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RecruitingNCT07197827Updated Dec 24, 2025

A Study of YL242 in Subjects With Advanced Solid Tumors

A Phase 1/2 interventional study of YL242 and YL242; Pembrolizumab in Advanced Solid Tumor, sponsored by MediLink Therapeutics (Suzhou) Co., Ltd.. Recruiting at 15 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-24.

Sponsored by MediLink Therapeutics (Suzhou) Co., Ltd. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
424
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a multicenter, open-label study to evaluate the safety and tolerability of YL242 monotherapy and combination in participants with advanced solid malignant tumors.

02

Conditions studied

  • Advanced Solid Tumor

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Keywords

  • Oncology
  • VEGF
  • Antibody drug conjugate
  • Developmental Phase I/II
03

In context

Neoplasms

9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.

This study's planned enrollment of 424 is above the median of 50 across 7,253 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

MediLink Therapeutics (Suzhou) Co., Ltd. is the lead sponsor of 23 studies on the registry; 18 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Aged ≥18 years.
  • Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or 1
  • Adequate organ and bone marrow function
  • Tumor type:

Part 1-3: Advanced/unresectable or metastatic solid malignant tumor; Have received at least one prior line of systemic anti-tumor therapy

Part 4: locally advanced or metastatic non-sq NSCLC without AGA and HCC; Have not received any systemic anti-tumor therapy;

Part 5: mCRC, have received at least one (5a) or one (5b) prior line of systemic anti-tumor therapy

Part 6: advanced or metastatic HER2-negative G/GEJ; have received at least one (6a) or one (6b) prior line of systemic anti-tumor therapy

Exclusion criteria

Exclusion Criteria:

  • Be intolerant to prior treatment with a topoisomerase I inhibitor or an ADC that consists of a topoisomerase I inhibitor
  • Uncontrolled or clinically significant cardiovascular and cerebrovascular diseases
  • Clinically significant concomitant pulmonary disease
  • A history of leptomeningeal carcinomatosis or carcinomatous meningitis
  • Any illness, medical condition, organ system dysfunction, or social situation, including but not limited to mental illness or substance/alcohol abuse, deemed by the investigator to be likely to interfere with a patient's ability to sign informed consent, adversely affect the patient's ability to cooperate and participate in the study, or compromise the interpretation of study results
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
424 participants (estimated)

Study arms

  • Experimental
    Part 1 and Part 2: Mono Dose Escalation & Expansion

    Participants receive YL242 administered via intravenous (IV) solution per protocol defined dose level and frequency.

    Drug: YL242

  • Experimental
    Part 3 and 4: Combination Dose Escalation & Expansion

    Participants receive YL242 at protocol defined dose level, in combination with Pembrolizumab (200 mg), administered via intravenous (IV) solution at protocol defined dose level and frequency.

    Drug: YL242; Pembrolizumab

  • Experimental
    Part 5: Combination Dose Optimization and Expansion

    Participants receive YL242, 5-FU and LV, administered via intravenous (IV) solution.

    Drug: YL242; 5-FU; LV

  • Experimental
    Part 6: Combination Dose Optimization and Expansion

    Participants receive YL242, pembrolizumab and 5-FU, administered via intravenous (IV) solution at protocol defined frequency.

    Drug: YL242; Pembrolizumab; 5-FU

Interventions

  • DrugYL242

    The YL242 drug product is provided as a lyophilized powder containing 200 mg of YL242 in a glass vial. The initial dose of YL242 will be infused IV into each patient for 90±10 minutes. If there is no infusion-related reaction after the initial dose, the second and subsequent doses of YL242 will be infused IV into each patient for 60±10 minutes.

  • DrugYL242; Pembrolizumab

    The YL242 drug product is provided as a lyophilized powder containing 200 mg of YL242 in a glass vial. The initial dose of YL242 will be infused IV into each patient for 90±10 minutes. If there is no infusion-related reaction after the initial dose, the second and subsequent doses of YL242 will be infused IV into each patient for 60±10 minutes. Pembrolizumab will be administered subsequent to YL242.

