Recruiting
Phase 1

YL211

Sponsor:

MediLink Therapeutics (Suzhou) Co., Ltd.

Code:

NCT06384352

Conditions

Advanced Solid Tumors

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

YL211

YL211+Pembrolizumab

YL211 + Pembro or Pembro+ Pemetrexed + (Carboplatin or Cisplatin)

Study Details

Brief summary:

This is a multicenter, open-label, Phase 1 study. The study will enroll subjects with advanced solid tumors. It consists of six parts. Objectives for Dose-Escalation Parts (Part 1 and Part 4) To evaluate the safety and tolerability of YL211 as monotherapy in patients with selected advanced solid tumors (Part 1) and in combination with pembrolizumab in patients with second or third line locally advanced unresectable or metastatic non-squamous non-small cell lung cancer (NSCLC) (Part 4) To determine the maximum tolerated dose (MTD) and select the recommended expansion dose(s) (RED(s)) of YL211 as monotherapy in patients with advanced solid tumors (Part 1) and in combination with pembrolizumab in patients with second line locally advanced unresectable or metastatic non-squamous NSCLC (Part 4) Objectives for Backfill Enrollment Parts (Part 2 and Part 5) To better estimate and characterize the safety and efficacy of YL211 as monotherapy in patients with metastatic colorectal cancer (mCRC) or locally advanced unresectable or metastatic NSCLC (Part 2) and in combination with pembrolizumab in patients with previously untreated locally advanced unresectable or metastatic non-squamous NSCLC (Part 5) To select the RED(s) of YL211 as monotherapy in patients with metastatic colorectal cancer (mCRC) or locally advanced unresectable or metastatic NSCLC (Part 2) and in combination with pembrolizumab in patients with previously untreated locally advanced unresectable or metastatic non-squamous NSCLC (Part 5) Objectives for the Dose-Expansion Parts (Part 3 and Part 6) To further characterize the safety and efficacy of YL211 as monotherapy (Part 3) in patients with locally advanced unresectable or metastatic non-squamous or squamous NSCLC and in combination with pembrolizumab in patients with previously untreated locally advanced unresectable or metastatic non- squamous NSCLC (Part 6) To compare the clinical activity of YL211 in combination with pembrolizumab against pembrolizumab, pemetrexed, and platinum-based chemotherapy (cisplatin or carboplatin) in participants with previously untreated advanced unresectable or metastatic non-squamous NSCLC (Part 6)

Conditions

Advanced Solid Tumors

Study ID

NCT06384352

Start date

May 1, 2024

Status verified date

Aug, 2026

Completion date

Jun 30, 2031

Anticipated

Primary completion date

Jun 30, 2031

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

1. Informed of the trial before the start of the trial and voluntarily sign their name and date on the ICF.
2. Aged ≥18 years.
3. Be able and willing to comply with protocol visits and procedures.
4. Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or
5. Adequate organ and bone marrow function.

For Part 1: History of an advanced solid tumors (including locally advanced unresectable or metastatic NSCLC, metastatic colorectal carcinoma (mCRC), advanced gastric adenocarcinoma (GAC)/ gastroesophageal junction adenocarcinoma (GEJA), pancreatic ductal adenocarcinoma (PDAC), hepatocellular carcinoma (HCC), intrahepatic biliary tract cancer (ih-BTC), and head and neck squamous cell carcinoma (HNSCC) who failed currently available standard therapies and are not amenable to surgical resection, or for whom no available standard therapy or no other approved therapeutic options that have demonstrated clinical benefit.

For Part 2: For patients with CRC: History of histologically or cytologically confirmed diagnosis of metastatic CRC and at least 2 prior regimens of standard treatment For patients with NSCLC: History of histologically or cytologically confirmed diagnosis of locally advanced unresectable or metastatic NSCLC and no more than 2 lines of prior cytotoxic systemic therapy in the locally advanced or metastatic setting.

For Part 3: History of histologically or cytologically confirmed diagnosis of locally advanced unresectable or metastatic non-squamous (Part 3A) or squamous (Part 3B) NSCLC and no more than 2 lines of prior systemic therapy

For Part 4: History of histologically or cytologically confirmed diagnosis of locally advanced unresectable or metastatic non-squamous NSCLC who have progressed on or after 1 or 2 prior lines of systemic therapy

For Part 5 and Part 6 Histologically or cytologically documented locally advanced unresectable or metastatic non-squamous NSCLC that is not eligible for curative surgery and/or definitive chemoradiotherapy and no prior systemic treatment for advanced unresectable or metastatic NSCLC

Exclusion Criteria:

1. Prior treatment with an agent targeting c-MET (including antibody, ADC, chimeric antigen receptor T cell \[CAR-T\], and other drugs) with the exception of prior treatment with MET-targeted TKIs which are allowed.
2. Previously received an ADC consisting of a TopoI
3. Received continuous systemic steroids therapy for more than 28 days or require long-term (≥ 28 days) use of systemic steroids therapy within 28 days before the first administration, or have other acquired or congenital immune deficiency diseases. (Note: The protocol lists specific situational exceptions immediately following this clause).
4. A history of leptomeningeal carcinomatosis or carcinomatous meningitis
5. Brain metastasis, except for the following situations:

