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RecruitingLast updated: 2 July 2026

YL211-INT-101-01: This study is enrolling people with advanced solid cancers to evaluate how safe, tolerable and effective a drug called YL211A Phase 1, Multicenter, Open-Label, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of YL211 in Patients With Advanced Solid Tumors

Trial purpose

Medical clipboardCancer treatment

Tumor type

Multi-Cancer Multi-Cancer

Age

People18+

Trial acronym

YL211-INT-101-01

Clinical summary

Summary

This trial is testing a new anti-cancer drug called YL211 in people with advanced solid cancers. The main aims are to:

  • Find a safe dose
  • Understand side effects
  • Identify the best dose to use in future studies
  • Explore how well YL211 works, both on its own and in combination with other treatments

In some parts of the study, YL211 is also being tested together with immunotherapy (pembrolizumab), and compared to standard treatment in a specific lung cancer group.

Study design
The study has six parts, grouped into three main stages.

Dose escalation (Parts 1 and 4)
These parts aim to evaluate how safe and tolerable YL211 is, and to determine safe and recommended dose levels:

  • on its own in people with selected advanced solid cancers, and
  • in combination with pembrolizumab in people with previously treated advanced non-squamous non-small cell lung cancer (NSCLC)

Backfill enrollment (Parts 2 and 5)
These parts aim to better understand the safety and early effectiveness of YL211, and to select recommended dose levels:

  • on its own in people with metastatic colorectal cancer (mCRC) or advanced or metastatic NSCLC
  • in combination with pembrolizumab in people with previously untreated advanced or metastatic non-squamous NSCLC

Dose expansion (Parts 3 and 6)
These parts aim to further understand the safety and effectiveness of YL211:

  • on its own in people with advanced or metastatic NSCLC
  • in combination with pembrolizumab in people with previously untreated advanced or metastatic non-squamous NSCLC

Part 6 will also compare the activity of YL211 in combination with pembrolizumab against standard treatment (pembrolizumab + chemotherapy) in people with previously untreated advanced or metastatic non-squamous NSCLC.

 

Conditions

This trial is treating people with advanced, unresectable or metastatic solid cancers, including non-small cell lung cancer, colorectal cancer, gastric cancer, gastro-oesophageal junction cancer, pancreatic cancer, liver cancer, biliary tract cancer, head and neck squamous cell carcinoma

Eligibility

Inclusion

  1. Informed of the trial before the start of the trial and voluntarily sign their name and date on the ICF.
  2. Aged ≥18 years.
  3. Be able and willing to comply with protocol visits and procedures.
  4. Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or
  5. Adequate organ and bone marrow function.

For Part 1: History of an advanced solid tumors (including locally advanced unresectable or metastatic NSCLC, metastatic colorectal carcinoma (mCRC), advanced gastric adenocarcinoma (GAC)/ gastroesophageal junction adenocarcinoma (GEJA), pancreatic ductal adenocarcinoma (PDAC), hepatocellular carcinoma (HCC), intrahepatic biliary tract cancer (ih-BTC), and head and neck squamous cell carcinoma (HNSCC) who failed currently available standard therapies and are not amenable to surgical resection, or for whom no available standard therapy or no other approved therapeutic options that have demonstrated clinical benefit.

For Part 2: For patients with CRC: History of histologically or cytologically confirmed diagnosis of metastatic CRC and at least 2 prior regimens of standard treatment For patients with NSCLC: History of histologically or cytologically confirmed diagnosis of locally advanced unresectable or metastatic NSCLC and no more than 2 lines of prior cytotoxic systemic therapy in the locally advanced or metastatic setting.

For Part 3: History of histologically or cytologically confirmed diagnosis of locally advanced unresectable or metastatic non-squamous (Part 3A) or squamous (Part 3B) NSCLC and no more than 2 lines of prior systemic therapy

For Part 4: History of histologically or cytologically confirmed diagnosis of locally advanced unresectable or metastatic non-squamous NSCLC who have progressed on or after 1 or 2 prior lines of systemic therapy

For Part 5 and Part 6 Histologically or cytologically documented locally advanced unresectable or metastatic non-squamous NSCLC that is not eligible for curative surgery and/or definitive chemoradiotherapy and no prior systemic treatment for advanced unresectable or metastatic NSCLC

Exclusion

  1. Prior treatment with an agent targeting c-MET (including antibody, ADC, chimeric antigen receptor T cell [CAR-T], and other drugs) with the exception of prior treatment with MET-targeted TKIs which are allowed.
  2. Previously received an ADC consisting of a TopoI
  3. Received continuous systemic steroids therapy for more than 28 days or require long-term (≥ 28 days) use of systemic steroids therapy within 28 days before the first administration, or have other acquired or congenital immune deficiency diseases. (Note: The protocol lists specific situational exceptions immediately following this clause).
  4. A history of leptomeningeal carcinomatosis or carcinomatous meningitis
  5. Brain metastasis, except for the following situations:

    Participants with asymptomatic brain metastasis who do not require immediate local or systemic treatment (such as mannitol or steroids, surgery, or radiotherapy) are allowed to be enrolled If the participant's brain metastasis is treated and the condition of the metastasis is stable (brain imaging examination at least 2 weeks before the first administration shows that the lesion is stable, there is no evidence of new or original brain metastasis enlargement, there are no new neurological symptoms, and immediate local or systemic treatment is not required), admission is allowed

  6. Clinically significant concomitant pulmonary disease, including but not limited to:

A history of drug-induced pneumonitis A history of (non-infectious) interstitial lung disease (ILD)/pneumonitis that requires steroids, current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening

Inclusion

  • Your cancer has spread to other parts of the body (metastatic) or has grown into nearby parts of the body (locally advanced).
  • Your cancer has not spread to other parts of the body, but it is not possible to perform surgery to remove it (unresectable).
  • You have had treatment but your cancer has gotten worse or has not responded to the treatment you have been given.

Exclusion

  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

Participating hospitals

Recruiting hospitals

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov *. View further details about this trial on the registry via the links below:

Trial sponsor

MediLink Therapeutics (Suzhou) Co., Ltd.

Scientific Title

A Phase 1, Multicenter, Open-Label, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of YL211 in Patients With Advanced Solid Tumors

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