  • DrugYL242; 5-FU; LV

    The YL242 drug product is provided as a lyophilized powder containing 200 mg of YL242 in a glass vial. The initial dose of YL242 will be infused IV into each patient for 90±10 minutes. If there is no infusion-related reaction after the initial dose, the second and subsequent doses of YL242 will be infused IV into each patient for 60±10 minutes. LV and 5-FU will be sequentially administered following YL242.

  • DrugYL242; Pembrolizumab; 5-FU

    The YL242 drug product is provided as a lyophilized powder containing 200 mg of YL242 in a glass vial. YL242 will be administered via Intravenous (IV) Infusion. Pembrolizumab and 5-FU will be administered in sequence after YL242.

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR) in Participants With Advanced Solid Malignant Tumors (Part 2, and 4-6)

    Objective response rate (ORR) was defined as the proportion of participants who achieve either complete response \[CR\] or partial response \[PR\] per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

    Time frame: Approximately within 36 months

  2. Number of Participants Reporting Treatment-emergent Adverse Events (TEAEs)

    AEs will be collected systematically from signing of the informed consent form (ICF) through 42 days after last dose.

    Time frame: Baseline up to 42 days post last patients last dose, approximately within 36 months

Secondary outcomes

  1. Area Under the Serum Concentration Time Curve (AUC) of YL242

    Time frame: Approximately within 36 months

  2. Maximum Plasma Concentration (Cmax) of YL242

    Time frame: Approximately within 36 months

  3. Time to Maximum Plasma Concentration (Tmax) of YL242

    Time frame: Approximately within 36 months

  4. Incidence of anti-YL242 antibody

    Time frame: Approximately within 36 months

  5. Terminal Elimination Half-life (t1/2) of Serum YL242

    Time frame: Approximately within 36 months

  6. Disease Control Rate (DCR)

    Disease control rate (DCR) was calculated as the proportion of participants demonstrating complete response (CR), partial response (PR), or stable disease.

    Time frame: Approximately within 36 months

07

Study locations

7 of 15 sites recruiting
  • US-201
    New Haven, Connecticut 06519, United States
    • study coordinator · Contact
    Not yet recruiting
  • US-202
    Sarasota, Florida 34232, United States
    • study coordinator · Contact
    Recruiting
  • US-204
    Boston, Massachusetts 02215, United States
    • study coordinator · Contact
    Not yet recruiting
  • US-206
    Grand Rapids, Michigan 49546, United States
    • study coordinator · Contact
    Recruiting
  • US-205
    Nashville, Tennessee 37203, United States
    • study coordinator · Contact
    Recruiting
  • US-203
    Houston, Texas 77030, United States
    • study coordinator · Contact
    Not yet recruiting
  • US-207
    San Antonio, Texas 78229, United States
    • study coordinator · Contact
    Not yet recruiting
  • AUS-101
    Liverpool, New South Wales 2170, Australia
    • study coordinator · Contact
    Not yet recruiting
  • AUS-102
    Darlinghurst, Victoria 2010, Australia
    • study coordinator · Contact
    Recruiting
  • AUS-104
    Fitzroy, Victoria 3065, Australia
    • study coordinator · Contact
    Not yet recruiting
  • AUS-103
    Heidelberg, Victoria 3084, Australia
    • study coordinator · Contact
    Not yet recruiting
  • AUS-105
    Nedlands, Western Australia 6009, Australia
    • study coordinator · Contact
    Not yet recruiting
  • CN-303
    Harbin, Heilongjiang 150081, China
    • study coordinator · Contact
    Recruiting
  • CN-301
    Shanghai, Shanghai Municipality 200030, China
    • study coordinator · Contact
    Recruiting
  • CN-302
    Hangzhou, Zhejiang 310022, China
    • study coordinator · Contact
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07197827
Lead sponsor
MediLink Therapeutics (Suzhou) Co., Ltd.
Responsible party
Sponsor
First posted
Sep 29, 2025
Start date
Sep 22, 2025
Primary completion
Sep 2028 (estimated)
Completion
Nov 2028 (estimated)
Last update
Dec 24, 2025

Study contacts

Medilink Study Team
Contact
clinicaltrials@medilinkthera.com
+86 0512-62858368

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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