Carcinoma, Non-Small-Cell LungPhase 2NCT03083041
A Study of SHR-1210 in Combination With Apatinib in Advanced Non-Small Cell Lung Cancer(NSCLC)
A Phase 2 study testing SHR-1210 and Apatinib in people with Carcinoma, Non-Small-Cell Lung, run by Jiangsu HengRui Medicine Co., Ltd. at 1 site in China.
Trial summary
This is a multi-center, open-label, Phase II study of intravenous (IV) SHR-1210 at 200mg, q2w in combination with Apatinib at two dose levels in subjects with locally advanced or metastatic non-small cell lung cancer (NSCLC). The study is composed of two parts. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Carcinoma, Non-Small-Cell Lung
- What is being tested?
- SHR-1210 and Apatinib
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 210 participants
- Where
- 1 siteChina
- Study dates
- 13 Mar 2017to 22 Apr 2022
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects >/= 18 years and </=70 years of age at the time of Informed Consent.
- Advanced relapsed or refractory predominantly NSCLC with at least one measurable lesion according to RECIST 1.1.
- Failure of second line of chemotherapy(Part 1); Failure of First line of chemotherapy(Part 2)
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
- Patients must have recovered from any AEs of prior treatments before randomization.
- Adequate bone marrow,liver and renal function as assessed by the following laboratory tests conducted within 1 week before randomization. HB ≥ 90g/L; ANC≥1.5×10E+9/L; PLT≥100×10E+9/L; ALT and AST < 1.5×ULN; TBIL ≤1×ULN; Cr ≤1.5×ULN or CL≥60 ml/min.
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- Life expectancy of at least three months.
- Male or female participants of childbearing potential must be willing to use an adequate method of contraception starting with the first dose of study drug through 60 days for female subjects and 120 days for male subjects after the last dose of study drug.
- Written informed consent and the willingness and ability to comply with all aspects of the protocol.
Who cannot join
- Suffered from grade II or above myocardial ischemia or myocardial infarction, uncontrolled arrhythmias (including QT interval male ≥ 450 ms, female≥ 470 ms).
- Severe or uncontrolled systemic disease such as clinically significant hypertension (systolic pressure >/= 140 mm Hg and/or diastolic pressure >/= 90 mm Hg), and Grade III-IV cardiac insufficiency, according to NYHA criteria or echocardiography check: LVEF<50%.
- Factors to affect oral administration (inability to swallow tablets,GI tract resection, chronic bacillary diarrhea and intestinal obstruction).
- Coagulation disfunction,hemorrhagic tendency or receiving anticoagulant therapy
- >/= CTCAE 2 pneumorrhagia or >/= CTCAE 3 hemorrhage in other organs within 4 weeks.
- Bone fracture or wounds that was not cured.
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- Arterial thrombus or phlebothrombosis within 6 months and taking anticoagulant agents.
- Mental diseases and psychotropic substances abuse.
- Previous treatment with an trial agent within 4 weeks
- Proteinuria ≥ (++) or 24 hours total urine protein > 1.0 g.
- Other coexisting malignant disease (except basal-cell carcinoma and carcinoma in situ of uterine cervix).
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Phase II Study of SHR-1210 in Combination With Apatinib in Advanced Non-Small Cell Lung
This is a multi-center, open-label, Phase II study of intravenous (IV) SHR-1210 at 200mg, q2w in combination with Apatinib at two dose levels in subjects with locally advanced or metastatic non-small cell lung cancer (NSCLC).
The study is composed of two parts. Part 1 of the study will determine the safety, tolerability and pharmacokinetics of SHR-1210 in combination with Apatinib.
Part 2 includes a randomized comparison of Apatinib 250mg/d or 500mg/d plus SHR-1210.
Subject's tumors will be screened at baseline for EGFR mutations, EML4-ALK translocation, and PD-L1 expression.But positive tumor PD-L1 expression will not be required for enrollment.
Read the detailed description
SHR-1210 is a humanized monoclonal antibody against Programmed death 1(PD-1). Apatinib is a new kind of selective Vascular Endothelial Growth Factor Receptor 2(VEGFR-2) tyrosine kinase inhibitor (TKI). A disease-control rate of 61.1% and a mPFS of 4.7 months were showed in Apatinib phase II study in patients with NSCLC.
