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Locally Advanced, Metastatic, or Recurrent Non-small Cell Lung Cancer (NSCLC) Harboring Epidermal Growth Factor Receptor (EGFR) MutationsPhase 2NCT07518160

JS212 Plus JS111 in EGFR-Mutant Advanced NSCLC: A Phase II Study

A Phase 2 study testing JS212 for Injection+JS111 capsules (AP-L1898) in people with Locally Advanced, Metastatic, or Recurrent Non-small Cell Lung Cancer (NSCLC) Harboring Epidermal Growth Factor Receptor (EGFR) Mutations, run by Shanghai Junshi Bioscience Co., Ltd. at 2 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 Phase II study evaluating the safety, tolerability, pharmacokinetics, and preliminary efficacy of JS212 in combination with JS111 in patients with advanced or metastatic non-small cell lung cancer (NSCLC) harboring EGFR-sensitizing mutations who have progressed after prior EGFR-TKI therapy. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
JS212 for Injection+JS111 capsules (AP-L1898)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
2 sitesChina
Study dates
21 Apr 2026to 23 Apr 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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants must meet all of the following criteria to be eligible for this study:
  • Age between 18 and 75 years (inclusive) at the time of signing the informed consent form (ICF), regardless of sex;
  • Histologically or cytologically confirmed recurrent or metastatic non-squamous NSCLC that is unresectable and not amenable to curative chemoradiotherapy;
  • Confirmed EGFR-sensitizing mutation, including:
  • Exon 19 deletion or L858R mutation,Either alone or in combination with other EGFR mutations, Including those with concurrent T790M mutation positivity.Local laboratory reports are acceptable, provided that the test method is well-validated, or has passed external quality assessment (EQA), or is conducted by a certified molecular pathology/genetic testing laboratory, or is approved by NMPA;
  • Prior treatment with:
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  • EGFR-TKIs, and If applicable, ≤1 line of platinum-based doublet chemotherapy, with radiologically confirmed disease progression per RECIST v1.1;
  • At least one measurable lesion per RECIST v1.1;
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
  • Estimated life expectancy of ≥12 weeks;
  • Adequate organ function meeting the following criteria (Note: No blood transfusion or hematopoietic growth factors are allowed within 14 days prior to screening assessments):
  • Absolute neutrophil count ≥1.5 × 10⁹/L;
  • Platelet count ≥100 × 10⁹/L;
  • Hemoglobin ≥90 g/L (≥9 g/dL);
  • ALT and AST ≤2.5 × ULN (≤5 × ULN in case of liver metastases);
  • Total bilirubin ≤1.5 × ULN;
  • Creatinine clearance ≥50 mL/min (calculated by Cockcroft-Gault formula);
  • Activated partial thromboplastin time (APTT) ≤1.5 × ULN and international normalized ratio (INR) ≤1.5(patients on stable anticoagulant therapy such as low molecular weight heparin or warfarin are allowed if INR is within the therapeutic range);
  • Female participants of childbearing potential (WOCBP) who are sexually active with non-sterilized male partners must:
  • Have a negative serum pregnancy test within 7 days prior to first dose, and Agree to highly effective contraception and have no plans for pregnancy from signing the ICF until: 7 months after the last dose of JS212, and 2 months after the last dose of JS111, whichever period is longer (definition of WOCBP is provided in Section 10.3);
  • Non-sterilized male participants who are sexually active with women of childbearing potential must: Agree to use effective contraception as described in Section 10.3.2 from signing the ICF until 4 months after the last dose of JS212 or JS111, and Refrain from sperm donation during this period;
  • Participants must voluntarily participate in this study and provide written informed consent.

