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Metastatic Castration-resistant Prostate Cancer (mCRPC)Phase 2NCT06241846

A Phase II Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Patients With mCRPC

A Phase 2 study testing YL201 for Injection in people with Metastatic Castration-resistant Prostate Cancer (mCRPC), run by MediLink Therapeutics (Suzhou) Co., Ltd. at 24 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a multicenter, open-label, phase II study of YL201 in China to evaluate the efficacy, safety, and PK characteristics of YL201 on mCRPC. Read more about this study

Who is it for?
Ages 18 years and older, men only
What is being tested?
YL201 for Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
24 sitesChina
Study dates
22 Feb 2024to Feb 2029
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects who understand relevant information of the study prior to initiation of the study and voluntarily sign and date on the ICF.
  • Age ≥ 18 years.
  • Patients should meet the following conditions to be enrolled:
  • Histologically or cytologically confirmed prostate cancer. Note: The primary histological classification indicated by biopsy should be adenocarcinoma;
  • Meeting the following criteria for clinical diagnosis of mCRPC:
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  • Subjects who understand relevant information of the study prior to initiation of the study and voluntarily sign and date on the ICF.
  • Age ≥ 18 years.
  • Patients should meet the following conditions to be enrolled:
  • Histologically or cytologically confirmed prostate cancer. Note: The primary histological classification indicated by biopsy should be adenocarcinoma;
  • Meeting the following criteria for clinical diagnosis of mCRPC:
  • √Testosterone level after castration (a serum testosterone level of <50 ng/dl or 1.7 nmol/L);
  • Serum prostate specific antigen (PSA) progression (PSA > 1 ng/mL and 2 consecutive increases in PSA with at least a 1-week interval >50% from baseline), or PD by imaging (≥ 2 new bone lesions suggested by a bone scan according to PCWG3 criteria; and/or progression of soft tissue lesions suggested by computed tomography (CT) or nuclear magnetic resonance imaging (MRI) according to RECIST v1.1); meeting either or both criteria;
  • Persistent luteinizing hormone-releasing hormone (LHRH) analogue castration (medical castration) or prior bilateral orchiectomy (surgical castration); surgical castration should be performed at least 3 months prior to enrollment, and medical castration is required from at least 3 months prior to the first dose and throughout the study for subjects not yet undertake bilateral orchiectomy; • Patients with progression on or intolerance to at least one prior novel hormone therapy (NHT) (e.g., enzalutamide, abiraterone, darolutamide, apalutamide, or rezvilutamide); • Prior therapy with no more than 2 lines of chemotherapy is allowed; • Patients with known previous prostate adenocarcinoma with a documented BRCA1/2 (germline or somatic) mutation should have received poly ADP ribose polymerase (PARP) inhibitor therapy (if available and tolerated);
  • Patients with metastatic lesions confirmed by CT, MRI, or bone scan imaging within 28 days prior to the first dose.
  • Patients with archived or fresh tumor tissue samples. Patients who cannot provide tumor samples or cannot provide sufficient samples may be enrolled in this study after considering specific circumstances and discussions with the Sponsor.
  • Fresh tumor tissue samples (formalin-fixed, paraffin-embedded (FFPE) tumor blocks or FFPE sections) should be provided for retrospective detection of B7H3 expression by the central laboratory using the immunohistochemistry [IHC] method; if fresh tumor tissue samples are not available, FFPE tumor blocks previously archived are acceptable, and fresh FFPE sections should be prepared within 2 weeks.
  • Eastern cooperative oncology group performance status (ECOG PS) score of 0 or 1.
  • The function of organs and bone marrow meets the requirements within 7 days prior to the first dose, which is defined as follows:
  • Hemoglobin (Hb) ≥ 90 g/L (no blood transfusion or erythropoietin treatment within 14 days prior to the first dose);
  • Absolute neutrophil count (ANC) ≥ 1.5×109/L (no treatment with granulocyte colony stimulating factor or granulocyte-macrophage colony stimulating factor within 14 days prior to the first dose);
  • Platelet count (PLT) ≥ 100×109/L (no platelet transfusion, thrombopoietin, or interleukin-11 within 14 days prior to the first dose);
  • Total bilirubin (TBIL) ≤ 1.5×upper limit of normal (ULN) in the absence of obvious liver metastasis, or ≤ 3×ULN in the presence of liver metastasis;
  • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 3×ULN in the absence of obvious liver metastasis or ≤ 5×ULN in the presence of liver metastasis;
  • Serum albumin (ALB) ≥ 30 g/L;
  • Creatinine clearance calculated using Cockcroft-Gault formula ≥ 50 mL/min or the creatinine ≤ 1.5×ULN;
  • Activated partial thromboplastin time (APTT) and international normalized ratio (INR) ≤ 1.5×ULN, except for patients who are on anticoagulant therapy. In this case, a stable anticoagulant regimen should be maintained with APTT and INR controlled within the range deemed appropriate by the investigator.
  • Patients must agree to adopt highly effective contraceptive measures from screening, throughout the study period, and within at least 6 months after the last dose of the investigational drug.
  • Expected survival ≥ 6 months.
  • Be capable of and willing to comply with the visits and procedures stipulated in the study protocol.

