ClinicalTrials.gg
RecruitingNCT07925866Updated Nov 9, 2026

Tislelizumab Combined With Tofacitinib and Docetaxel for NSCLC After Failure of First-Line Immunotherapy

A Phase 2 interventional study of Tofacitinib Citrate Tablets and Tislelizumab in Patients With Locally Advanced or Metastatic NSCLC Who Have Failed First-line Immunotherapy, sponsored by Anhui Provincial Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Anhui Provincial Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 3 months after the study started (first participant enrolled Jul 2025, registered Nov 2026).
  • Started Jul 2025; still recruiting 1 year 4 months later.
Updated Nov 9, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
39
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Tofacitinib is a pan-target JAK inhibitor that blocks the activation of immune cells by inhibiting the JAK1/2/3 signaling pathways. When used in combination with immune checkpoint inhibitors, it has the potential to enhance anti-tumor efficacy. This study aims to evaluate the efficacy and safety of Tislelizumab combined with Tofacitinib and Docetaxel in patients with locally advanced or metastatic NSCLC who have failed first-line immunotherapy. Additionally, the study seeks to explore potential genomic and immunological biomarkers of therapeutic response in the second-line treatment setting, providing a basis for subsequent research.

02

Conditions studied

  • Patients With Locally Advanced or Metastatic NSCLC Who Have Failed First-line Immunotherapy
03

In context

Lead sponsor

Anhui Provincial Hospital is the lead sponsor of 135 studies on the registry; 101 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
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

  • Patients with non-small cell lung cancer (NSCLC) confirmed through pathological histological examination.
  • Adenocarcinoma patients must be verified to lack driver gene mutations such as EGFR, ALK, ROS1, etc.; squamous carcinoma patients are exempt from this requirement.
  • In accordance with the 8th edition of the TNM staging classification of lung cancer by the International Association for the Study of Lung Cancer and the American Joint Committee on Cancer Classification, patients with or cytologically confirmed locally advanced (stage IIIB/C) or (stage IV) NSCLC who are ineligible for surgical intervention or radical concurrent chemoradiotherapy.
  • Subjects who have previously received one /L1 inhibitor ± one platinum-based double-drug chemotherapy (either combined or sequential, with the sequence being inconsequential) and have demonstrated clinical benefit (PFS ≥ 84 days) following PD-1/L1 inhibitor treatment (with or without chemotherapy) before experiencing disease progression.
  • According to RECIST1.1 criteria, subjects must possess at least one radiologically . Tumor baseline radiological assessment should be conducted within 28 days prior to the initiation of medication.
  • Age range: 18 to 75 years.
  • performance status score of 0-1.
  • Normal function of major organs.
  • Women of must employ appropriate measures from screening until 3 months post-study treatment cessation and must refrain from breastfeeding.
  • Patients must voluntarily participate in the study, sign , and demonstrate good compliance.

Exclusion criteria

Exclusion Criteria:

  • Patients with prior exposure to JAK inhibitors.
  • Patients with active interstitial lung disease.
  • Presence of other active malignant tumors requiring concurrent treatment. Previous use of anti-tumor traditional Chinese medicine.
  • Evidence of severe or uncontrolled systemic diseases.
  • active infection.
  • Resting showing clinically significant major abnormalities in rhythm, conduction, or morphology.
  • Myocardial infarction, coronary artery/peripheral artery bypass, or cerebrovascular accident within the past 3 months.
  • Insufficient bone marrow reserve or organ function.
  • Pregnant, breastfeeding, or planning to become pregnant during the study period.
  • Previously or currently suffering from clinically active interstitial lung disease.
  • History of to any active or inactive components of tislelizumab/tofacitinib or to drugs with similar chemical structure or same category as tislelizumab/tofacitinib.
  • Any severe or uncontrolled eye disease.
Terms in these criteria, in plain language(11)

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.

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.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
39 participants (estimated)

Study arms

  • Experimental
    Treatment

    Participants will receive tislelizumab combined with tofacitinib and docetaxel.

    Drug: Tofacitinib Citrate Tablets · Drug: Tislelizumab · Drug: Docetaxel

Interventions

06

What researchers measure

Primary outcomes

  1. Overall Response (ORR)

    Time frame: Up to approximately 1 year

Secondary outcomes

  1. Progression Free Survival (PFS)

    Time frame: Up to approximately 1 year

  2. Disease Control (DCR)

    Time frame: Up to approximately 1 year

  3. Duration of Response (DoR)

    Time frame: Up to approximately 1 year

  4. Overall Survival (OS)

    Time frame: Up to 1 year

  5. Incidence of Treatment-Emergent Adverse Events (TEAE)

    Time frame: Up to approximately 1 year

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

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
Nov 9, 2026
Show all 1 update
  1. Nov 9, 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
NCT07925866
Responsible party
Junqiang Zhang (Director of Pulmonology, Anhui Provincial Hospital) — Principal investigator
First posted
Nov 9, 2026
Start date
Jul 10, 2025
Primary completion
Aug 30, 2027 (estimated)
Completion
Jun 30, 2028 (estimated)
Last update
Nov 9, 2026

Study contacts

Junqiang Zhang
Contact
yany1980@163.com
+86 18955142161
Wang Xie
Contact
xiewang_88@163.com

Oversight

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

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Studies of the drugs tested here: Tofacitinib · Tislelizumab · Docetaxel

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