| 1 | Xin.05 Wang (Neo) Jincheng Lu (A2) Haiyang He (Neo) | CHN | 3:57.92 | | - |
| 2 | Zimiao Yin (Neo) Shuai.06 Wang (A1) Xin Yang (Neo) | CHN | 3:58.95 | PB | +1.030 |
| 3 | Xiaochun Ma (Neo) Helan Yertai (Senior) Ayitinama Yerhanati (Neo) | CHN | 3:59.04 | | +1.120 |
| 4 | Shiyi Qu (Neo) Jinghao Qin (A2) Zhihan Ye (B2) | CHN | 4:01.39 | PB | +3.470 |
| 5 | Haoyu.07 Ma (A1) Shiyi Huang (A1) Zainalihabuli Yekebuni (A2) | CHN | 4:06.00 | | +8.080 |
| 6 | Xingyu Hou (A1) Qiang.07 Liu (A1) Xinyi Sui (B2) | CHN | 4:06.53 | PB | +8.610 |
| 7 | Zixin Yin (Neo) Xin An (A2) Hongliang Liu (A2) | CHN | 4:09.54 | SB | +11.620 |
| 8 | Yanzhuo Liu (A1) Jun.04 Li (Neo) Jiawei Zheng (A1) | CHN | 4:09.79 | SB | +11.870 |
| 9 | Ze Zhao (Neo) Shuai Lyu (Neo) Xihao Han (Senior) | CHN | 4:10.28 | | +12.360 |
| 10 | Haoxiang Tian (B1) Zilong Zheng (B1) Chuanhang Huang (B1) | CHN | 4:10.56 | PB | +12.640 |
| 11 | Shaoze Zhang (A2) Zichen Liu (Neo) Yichu Zhao (A2) | CHN | 4:12.02 | PB | +14.100 |
| 12 | Hongyu Cui (Neo) Xuanyu Zhou (B2) Heng.07 Zhang (B2) | CHN | 4:12.91 | | +14.990 |
| 13 | Haoyu Zhang (B2) Zihang Li (A1) Guoliang Xue (A2) | CHN | 4:12.94 | SB | +15.020 |
| 14 | Xuan Cao (A1) Yuting Yang (B2) Yanzhe Cui (A1) | CHN | 4:18.38 | | +20.460 |
| 15 | Zhetong Li (A2) Shuyuan Hu (B1) Hongjun Na (B1) | CHN | 4:20.28 | PB | +22.360 |
| 16 | Yanshuo Bu (B2) Haoran.08 Li (B2) Dongxu Li (Neo) | CHN | 4:38.98 | | +41.060 |