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Esophageal Squamous Cell CarcinomaPhase 2/3NCT07251062

A Study of SYS6010, Enlonstobart, and Chemotherapy for First-Line Treatment of Esophageal Squamous Cell Carcinoma.

A Phase 2/3 study testing SYS6010+SG001+ physician's choice (Capecitabine or 5-FU), Investigator's choice of SOC and SYS6010+SG001 in people with Esophageal Squamous Cell Carcinoma, run by CSPC Megalith Biopharmaceutical Co.,Ltd..

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This is a multicenter phase 2/3 clinical study to evaluate the efficacy and safety of SYS6010 plus SG001±5-FU/Capecitabine as first-line treatment, in patients with advanced/metastatic esophageal squamous cell carcinoma. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Esophageal Squamous Cell Carcinoma
What is being tested?
SYS6010+SG001+ physician's choice (Capecitabine or 5-FU), Investigator's choice of SOC and SYS6010+SG001
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
737 participants
Where
No sites listed yet
Study dates
30 Dec 2025to 30 Dec 2030
Phase
Phase 2/3
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Be able to understand and voluntarily sign the written ICF;
  • Age 18-75 (inclusive) years, male or female;
  • With histologically/cytologically confirmed esophageal squamous cell carcinoma that is either locally advanced unresectable or metastatic, with no prior systemic antitumor therapy administered for the recurrent/metastatic disease setting. Have at least one measurable lesion that meets the RECIST v 1.1 criteria at baseline;
  • Eastern Cooperative Oncology Group (ECOG) performance status score: 0-1;
  • Life expectancy ≥ 3 months;

Who cannot join

  • Prior treatment involving topoisomerase I inhibitors (including ADC drugs that contain topoisomerase I inhibitors as toxins);
  • Prior treatment with immune checkpoint inhibitors or other agents targeting T-cell co-stimulatory/co-inhibitory pathways (e.g., anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4, anti-CD137 antibodies)
  • With a history of ≥Grade 3 allergic reactions to monoclonal antibodies, or with known hypersensitivity or intolerance to SYS6010, SG001, paclitaxel, carboplatin, cisplatin, fluorouracil, or any of their excipients;
  • With dihydropyrimidine dehydrogenase (DPD) deficiency.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Clinical Trials Information Group officer contact

0311-69085587

ctr-contact@cspc.cn

About this study

Official title: A Phase II/III Study to Evaluate the Efficacy and Safety of SYS6010 in Combination With SG001 With or Without 5-FU/Capecitabine in Subjects With First-Line Advanced/Metastatic Esophageal Squamous Cell Carcinoma.

This is a multicenter phase 2/3 clinical study to evaluate the efficacy and safety of SYS6010 plus SG001±5-FU/Capecitabine as first-line treatment, in patients with advanced/metastatic esophageal squamous cell carcinoma.

Read the detailed description

Phase II study comprises a safety lead-in stage, a dose expansion stage, and a randomized treatment stage. The Phsae III study is randomized controlled trial.

Phase II (safety lead-in stage): the safety lead-in stage employs a 3+3 design. It aims to evaluate the safety and tolerability of combination therapy-comprising capecitabine/5-FU administered at a descending dose level starting from DL0 alongside fixed doses of SYS6010 and SG001-in previously untreated patients with unresectable locally advanced or metastatic ESCC. The primary objectives are to determine the Maximum Tolerated Dose (MTD) and the Recommended Phase II Dose (RP2D).

Phase II (dose expansion stage): Upon completion of the safety evaluation and confirmation of tolerability for a dose cohort in the safety lead-in phase, expansion of that cohort may be initiated, with plans to expand 1-2 dose cohorts.

Phase II (randomized treatment stage): Upon determination of the RP2D based on prior data, a randomized controlled study will be conducted in a first-line advanced/metastatic esophageal squamous cell carcinoma (ESCC) patient population. Patients will be randomly assigned to three arms: Arm 1: SYS6010+SG001+ capecitabine/5-FU; arm2: investigator's choice of SOC; arm3: SYS6010+SG001.

Phase III is a randomized, controlled, open-label, multicenter study designed to evaluate the efficacy of SYS6010+SG001+capecitabine/5-FU versus investigator's choice of treatment as first-line therapy for advanced/metastatic esophageal squamous cell carcinoma. The Phase III trial design will be finalized based on Phase II results. The preliminary plan is to randomized patients in a 1:1 ratio to either the investigational arm or the control arm. Investigational arm: SYS6010+SG001+capecitabine/5-FU; control arm: investigator's choice of SOC.

