Clinical trial Recruiting at 2 sites Phase 3 Interventional Ages 18 to 75

YL202 vs Docetaxel in EGFR-mutated NSCLC after prior therapy

Official title: A Multicenter, Randomized, Open-label, Phase III Study to Compare the Efficacy and Safety of YL202 and Docetaxel in Patients With Locally Advanced or Metastatic EGFR Sensitive Mutation Non-Squamous Non-Small Cell Lung Cancer

Run by MediLink Therapeutics (Suzhou) Co., Ltd. · NCT07416994 · Data updated 2026-11-12

This trial tests whether YL202 works better than Docetaxel for adults with EGFR-mutated locally advanced or metastatic non-squamous NSCLC who have already had EGFR TKI and platinum chemotherapy.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment440 (estimated)
SponsorMediLink Therapeutics (Suzhou) Co., Ltd.
Industry-sponsored
Drugs / interventionschemotherapy
Locations2 sites (Shanghai, Shanghai Municipality and 1 other locations)
StatusRecruiting
StartedMarch 18, 2026
Main results expectedAugust 31, 2028
Study endsAugust 31, 2028
Registry record updatedJune 15, 2026
Trial IDNCT07416994 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–75 with EGFR Exon 19del or Exon 21 L858R NSCLC, progressed after one EGFR TKI and one platinum chemotherapy, ECOG 0-1, at least one measurable lesion, and no active CNS symptoms.

Probably not a fit

Patients without measurable disease, with poorer performance status, or with non-squamous histology not harboring EGFR mutations may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a phase 3 interventional study comparing YL202 monotherapy to Docetaxel in adults with EGFR-mutated, non-squamous NSCLC that is locally advanced or metastatic and has progressed after prior EGFR TKI and platinum-based chemotherapy. Participants must have measurable disease and good performance status. The study aims to determine if YL202 can improve outcomes compared with standard chemotherapy. Eligible sites are in Shanghai and Hangzhou, China, led by MediLink Therapeutics with no listed collaborators.

Why it matters

Potential benefit: If successful, participants may experience better tumor control and potential survival benefits with YL202.

How similar studies have gone: Other studies in EGFR-mutated NSCLC have shown activity with targeted agents, but this exact comparison to YL202 is novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Males or females aged ≥18 to ≤75 years at the time of signing the ICF
2. Histologically or cytologically confirmed diagnosis of locally advanced or metastatic non-squamous non-small cell lung cancer (NSCLC) with documented EGFR Exon 19 deletion or Exon21 L858R mutation.
3. Received one prior epidermal growth factor receptor tyrosine kinase inhibitor (EGFR TKI) therapy in the locally advanced, or metastatic setting, either as monotherapy or in combination with other agents; Received one prior platinum based chemotherapy in the locally advanced, or metastatic setting, either prior to TKI, in combination with TKI, or after TKI therapy.
4. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1.
5. At least 1 measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, that has not been previously irradiated.
6. Central nervous system (CNS) metastasis, these should be clinically asymptomatic or stable after definitive treatment.
7. Current, historical, or suspected interstitial lung disease (ILD)/pneumonitis.

Exclusion Criteria:

1. Histologically or cytologically confirmed presence of small cell lung cancer, neuroendocrine carcinoma, and carcinosarcoma components or squamous cell carcinoma components of more than 10%;
2. Other malignancies within 5 years prior to the first dose;
3. History of (noninfectious) interstitial lung disease (ILD) and current ILD
4. Prior HER3-targeted therapy; Prior treatment with any drug therapy targeting topoisomerase I inhibitor, including antibody-drug conjugates (ADCs);
5. Pregnant or lactating women;

Where it's running

  • Shanghai Dongfang Hospital
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Zhejiang Provincial Cancer
    Hangzhou, Zhejiang, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.