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Not yet recruitingNCT07897188Updated Oct 27, 2026

ASKC202 Plus Limertinib as the First-line Therapy for Patients With EGFRm+/MET+ Locally Advanced or Metastatic NSCLC

A Phase 3 interventional study of ASKC202 and ASKC202 placebo in EGFR Activating Mutation, Non-Squamous Non-Small Cell Lung Cancer (NSCLC) and MET Positive, sponsored by Jiangsu Aosaikang Pharmaceutical Co., Ltd.. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Jiangsu Aosaikang Pharmaceutical Co., Ltd. (part of Beijing Aosaikang Pharmaceutical Co., Ltd.) · Phase 3, Interventional, and Treatment

Updated Oct 27, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
425
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 1,877 studies in Carcinoma, Non-Small-Cell Lung with a site in China — 764 open to participants now, 986 under way, 202 of them phase 3. Carcinoma, Non-Small-Cell Lung · China.

Planned enrollment
262nd of 1,591
425 · median 100
Started
2026
with 186 others
Phase 3
365 of 1,877
105 open now
Primary completion
2030-12
later than 958 of 985 live
Registered
1,875th of 1,877
by date

Among the 1,877 studies in Carcinoma, Non-Small-Cell Lung with a site in China, this one is the 262nd largest by planned enrollment of the 1,591 interventional ones, is one of 187 that started in 2026, is one of 365 in phase 3, reaches primary completion later than 958 of the 985 other live ones, and was the 1,875th registered.

By phase

1,877 studies; the count open now beside each. This study's row is marked.

Phase 2649 · 272 open
Phase 3this study365 · 105 open
Observational286 · 114 open
Phase 1202 · 89 open
Phase 1/2159 · 83 open
No phase138 · 76 open
Phase 440 · 9 open
Phase 2/338 · 16 open

By the year they started

First in 1996; this study’s year is marked. 187 started in 2026.

Size and results

Median enrollment 100 across the 1,591 interventional studies, 200 across the 286 observational. Of the 452 that completed or were terminated, 130 (29%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 1,877 studies in Carcinoma, Non-Small-Cell Lung with a site in China, or all of them as a file.
02

Study summary

To evaluate the efficacy and safety of ASKC202 combined with limertinib as the first-line treatment for locally advanced or metastatic NSCLC

Read the detailed description

This is a randomized, controlled, multicenter, Phase 3 clinical study designed to evaluate the efficacy and safety of ASKC202 plus limertinib (double-blind Arm A) versus osimertinib (double-blind Arm B) as first-line treatment for patients with locally advanced or metastatic non-squamous NSCLC harboring EGFR sensitizing mutations (19Del or 21 L858R) and MET protein overexpression. In addition, Arm C (open-label) will concurrently evaluate the efficacy and safety of osimertinib plus pemetrexed and cisplatin or carboplatin as first-line treatment for patients with EGFRm+/MET+ locally advanced or metastatic non-squamous NSCLC.

Eligible participants will be stratified by EGFR mutation status (19Del vs. L858R) and brain metastasis (yes vs. no) and randomly assigned in a 2:2:1 ratio to Arm A, Arm B, or Arm C. Participants in each arm will receive the corresponding study treatment (21-day cycle) until disease progression, death, intolerable toxicity, or fulfillment of any other protocol-defined treatment discontinuation criterion, whichever occurs first.

03

Conditions studied

  • EGFR Activating Mutation
  • Non-Squamous Non-Small Cell Lung Cancer (NSCLC)
  • MET Positive

Keywords

  • non-squamous NSCLC; MET inhibitor; EGFR inhibitor
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Capable of giving signed .
  2. Male or female, at least 18 years of age at the time of ICF signing.
  3. or cytologically confirmed locally advanced or non-squamous NSCLC, not amenable to curative surgery or radiotherapy.
  4. Patients must have untreated advanced NSCLC not amenable to curative surgery or radiotherapy. Prior and neo-adjuvant therapies or definitive radiation/chemoradiation are permitted as long as treatment was completed at least 6 months prior to the development of recurrent disease.
  5. The tumor harbors EGFR sensitizing mutation (Ex19Del or L858R).
  6. MET protein overexpression as determined by central laboratory testing of tumor tissue samples.
  7. At least one as assessed by v1.1.
  8. Have adequate organ functions.
  9. (ECOG) Performance Status of 0 or 1.
  10. Have an estimated ≥ 12 weeks.