Who cannot join

  • Participants meeting any of the following criteria will be excluded from the study:
  • Disease-related conditions:
  • Histologically or cytologically confirmed presence of: Small cell lung cancer component, or Large cell neuroendocrine carcinoma, or Sarcomatoid features, or Squamous component >10%; b. Known leptomeningeal metastases; c. Symptomatic brain metastases; Asymptomatic brain metastases may be eligible if assessed as stable by the investigator, including: i. Previously treated brain metastases (e.g., radiotherapy) that are stable, defined as: No CNS-related symptoms,Discontinuation of corticosteroids and osmotic agents (e.g., mannitol) ≥7 days prior to first dose, No radiographic progression compared with pre-treatment imaging (interval ≥4 weeks); ii. Untreated asymptomatic brain metastases meeting all of the following: No use of corticosteroids or osmotic agents,No lesion with longest diameter ≥1 cm, No metastases in midbrain, pons, medulla, or spinal cord, No history of intracranial hemorrhage; d. Uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage (≥ once per month); e. Untreated spinal cord compression, or previously treated spinal cord compression without evidence of stability for ≥4 weeks prior to enrollment;
  • Prior/concomitant treatments:
  • Within: 4 weeks or 5 half-lives (whichever is shorter) prior to first dose: chemotherapy or similar therapies;7 days: small molecule targeted therapy; 2 weeks: localized radiotherapy (e.g., palliative radiation for bone metastases);
  • Use of strong CYP3A inhibitors or inducers within 14 days prior to first dose or requirement for continued use during study;
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  • Current use or requirement for use of medications known to prolong QT interval or cause torsades de pointes;
  • Receipt of any investigational drug within 4 weeks or 5 half-lives prior to first dose (whichever is shorter);
  • Participation in another clinical trial, unless it is: Observational (non-interventional), or The participant is in the follow-up phase of an interventional study;
  • Major surgery (e.g., craniotomy, thoracotomy, laparotomy) within 4 weeks prior to first dose;
  • Toxicity Unresolved toxicities from prior anti-tumor therapy that have not recovered to:
  • ≤ CTCAE Grade 1, or The level specified in inclusion/exclusion criteria,whichever is more severe (Grade 2 toxicities deemed not clinically significant by the investigator, such as alopecia, chemotherapy-induced neuropathy, or hypothyroidism, are allowed);
  • Hypersensitivity Known allergy or hypersensitivity to any study drug or its excipients;
  • Cardiac conditions:
  • QTcF:≥450 ms (male), ≥470 ms (female), averaged from 3 ECG measurements;
  • Clinically significant arrhythmias, including but not limited to:Complete left bundle branch block,Third-degree AV block,Second-degree AV block,PR interval >250 ms;
  • Risk factors for torsades de pointes, such as: Clinically significant hypokalemia,Family history of long QT syndrome or arrhythmias;
  • Left ventricular ejection fraction (LVEF) <50%;
  • Gastrointestinal conditions Conditions affecting drug absorption, distribution, metabolism, or excretion, such as: Inability to swallow oral medication, Persistent vomiting,Uncontrolled diarrhea,Extensive gastrointestinal resection,Crohn's disease, ulcerative colitis;
  • Pulmonary conditions History of or suspected: Interstitial lung disease, Drug-induced pneumonitis,Idiopathic pneumonitis,Idiopathic pulmonary fibrosis,or other significant pulmonary disease (≤Grade 1 radiation pneumonitis is allowed);
  • Ocular conditions Severe or uncontrolled ocular disorders that may increase risk, including:
  • Severe dry eye syndrome,Keratoconjunctivitis sicca,Severe exposure keratitis, or other conditions predisposing to epithelial damage;or requiring surgery during the study (non-urgent cataract is allowed);
  • Infection Severe infection (CTCAE ≥ Grade 3) within 4 weeks prior to first dose; Evidence of active pulmonary inflammation on imaging at baseline; Infection requiring systemic antibiotics within 2 weeks prior to first dose (excluding prophylactic use);
  • Immunodeficiency History of immunodeficiency, including HIV positivity;Other acquired or congenital immunodeficiency;History of organ transplantation, allogeneic bone marrow transplantation, or autologous hematopoietic stem cell transplantation;
  • Tuberculosis Active tuberculosis, or History of active tuberculosis within 1 year prior to enrollment, or History of active tuberculosis >1 year ago without adequate treatment;
  • Viral hepatitis Active HBV infection: HBsAg positive with HBV DNA ≥1000 copies/mL or ≥200 IU/mL; Active HCV infection: HCV antibody positive with detectable HCV RNA above LLOQ;
  • Other malignancies Any other malignancy requiring treatment within 5 years prior to first dose, except: Malignancies with low metastatic risk and >90% 5-year survival, such as: Adequately treated basal or squamous cell skin cancer, Carcinoma in situ of cervix or breast, Localized prostate cancer, Papillary thyroid carcinoma;
  • Pregnancy and lactation Pregnant or breastfeeding women, or those planning pregnancy during the study;
  • Uncontrolled comorbidities Including but not limited to: Symptomatic congestive heart failure within 6 months, Uncontrolled hypertension, Unstable angina, Uncontrolled arrhythmia, Major seizure disorders,Superior vena cava syndrome,Aortic aneurysm requiring surgery, Arterial thromboembolism,≥Grade 3 venous thromboembolism (CTCAE v6.0),Stroke or transient ischemic attack; or psychiatric/social conditions that may affect compliance or informed consent;
  • Investigator judgment Any condition that, in the investigator's opinion, may: Lead to premature discontinuation,Compromise patient safety, or Affect data integrity, including abnormal laboratory values or unfavorable social/family circumstances.