Who cannot join

  • Previously treated with drugs targeting B7H3.
  • Currently participating in another clinical study, unless it is an observational (non-interventional) clinical study, or the patient is at the follow-up period of an interventional study.
  • Previously treated with topoisomerase I inhibitors or ADC therapy composed of topoisomerase I inhibitors.
  • The washout period of the previous anti-tumor therapy is considered insufficient.
  • Patients received major surgery.
  • Prior treatment with allogeneic bone marrow transplantation or solid organ transplantation.
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  • Prior treatment with glucocorticoids for more than 28 consecutive days within 28 days prior to the first dose of the investigational drug.
  • Patients received any live vaccine within 4 weeks prior to the first dose of the investigational drug, or plan to receive live vaccine during the study period.
  • Have pathological long bone fracture, or the risk of pathological long bone fracture.
  • Have meningeal metastasis or cancerous meningitis.
  • Have uncontrolled bladder outlet obstruction or urinary incontinence.
  • Have brain metastasis or spinal cord compression.
  • Patients with uncontrolled or clinically significant cardiovascular diseases.
  • Clinically significant complicated pulmonary disorders.
  • Diagnosed with Gilbert's syndrome.
  • Accompanying uncontrolled effusion in the third space requiring repeated drainage.
  • Medical history of gastrointestinal perforation and/or fistula within 6 months prior to the first dose, or active gastric and duodenal ulcers, ulcerative colitis, or other gastrointestinal diseases that may cause hemorrhage or perforation in the opinion of the investigator.
  • Active serious infection (National Cancer Institute Common Terminology Criteria for Adverse Events [NCI CTCAE] ≥ 3) within 4 weeks prior to the first dose.
  • Known human immunodeficiency virus (HIV) infection.
  • Active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.
  • Diagnosed with the other malignancies that may change the expected survival or affect the response evaluation.
  • Unresolved toxicity of previous anti-tumor therapy.
  • History of severe hypersensitivity to inactive ingredients in the drug substance and drug product or other monoclonal antibodies.
  • Have any diseases, medical conditions, organ system dysfunction, or social conditions that may interfere with the subject ability to sign the ICF, adversely affect the subject ability to cooperate and participate in the study, or affect the interpretation of study results, including but not limited to mental illness or substance/alcohol abuse, in the opinion of the investigator.

Trial locations and contacts

24 sites in 1 country. Contact the study team or a site near you to ask about taking part.

24 sites in 1 country

China24 sites, 24 recruiting
  • Peking University First Hospital

    Beijing, Beijing Municipality

    Site Coordinator

    Not yet recruiting
  • Peking University Third Hospital

    Beijing, Beijing Municipality

    Site Coordinator

    Not yet recruiting
  • Sichuan Provincial People's Hospital

    Chengdu, Sichuan, 250117

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting
  • West China Hospital of Sichuan University

    Chengdu, Sichuan, 250117

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting
  • Chongqing University Cancer Hospital

    Chongqing, Chongqing Municipality

    Site Coordinator

    Not yet recruiting
  • Sun Yat-Sen University Cancer Center

    Guangzhou, Guangdong, 250117

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting
  • The First Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 250117

