ClinicalTrials.gg
RecruitingNCT07933055ENRISEUpdated Nov 12, 2026

Phase 1b/2 to Evaluate the Safety, Tolerability, and Efficacy of TXN10128 in Combination With TOPO-I Inhibitor-based Therapies (Irinotecan or TROP2 ADC) in Advanced or Metastatic EGFR Mutated NSCLC

A Phase 1/2 interventional study of TXN10128 in NSCLC (Non-small Cell Lung Cancer), sponsored by Txinno Bioscience Inc.. Recruiting at 8 sites in South Korea. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Txinno Bioscience Inc. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2026; still recruiting 1 month later.
Updated Nov 12, 2026Newly registeredGo to Updates ↓

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Phase
Phase 1/2
Study type
Interventional
Enrollment
104
Allocation
Non-randomized
Ages
19 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 700 studies in Carcinoma, Non-Small-Cell Lung with a site in Korea, Republic of — 123 open to participants now, 264 under way, 101 of them phase 3. Carcinoma, Non-Small-Cell Lung · Korea, Republic of.

Planned enrollment
456th of 657
104 · median 200
Started
2026
with 21 others
Phase 1/2
84 of 700
25 open now
Primary completion
2028-09
later than 190 of 263 live
Registered
699th of 700
by date

Among the 700 studies in Carcinoma, Non-Small-Cell Lung with a site in Korea, Republic of, this one is the 456th largest by planned enrollment of the 657 interventional ones that give a count, is one of 22 that started in 2026, is one of 84 in phase 1/2, reaches primary completion later than 190 of the 263 other live ones, and was the 699th registered.

Carcinoma, Non-Small-Cell Lung

7,621 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,836 are open to participants now.

Browse Carcinoma, Non-Small-Cell Lung studies →

Open to participants now

123 of the 700 studies in Carcinoma, Non-Small-Cell Lung with a site in Korea, Republic of are open now. Recruiting first, the newest first:

117 more — sign in →

All 123 open studies →

A study can be open while its sites in Korea, Republic of have not opened yet or have stopped. Only those recruiting at a site in Korea, Republic of →

Who these studies take

Of the 1,327 Carcinoma, Non-Small-Cell Lung studies recruiting now, 989 (75%) set no upper age limit and 225 (17%) stop at 75 or younger; 34 take children under 18; 40 take healthy volunteers.

This study: 19 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

This is a multicenter, open-label, multi-cohort, Phase 1b/2 clinical study. This study evaluates TXN10128 in combination with either irinotecan (a topoisomerase I inhibitor) or a TROP2-directed antibody-drug conjugate (TROP2 ADC) in participants with advanced or metastatic NSCLC with confirmed EGFR mutations.

The study consists of three cohorts. It enrolls participants who have progressed after prior treatment with a third-generation EGFR tyrosine kinase inhibitor (TKI) and platinum-based doublet chemotherapy.

Part B enrolls participants who are currently receiving TROP2 ADC therapy or whose disease has progressed following such therapy (with no restriction on the number of prior lines).

In Part C, participants who are naïve to TROP2 ADC therapy and have received no more than three prior lines of systemic anticancer therapy will be enrolled. A safety run-in will first be conducted to confirm the safety of the combination with a TROP2 ADC. Based on the results, the Safety Review Committee (SRC) will select the recommended dose for expansion phase, which will follow Simon's two-stage design.

Read the detailed description

Participants with advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) Harboring epidermal growth factor receptor (EGFR) mutations 3.1 Number of targeted participants Part A (Main Cohort): Approximately 45 participants (including a 10% dropout rate) Part B (Exploratory Cohort): Approximately 15 participants Part C (Expansion Cohort): about 44 participants (including a 10% dropout rate)

03

Conditions studied

  • NSCLC (Non-small Cell Lung Cancer)

Keywords

  • EGFR mutation
  • Metastatic
  • Advanced NSCLC
  • Combination therapy
04

Who can participate

Ages eligible
19 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) Males and females aged 19 or older at the time of written . 2) Participants must have or cytologically confirmed advanced or non-squamous NSCLC (Stage IIIB, IIIC, or IV per AJCC 8th edition) with an EGFR TKI-sensitizing mutation.

They must also meet the prior treatment requirements for each cohort.

* EGFR TKI-sensitizing mutations: mutations that are highly responsive to TKIs, such as exon 19 deletion or exon 21 L858R point mutation.

