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Not yet recruitingNCT07899086Updated Oct 27, 2026

A Phase I Study of HS-20093 Injection in Combination Therapy in Non-Small Cell Lung Cancer

A Phase 1 interventional study of HS-20093 and Ivonescimab in Non-Small Cell Lung Cancer, sponsored by Hansoh BioMedical R&D Company. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Hansoh BioMedical R&D Company (part of Hansoh Pharmaceutical Group Company Limited) · Phase 1, Interventional, and Treatment

Updated Oct 27, 2026Newly registeredGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
102
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a multicenter, open-label, Phase 1 clinical study to evaluate the efficacy and safety of HS-20093 combination therapy in subjects with advanced or metastatic non-small cell lung cancer without actionable genomic alterations.

Read the detailed description

This is a multicenter, open-label, Phase 1 clinical study to evaluate the safety, tolerability, pharmacokinetics, and efficacy of HS-20093 combination therapy in subjects with advanced non-small cell lung cancer (NSCLC). The study is divided into Phase 1a (safety run-in) and Phase 1b (cohort expansion).

In Phase 1a, the safety and tolerability of HS-20093 in combination with ivonescimab (± chemotherapy) will be evaluated in subjects with advanced NSCLC. After the preliminary evaluation of the safety results of Phase 1a by the Safety Review Committee (SRC), the study will proceed to Phase 1b, with randomized enrollment, to explore different treatment strategies of the combination regimens.

02

Conditions studied

  • Non-Small Cell Lung Cancer
03

In context

Carcinoma, Non-Small-Cell Lung

7,620 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,838 are open to participants now.

This study's planned enrollment of 102 is above the median of 62 across 6,019 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Hansoh BioMedical R&D Company is the lead sponsor of 48 studies on the registry; 43 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

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. Age ≥18 years at the time of form (ICF) signature, either sex.
  2. Be willing to participate in this clinical trial with understanding of study procedures, ability to provide written informed consent, and commitment to comply with all requirements specified in this clinical trial protocol.
  3. Previously untreated patients with or cytologically confirmed diagnosis of advanced or non-small cell lung cancer (NSCLC) without actionable driver mutations
  4. Presence of at least one measurable target lesion.
  5. performance status (ECOG PS) score of 0 to 1.
  6. Minimum >12 weeks.
  7. Adequate organ function.
  8. Absence of the following active infectious diseases: , , (HIV) infection, tuberculosis, or syphilis.
  9. Female participants with negative serum pregnancy test result within 7 days prior to first dose administration, or documentation of no pregnancy risk.

Exclusion criteria

Exclusion Criteria:

  1. Prior pathological diagnosis of mixed non-small cell lung cancer or any transformed non-small cell lung cancer.
  2. Presence of any of the following abnormal cardiac findings:

1) Evidence of currently important arrhythmia or abnormality; 2) Presence of risk factors causing prolongation or arrhythmic events.

3. Untreated or uncontrolled , , brainstem , or spinal cord compression.

4. Severe, uncontrolled, or active cardiovascular or cerebrovascular disease. 5. Severe or poorly controlled hypertension and/or diabetes mellitus. 6. Has experienced ≥ grade 2 bleeding events 7. Persistent adverse reactions caused by prior treatment. 8. History of other primary . 9. Severe infection. 10. History of severe arterial or venous thromboembolic events. 11. Known or suspected interstitial pneumonitis, immune-mediated pneumonitis, or radiation pneumonitis.

12. Participants with active or history of disease with potential for recurrence.

13. Known history of allogeneic organ transplantation or hematopoietic stem cell transplantation.

14. Pregnant or breastfeeding, or planning to breastfeed during the study.

Terms in these criteria, in plain language(16)

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.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

05

Study design

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

Study arms

  • Experimental
    HS-20093 + ivonescimab

    Participants will receive intravenous infusions of HS-20093 and ivonescimab. HS-20093 will be administered at the pre-specified dose level(s) Q3W and ivonescimab at 20 mg/kg Q3W, until disease progression or other treatment discontinuation criteria are met.

    Drug: HS-20093 · Drug: Ivonescimab

  • Experimental
    HS-20093 + ivonescimab + chemotherapy

    Participants will receive intravenous infusions of HS-20093, ivonescimab, and pemetrexed or nab-paclitaxel, all administered every 3 weeks (Q3W) until disease progression or other treatment discontinuation criteria are met. HS-20093 will be given at the pre-specified dose level(s), ivonescimab at 20 mg/kg, pemetrexed at 500 mg/m², or nab-paclitaxel at 100 mg/m²per Q3W cycle.