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting
  • Zhejiang Provincial People's Hospital

    Hangzhou, Zhejiang, 250117

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting
  • Harbin Medical University Cancer Hospital

    Harbin, Heilongjiang, 250117

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting
  • Anhui Provincial Hospital

    Hefei, Anhui

    Site Coordinator

    Not yet recruiting
  • The Second Affiliated Hospital of Anhui Medical University

    Hefei, Anhui

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting
  • Hunan Cancer Hospital

    Hunan, Changsha

    Site Coordinator

    Not yet recruiting
  • Shandong Tumor Hospital

    Jinan, Shandong, 250117

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting
  • Nanjing Drum Tower hospital

    Nanjing, Jiangsu

    Site Coordinator

    Not yet recruiting
  • Nantong Tumor Hospital

    Nantong, Jiangsu

    Site Coordinator

    Not yet recruiting
  • Ningbo Yinzhou No.2 Hospital

    Ningbo, Zhejiang

    Site Coordinator

    Recruiting
  • Zhongshan Hospital of Fudan University

    Shanghai, Shanghai Municipality, 250117

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting
  • Fudan University Shanghai Cancer Center

    Shanghai

    Site Coordinator

    Recruiting
  • Liaoning Cancer Hospital

    Shenyang, Liaoning, 250117

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting
  • The First Affiliated Hospital of China Medical University

    Shenyang, Liaoning, 250117

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting
  • The Second Hospital of Tianjin Medical University

    Tianjin, Tianjin Municipality

    Site Coordinator

    Not yet recruiting
  • The First Affiliated Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang

    Site Coordinator

    Not yet recruiting
  • Union Hospital of Huazhong University of Science and Technology Tongji Medical College

    Wuhan, Hubei, 250117

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting
  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 250117

    Coordinator Clinical operation director, RA@medilinkthera.com

    Not yet recruiting

Other trials in China

About this study

Official title: A Multicenter, Open-Label, Phase II Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Patients With Metastatic Castration-Resistant Prostate Cancer

This is a multicenter, open-label, phase II study of YL201 in China to evaluate the efficacy, safety, and PK characteristics of YL201 on mCRPC.

Being tested
YL201 for Injection

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • YL201 for InjectionDrug

    Patients will be treated with YL201 intravenous (IV) infusion once every 3 weeks on Day 1 or twice every 3 weeks on Day 1 and Day 8 during a 3-week (21-day) cycle.

Study groups in NCT06241846
Study groupRoleWhat they receive
Part 1ExperimentalTo evaluate the safety and efficacy of YL201 in patients with mCRPC and to determine the recommended dose of YL201 for the pivotal clinical study (n ≈ 60); Cohort 1: YL201 2.0 mg/kg iv Q3W ; Cohort 2: YL201 1.6 mg/kg iv Q3W; Cohort 3: YL201 2.4 mg/kg iv Q3W; Cohort 4: YL201 1.2 mg/kg iv D1, D8 Q3W; Cohort 5: YL201 1.0 mg/kg iv D1, D8, Q3W;
Receives: Drug: YL201 for Injection
Part2ExperimentalTo evaluate the safety and efficacy of YL201 in patients with mCRPC and to determine the recommended dose of YL201 for the pivotal clinical study (n ≈ 40); Recommended dose and method of administration
Receives: Drug: YL201 for Injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Objective response rate (ORR) by RECIST1.1 and PCWG3 criteria per investigators' review

    defined as percentage of participants with confirmed best overall response of confirmed complete response (CR) or partial response (PR) to treatment

    Measured: Approximately within 36 months

  2. Radiographic progression free survival (rPFS), and rPFS rate at 3/6 months by RECIST1.1 and PCWG3 criteria per investigators' review

    defined as the time from the date of first administration to first documented progressive disease (PD) per RECIST1.1 and PCWG3 or death from any cause, whichever occurs first.