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Being tested
- SHR-1210, Apatinib
- Keywords
- SHR-1210, Apatinib, NSCLC
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SHR-1210Biological
SHR-1210 will be administered as a 30-minute IV infusion Q2W at a dose of 200mg
ApatinibDrug
Also called Apatinib Mesylate
Apatinib tablet will be administered orally,once daily until progression
| Study group | Role | What they receive |
|---|---|---|
| SHR-1210,200mg,q2w plus apatinib 250mg/d | Experimental | SHR-1210 200mg, IV, Q2W and Apatinib 250mg, PO, QD Receives: Biological: SHR-1210; Drug: Apatinib |
| SHR-1210,200mg,q2w plus apatinib 500mg/d | Experimental | SHR-1210 200mg, IV, Q2W and Apatinib 500mg, PO, QD Receives: Biological: SHR-1210; Drug: Apatinib |
| SHR-1210,200mg,q2w plus apatinib 375mg/d | Experimental | SHR-1210 200mg, IV, Q2W and Apatinib 375mg, PO, QD Receives: Biological: SHR-1210; Drug: Apatinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence and Grade of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Number of participants with Adverse Events and Serious Adverse Events
Measured: from signing the informed consent form to safety follow-up, 61 months
Objective Response Rate (ORR):
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
Measured: from first administration to progressive disease or initiation of new anti-cancer therapy, 61 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Mar 2017
- Study start13 Mar 2017
- Primary completion22 Apr 2022
- Study completion22 Apr 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Non-Small-Cell LungStudies of the same condition, open and under way.
- More trials run by Jiangsu HengRui Medicine Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 210 participants (actual)
Sponsor and investigators
- Lead sponsor
- Jiangsu HengRui Medicine Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03083041
- Sponsor's protocol ID
- SHR-1210-APTN-II-202-NSCLC
- Status last verified
- Jun 2022
- First submitted
- 2 Mar 2017
- Last updated
- 3 Mar 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Gao G, Ni J, Wang Y, Ren S, Liu Z, Chen G, Gu K, Zang A, Zhao J, Guo R, He J, Lin X, Pan Y, Ma Z, Wang Z, Fan M, Liu Y, Cang S, Yang X, Li W, Wang Q, Zhou C. Efficacy and safety of camrelizumab plus apatinib in previously treated patients with advanced non-small cell lung cancer harboring EGFR or ALK genetic aberration. Transl Lung Cancer Res. 2022 Jun;11(6):964-974. doi: 10.21037/tlcr-22-22.
PubMed 35832447
Study at a glance
From the registry record, last updated by the sponsor on 3 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Study of SHR-1210 in Combination With Apatinib in Advanced Non-Small Cell Lung
- ClinicalTrials.gov ID
- NCT03083041
- Acronym / sponsor ID
- SHR-1210-APTN-II-202-NSCLC
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Keywords
- SHR-1210, Apatinib, NSCLC
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 210 participants (actual)
- Lead sponsor
- Jiangsu HengRui Medicine Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 13 Mar 2017 (actual)
- Primary completion
- 22 Apr 2022 (actual)
- Study completion
- 22 Apr 2022 (actual)
- First posted
- 17 Mar 2017 (actual)
- Results
- Posted 3 Mar 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multi-center, open-label, Phase II study of intravenous (IV) SHR-1210 at 200mg, q2w in combination with Apatinib at two dose levels in subjects with locally advanced or metastatic non-small cell lung cancer (NSCLC).
The study is composed of two parts. Part 1 of the study will determine the safety, tolerability and pharmacokinetics of SHR-1210 in combination with Apatinib.
Part 2 includes a randomized comparison of Apatinib 250mg/d or 500mg/d plus SHR-1210.
Subject's tumors will be screened at baseline for EGFR mutations, EML4-ALK translocation, and PD-L1 expression.But positive tumor PD-L1 expression will not be required for enrollment.
