NCT07283198

Brief Summary

This is an open-label, multicenter, Phase II clinical study designed to evaluate the safety and efficacy of JSKN033 in the treatment of patients with advanced NSCLC. The study is divided into two phases: Part 1 (Dose Selection) and Part 2 (Cohort Expansion). Enrolled subjects are patients with locally advanced (Stage IIIB/IIIC) or metastatic (Stage IV) NSCLC who are not eligible for curative treatment. Part 1 (Dose Selection): It consists of two dose groups, with a maximum of 20 subjects enrolled in each group. Part 2 (Cohort Expansion): It consists of two cohorts, with a maximum of 60 subjects enrolled in each cohort.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
160

participants targeted

Target at P75+ for phase_2

Timeline
16mo left

Started Dec 2025

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress24%
Dec 2025Aug 2027

First Submitted

Initial submission to the registry

December 2, 2025

Completed
8 days until next milestone

Study Start

First participant enrolled

December 10, 2025

Completed
5 days until next milestone

First Posted

Study publicly available on registry

December 15, 2025

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 30, 2027

Last Updated

December 15, 2025

Status Verified

December 1, 2025

Enrollment Period

1.7 years

First QC Date

December 2, 2025

Last Update Submit

December 2, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Number and Severity of Treatment-emergent Adverse Events (TEAEs)

    The incidence and severity of TEAEs and TRAEs (Treatment-related Adverse Events, graded according to NCI CTCAE 5.0), Serious AEs (SAEs), laboratory tests, etc.

    Baseline up to 30 days after the last dose of study drug, up to 1 year

  • Objective response rate (ORR)

    ORR was defined as the proportion of subjects achieving Complete Response (CR) or Partial Response (PR)

    Up to 1 year after the last participant receives the last dose

Secondary Outcomes (15)

  • Duration of response (DoR)

    Up to 1 year after the last participant receives the last dose

  • Disease control rate (DCR)

    Up to 1 year after the last participant receives the last dose

  • Clinical benefit rate (CBR)

    Up to 1 year after the last participant receives the last dose

  • Progression-free Survival (PFS)

    Up to 1 year after the last participant receives the last dose

  • Overall survival (OS)

    Up to 1 year after the last participant receives the last dose

  • +10 more secondary outcomes

Other Outcomes (1)

  • Correlation between biomarkers (HER2 mutation status, HER2/PD-L1 expression levels) in tumor tissue samples and efficacy.

    Up to 1 year after the last participant receives the last dose

Study Arms (1)

Part 1 (Dose Selection) and Part 2 (Cohort Expansion)

EXPERIMENTAL

JSKN033 is administered at the predefined dose, once per treatment cycle.

Drug: JSKN033 Injection

Interventions

JSKN033 is a fixed-dose combination consisting of JSKN003 (a HER2-targeted ADC) and envafolimab (a PD-L1 inhibitor)

Part 1 (Dose Selection) and Part 2 (Cohort Expansion)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subjects can understand the informed consent form,voluntarily participate in the study, and sign the informed consent form.
  • Subjects are≥18 years old on the day of signing the informed consent form, regardless of gender.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
  • Expected survival time ≥3 months.
  • Histologically or cytologically confirmed locally advanced or metastatic NSCLC (per AJCC 8th Edition Lung Cancer TNM Staging) that is not eligible for curative surgery and/or curative radiotherapy.
  • NSCLC confirmed to be no other known driver gene alterations for which first- line targeted therapy has been approved.
  • For Part 1(Dose Selection): Enrolled subjects are those with advanced unresectable or metastatic NSCLC who have failed or are intolerant to standard previous treatments, and have HER2 mutation or HER2 expression in tumor tissue.
  • For Part 2 (Cohort Expansion): Enrolled subjects are those with locally advanced or metastatic NSCLC who have not received prior systemic anti-tumor treatment for their advanced disease.
  • Per RECIST 1.1 criteria,subjects have at least one extracranial measurable lesion at baseline.
  • Subjects must provide tumor tissue samples.
  • Sufficient organ function.
  • Female subjects of childbearing potential or male subjects whose partners are of childbearing potential agree to use highly effective contraceptive measures from the time of signing the informed consent form until 24 weeks after the last dose.

You may not qualify if:

  • Presence of any small cell carcinoma component in the histological pathology.
  • History of other malignant tumors within 5 years prior to the first dose administration.
  • History of brainstem, meningeal, or spinal cord metastases/compression, or carcinomatous meningitis; presence of active brain metastases.
  • Imaging during the screening phase shows tumor invasion, compression, or location in surrounding vital organs.
  • Sufficient washout period from previous treatments prior to the first dose.
  • Presence of the following lung diseases or medical history leading to severe respiratory impairment.
  • Presence of risk factors related to interstitial lung disease (ILD) or non-infectious pneumonia.
  • Presence of cardiovascular and cerebrovascular diseases or risk factors.
  • Presence of uncontrolled infections.
  • Toxicity from previous anti-tumor treatment has not recovered to grade≤1 (per CTCAE v5.0).
  • Previous history of allogeneic bone marrow or organ transplantation.
  • Known allergy to any component of the study drug.
  • Pregnant and/or lactating women, or women planning to become pregnant during the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 2, 2025

First Posted

December 15, 2025

Study Start

December 10, 2025

Primary Completion (Estimated)

August 30, 2027

Study Completion (Estimated)

August 30, 2027

Last Updated

December 15, 2025

Record last verified: 2025-12