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EGFR Mutation Positive Advanced Non-Small Cell Lung CancerPhase 1/2NCT06631989

A Study to Assess the Efficacy and Safety of WSD0922-FU in Patients With EGFRm+ Advanced Non-small Cell Lung Cancer

A Phase 1/2 study testing WSD0922-FU in people with EGFR Mutation Positive Advanced Non-Small Cell Lung Cancer, run by Wayshine Biopharm, Inc. at 12 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
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Trial summary

This study is a multicenter, open label, single-arm phase I/II clinical trial of WSD0922-FU for patients with locally advanced or metastatic non-small cell lung cancer whose disease has progressed with thrid-generation EGFR-TKI . Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
WSD0922-FU
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
12 sitesChina
Study dates
4 Sep 2024to 31 Dec 2027
Phase
Phase 1/2
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

  • Age 18-75 years old (including the threshold value), gender is not limited;
  • Locally advanced or metastatic NSCLC confirmed by pathology;
  • Patients who have been genetically tested to carry EGFR sensitive mutations;
  • Blood samples must be provided for testing and must be taken during or after disease progression following the last EGFR TKI inhibitor treatment;
  • Must have a minimum life expectancy of >= 3 months;
  • At least one measurable tumor lesion according to RECIST version 1.1; Previous radiotherapy-treated lesions cannot be used as target lesions unless imaging studies show clear progression of the lesions.
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  • Physical Status (ECOG PS) score was 0-1;
  • Have full organ function;
  • Eligible patients (male and female) who are fertile must agree to use a reliable contraceptive method ;
  • Subjects are required to give informed consent to this study before the experiment and sign a written informed consent voluntarily.

Who cannot join

  • Received chemotherapy, radiotherapy, biological therapy, targeted therapy, endocrine therapy, immunotherapy, or other anti-tumor drug treatments within 4 weeks before the first administration of the study drug.
  • Have previously received more than one EGFR-TKI inhibitor;
  • Received other unlisted clinical study drugs or treatments within 4 weeks before the first administration.
  • Received major organ surgery (excluding puncture biopsy) or significant trauma within 4 weeks before the first administration, or require elective surgery during the trial period.
  • Used strong CYP3A4 inhibitors or strong CYP3A4 inducers within 7 days before the first use of the study drug.
  • Known active brain metastasis or progression evidence.
Show all 21Show fewer
  • Other primary malignant tumors within 2 years before the first administration of the study drug.
  • Adverse reactions from previous anti-tumor treatments have not recovered to NCI-CTCAE v5.0 grade ≤1 (except for toxicities judged by the researcher to have no safety risks, such as hair loss, grade 2 peripheral neurotoxicity, and stable thyroid function after hormone replacement therapy).
  • Skin/pressure ulcers, chronic leg ulcers, known active gastric ulcers, or non-healing wounds.
  • History of severe allergies, or allergies to any active or inactive ingredients of the study drug;
  • Severe infections requiring intravenous antibiotic infusion or hospitalization at the time of screening; or uncontrollable active infections within 4 weeks before administration;
  • Known active or suspected autoimmune diseases; or known active ocular diseases (such as active wet age-related macular degeneration, diabetic retinopathy with macular edema);
  • Human immunodeficiency virus (HIV) (HIV1/2 antibody) positive, syphilis spirochete antibody positive .
  • Patients with interstitial lung disease.
  • History of severe cardiovascular diseases.
  • Unable to orally swallow medication, or there is a condition that significantly affects gastrointestinal absorption as judged by the researcher;
  • Clinical intervention is required for pleural effusion, ascites (excluding subjects who do not need drainage and have been stable for more than 2 weeks after drainage).
  • Known alcohol or drug dependence.
  • Mental disorders or poor compliance;
  • Pregnant or lactating women;
  • The investigator believes that the subject has other reasons that make them unsuitable for participating in this clinical study.

Trial locations and contacts

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

12 sites in 1 country

China12 sites, 12 recruiting
  • Cancer Hospital Chinese Academy of Medical Sciences

    Beijing, Beijing Municipality, 100021

    Principal Investigator, 86-10-67781331, jie_969@163.com

    Recruiting
  • Sichuan Provincial Cancer Hospital

    Chengdu, Sichuan, 610041

    Principal Investigator, 86-28-85420305, dr.lijuan@hotmail.com

    Recruiting
  • The First Affiliated Hospital, Sun Yat-sen University

    Guangzhou, Guangdong, 510062

    Principal Investigator, 86-20-87331952, tangkejing@163.com

    Recruiting
  • The First Affiliated Hospital, Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310006