Being tested
SYS6010+SG001+ physician's choice (Capecitabine or 5-FU), Investigator's choice of SOC, SYS6010+SG001
Medical subject headings
Esophageal Squamous Cell Carcinoma

What participants receive

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

  • SYS6010+SG001+ physician's choice (Capecitabine or 5-FU)Drug

    Also called SG001: Enlonstobart

    SYS6010 is an antibody conjugate drug (ADC), composed of one anti-EGFR monoclonal antibody coupled to one JS1 via an enzyme specific linker.

    SG001 is a recombinant, fully human, anti-PD-1 monoclonal antibody. Capecitabine: Capecitabine is for oral administration. 5-FU: Administration at the conventional dosage.

  • Investigator's choice of SOCDrug

    1. Camrelizumab + Cisplatin + Paclitaxel
    2. Tislelizumab + Cisplatin + Paclitaxel
    3. Tislelizumab + Cisplatin + 5-FU/Capecitabine
  • SYS6010+SG001Drug

    SYS6010 is an antibody conjugate drug (ADC), composed of one anti-EGFR monoclonal antibody coupled to one JS1 via an enzyme specific linker.

    SG001 is a recombinant, fully human, anti-PD-1 monoclonal antibody.

Study groups in NCT07251062
Study groupRoleWhat they receive
Phase II (Safety lead-in stage) : SYS6010+SG001+physician's choice(Capecitabine or 5-FU )ExperimentalNot described
Receives: Drug: SYS6010+SG001+ physician's choice (Capecitabine or 5-FU)
Phase II (dose expansion stage): SYS6010+SG001+physician's choice (Capecitabine or 5-FU)ExperimentalUpon completion of the safety evaluation and confirmation of tolerability for a dose cohort in the safety run-in phase, expansion of that cohort may be initiated, with plans to expand 1-2 dose cohorts.
Receives: Drug: SYS6010+SG001+ physician's choice (Capecitabine or 5-FU)
Phase II(randomized Controlled stage): SYS6010+SG001+ physician's choice (Capecitabine or 5-FU)ExperimentalNot described
Receives: Drug: SYS6010+SG001+ physician's choice (Capecitabine or 5-FU)
PhaseII(randomized treatment stage): physician's choice of SOCActive comparatorNot described
Receives: Drug: Investigator's choice of SOC
Phase II(randomized controlled stage): SYS6010+SG001ExperimentalNot described
Receives: Drug: SYS6010+SG001
Phase III: SYS6010+SG001+ physician's choice (Capecitabine or 5-FU)Active comparatorNot described
Receives: Drug: SYS6010+SG001+ physician's choice (Capecitabine or 5-FU)
Phase III: physician's choice of SOCActive comparatorNot described
Receives: Drug: Investigator's choice of SOC

What is being measured

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

  1. PhaseII(safety leadrun-in stage): DLT; Description: Dose-limiting toxicity

    Dose-limiting toxicity

    Measured: 28 days

  2. PhaseII(safety run-inlead-in stage): AE

    The incidence and severity of Adverse events

    Measured: From the signing of the informed consent form until 90 days after the last dose.

  3. PhaseII(safety leadrun-in stage): MTD;

    Maximum tolerated dose

    Measured: After phase II saftysafety run-inlead-in stage and dose expansion stage. Approximately 4 months.

  4. PhaseII(safety run-inlead-in stage): RP2D

    Recommended Phase II dose

    Measured: After phase II saftysafety run-inlead-in stage and dose expansion stage. Approximately 4 months.

  5. PhaseII(Randomized treatment stage): ORR per RECIST v1.1

    Objective response rate

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years.

  6. PhaseIII: PFS-ICR

    PFS assessed by independent review committee

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years

  7. PhaseIII: OS;

    Overall survival

    Measured: Through study completion, up to approximately 5 year.

Secondary outcomes (19)
  1. Phase II: DOR per RECIST 1.1;

    Duration of response.

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years

  2. Phase II: DCR per RECIST 1.1;

    Disease of controll

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years

  3. Phase II:PFS per RECIST 1.1

    Progression free survival

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years

  4. Phase II:OS

    Overall survival

    Measured: Through study completion, up to approximately 5 year

  5. Phase II: Serum concentrations of toxin-bound antibodies, total antibodies, and JS-1 following single and multiple doses of SYS6010

    Serum concentrations of toxin-bound antibodies, total antibodies, and JS-1 following single and multiple doses of SYS6010

    Measured: From first dose of treatment to 30 days after the last dose of treatment.