    Measured: Approximately within 36 months

  3. Recommended dose of YL201 for the pivotal clinical trial.

    Measured: Approximately within 36 months

Secondary outcomes (23)
  1. disease control Rate (DCR) by RECIST1.1 and PCWG3 criteria per investigators' review

    Disease control rate

    Measured: Approximately within 36 months

  2. To evaluate DoR by RECIST1.1 and PCWG3 criteria per investigators' review of YL201 in the treatment of mCRPC

    Duration of rasponse

    Measured: Approximately within 36 months

  3. To evaluate TTR of YL201 in the treatment of mCRPC

    Time to Objective response

    Measured: Approximately within 36 months

  4. To evaluate DpR of YL201 in the treatment of mCRPC

    deepness of response

    Measured: Approximately within 36 months

  5. To evaluate PSA50 response rate and PSA50 response rate at 12 weeks of YL201 in the treatment of mCRPC

    PSA50 response is defined as a ≥ 50% decline in PSA from baseline with PSA confirmation ≥ 3 weeks after the first documented reduction in PSA of ≥ 50%.

    Measured: Approximately within 36 months

  6. To evaluate TTPR of YL201 in the treatment of mCRPC

    time to PSA response

    Measured: Approximately within 36 months

  7. To evaluate PDoR of YL201 in the treatment of mCRPC

    PSA duration of response

    Measured: Approximately within 36 months

  8. To evaluate PDpR of YL201 in the treatment of mCRPC

    PSA deepness of response

    Measured: Approximately within 36 months

  9. To evaluate TTPP of YL201 in the treatment of mCRPC

    time to PSA progression

    Measured: Approximately within 36 months

  10. To evaluate TFST of YL201 in the treatment of mCRPC

    time to first subsequent therapy

    Measured: Approximately within 36 months

  11. To evaluate rPFS of YL201 in the treatment of mCRPC

    Radiographic Progression Free Survival

    Measured: Approximately within 36 months

  12. To evaluate OS of YL201 in the treatment of mCRPC

    overall survival

    Measured: Approximately within 36 months

  13. To evaluate time to first symptomatic skeletal event of YL201 in the treatment of mCRPC

    assessed by investigator according to RECIST v1.1 and PCWG3 criteria

    Measured: Approximately within 36 months

  14. Expression of B7H3 in tumor tissue at baseline and the relationship with the efficacy of YL201.

    Measured: Approximately within 36 months

  15. Number of participants with AEs, SAEs, and SAEs leading to study treatment interruption or discontinuation.

    adverse event, serious adverse event

    Measured: Approximately within 36 months

  16. To evaluate the AUC of YL201

    the area under curve: AUC is the total amount of YL201 in bloodstream after drug administration

    Measured: Approximately within 36 months

  17. To evaluate the Cmax of YL201

    Maximum concentration: The highest measured concentration of YL201 in the bloodstream.

    Measured: Approximately within 36 months

  18. To evaluate the Ctrough of YL201

    trough concentration

    Measured: Approximately within 36 months

  19. To evaluate the CL of YL201

    Clearance: defined as the amount of drug removed from the bloodstream by the body per unit of time

    Measured: Approximately within 36 months

  20. To evaluate the Vd of YL201

    volume of distribution

    Measured: Approximately within 36 months

  21. To evaluate the T1/2 of YL201

    Terminal half-life: defined as the time it takes for the concentration of the drug in plasma or serum to be reduced by 50%

    Measured: Approximately within 36 months

  22. To evaluate the E-R relationship of YL201

    exposure-response

    Measured: Approximately within 36 months

  23. To evaluate the immunogenicity of YL201

    Measured: Approximately within 36 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Feb 2024
  2. Study start22 Feb 2024
  3. Primary completionFeb 2027 (estimated)
  4. Study completionFeb 2029 (estimated)

Resources

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
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06241846
Sponsor's protocol ID
YL201-CN-201-01
Status last verified
Jul 2025
First submitted
28 Jan 2024
Last updated
27 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing YL201 for Injection in people with Metastatic Castration-resistant Prostate Cancer (mCRPC), run by MediLink Therapeutics (Suzhou) Co., Ltd. at 24 sites 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 30 inclusion and 24 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: looking for participants now, as of the sponsor's last update on 27 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Sasha Stann (06172408494, sasha@medilinkthera.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Objective response rate (ORR) by RECIST1.1 and PCWG3 criteria per investigators' review (time frame: Approximately within 36 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 27 Aug 2025.

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