    Principal Investigator, 86 -571-87236697, zjyalcyj@sina.com

    Recruiting
  • Anhui Provincial Hospital

    Hefei, Anhui, 230031

    Principal Investigator, 86-551-65327766, yueyinpan1965@126.com

    Recruiting
  • Shandong Cancer Hospital

    Jinan, Shandong, 250117

    Principal Investigator, 86-531-87984777, xinglg@medmail.com.cn

    Recruiting
  • Shanghai Chest Hospital

    Shanghai, Shanghai Municipality, 200030

    Principal Investigator, 86-21-62821990, eddiedong8@hotmail.com

    Recruiting
  • Shanghai East Hospital

    Shanghai, Shanghai Municipality, 200123

    Anwen Xiong, MD

    Caicun Zhou, MD

    Recruiting
  • Shanghai Pulmonary Hospital

    Shanghai, Shanghai Municipality, 200433

    Principal Investigator, 02165115006, fywu@163.com

    Recruiting
  • Taizhou Hospital of Zhejiang Province

    Taizhou, Zhejiang, 317000

    Principal Investigator, 86-576-85112241, lvdq855@126.com

    Recruiting
  • Tianjin Medical University Cancer Institute and Hospital

    Tianjin, Tianjin Municipality, 300202

    Principal Investigator, 02223353454, dingzhih72@163.com

    Recruiting
  • He'nan Cancer Hospital

    Zhengzhou, Henan, 450000

    Principal Investigator, 86-371-65861505, 13938252350@163.com

    Recruiting

Other trials in China

About this study

Official title: A Phase I/II Multicenter, Open Label, Single-arm Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of WSD0922-FU in the Treatment of Advanced Non-small Cell Lung Cancer

This study is a multicenter, open label, single-arm phase I/II clinical trial of WSD0922-FU for patients with locally advanced or metastatic non-small cell lung cancer whose disease has progressed with thrid-generation EGFR-TKI .

Read the detailed description

WSD0922-FU is a potent reversible inhibitor of both the single EGFRm+ and dual EGFRm+/C797S+ receptor forms of EGFR with selectivity margin over wild-type EGFR. This study aims to explore the safety, tolerability, pharmacokinetic characteristics and efficacy of WSD0922-FU in patients with non-small cell lung cancer (NSCLC) with C797S mutation after first-line third-generation EGFR-TKI resistance.

Being tested
WSD0922-FU
Keywords
NSCLC, EGFR, C797S, BM

What participants receive

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

  • WSD0922-FUDrug

    Also called WSD0922

    Procedure: Biospecimen Collection - blood samples Undergo collection of blood samples

    Procedure: Computed Tomography and/or Magnetic Resonance Imaging Undergo CT and/or MRI

    Drug: WSD0922-FU Given PO

Study groups in NCT06631989
Study groupRoleWhat they receive
Dose escalation (WSD0922-FU)ExperimentalPatients receive WSD0922-FU PO QD on C0D1 to C0D3, then BID on C1D1 to C1D21. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT, MRI, and blood sample collection on study.
Receives: Drug: WSD0922-FU
Dose expansion (WSD0922-FU)ExperimentalPatients receive WSD0922-FU PO BID on C1D1 to C1D21 using dosage selected from Dose escalation. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT, MRI, and blood sample collection on study.
Receives: Drug: WSD0922-FU
Dose extension (WSD0922-FU)ExperimentalPatients receive WSD0922-FU PO BID on C1D1 to C1D21 using RP2D. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT, MRI, and blood sample collection on study.
Receives: Drug: WSD0922-FU

What is being measured

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

  1. ORR by IRC

    proportion of patients with a best overall response of complete response or partial response

    Measured: every 6 weeks, up to 1 year

  2. PartA: To evaluate the safety of WSD0922-FU in patients with NSCLC

    Safety (incidence and severity of adverse events [AE])

    Measured: 8 months

  3. PartA: To evaluate the tolerability of WSD0922-FU in patients with NSCLC

    Incidence and quantity of dose-limiting toxicity (DLT)

    Measured: 8 months

  4. PartA: To evaluate the Maximum Tolerated Dose (MTD) of WSD0922-FU in patients with NSCLC

    Incidence of Dose-Limiting Toxicities (DLTs)

    Measured: 8 months

  5. PartA: Recommended Phase II Dose (RP2D) of WSD0922-FU in patients with NSCLC

    Recommended Phase II Dose (RP2D)

    Measured: 8 months

Secondary outcomes (27)
  1. PK exposure parameter: Maximum Plasma Concentration (Cmax)

    Maximum Plasma Concentration (Cmax)

    Measured: 12 months

  2. PK exposure parameter: Time To Maximum Plasma Concentration (Tmax)

    Time To Maximum Plasma Concentration (Tmax)

    Measured: 12 months

  3. PK exposure parameter: Area Under The Plasma Concentration-Time Curve From Time Zero To Time With Last Measurable Concentration (AUC0-t)

    Area Under The Plasma Concentration-Time Curve From Time Zero To Time With Last Measurable Concentration (AUC0-t)