    Drug: HS-20093 · Drug: Chemotherapy

Interventions

  • Participants will receive intravenous infusions of HS-20093 and ivonescimab. HS-20093 will be administered at the pre-specified dose level(s) Q3W , until disease progression or other treatment discontinuation criteria are met.

  • Participants will receive intravenous infusions of HS-20093 and ivonescimab. Ivonescimab will be administered at at 20 mg/kg Q3W, until disease progression or other treatment discontinuation criteria are met.

  • DrugChemotherapy

    Participants will receive intravenous infusions of pemetrexed or nab-paclitaxel, all administered every 3 weeks (Q3W) until disease progression or other treatment discontinuation criteria are met. Pemetrexed at 500 mg/m², or nab-paclitaxel at 100 mg/m²per Q3W cycle.

06

What researchers measure

Primary outcomes

  1. Phase 1a: Dose-Limiting Toxicity (DLT)

    Evaluate the number of patients with dose-limited toxicities (DLTs)

    Time frame: Through out the DLT period, approximately 21 days

  2. Phase 1b: Objective response rate (ORR) determined by investigators according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 at phase 1b

    ORR was defined as the percentage of participants who achieved a best overall response (BOR) of confirmed Complete Response (CR) or Partial Response (PR), assessed by investigators based on RECIST version 1.1\[Confirmed CR/PR assessment require at least one repeat (≥4 weeks)\].

    Time frame: From the first dose up to disease progression or withdrawal from study, whichever came first, assessed up to 48 months.

Secondary outcomes

  1. Incidence and severity of adverse events (AEs)

    AE assessed by investigator exclusively related to subject's underlying disease or medical condition \[graded according to the NCI Common Terminology Criteria for Adverse Events (CTCAE), Version 5.0\]. Any untoward medical occurrence in a clinical study participant, whether or not considered related to the medicinal product. Incidence and severity of AEs are assessed according to vital signs, laboratory variables, electrocardiogram, etc.

    Time frame: From the first dose through 90 days post end of treatment.

  2. Duration of response (DoR) determined by investigators according to RECIST 1.1

    DoR was defined as the period from the first occurrence of CR or PR to progressive disease (PD) or death from any cause. If no PD or death after CR/PR, the cut-off date of progression-free survival (PFS) would be used \[Confirmed CR/PR assessment require at least one repeat (≥4 weeks)\].

    Time frame: From the first dose up to disease progression or withdrawal from study, whichever came first, assessed up to 48 months.

  3. Disease control rate (DCR) determined by investigators according to RECIST 1.1.

    Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). DCR was evaluated by the number of participants with best overall response of CR, PR and stable disease (SD) \[Confirmed CR/PR assessment require at least one repeat (≥4 weeks); SD shall be assessed at least 5 weeks after the first dose\].

    Time frame: From the first dose up to disease progression or withdrawal from study, whichever came first, assessed up to 48 months.

  4. Progression-free survival (PFS) determined by investigators according to RECIST 1.1

    Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). PFS was defined as the time from first dose or random assignment (if any) to PD or death from any cause.

    Time frame: From the first dose or random assignment up to disease progression or withdrawal from study, whichever came first, assessed up to 48 months.

  5. Overall survival (OS)

    OS was defined as the time from the first dose or random assignment (if any) to death from any cause.

    Time frame: From the first dose or random assignment up to death or withdrawal from study, whichever came first, assessed up to 48 months.

  6. Observed maximum plasma concentration (Cmax) of HS-20093

    Cmax will be obtained following administration of the first dose of HS-20093 during the first cycle.

    Time frame: Till study completion, approximately 48 months.

  7. Time to reach maximum plasma concentration (Tmax) of HS-20093 following the first dose

    Tmax will be obtained following administration of the first dose of HS-20093 during the first cycle

    Time frame: Till study completion, approximately 48 months.

  8. Area under plasma concentration versus time curve from zero to last sampling time (AUC0-t) following the first dose of HS-20093

    Area under the plasma concentration versus time curve from time zero to the last sampling time when the concentration was no less than the lower limit of quantification (LLQ). AUC0-t was calculated according to the mixed log-linear trapezoidal rule.

    Time frame: Till study completion, approximately 48 months.

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
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 ↗

10

Registry details

Key details

Study ID
NCT07899086
Responsible party
Sponsor
First posted
Oct 27, 2026
Start date
Nov 10, 2026 (estimated)
Primary completion
Dec 31, 2027 (estimated)
Completion
Jun 30, 2030 (estimated)
Last update
Oct 27, 2026

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: Risvutatug rezetecan

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