3) Participants who have experienced disease progression on or after prior third-generation EGFR TKI therapy, either during or after treatment, and who meet the following criteria

(1) Part A:

  • No prior treatment with a TROP2 ADC,
  • Have received no more than four* prior lines of anticancer therapy, including one platinum-based doublet chemotherapy regimen.

    (2) Part B: Prior treatment with a TROP2 ADC (3) Part C:

  • No prior treatment with a TROP2 ADC, and
  • Have received no more than three* prior lines of anticancer therapy, including one platinum-based doublet chemotherapy regimen

    *Counting of prior lines of anticancer therapy and adjuvant anticancer therapies are, in principle, not counted as prior lines. However, if disease recurrence or progression occurs within 6 months after completion of adjuvant therapy, such therapy will be counted as a prior line.

    4) Participants with documented evidence of an EGFR TKI-sensitizing mutation in the tumor, as confirmed by liquid or tissue biopsy performed prior to enrollment in this study, with the result* properly documented

    *EGFR mutation testing must be performed using a validated polymerase chain reaction (PCR) or next-generation sequencing (NGS) assay at an appropriately certified/accredited laboratory (e.g., a study specimen analysis facility or a laboratory holding a clinical laboratory standard accreditation).

    5) Participants with at least one per v1.1. If the participant has received prior radiotherapy, the measurable lesion must be located outside the prior radiation field unless there is clear evidence of progression of a lesion within the irradiated field.

    6) Participants who agree to provide either: a fresh tumor biopsy (core needle biopsy or excisional biopsy) obtained before the first dose of TXN10128 (C1D1), or an archival tumor specimen collected after the most recent prior anticancer therapy.

    7) Participants with an (ECOG) performance status (PS) of 0 or 1.

    8) Participants with a of at least 12 weeks. 9) Adequate hematologic and adequate major organ/cardiac function, as defined by the following laboratory results obtained within 7 days prior to the first dose of TXN10128 (C1D1):

    1. Adequate bone marrow function*: count ≥100,000/mm³, (Hb) ≥10 g/dL, (ANC) ≥1,500/mm³.

      * Hematologic parameters must be met without transfusion, granulocyte colony-stimulating factor (G-CSF), or other hematopoietic growth factor support within 1 week prior to the relevant laboratory assessment.

    2. Adequate hepatic function: (AST)/alanine aminotransferase (ALT) ≤2.5× (ULN) (≤5×ULN in the presence of liver metastases or hepatocellular carcinoma); total (TBL) ≤1.5×ULN (\<3×ULN in participants with Gilbert's syndrome).
    3. Adequate renal function: (CrCl) ≥50 mL/min*. * CrCl = [140 - age (years)] × weight (kg) (× 0.85 for female participants) / [serum creatinine (mg/dL) × 72]
    4. Adequate coagulation function: (INR)/prothrombin time (PT)/activated partial thromboplastin time (aPTT) ≤1.5×ULN.
    5. Systolic blood pressure≤160 mmHg, diastolic blood pressure≤100 mmHg
    6. interval*: Mean QTcF value from triplicate ECGs ≤480 msec *In cases where QTc assessment is difficult due to structural abnormalities of the cardiac conduction system, such as right bundle branch block (RBBB) or left bundle branch block (LBBB), a specific formula may be applied in consultation with the sponsor. Once selected, the same method must be used consistently for subsequent assessments of QTc changes.

    10) Recovery from adverse events (AEs) of prior therapy to Grade ≤1 (except for alopecia or stable Grade 2 peripheral neuropathy).

    11) For participants of , agreement to practice adequate abstinence and , and agreement not to donate ova or sperm. Males and females of must agree to use one of the following medically acceptable methods of contraception from the last dose of TXN10128 through 28 weeks after the last dose.

  • Hormonal contraceptives (oral, injectable, or implantable
  • Intrauterine device (IUD) or intrauterine system (IUS);
  • Sterilization procedures or surgery (e.g., hysterectomy, bilateral oophorectomy, or bilateral salpingectomy);
  • Vasectomized partner;
  • Male participants must use a condom during sexual intercourse with a female partner of childbearing potential or a pregnant partner during the period of IP administration and for 4 months after the last dose. Sexual abstinence:

Complete abstinence from sexual intercourse is also acceptable when, in the investigator's judgment, the participant's age, occupation, lifestyle, or sexual orientation assures contraception. Periodic abstinence (e.g., calendar, ovulation, symptothermal, or post-ovulation methods), abstinence, and withdrawal are not considered acceptable methods of contraception.

12) Participants who are willing and able to comply with the procedures required by this clinical study protocol, including hospitalization, procedures and interventions, tumor biopsy (core needle biopsy or excisional biopsy), and laboratory tests, and who have voluntarily provided written informed consent.