Detailed description
SHR-1210 is a humanized monoclonal antibody against Programmed death 1(PD-1). Apatinib is a new kind of selective Vascular Endothelial Growth Factor Receptor 2(VEGFR-2) tyrosine kinase inhibitor (TKI). A disease-control rate of 61.1% and a mPFS of 4.7 months were showed in Apatinib phase II study in patients with NSCLC.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| SHR-1210,200mg,q2w plus apatinib 250mg/d | Experimental | Biological: SHR-1210, Drug: ApatinibSHR-1210 200mg, IV, Q2W and Apatinib 250mg, PO, QD |
| SHR-1210,200mg,q2w plus apatinib 500mg/d | Experimental | Biological: SHR-1210, Drug: ApatinibSHR-1210 200mg, IV, Q2W and Apatinib 500mg, PO, QD |
| SHR-1210,200mg,q2w plus apatinib 375mg/d | Experimental | Biological: SHR-1210, Drug: ApatinibSHR-1210 200mg, IV, Q2W and Apatinib 375mg, PO, QD |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Subjects >/= 18 years and </=70 years of age at the time of Informed Consent.
- Advanced relapsed or refractory predominantly NSCLC with at least one measurable lesion according to RECIST 1.1.
- Failure of second line of chemotherapy(Part 1); Failure of First line of chemotherapy(Part 2)
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
- Patients must have recovered from any AEs of prior treatments before randomization.
Key exclusion criteria (11 listed)
- Suffered from grade II or above myocardial ischemia or myocardial infarction, uncontrolled arrhythmias (including QT interval male ≥ 450 ms, female≥ 470 ms).
- Severe or uncontrolled systemic disease such as clinically significant hypertension (systolic pressure >/= 140 mm Hg and/or diastolic pressure >/= 90 mm Hg), and Grade III-IV cardiac insufficiency, according to NYHA criteria or echocardiography check: LVEF<50%.
- Factors to affect oral administration (inability to swallow tablets,GI tract resection, chronic bacillary diarrhea and intestinal obstruction).
- Coagulation disfunction,hemorrhagic tendency or receiving anticoagulant therapy
- >/= CTCAE 2 pneumorrhagia or >/= CTCAE 3 hemorrhage in other organs within 4 weeks.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SHR-1210SHR-1210 will be administered as a 30-minute IV infusion Q2W at a dose of 200mg | Biological | SHR-1210,200mg,q2w plus apatinib 250mg/d, SHR-1210,200mg,q2w plus apatinib 375mg/d, SHR-1210,200mg,q2w plus apatinib 500mg/d |
| ApatinibAlso: Apatinib MesylateApatinib tablet will be administered orally,once daily until progression | Drug | SHR-1210,200mg,q2w plus apatinib 250mg/d, SHR-1210,200mg,q2w plus apatinib 375mg/d, SHR-1210,200mg,q2w plus apatinib 500mg/d |
Primary outcome
Incidence and Grade of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: from signing the informed consent form to safety follow-up, 61 months
Number of participants with Adverse Events and Serious Adverse Events
Objective Response Rate (ORR):
Time frame: from first administration to progressive disease or initiation of new anti-cancer therapy, 61 months
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Mar 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35832447Gao G, Ni J, Wang Y, Ren S, Liu Z, Chen G, Gu K, Zang A, Zhao J, Guo R, He J, Lin X, Pan Y, Ma Z, Wang Z, Fan M, Liu Y, Cang S, Yang X, Li W, Wang Q, Zhou C. Efficacy and safety of camrelizumab plus apatinib in previously treated patients with advanced non-small cell lung cancer harboring EGFR or ALK genetic aberration. Transl Lung Cancer Res. 2022 Jun;11(6):964-974. doi: 10.21037/tlcr-22-22.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing SHR-1210 and Apatinib in people with Carcinoma, Non-Small-Cell Lung, run by Jiangsu HengRui Medicine Co., Ltd. at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 3 Mar 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence and Grade of Adverse Events (AEs) and Serious Adverse Events (SAEs) (time frame: from signing the informed consent form to safety follow-up, 61 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03083041, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Mar 2026.