NSCLCPhase 1/2NCT05636267
Study of AK119 and AK112 With or Without Chemotherapy for NSCLC Patients
A Phase 1/2 study testing AK119, AK112 and Pemetrexed in people with NSCLC, run by Akeso at 1 site in China.
Trial summary
This is a phase Ib/II study to evaluate the safety, tolerability, pharmacokinetics, and anti-tumor activity of AK119 and AK112 With or Without Chemotherapy for NSCLC patients. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- NSCLC
- What is being tested?
- AK119, AK112 and Pemetrexed
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 59 participants
- Where
- 1 siteChina
- Study dates
- 10 Feb 2023to 15 Apr 2025
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
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 informed consent, which must be signed before the designated research procedure.
- Age ≥ 18 and ≤ 75, male or female.
- Local advanced or metastatic non-squamous NSCLC confirmed by histology or cytology according to eighth edition of the TNM classification for lung cancer.
- EGFR activating mutation confirmed by tumor histology, cytology or hematology.
- Failed to previous EGFR-TKI treatment.
- ECOG performance status 0 to1.
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- Life expectancy ≥3 months.
- At least one measurable lesion according to RECIST v1.1.
- Adequate organ function.
Who cannot join
- Histological or cytological pathology confirmed the presence of small cell carcinoma or squamous cell carcinoma.
- Have suffered from the second primary active malignant tumor in the past 3 years.
- There are other driving gene mutations that can obtain effective treatment.
- Receipt of the following treatments or procedures: immunotherapy, including immunocheckpoint inhibitors, immunocheckpoint agonists, immunocellular therapy, and any other treatment targeting tumor immune mechanism; systematic chemotherapy in the advanced stage (IIIB-IV); anti-angiogenesis drugs, except for small molecule anti-angiogenesis drugs with drug withdrawal more than 4 weeks; extensive radiotherapy within 4 weeks; EGFR-TKIs within 2 weeks.
- Symptomatic central nervous system metastases.
- The toxicity of previous anti-tumor therapy has not been alleviated.
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- Uncontrolled massive ascites, pleural effusion or pericardial effusion.
- Active autoimmune diseases in the past 2 years.
- History of interstitial lung disease or noninfectious pneumonitis.
- Suffering from clinically significant cardiovascular or cerebrovascular diseases.
- History of severe bleeding tendency or coagulation dysfunction.
- History of deep vein thrombosis, pulmonary embolism or any other serious thromboembolism in the past 3 months.
- Serious infection in the past 4 weeks.
- Acute exacerbation of chronic obstructive pulmonary disease or asthma in the past 4 weeks.
- History of human immunodeficiency virus (HIV) infection.
- History of severe hypersensitivity reactions to other mAbs.
- History of organ transplantation.
- Any other conditions that, in the opinion of the investigator, may increase the risk when receiving the investigational product.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Multicenter, Open-Label, Phase Ib/II Study of AK119 and AK112 With or Without Chemotherapy in Patients With EGFR-mutant Locally Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer Who Have Failed to Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor (EGFR-TKI) Treatment
This is a phase Ib/II study to evaluate the safety, tolerability, pharmacokinetics, and anti-tumor activity of AK119 and AK112 With or Without Chemotherapy for NSCLC patients.
- Conditions
- NSCLC
- Being tested
- AK119, AK112, Pemetrexed, Carboplatin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AK119Drug
AK119 IV every 3 weeks.
AK112Drug
AK112 IV every 3 weeks.
PemetrexedDrug
Pemetrexed IV every 3 weeks.
CarboplatinDrug
Carboplatin IV every 3 weeks.
| Study group | Role | What they receive |
|---|---|---|
| AK119 + AK112 | Experimental | Subjects will receive AK119 plus AK112 via intravenously (IV) Q3W, up to 2 years. Receives: Drug: AK119; Drug: AK112 |
| AK119 + AK112 + Pemetrexed + Carboplatin | Experimental | Subjects will receive AK119 and AK112 plus pemetrexed and carboplatin via intravenously (IV) Q3W, up to 4 cycles. Afterward, AK119 and AK112 plus pemetrexed will continue to be treated up to 2 years. Receives: Drug: AK119; Drug: AK112; Drug: Pemetrexed; Drug: Carboplatin |
| AK112 | Experimental | Subjects will receive AK112 monotherapy via intravenously (IV) Q3W, up to 2 years. Receives: Drug: AK112 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of subjects with dose limiting toxicities (DLTs)
DLTs will be assessed during the first 3 weeks of treatment. DLTs are defined as toxicities that meet pre-defined severity criteria, and assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the DLT observation period.