Exclusion criteria

Exclusion Criteria:

  1. Known coexistence of other oncogenic driver gene alterations.
  2. Prior therapy with an EGFR inhibitor (Patients who have completed the maximum permitted duration of therapy and whose disease progressed or recurred ≥12 months after completion of such therapy are eligible for enrollment) or a c-MET-targeted inhibitor.
  3. Receipt of any other agent within 4 weeks prior to the first dose of study treatment.
  4. Unresolved toxicity of Grade ≥2 severity attributed to prior anti-tumor therapy at the time of first dose of study drug.
  5. Patients with symptomatic or unstable brain metastases.
  6. Presence of , brainstem , or spinal cord compression.
  7. Prior or concurrent other than study disease.
  8. Inability to swallow oral medication, or any gastrointestinal disease or condition that may significantly impair the absorption of the study drug.
  9. Any other serious or uncontrolled acute or chronic medical condition that, in the investigator's judgment, would render the patient unsuitable for participation in the study.
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
425 participants (estimated)

Study arms

  • Experimental
    Arm A: ASKC202 + limertinib

    ASKC202 tablets 200 mg once daily (QD) + limertinib tablets 80 mg twice daily (BID) + osimertinib placebo tablets QD, orally

    Drug: ASKC202 · Drug: osimertinib placebo · Drug: Limertinib

  • Active comparator
    Arm B: osimertinib

    Arm B: ASKC202 placebo tablets QD + limertinib placebo tablets BID + osimertinib tablets 80 mg QD, orally

    Drug: ASKC202 placebo · Drug: osimertinib · Drug: limertinib placebo

  • Other
    Arm C: osimertinib + pemetrexed + cisplatin or carboplatin

    Arm C: Osimertinib tablets 80 mg QD orally + pemetrexed 500 mg/m² and cisplatin 75 mg/m² or carboplatin (AUC 5) by intravenous infusion on Day 1 of each 21-day cycle for up to 4 cycles; followed by maintenance therapy with osimertinib tablets 80 mg QD orally + pemetrexed 500 mg/m² by intravenous infusion on Day 1 of each 21-day cycle.

    Drug: osimertinib · Drug: pemetrexed · Drug: cisplatin or carboplatin

Interventions

  • ASKC202 tablets 200 mg QD

  • DrugASKC202 placebo

    ASKC202 placebo tablets QD

  • Drugosimertinib placebo

    osimertinib placebo tablets QD

  • osimertinib tablets 80 mg QD

  • pemetrexed 500 mg/m² by intravenous infusion on Day 1 of each 21-day cycle

  • Drugcisplatin or carboplatin

    Drug pages: Cisplatin · Carboplatin

    cisplatin 75 mg/m² or carboplatin (AUC 5) by intravenous infusion on Day 1 of each 21-day cycle for up to 4 cycles

  • limertinib tablets 80 mg BID

  • Druglimertinib placebo

    limertinib placebo tablets BID

06

What researchers measure

Primary outcomes

  1. Progression-Free Survival (PFS) by BICR

    Progression-free survival (PFS) using BICR assessment as defined by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1).Progression-free survival was defined as the time from date of randomization until the documentation of objective disease progression (PD) or death from any cause (whichever occurred first).

    Time frame: 3 years

Secondary outcomes

  1. Progression-free survival (PFS) by investigator

    Progression-free survival (PFS) using Investigator assessment as defined by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1). Progression-free survival was defined as the time from date of randomization until the documentation of objective disease progression (PD) or death from any cause (whichever occurred first).

    Time frame: 3 years

  2. Overall Survival (OS)

    The time from the date of randomization to the date of death.

    Time frame: 4 years

  3. Objective Response Rate (ORR)

    ORR was defined as the percentage of participants with complete response (CR) or partial response (PR).

    Time frame: 3 years

  4. Disease Control Rate (DCR)

    DCR was defined as the percentage of participants with complete response(CR), partial response(PR) and stable disease(SD).

    Time frame: 3 years

  5. Duration of Response (DoR)

    Duration of response was defined as the time from when the criteria for CR or PR were first met to the occurrence of an objective disease progression or death.

    Time frame: 3 years

  6. Incidence and severity of treatment-emergent adverse events

    Assessed by number and severity of adverse events as recorded on the case report form NCI CTCAE v6.0.

    Time frame: 3 years

07

Study locations

1 site
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for Dec 2030, 50 months later.

Of 314 industry-sponsored phase 3 interventional studies under Carcinoma, Non-Small-Cell Lung, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 57. This study's planned 50 months is above that.

Counting every sponsor, half of 423 studies reached it within 45 months; a quarter within 30 and three quarters within 69.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 20, 2026
First posted
Oct 27, 2026
StartEst.
Oct 30, 2026
Primary completionEst.
Dec 30, 2030
CompletionEst.
Nov 20, 2032
Last update
Oct 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07897188
Responsible party
Sponsor
First posted
Oct 27, 2026
Start date
Oct 30, 2026 (estimated)
Primary completion
Dec 30, 2030 (estimated)
Completion
Nov 20, 2032 (estimated)
Last update
Oct 27, 2026

Study contacts

Jiangsu Aosaikang Study Director
Contact
ctr-contact@ask-pharm.com
+86 025 52169999

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: ASKC202

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