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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 440 (estimated) |
| Sponsor | MediLink Therapeutics (Suzhou) Co., Ltd. Industry-sponsored |
| Drugs / interventions | chemotherapy |
| Locations | 2 sites (Shanghai, Shanghai Municipality and 1 other locations) |
| Status | Recruiting |
| Started | March 18, 2026 |
| Main results expected | August 31, 2028 |
| Study ends | August 31, 2028 |
| Registry record updated | June 15, 2026 |
| Trial ID | NCT07416994 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
- Study coordinator: Medilink Study Team
- Email: clinicaltrials@medilinkthera.com
- Phone: +86 0512-62858368
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Patient-specific MRD liquid biopsy for resected NSCLC
This study tests a personalized MRD blood and bronchial washing test after surgery to see if it can signal recurrence earlier in people with resected NSCLC.
-
Osimertinib Plus SRS/SRT for EGFR-Mutant NSCLC with Symptomatic Brain Metastases
This study tests whether adding targeted brain radiotherapy to osimertinib helps control brain metastases in adults with EGFR-mutant NSCLC and neurological symptoms.
-
Dato-DXd in solid tumors (Urothelial Cancer and KRAS-mutant NSCLC) in two sub-studies
This study tests Datopotamab Deruxtecan (Dato-DXd) alone or with other cancer drugs in people with urothelial cancer or KRAS-mutant non-small cell lung cancer.
-
SI-B036 safety test in advanced and metastatic solid tumors
This early-phase study checks whether SI-B036 is safe and tolerable in adults with advanced or metastatic solid cancers who have had prior therapy.
-
Postoperative EGFR-TKI Therapy for EGFR-mutant NSCLC Following Surgery
This registry tests whether giving an EGFR-TKI after surgery helps adults with EGFR-mutant, high-risk early-stage NSCLC.
-
HS-20093 with Adebrelimab vs HS-20093 alone in advanced non-squamous NSCLC
This study tests whether adding adebrelimab to HS-20093 helps patients with advanced non-squamous NSCLC who have already had treatment.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.