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NCT Number: NCT06589830

TL938 and Trastuzumab for Patients With HER2-positive Metastatic Colorectal Cancer

This is a Phase II trial designed to determine the optimal dose and evaluate the effectiveness of TL938 and trastuzumab in treating patients with HER2+ colorectal cancer that has metastasized or recurred and is inoperable.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Cancer Hospital, Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Location status: Recruiting

Location contact

Yuankai Shi, Doctor of Medicine

CONTACT

[email protected]

8610-67781331

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age 18 years old and above, male or female;
  • Her2-positive, RAS wild-type, unresectable or metastatic colorectal cancer and prior treatment with fluoropyrimidine, oxaliplatin, irinotecan, and an anti-vascular endothelial growth factor (VEGF) monoclonal antibody (mAb). Patients whose tumors were deficient in mismatch repair (dMMR) proteins or were microsatellite instability-high (MSI-H) must also have received an ant-programmed cell death protain-1 mAb;
  • At least one measurable lesion;
  • Eastern Cooperative Oncology Group (ECOG) score of 0, 1, or 2;
  • A minimum life expectancy of >3 months;
  • Adequate bone marrow reserve, hepatic, renal, and coagulation function;
  • Other inclusion criteria apply for participating in the Study. -

Exclusion criteria

  • Prior anti-HER2 targeting therapy;
  • Any systemic ant-tumor therapy such as chemotherapy and radiation therapy (including curative radiotherapy or spinal radiotherapy portion >30%) used within 3 weeks prior to enrollment; immunotherapy within 4 weeks; any palliative radiotherapy for nan-target lesions used to relieve symptoms within 2 weeks prior to enrollment;
  • Participation in another interventional clinical trial 2 weeks prior to enrollment or within 5haIf-lives from the last dose of IP (whichever is shorter);
  • Surgical operation (excluding aspiration biopsy) of main organs or a significant injury within 4 weeks prior to enrollment;
  • Any unresolved toxicities from prior therapy greater than Grada 1, at the time of screening;
  • Active central nervous system (CNS) metastases. Asymptomatic CNS metastases with no steroid use within the last 30 days prior to enrollment is eligible;
  • Any other primary malignant tumors within 3 years (except for cured skin basal cell carcinoma and carcinoma in situ of cervix, low risk cancer such as low grade prostate cancer or ductal carcinoma in situ of the breast;
  • Any active infection which has not been controlled at screening;
  • Other exclusion criteria apply for participating in the Study. -

Treatment and study plan

TL938 Capsules

Drug

Oral administration

Trastuzumab

Drug

Intravenous (IV) infusion

Primary outcomes

  1. Dose limiting toxicity, maximum tolerated dose, and recommended phase 2 dose

    Time frame: Pre-dose up to approximately 24 months post-dose

  2. Objective Response Rate (ORR) by IRC

    Time frame: Pre-dose up to approximately 24 months post-dose

Secondary outcomes

  1. Objective Response Rate (ORR) by Investigator

    Time frame: Pre-dose up to approximately 24 months post-dose

  2. Duration of Response (DoR)

    Time frame: Pre-dose up to approximately 24 months post-dose

  3. Disease Control Rate (DCR)

    Time frame: Pre-dose up to approximately 24 months post-dose

  4. Progression Free Survival (PFS)

    Time frame: Pre-dose up to approximately 24 months post-dose

  5. Time to Tumor Progression (TTP)

    Time frame: Pre-dose up to approximately 24 months post-dose

  6. Time to Treatment Failure (TTF)

    Time frame: Pre-dose up to approximately 24 months post-dose

  7. Time to Response (TTR)

    Time frame: Pre-dose up to approximately 24 months post-dose

  8. Overall Survival (OS)

    Time frame: Pre-dose up to approximately 24 months post-dose

  9. 1-year Progression Free Survival

    Time frame: Pre-dose up to approximately 24 months post-dose

  10. 1-year Survival

    Time frame: Pre-dose up to approximately 24 months post-dose

  11. Number of Participants Experiencing Adverse Events (AE)

    Time frame: Pre-dose up to approximately 24 months post-dose

  12. Number of Participants Experiencing Adverse Drug Reactions (ADR)

    Time frame: Pre-dose up to approximately 24 months post-dose

  13. Number of Participants Experiencing Serious Adverse Events (SAE)

    Time frame: Pre-dose up to approximately 24 months post-dose

  14. Number of Participants Experiencing Serious Adverse Reactions (SAR)

    Time frame: Pre-dose up to approximately 24 months post-dose

  15. Area Under The Curve (AUC) of TL938

    Time frame: Pre-dose up to 24 hours post-dose

  16. Maximum Plasma Concentration (Cmax) of TL938

    Time frame: Pre-dose up to 24 hours post-dose

  17. Minimum Plasma Concentration (Cmin) of TL938

    Time frame: Pre-dose up to 24 hours post-dose

  18. Time to Peak Drug Concentration (Tmax) of TL938

    Time frame: Pre-dose up to 24 hours post-dose

  19. TL938 half-life (T1/2)

    Time frame: Pre-dose up to 24 hours post-dose

  20. Volume of Distribution (Vz/F) of TL938

    Time frame: Pre-dose up to 24 hours post-dose

  21. Apparent Clearance (CL/f) of TL938

    Time frame: Pre-dose up to 24 hours post-dose

Study contacts

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

Liling Ding

CONTACT

[email protected]

15295298995

Xiaoyang Xia

CONTACT

[email protected]

8053009373

Sponsors and collaborators

Lead sponsor

Suzhou Teligene Ltd.

Industry

Registry information

Official study title

A Phase 2 Study to Evaluate TL938 Combined With Trastuzumab in Patients With HER2-positive Metastatic Colorectal Cancer

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Sep 19, 2024
Registry last updated
Apr 28, 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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