  6. Phase II: plasma concentration of SG001 following single and multiple doses of SG001;

    Plasma concentration of SG001 following single and multiple doses of SG001

    Measured: From first dose of treatment to 30 days after the last dose of treatment.

  7. Phase II: EGFR protein expression and PD-L1 protein expression;

    EGFR protein expression and PD-L1 protein expression;

    Measured: From first dose of treatment to 30 days after the last dose of treatment.

  8. Phase II: The incidence and titer of anti-drug antibodies (ADA), as well as the incidence of neutralizing antibodies (NAb) (if applicable), for SYS6010.

    The incidence and titer of anti-drug antibodies (ADA), as well as the incidence of neutralizing antibodies (NAb) (if applicable), for SYS6010.

    Measured: From first dose of treatment to 30 days after the last dose of treatment.

  9. Phase II: The incidence and titer of anti-drug antibodies (ADA), as well as the incidence of neutralizing antibodies (NAb) (if applicable), for SG001;

    The incidence and titer of anti-drug antibodies (ADA), as well as the incidence of neutralizing antibodies (NAb) (if applicable), for SG001.

    Measured: From first dose of treatment to 30 days after the last dose of treatment.

  10. Phase III: DOR-IRC per RECIST 1.1

    Duration of response assessed by independent review committee

    Measured: Weeks 8, 12, 18, every 6 weeks within 48 weeks, and every 12 weeks thereafter, until the end of the study

  11. Phase III: DCR-IRC per RECIST 1.1;

    Disease of controll assessed by independent review committee.

    Measured: Weeks 8, 12, 18, every 6 weeks within 48 weeks, and every 12

  12. Phase III:PFS per RECIST 1.1;

    Progression free survival

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years.

  13. Phase III:ORR-IRC;

    Objective response rate assessed by independent review committee

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years.

  14. Phase III: AE;

    Incidence and severity of adverse events

    Measured: From first dose of treatment to 90 days after the last dose of treatment.

  15. Phase III: Serum concentrations of toxin-bound antibodies, total antibodies, and JS-1 following single and multiple doses of SYS6010;

    Serum concentrations of toxin-bound antibodies, total antibodies, and JS-1 following single and multiple doses of SYS6010

    Measured: From first dose of treatment to 30 days after the last dose of treatment.

  16. Phase III: plasma concentration of SG001 following single and multiple doses of SG001

    Plasma concentration of SG001 following single and multiple doses of SG001

    Measured: From first dose of treatment to 30 days after the last dose of treatment.From first dose of treatment to 30 days after the last dose of treatment.

  17. Phase III: EGFR protein expression and PD-L1 protein expression

    EGFR protein expression and PD-L1 protein expression

    Measured: From first dose of treatment to 30 days after the last dose of treatment.

  18. Phase III: The incidence and titer of anti-drug antibodies (ADA), as well as the incidence of neutralizing antibodies (NAb) (if applicable), for SYS6010 .

    The incidence and titer of anti-drug antibodies (ADA), as well as the incidence of neutralizing antibodies (NAb) (if applicable), for SYS6010.

    Measured: From first dose of treatment to 30 days after the last dose of treatment.

  19. The incidence and titer of anti-drug antibodies (ADA), as well as the incidence of neutralizing antibodies (NAb) (if applicable), for SG001

    The incidence and titer of anti-drug antibodies (ADA), as well as the incidence of neutralizing antibodies (NAb) (if applicable), for SG001

    Measured: From first dose of treatment to 30 days after the last dose of treatment

Timeline

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

  1. First posted26 Nov 2025
  2. Study start30 Dec 2025 (estimated)
  3. Primary completion30 Dec 2029 (estimated)
  4. Study completion30 Dec 2030 (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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
This is a Phase II/III study. Phase II study comprises a safety lead-in stage, a dose expansion stage, and a randomized treatment stage. The Phsae III study is randomized controlled trial.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
737 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07251062
Sponsor's protocol ID
SYS6010-016
Status last verified
Oct 2025
First submitted
13 Nov 2025
Last updated
26 Nov 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing SYS6010+SG001+ physician's choice (Capecitabine or 5-FU), Investigator's choice of SOC and SYS6010+SG001 in people with Esophageal Squamous Cell Carcinoma, run by CSPC Megalith Biopharmaceutical Co.,Ltd..

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 5 inclusion and 4 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: opening soon, as of the sponsor's last update on 26 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

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 combined 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.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 Clinical Trials Information Group officer (0311-69085587, ctr-contact@cspc.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

PhaseII(safety leadrun-in stage): DLT; Description: Dose-limiting toxicity (time frame: 28 days). The study lists 7 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 26 Nov 2025.

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