Measured: During the first 3 weeks
Number of subjects with adverse events (AEs)
AE refers to any untoward medical occurrence or deterioration of existing medical event after the subject signed the ICF, whether or not considered related to the study treatment.
Measured: From the time of informed consent signed through 90 days after the last dose of study drug
Objective response rate (ORR)
ORR is defined as the proportion of subjects with confirmed CR or confirmed PR.
Measured: Up to 2 years
Secondary outcomes (7)
Progression-free survival (PFS)
PFS is defined as the time from the start of treatment until the first documentation of disease progression or death due to any cause, whichever occurs first (based on RECIST Version 1.1).
Measured: Up to 2 years
Disease control rate (DCR)
DCR is defined as the proportion of subjects with CR, PR, or SD (based on RECIST Version 1.1).
Measured: Up to 2 years
Duration of response (DoR)
DoR is defined as the duration from the first documentation of objective response to the first documented disease progression (based on RECIST Version 1.1) or death due to any cause, whichever occurs first.
Measured: Up to 2 years
Time to response (TTR)
TTR is defined as the time from the start of the treatment to the first objective tumor response observed for patients who achieved CR or PR (based on RECIST Version 1.1).
Measured: Up to 2 years
Overall survival (OS)
OS defined as the time from the first dose to death from any cause.
Measured: Up to 2 years
Maximum observed concentration (Cmax) of AK119 and AK112
The PK parameters include serum concentrations of AK119 and AK112 at different timepoints after study drug administration.
Measured: From first dose of study drug through last dose
Number of subjects who develop detectable anti-drug antibodies (ADAs)
The immunogenicity of AK119 and AK112 will be assessed by summarizing the number of subjects who develop detectable antidrug antibodies (ADAs).
Measured: From first dose of study drug through last dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Dec 2022
- Study start10 Feb 2023
- Primary completion24 Feb 2025
- Study completion15 Apr 2025
Why it stopped: Terminated due to sponsor strategic development reprioritization.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for NSCLCStudies of the same condition, open and under way.
- More trials run by AkesoThe 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 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 59 participants (actual)
Sponsor and investigators
- Lead sponsor
- Akeso
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Yilong Wu, PhD, Principal investigator, Guangdong Provincial People's Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05636267
- Sponsor's protocol ID
- AK119-201
- Status last verified
- Mar 2023
- First submitted
- 9 Nov 2022
- Last updated
- 9 Mar 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Open-Label, Phase Ib/II Study of AK119 and AK112 With or Without Chemotherapy in Patients With EGFR-mutant Locally Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer Who Have Failed to Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor (EGFR-TKI) Treatment
- ClinicalTrials.gov ID
- NCT05636267
- Acronym / sponsor ID
- AK119-201
- Conditions
- NSCLC
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Terminated due to sponsor strategic development reprioritization.
- Enrolment
- 59 participants (actual)
- Lead sponsor
- AkesoIndustry (pharma, biotech, devices)
- Study start
- 10 Feb 2023 (actual)
- Primary completion
- 24 Feb 2025 (actual)
- Study completion
- 15 Apr 2025 (actual)
- First posted
- 5 Dec 2022 (actual)
- Results
- Not posted in the source record
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 phase Ib/II study to evaluate the safety, tolerability, pharmacokinetics, and anti-tumor activity of AK119 and AK112 With or Without Chemotherapy for NSCLC patients.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| AK119 + AK112 | Experimental | Drug: AK119, Drug: AK112Subjects will receive AK119 plus AK112 via intravenously (IV) Q3W, up to 2 years. |
| AK119 + AK112 + Pemetrexed + Carboplatin | Experimental | Drug: AK119, Drug: AK112, Drug: Pemetrexed, Drug: CarboplatinSubjects will receive AK119 and AK112 plus pemetrexed and carboplatin via intravenously (IV) Q3W, up to 4 cycles. Afterward, AK119 and AK112 plus pemetrexed will continue to be treated up to 2 years. |
| AK112 | Experimental | Drug: AK112Subjects will receive AK112 monotherapy via intravenously (IV) Q3W, up to 2 years. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Be able to understand and voluntarily sign the written informed consent, which must be signed before the designated research procedure.