Exclusion criteria

Exclusion Criteria:

  • 1) Participants with any of the following concurrent medical conditions:

    1. Symptoms of spinal cord compression
    2. Active central nervous system (CNS)

However, at the investigator's discretion, participants may be enrolled if they meet any of the following:

- Neurologically stable that have either been off for at least 4 weeks prior to the first dose of TXN10128 or have been maintained on a stable dose of corticosteroids [hydrocortisone ≤30 mg/day, dexamethasone ≤2 mg/day, or prednisone ≤10 mg/day (or equivalent)].

- At least 2 weeks have elapsed since the completion of brain radiotherapy. (3) confirmed (4) coagulation disorders, including disseminated intravascular coagulation (DIC).) (5) Participants with histologically mixed small cell lung cancer (SCLC) and NSCLC.

(6) Uncontrolled diarrhea of Grade ≥2 per version 6.0 2) Participants with any of the following medical history:

  1. Clinically significant (e.g., active) cardiovascular disease within 24 weeks prior to the first dose of TXN10128 (C1D1):

    - History of long syndrome;

    • Stroke, Myocardial Infarction;
    • Unstable angina or significant cardiac arrhythmia requiring pharmacologic treatment;
    • Congestive heart failure ( [NYHA] Classification ≥Class 3).
  2. Prior hematopoietic stem cell transplantation, or prior autologous or allogeneic CAR-T cell therapy, or solid organ transplantation.
  3. Known positive status for (HIV) infection.
  4. Active or C infection (however, participants may be eligible if HBV DNA or is controlled to below the institutional lower limit of detection).
  5. Active infection requiring intravenous antibiotic therapy within 2 weeks prior to study enrollment.
  6. Active interstitial lung disease (ILD) requiring steroid or therapy, or a history of ILD, or suspected ILD findings on screening imaging assessment.
  7. Pulmonary disease including pneumonia or pulmonary fibrosis, or severe impairment of pulmonary function resulting therefrom.
  8. History of another primary within 2 years prior to screening (however, participants with a history within 2 years of basal cell or squamous cell carcinoma of the skin, superficial bladder cancer, papillary thyroid carcinoma, or carcinoma in situ at other sites may be eligible if successfully treated and without recurrence, based on the investigator's medical judgment).
  9. Inability to take oral medications, gastrointestinal disorders causing malabsorption syndrome, or uncontrolled inflammatory gastrointestinal (GI) disease (e.g., intestinal paralysis, intestinal obstruction, Crohn's disease, ulcerative colitis).
  10. Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures.
  11. Participants who experienced a Grade ≥3 immune-related adverse event (irAE) with prior immunotherapy, excluding clinically non-significant laboratory abnormalities.
  12. Active disease requiring systemic therapy within the past 2 years (i.e., use of disease-modifying agents, corticosteroids, or immunosuppressive drugs). Chronic systemic steroid therapy (at doses exceeding 10 mg/day prednisone equivalent) or any other form of immunosuppressive therapy within 2 weeks (14 days) prior to the first dose of TXN10128 is not permitted. However, replacement therapies such as thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency are not considered forms of systemic therapy and are permitted.

3) Participants who have received any of the following treatments:

  1. Prior treatment with an IP targeting ENPP1 inhibitors or STING agonists.
  2. Use of the following anticancer therapies within the specified timeframes prior to the first dose of TXN10128 (C1D1):

    - Cytotoxic chemotherapy, targeted therapy, or hormonal therapy within 2 weeks; however, nitrosourea or mitomycin administered within 6 weeks prior to the first dose;

    - Prior antibody or protein-based immunotherapy, or IP within 4 weeks;

    • Radiotherapy administered to a wide field, including the spine and pelvis, within 4 weeks; however, limited-field radiation administered for symptom palliation within 2 weeks.
  3. Major surgery within 4 weeks prior to the first dose of TXN10128 (C1D1) (placement of a central venous catheter is not considered major surgery).
  4. Administration of , live-attenuated vaccines, or mRNA vaccines, within 4 weeks prior to the first dose of TXN10128 (C1D1).
  5. Participants who are receiving strong inhibitors/inducers (e.g., ketoconazole, rifampin, carbamazepine) within 2 weeks prior to the first dose of the IP, or who require continuation of such agents during the study period.

4) Participants with a history of to the combination anticancer therapy, any of its components, or agents of similar class, including anaphylaxis/anaphylactoid reactions and angioedema, or who have any other to treatment.