    Measured: 12 months

  4. PK exposure parameter: Area Under The Plasma Concentration-Time Curve From Time Zero To Infinity (AUC0-∞)

    Area Under The Plasma Concentration-Time Curve From Time Zero To Infinity (AUC0-∞)

    Measured: 12 months

  5. PK exposure parameter: Terminal Elimination Half-Life (t½)

    Terminal Elimination Half-Life (t½)

    Measured: 12 months

  6. PK exposure parameter: Apparent Terminal Elimination Rate Constant (λz)

    Apparent Terminal Elimination Rate Constant (λz)

    Measured: 12 months

  7. PK exposure parameter: Apparent Clearance (CL)

    Apparent Clearance (CL)

    Measured: 12 months

  8. PK exposure parameter: Apparent volume of distribution (Vd)

    Apparent volume of distribution (Vd)

    Measured: 12 months

  9. PK exposure parameter: Mean Residence Time (MRT)

    Mean Residence Time (MRT)

    Measured: 12 months

  10. Steady state pharmacokinetic parameter: Area Under the Steady-State Concentration-Time Curve(AUCss)

    Area Under the Steady-State Concentration-Time Curve(AUCss)

    Measured: 12 months

  11. Steady state pharmacokinetic parameter: Area Under the Steady-State Concentration-Time Curve from 0 to Infinity(AUC0-∞,ss)

    Area Under the Steady-State Concentration-Time Curve from 0 to Infinity(AUC0-∞,ss)

    Measured: 12 months

  12. Steady state pharmacokinetic parameter: Area Under the Steady-State Concentration-Time Curve from 0 to Time t (AUC0-t,ss)

    Area Under the Steady-State Concentration-Time Curve from 0 to Time t (AUC0-t,ss)

    Measured: 12 months

  13. Steady state pharmacokinetic parameter: Average Steady-State Concentration(Cav)

    Average Steady-State Concentration(Cav)

    Measured: 12 months

  14. Steady state pharmacokinetic parameter: Steady-State Clearance(CLss)

    Steady-State Clearance(CLss)

    Measured: 12 months

  15. PK exposure parameter :Maximum Steady-State Concentration(Cmax,ss)

    Maximum Steady-State Concentration(Cmax,ss)

    Measured: 12 months

  16. PK exposure parameter : Minimum Steady-State Concentration(Cmin,ss)

    Minimum Steady-State Concentration(Cmin,ss)

    Measured: 12 months

  17. PK exposure parameter : Trough Concentration(Ctrough)

    Trough Concentration(Ctrough)

    Measured: 12 months

  18. PK exposure parameter : Fluctuation Degree(DF)

    Fluctuation Degree(DF)

    Measured: 12 months

  19. PK exposure parameter : Accumulation Ratio(Ra)

    Accumulation Ratio(Ra)

    Measured: 12 months

  20. PK exposure parameter : Time to Maximum Concentration at Steady State(Tmax,ss)

    Time to Maximum Concentration at Steady State(Tmax,ss)

    Measured: 12 months

  21. PK exposure parameter : Volume of Distribution Calculated from the Terminal Elimination Phase(Vz)

    Volume of Distribution Calculated from the Terminal Elimination Phase(Vz)

    Measured: 12 months

  22. To evaluate the safety of WSD0922-FU in patients with advanced non-small cell lung cancer

    Treatment-Emergent Adverse Events (TEAEs), Treatment-Related Adverse Events (TRAEs)

    Measured: 12 months

  23. ORR by investigators

    proportion of patients with a best overall response of complete response or partial response

    Measured: every 6 week, up to 12 months

  24. Disease Control Rate (DCR)

    the percentage of patients who have a best overall response of CR or PR or SD

    Measured: every 6 weeks, up to12 months

  25. Duration of Response (DoR)

    proportion of patients with the time from the date of first documented response until the date of documented progression or death in the absence of disease progression

    Measured: every 6 weeks, up to 12 months

  26. PFS

    proportion of patients with the time from randomization until the date of objective disease progression or death

    Measured: every 6 weeks, up to 12 months

  27. OS

    proportion of patients with the time from randomization until the date of objective disease progression or death

    Measured: 24 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 Oct 2024
  2. Study start4 Sep 2024
  3. Primary completion30 Jun 2027 (estimated)
  4. Study completion31 Dec 2027 (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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Part A (Dose escalation and expansion study) ; Part B (single-arm extension study).
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06631989
Sponsor's protocol ID
WSD0922-102
Status last verified
Aug 2025
First submitted
25 Aug 2024
Last updated
29 Aug 2025
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 1/2 study testing WSD0922-FU in people with EGFR Mutation Positive Advanced Non-Small Cell Lung Cancer, run by Wayshine Biopharm, Inc. at 12 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 10 inclusion and 21 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 29 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 12 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 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?

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 lily liu, MD (+8613818880308, lily.liu@wayshinebiopharm.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

ORR by IRC (time frame: every 6 weeks, up to 1 year). The study lists 5 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 29 Aug 2025.

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