Trial locations and contacts

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

Kui Zhang, Project Directer contact

08618168028925

kui_zhang@junshipharma.com

China2 sites, 2 recruiting
  • Shanghai Chest Hospital

    Shanghai, Shanghai Municipality, 200030

    Tianqing Chu, Ph.D., 086 18017321311, ctqxkyy@163.com

    Tianqing Chu, Ph.D.

    Recruiting
  • Shanghai Chest Hospital

    Shanghai, Shanghai Municipality, 200030

    Shun Lu, Ph.D., 086 13601813062, shun_lu@hotmail.com

    Shun Lu, Ph.D.

    Recruiting

Other trials in China

About this study

Official title: A Phase II Study of JS212 in Combination With JS111 in Patients With Epidermal Growth Factor Receptor (EGFR)-Mutant Advanced Non-Small Cell Lung Cancer (NSCLC)

This is a Phase II study evaluating the safety, tolerability, pharmacokinetics, and preliminary efficacy of JS212 in combination with JS111 in patients with advanced or metastatic non-small cell lung cancer (NSCLC) harboring EGFR-sensitizing mutations who have progressed after prior EGFR-TKI therapy.

The study consists of two parts: a dose-escalation phase followed by an expansion phase. Approximately 30 participants will be enrolled. The dose-escalation phase will explore the safety and tolerability of escalating doses of JS212 in combination with a fixed dose of JS111, using a Bayesian optimal interval (BOIN) design. Based on safety and tolerability data, a recommended Phase III dose (RP3D) will be determined. The expansion phase will further evaluate safety and preliminary anti-tumor activity at the selected dose level.

Read the detailed description

This is an open-label, multicenter Phase II study designed to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of JS212 in combination with JS111 in patients with EGFR-mutant advanced or metastatic NSCLC who have experienced disease progression following prior EGFR-TKI therapy.

The study includes two sequential parts: a dose-escalation phase and a dose-expansion phase, with an overall planned enrollment of approximately 30 participants.

Dose-Escalation Phase Up to approximately 15 participants will be enrolled in the dose-escalation phase. JS212 will be administered intravenously once every 3 weeks (Q3W) at predefined dose levels, starting at 4.2 mg/kg, with potential escalation to 4.6 mg/kg or other dose levels as determined by the Safety Monitoring Committee (SMC). JS111 will be administered orally at a fixed dose of 160 mg once daily (QD).

A Bayesian optimal interval (BOIN) design will be used to guide dose escalation. Participants will be enrolled in cohorts of at least 3 subjects. Dose-escalation decisions will be based on the occurrence of dose-limiting toxicities (DLTs) observed within the first 21 days following the initial dose. The SMC will review safety data and make decisions regarding dose escalation, dose de-escalation, dose expansion, or study modification.

Dose escalation will continue until one of the following conditions is met:

The maximum planned sample size for dose escalation is reached (approximately 15 participants or as adjusted by the SMC); A dose level reaches sufficient evaluable participants with acceptable safety profile; Dose elimination criteria are met due to excessive toxicity; Early termination is determined by the sponsor and investigators. The SMC may also adjust dose levels, dosing schedules, or study design based on emerging safety data from this or other ongoing studies of JS212.

Dose-Expansion Phase Following completion of the dose-escalation phase, one dose level of JS212 in combination with JS111 will be selected for further evaluation. Approximately 20 participants are planned to be enrolled in the expansion phase (subject to adjustment).

