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NCT Number: NCT07450976

A Study of SHR-A1904 in Previous Systemic Treatment Failed Biliary Tract Cancer

This is a multicenter, Phase 2 clinical trial to evaluate the efficacy and safety, PK and immunogenicity of SHR-A1904 in patients with advanced or metastatic biliary tract cancer (BTC). Patients will treat with SHR-A1904 until unacceptable toxicity or disease progression.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Cancer Hospital, Chinese Academy of Medical Sciences, Beijing, Beijing Municipality, China

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18-75 years old (including both ends), male or female;
  • ECOG-PS score: 0 or 1;
  • Expected survival ≥ 12 weeks;
  • Locally advanced or metastatic biliary tract cancer confirmed by histopathology or cytology;
  • CLDN18.2 positive expression;
  • Subjects who failed or intolerance after systemic chemotherapies;
  • According to the RECIST v1.1 standard, the subjects had at least one measurable lesion;
  • The main organ function is normal, in line with the program requirements;
  • Consent to contraception.

Exclusion criteria

  • Received anti-tumor treatment such as chemotherapy, radiotherapy, immunotherapy, biotherapy or other clinical research drugs within 4 weeks before the first administration;
  • Other active malignancies within 5 years or at the same time;
  • Subjects with a history or evidence of brain metastasis or meningeal metastasis;
  • With acute or chronic uncontrolled pancreatitis or Child-Pugh liver function grade C;
  • Severe trauma or major surgery was performed within 4 weeks before the first administration;
  • To study the severe heart disease within 6 months before the first administration;
  • Patients with clinical symptoms and uncontrolled moderate and above pleural effusion, ascites or pericardial effusion, requiring therapeutic puncture drainage;
  • Severe infection symptoms occurred within 2 weeks before the first administration;
  • Known hereditary or acquired bleeding and thrombotic tendency;
  • Congenital or acquired immune defects;
  • The subjects had severe and uncontrollable concomitant diseases;
  • Cerebral infarction, pulmonary embolism or deep vein thrombosis occurred within 6 months before the first administration of the study.

Treatment and study plan

SHR-A1904 for Injection

Drug

SHR-A1904 for injection, different doses.

Primary outcomes

  1. Objective response rate (ORR) assessed by investigator.

    Time frame: Until progression, assessed up to approximately 1 year.

    Phase IIa.

Secondary outcomes

  1. Disease control rate (DCR) assessed by investigator.

    Time frame: Approximately 1 year.

    Phase IIa/IIb.

  2. Duration of objective tumor response (DoR) assessed by investigator.

    Time frame: Approximately 1 year.

    Phase IIa/IIb.

  3. Time to response (TTR) assessed by investigator.

    Time frame: Approximately 1 year.

    Phase IIa/IIb.

  4. Progression-free survival (PFS) assessed by investigator.

    Time frame: Approximately 1 year.

    Phase IIa/IIb.

  5. Overall survival (OS).

    Time frame: Approximately 2 years.

    Phase IIa/IIb.

  6. Adverse events (AEs).

    Time frame: Until study completion, assessed up to approximately 1 year.

    Phase IIa/IIb.

  7. Serious adverse events (SAEs).

    Time frame: Until study completion, assessed up to approximately 1 year.

    Phase IIa/IIb.

  8. Immunogenicity indicators of SHR-A1904: drug resistant antibody (ADA).

    Time frame: Approximately 6 months.

    Phase IIa/IIb.

  9. Immunogenicity indicators of SHR-A1904: neutralizing antibody (NAb).

    Time frame: Approximately 6 months.

    Phase IIa/IIb.

Study contacts

Contact information is provided by the study sponsor or research team.

Sponsors and collaborators

Lead sponsor

Suzhou Suncadia Biopharmaceuticals Co., Ltd.

Industry

Registry information

Official study title

A Phase IIa/IIb Clinical Study of SHR-A1904 in Patients With Previous Systemic Treatment Failure, Positive CLDN18.2 Expression of Locally Advanced Unresectable or Recurrent Metastatic Biliary Tract Cancer

Important dates

Study start
2026
Primary completion
2030
Study completion
2030
First posted
Mar 5, 2026
Registry last updated
Mar 31, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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