Non-Small Cell Lung CancerPhase 1NCT07699757
HSK41959 With Standard Therapy in Solid Tumors With MTAP Deletion
A Phase 1 study testing HSK41959, Sintilimab and Pemetrexed + Cisplatin /Carboplatin in people with Non-Small Cell Lung Cancer and Pancreatic Ductal Adenocarcinoma (mPDAC), run by Haisco Pharmaceutical Group Co., Ltd. at 1 site in China.
Trial summary
This is a Phase Ib, open-label, multicenter study of HSK41959 tablets in combination with standard therapy in patients with MTAP-deficient advanced solid tumors. The study consists of dose-escalation and dose-expansion parts and is intended to evaluate the safety, tolerability, dose-limiting toxicity, maximum… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Small Cell Lung Cancer, Pancreatic Ductal Adenocarcinoma (mPDAC), Advanced Solid Tumors
- What is being tested?
- HSK41959, Sintilimab and Pemetrexed + Cisplatin /Carboplatin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 258 participants
- Where
- 1 siteChina
- Study dates
- Jul 2026to Nov 2029
- Phase
- Phase 1
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult participants aged 18 years or older.
- ECOG performance status of 0 to 1.
- Life expectancy of at least 3 months.
- Histologically or cytologically confirmed advanced malignant tumor with MTAP deficiency identified by a validated assay.
- At least one measurable lesion according to RECIST version 1.1.
- For NSCLC cohorts: advanced or metastatic NSCLC meeting protocol-specified disease characteristics and prior treatment requirements.
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- For PDAC cohorts: advanced or metastatic PDAC meeting protocol-specified disease characteristics and prior treatment requirements.
- Adequate bone marrow, hepatic, renal, and coagulation function.
- Willingness to provide tumor tissue and/or undergo protocol-required biomarker testing, if applicable.
Who cannot join
- Prior exposure to agents targeting the MAT2A or PRMT5 pathway.
- Prior antitumor therapy or unresolved toxicities not meeting protocol-defined washout/recovery requirements.
- Known actionable driver alterations or prior therapies excluded by the protocol for specific NSCLC cohorts (for example EGFR, ALK, ROS1, BRAF, NTRK, MET, RET, KRAS G12C, HER2, as applicable).
- Significant gastrointestinal disorders that may affect drug absorption.
- Clinically significant cardiovascular disease, including clinically relevant QTc prolongation, reduced left ventricular ejection fraction, or severe heart failure.
- Uncontrolled metabolic disease, uncontrolled hypertension, or active infection.
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- Known HIV infection, active hepatitis B with significant viral replication, or active hepatitis C infection.
- Use of prohibited concomitant medications, including strong inhibitors or inducers of CYP3A4, P-gp, BCRP, or other protocol-specified transporters/enzymes within the required washout period.
- Other serious medical or psychiatric conditions that, in the investigator's judgment, would make study participation inappropriate.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
About this study
Official title: Phase Ib Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of HSK41959 Tablets in Combination With Standard Therapy in Patients With MTAP Deletion Locally Advanced or Metastatic Solid Tumors
This is a Phase Ib, open-label, multicenter study of HSK41959 tablets in combination with standard therapy in patients with MTAP-deficient advanced solid tumors. The study consists of dose-escalation and dose-expansion parts and is intended to evaluate the safety, tolerability, dose-limiting toxicity, maximum tolerated dose, pharmacokinetics, pharmacodynamics, and preliminary efficacy of HSK41959 tablets when used together with standard therapy.
- Conditions
- Non-Small Cell Lung Cancer, Pancreatic Ductal Adenocarcinoma (mPDAC), Advanced Solid Tumors
- Being tested
- HSK41959, Sintilimab, Pemetrexed + Cisplatin /Carboplatin, Paclitaxel + Carboplatin, Nab-paclitaxel + Carboplatin
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HSK41959Drug
Oral administration, QD
SintilimabDrug
Specified dose on specified days
Pemetrexed + Cisplatin /CarboplatinDrug
Specified dose on specified days
Paclitaxel + CarboplatinDrug
Specified dose on specified days
Nab-paclitaxel + CarboplatinDrug
Specified dose on specified days
Nab-paclitaxel + GemcitabineDrug
Specified dose on specified days
DocetaxelDrug
Specified dose on specified days
| Study group | Role | What they receive |
|---|---|---|
| Dose-Escalation Arm | Experimental | Not described Receives: Drug: HSK41959; Drug: Sintilimab; Drug: Pemetrexed + Cisplatin /Carboplatin; Drug: Paclitaxel + Carboplatin; Drug: Nab-paclitaxel + Carboplatin |
| Dose-Expansion:First-line NSCLC cohort | Experimental | Not described Receives: Drug: HSK41959; Drug: Sintilimab; Drug: Pemetrexed + Cisplatin /Carboplatin; Drug: Paclitaxel + Carboplatin; Drug: Nab-paclitaxel + Carboplatin |
| Dose-Expansion Second-line NSCLC cohort | Experimental | Not described Receives: Drug: HSK41959; Drug: Docetaxel |
| Dose-Expansion First-line PDAC cohort | Experimental | Not described Receives: Drug: HSK41959; Drug: Nab-paclitaxel + Gemcitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
DLTs
DLTs assessed during the protocol-defined DLT evaluation period.
Measured: 21 days for NSCLC cohorts; 28 days for PDAC cohorts
AEs
Rate and severity of adverse events of HSK41959 Tablets in Combination With Standard Therapy
Measured: Up to approximately 3 years
Secondary outcomes (7)
Overall response rate (ORR)
ORR, defined as the proportion of patients who experience a best response of confirmed CR or PR according to RECIST 1.1
Measured: Up to approximately 3 years
Disease control rate (DCR)
DCR, defined as the proportion of patients who experience a best response of CR, PR, or stable disease (SD) according to RECIST 1.1
Measured: Up to approximately 3 years
Progression free survival (PFS)
PFS, defined as the time frocease or death due to any cause, whichever occurs first
Measured: Up to approximately 3 years
Overall survival (OS)
OS, defined as the time from the first dose of HSK41959 until the date of death due to any cause
Measured: Up to approximately 3 years
Area under the curve (AUC) of HSK41959 Tablets in Combination With Standard Therapy
Measured: Up to approximately 6 months
maximum plasma concentration (Cmax) of HSK41959 Tablets in Combination With Standard Therapy
Measured: Up to approximately 6 months
Tmax(Time to maximum plasma concentration) of HSK41959 Tablets in Combination With Standard Therapy
Measured: Up to approximately 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jul 2026
- Study startJul 2026 (estimated)
- Primary completionApr 2029 (estimated)
- Study completionNov 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Haisco Pharmaceutical Group Co., Ltd.The 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
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Factorial
- Masking
- None (open label)
- Enrolment
- 258 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Haisco Pharmaceutical Group Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07699757
- Sponsor's protocol ID
- HSK41959-102
- Status last verified
- Jul 2026
- First submitted
- 26 Jun 2026
- Last updated
- 14 Jul 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No