Participants will receive JS212 in combination with JS111 every 21 days per cycle until disease progression, unacceptable toxicity, withdrawal of consent, or other discontinuation criteria are met.

Dose-Limiting Toxicity (DLT)

DLTs are defined as treatment-related adverse events occurring within 21 days after the first dose, graded according to NCI-CTCAE v6.0. These include:

Hematologic toxicities, such as:

Grade 4 thrombocytopenia or Grade 3 thrombocytopenia with bleeding; Febrile neutropenia ≥ Grade 3; Grade 4 neutropenia lasting >7 days; Grade 4 anemia;

Non-hematologic toxicities ≥ Grade 3, excluding:

Transient (≤5 days) manageable Grade 3 gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea); Transient (≤7 days) liver enzyme elevations not meeting Hy's law; Asymptomatic laboratory abnormalities; Correctable electrolyte abnormalities within 3 days; Skin toxicities or infusion-related reactions;

Additional toxicities may be considered DLTs at the discretion of the SMC, including persistent or recurrent treatment-related adverse events leading to significant treatment delay or discontinuation.

Study Objectives The primary objectives are to evaluate the safety and tolerability of JS212 in combination with JS111 and to determine the recommended Phase III dose (RP3D). Secondary objectives include assessment of pharmacokinetics and preliminary anti-tumor activity.

Being tested
JS212 for Injection+JS111 capsules (AP-L1898)
Medical subject headings
Neoplasm Metastasis, Carcinoma, Non-Small-Cell Lung

What participants receive

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

  • JS212 for Injection+JS111 capsules (AP-L1898)Drug

    JS212 for Injection:

    JS212 injection was given every 21 days

    JS111 capsules (AP-L1898) :

    JS111 160 mg orally once daily

Study groups in NCT07518160
Study groupRoleWhat they receive
JS212 for Injection + JS111 capsules (AP-L1898)ExperimentalJS212:JS212 will be administered by intravenous infusion on Day 1 of each 21-day cycle. JS111:160 mg once daily (QD)
Receives: Drug: JS212 for Injection+JS111 capsules (AP-L1898)

What is being measured

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

  1. ORR

    Objective response rate (ORR), assessed per RECIST v1.1.

    Measured: up to 3 years

  2. RP3D

    Determination of the recommended Phase III dose (RP3D) for JS212 + JS111.

    Measured: up to 3 years

  3. Safety (AE)

    Incidence and severity of adverse events (AEs), and abnormal laboratory or clinical findings.

    Measured: up to 6 years

Secondary outcomes (8)
  1. PFS

    Progression-free survival (PFS), assessed by investigators (RECIST v1.1).

    Measured: up to 6 years

  2. DoR

    Duration of response (DoR), assessed by BICR and investigators.

    Measured: up to 6 years

  3. DCR

    Disease control rate (DCR), assessed by BICR and investigators.

    Measured: up to 6 years

  4. OS

    overall survival (OS)

    Measured: up to 6 years

  5. Concentrations of JS212

    Evaluation of concentrations of JS212

    Measured: up to 3 years

  6. ADA incidence

    Incidence and titers of anti-drug antibodies (ADA) for JS212

    Measured: up to 3 years

  7. Nab Neutralizing Antibodies

    Further analysis for neutralizing antibodies (NAbs), if applicable

    Measured: up to 3 years

  8. Plasma concentrations of JS111

    Evaluation of plasma concentrations of JS111

    Measured: up to 2 months

Timeline

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

  1. First posted8 Apr 2026
  2. Study start21 Apr 2026
  3. Primary completion23 Apr 2028 (estimated)
  4. Study completion23 Apr 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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
35 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07518160
Sponsor's protocol ID
JS212-003-II-NSCLC
Status last verified
Jul 2026
First submitted
1 Apr 2026
Last updated
7 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing JS212 for Injection+JS111 capsules (AP-L1898) in people with Locally Advanced, Metastatic, or Recurrent Non-small Cell Lung Cancer (NSCLC) Harboring Epidermal Growth Factor Receptor (EGFR) Mutations, run by Shanghai Junshi Bioscience Co., Ltd. at 2 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 22 inclusion and 30 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 7 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 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 Kui Zhang, Project Directer (08618168028925, kui_zhang@junshipharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

ORR (time frame: up to 3 years). 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 7 Jul 2026.

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