-squamous NSCLC without actionable genomic alterations, documented negative tests for EGFR and ALK or tested at study site
- For squamous NSCLC, EGFR and ALK testing not required if unknown
- No other known actionable genomic alterations such as ROS1, NTRK, BRAF, MET exon 14 skipping, or RET
- Prior failure of at least one standard treatment line including anti-PD-(L)1 antibody and platinum chemotherapy; or for patients with actionable alterations, prior targeted therapy and platinum chemotherapy
- At least one measurable tumor lesion per RECIST 1.1 within 4 weeks before randomization
- Agree to provide archived or new tumor tissue for PD-L1 testing
- At least 3 weeks from prior major surgery, radiotherapy (except palliative for bone), chemotherapy, immunotherapy or biological therapy, with recovery of treatment-related adverse events to Grade 1 or less
- ECOG performance status 0-1 within 1 week before randomization
- Life expectancy greater than 3 months
- Adequate organ function based on lab tests within 1 week before randomization
- Agree to use effective contraception during study and 6 months after last dose (if of childbearing potential)
- Negative pregnancy test within 7 days before enrollment (if female of childbearing age)
You will not qualify if you...
- Tumors containing small cell lung cancer, neuroendocrine carcinoma, or sarcomatoid carcinoma components
- Prior treatment with any topoisomerase I targeting drugs including chemotherapy or ADCs
- Radical radiation therapy within 3 months before first dose
- Second malignancy within 2 years except certain early-stage cancers treated radically
- History of severe immune-related side effects or pneumonitis/myocarditis of grade 2 or higher from prior immunotherapy
- Uncontrolled pleural, pericardial effusion, or ascites needing repeated drainage
- Spinal cord compression or active brain metastases requiring corticosteroids or anticonvulsants; stable treated brain metastases allowed
- Significant lung diseases or pulmonary impairments including recent pulmonary embolism, severe asthma, COPD, restrictive lung disease, interstitial pneumonia, pneumoconiosis, drug-related pneumonitis, or recent pleural effusion
- Poorly controlled heart disease including heart failure (NYHA class II or higher), low ejection fraction, unstable angina, recent heart attack or stroke, uncontrolled arrhythmias, or hypertension
- Active infections requiring IV antibiotics
- Use of moderate or strong CYP2D6 or CYP3A inhibitors/inducers within 2 weeks before randomization
- Recent systemic corticosteroids or immunosuppressants within 2 weeks before randomization except certain topical or short-term uses
- Known active or suspected autoimmune diseases except controlled hypothyroidism or type 1 diabetes
- Recent live vaccine within 4 weeks before randomization
- Known allergy to macromolecular protein drugs or study drug components
- Active tuberculosis
- History of immunodeficiency including HIV or organ transplant
- Active hepatitis B or C infections
- Pregnant or breastfeeding
- Any clinical or lab abnormalities or other reasons making participation unsuitable as judged by the investigator
AI-Screening
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Trial Site Locations
Total: 2 locations
1
MD Anderson Cancer Hospital
Houston, Texas, United States, 77030
Not Yet Recruiting
2
National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
Beijing, Beijing Municipality, China, 100021
Actively Recruiting
Research Team
J
Jie He, Dr
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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