- Age ≥ 18 and ≤ 75, male or female.
- Local advanced or metastatic non-squamous NSCLC confirmed by histology or cytology according to eighth edition of the TNM classification for lung cancer.
- EGFR activating mutation confirmed by tumor histology, cytology or hematology.
- Failed to previous EGFR-TKI treatment.
Key exclusion criteria (18 listed)
- Histological or cytological pathology confirmed the presence of small cell carcinoma or squamous cell carcinoma.
- Have suffered from the second primary active malignant tumor in the past 3 years.
- There are other driving gene mutations that can obtain effective treatment.
- Receipt of the following treatments or procedures: immunotherapy, including immunocheckpoint inhibitors, immunocheckpoint agonists, immunocellular therapy, and any other treatment targeting tumor immune mechanism; systematic chemotherapy in the advanced stage (IIIB-IV); anti-angiogenesis drugs, except for small molecule anti-angiogenesis drugs with drug withdrawal more than 4 weeks; extensive radiotherapy within 4 weeks; EGFR-TKIs within 2 weeks.
- Symptomatic central nervous system metastases.
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 |
|---|---|---|
| AK119AK119 IV every 3 weeks. | Drug | AK119 + AK112, AK119 + AK112 + Pemetrexed + Carboplatin |
| AK112AK112 IV every 3 weeks. | Drug | AK112, AK119 + AK112, AK119 + AK112 + Pemetrexed + Carboplatin |
| PemetrexedPemetrexed IV every 3 weeks. | Drug | AK119 + AK112 + Pemetrexed + Carboplatin |
| CarboplatinCarboplatin IV every 3 weeks. | Drug | AK119 + AK112 + Pemetrexed + Carboplatin |
Primary outcome
Number of subjects with dose limiting toxicities (DLTs)
Time frame: During the first 3 weeks
DLTs will be assessed during the first 3 weeks of treatment. DLTs are defined as toxicities that meet pre-defined severity criteria, and assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the DLT observation period.
Number of subjects with adverse events (AEs)
Time frame: From the time of informed consent signed through 90 days after the last dose of study drug
AE refers to any untoward medical occurrence or deterioration of existing medical event after the subject signed the ICF, whether or not considered related to the study treatment.
Objective response rate (ORR)
Time frame: Up to 2 years
ORR is defined as the proportion of subjects with confirmed CR or confirmed PR.
7 secondary outcomes
Progression-free survival (PFS)
Time frame: Up to 2 years
Disease control rate (DCR)
Time frame: Up to 2 years
Duration of response (DoR)
Time frame: Up to 2 years
Time to response (TTR)
Time frame: Up to 2 years
Overall survival (OS)
Time frame: Up to 2 years
Maximum observed concentration (Cmax) of AK119 and AK112
Time frame: From first dose of study drug through last dose
Number of subjects who develop detectable anti-drug antibodies (ADAs)
Time frame: From first dose of study drug through last dose
Results and safety
The study was stopped early (reason given: Terminated due to sponsor strategic development reprioritization.). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Mar 2026.
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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.
Yilong Wu, PhD principal investigator
Guangdong Provincial People's Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing AK119, AK112 and Pemetrexed in people with NSCLC, run by Akeso 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 18 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: stopped early, as of the sponsor's last update on 9 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 combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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?
The study was stopped early (reason given: Terminated due to sponsor strategic development reprioritization.). Results are not available in the source record.
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?
Number of subjects with dose limiting toxicities (DLTs) (time frame: During the first 3 weeks). 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 9 Mar 2026.