Participants with asymptomatic brain metastasis who do not require immediate local or systemic treatment (such as mannitol or steroids, surgery, or radiotherapy) are allowed to be enrolled If the participant's brain metastasis is treated and the condition of the metastasis is stable (brain imaging examination at least 2 weeks before the first administration shows that the lesion is stable, there is no evidence of new or original brain metastasis enlargement, there are no new neurological symptoms, and immediate local or systemic treatment is not required), admission is allowed
6. Clinically significant concomitant pulmonary disease, including but not limited to:

A history of drug-induced pneumonitis A history of (non-infectious) interstitial lung disease (ILD)/pneumonitis that requires steroids, current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening

Study Design

Enrollment

500 participants

Anticipated

Allocation

Non randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Part 1

YL211 Monotherapy Dose Esclation

experimental: Part 2

YL211 Monotherapy Backfill

experimental: Part 3

YL211 Monotherapy Dose Expansion

experimental: Part 4

YL211 + Pembro Combination Therapy Dose Esclation

experimental: Part 5

YL211 + Pembro Combination Therapy Backfill

active comparator: Part 6

YL211 + Pembro Combination Therapy or Pembro + Chemo Combination Therapy Dose Expansion

Interventions

YL211

Patients will be treated with YL211 intravenous (IV) infusion only.

YL211+Pembrolizumab

Patients will be treated with YL211 and Pembro by infusion.

YL211 + Pembro or Pembro+ Pemetrexed + (Carboplatin or Cisplatin)

participants will receive therapy YL211 + Pembro or Pembro+ Pemetrexed + (Carboplatin or Cisplatin) by infusion.(Part 6)

Primary outcome measure

  • Nature and frequency of adverse events (AEs) with severity determined according to NCI CTCAE v5.0 (Part 1 and Part 4) [ Time Frame: Approximately within 36 months ]
  • Nature and frequency of dose-limiting toxicities (DLTs) (Part 1 and Part 4) [ Time Frame: Approximately within 36 months ]
  • Nature and frequency of AEs with severity, physical examination findings (including ECOG PS), vital sign measurements, standard clinical laboratory parameters, SpO2 measurements, ECG parameters, and ECHO findings (Part 2 and Part 5) [ Time Frame: Approximately within 36 months ]
  • ORR assessed using RECIST version 1.1 (Part 2 and Part 5) [ Time Frame: Approximately within 36 months ]
  • PFS using RECIST version 1.1 defined as the time interval of randomization to the date of first documentation of PD or death due to any cause, whichever occurs first (Part 3 and Part 6) [ Time Frame: approximately 36 months ]
  • Nature and frequency of AEs with severity, physical examination findings (including ECOG PS), vital sign measurements, standard clinical laboratory parameters, SpO2 measurements, ECG parameters, and ECHO findings (Part 3 and Part 6) [ Time Frame: approximately within 36 months ]

Central Contacts and Locations

Central contacts

Locations

University of Colorado Hospital - Anschutz Cancer Pavilion

Recruiting

Aurora, Colorado, United States, 80045

Contacts

Principal Investigator:

Antonio Jimeno

Sarah Cannon Research Institute (SCRI) at HealthONE

Recruiting

Denver, Colorado, United States, 80218-1238

Contacts

Principal Investigator:

Jason Henry

Yale School of Medicine - Yale Cancer Center - Smilow Cancer Hospital Care Centers - North Haven

Recruiting

North Haven, Connecticut, United States, 06473-2142

Contacts

Anastasio Gabrielle

gabrielle.anastasio@yale.edu

Principal Investigator:

Michael Cecchini

Sarah Cannon Research Institute at Florida Cancer Specialists

Recruiting

Orlando, Florida, United States, 32827

Contacts

Principal Investigator:

Cesar Perez

Florida Cancer Specialists & Research Institute (FCS) - Sarasota Cattlemen Office

Recruiting

Sarasota, Florida, United States, 34232-6422

Contacts

Principal Investigator:

Manish Patel

Comprehensive Cancer Centers of Nevada (CCCN) - Central Valley

Recruiting

Las Vegas, Nevada, United States, 89169

University of Cincinnati Vontz Center for Molecular Studies

Recruiting

Cincinnati, Ohio, United States, 45219

The University of Texas - MD Anderson Cancer Center

Recruiting

Houston, Texas, United States, 77030

Contacts

Coordinator Clinical operation director

RA@medilinkthera.com

NEXT Oncology - Houston

Recruiting

Houston, Texas, United States, 77055

NEXT Oncology - Dallas

Recruiting

Irving, Texas, United States, 75039

Contacts

Principal Investigator:

Shiraj Sen

NEXT San Antonio

Recruiting

San Antonio, Texas, United States, 78229

Contacts

Coordinator Clinical operation director

RA@medilinkthera.com

Princess Margaret Hospital

Recruiting

Toronto, Toronto, Canada

Contacts

Albiruni Razak

Albiruni.razak@uhn.ca

Principal Investigator:

Albiruni Razak

The Ottawa Hospital - General Campus

Recruiting

Ottawa, Canada

Contacts

Jura Nakamura

junakamura@ohri.ca

Principal Investigator:

Scott Laurie

More Information

Sponsor

MediLink Therapeutics (Suzhou) Co., Ltd.

Last update posted

Aug 13, 2026

Last verified

Aug, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by MediLink Therapeutics (Suzhou) Co., Ltd. on 2026-08-13.