5) Pregnant or lactating women. 6) Participants who, in the opinion of the investigator, are not suitable for study participation [Part A, B] 7) Participants who are homozygous (UGT1A1*6/*6, UGT1A1*28/*28) or compound heterozygous (UGT1A1*6/*28) for UGT1A1*6 or UGT1A1*28.

8) Participants who are receiving atazanavir sulfate.

[Part C] 9) Clinically significant corneal disease that may affect treatment or assessment, as judged by the investigator.

10) Participants who, at screening, are receiving strong inhibitors (e.g., cyclosporine, verapamil) or inducers of major drug transporters (P-gp, OATP1B1/1B3, BCRP, MRP1, MATE2-K), and who require continuation of such agents during the study period.

Terms in these criteria, in plain language(38)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

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.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask 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.

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.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

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

Study arms

  • Other
    Part A

    TXN10128 in combination with irinotecan in participants who had not previously received a TROP2 ADC.

    Drug: TXN10128

  • Other
    Part B

    TXN10128 in combination with irinotecan in participants who had previously received a TROP2 ADC.

    Drug: TXN10128

  • Other
    Part C

    TXN10128 in combination with TROP2 ADC in participants who had not previously received a TROP2 ADC.

    Drug: TXN10128

Interventions

  • DrugTXN10128

    oral ENPP1 inhibitor

06

What researchers measure

Primary outcomes

  1. Progression Free Survival

    By central independent reviewer

    Time frame: From enrollment until disease progression or the end of the study; tumor assessments every 8 weeks through Week 24 and every 12 weeks thereafter.

Secondary outcomes

  1. objective Response Rate

    By central independent reviewer

    Time frame: From enrollment until disease progression or the end of the study; tumor assessments every 8 weeks through Week 24 and every 12 weeks thereafter.

  2. Disease Control Rate

    By central independent reviewer

    Time frame: From enrollment until disease progression or the end of the study; tumor assessments every 8 weeks through Week 24 and every 12 weeks thereafter.

07

Study locations

6 of 8 sites recruiting
  • Ajou University Hospital
    Gyeonggi-do, South Korea
    Recruiting
    • Taehwan Kim · Principal investigator
  • Seoul University Bundang Hospital
    Gyeonggi-do, South Korea
    Recruiting
    • Yu Jung Kim · Principal investigator
  • The Catholic University of Korea, ST. Vincent's Hospital
    Gyeonggi-do, South Korea
    Not yet recruiting
    • ByungYong Shim · Principal investigator
  • Gachon University Gil Medical Center
    Incheon, 21565, South Korea
    Recruiting
    • Joo-Hwan Park, MD, PhD · Contact
    • Joo-Hwan Park, MD, PhD · Principal investigator
  • HanYang Univ. Hospital
    Seoul, South Korea
    Recruiting
    • Myung-Ju Ahn · Principal investigator
  • Korea University Guro Hospital
    Seoul, South Korea
    Recruiting
    • · Contact8200000000
    • Eun Joo Kang · Principal investigator
  • Samsung Medical Center
    Seoul, South Korea
    Not yet recruiting
    • · Contact8200000000
    • JinSeok Ahn · Principal investigator
  • Severance Hospital
    Seoul, South Korea
    Recruiting
    • Hye Ryun Kim · Principal investigator
08

References and documents

Individual participant data

Plan to share: Undecided

09

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

Started Oct 2026 (actual). Primary completion is estimated for Sep 2028, 23 months after the start.

Of 309 industry-sponsored phase 1/2 interventional studies under Carcinoma, Non-Small-Cell Lung, half reached primary completion within 58 months of starting (the median), counting those still running; a quarter within 39 and three quarters within 77. This study's planned 23 months is below that.

Counting every sponsor, half of 432 studies reached it within 63 months; a quarter within 42 and three quarters within 80.

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

Registered
Oct 26, 2026
First posted
Nov 12, 2026
StartActual
Oct 8, 2026
Primary completionEst.
Sep 30, 2028
CompletionEst.
Mar 31, 2029
Last update
Nov 12, 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
Nov 12, 2026
Show all 1 update
  1. Nov 12, 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
NCT07933055
Lead sponsor
Txinno Bioscience Inc.
Responsible party
Sponsor
First posted
Nov 12, 2026
Start date
Oct 8, 2026
Primary completion
Sep 30, 2028 (estimated)
Completion
Mar 31, 2029 (estimated)
Last update
Nov 12, 2026

Study contacts

Eun-Young Kwak, PhD
Contact
bella@txinno.com
031 778 8688

Oversight

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

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