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Active, not recruiting Phase 2

A Study of 5 Years of Adjuvant Osimertinib in Completely Resected Epidermal Growth Factor Receptor Mutation (EGFRm) Non-small Cell Lung Carcinoma (NSCLC)

NCT05526755 · tracked via the Priya Life Science Italy tracker
Phase
Phase 2
Started
2023-03-06
Last updated
2026-08-03

Condition(s) studied

Stage II-IIIB Non-small Cell Lung Carcinoma

Investigational drug(s) / intervention(s)

Osimertinib 80 mg/40 mg →

Osimertinib 80 mg/40 mg: Participants will receive osimertinib (80 mg or 40 mg orally, once daily).

Study summary

To assess the efficacy and safety of osimertinib in participants with EGFRm positive stage II-IIIB NSCLC, following complete tumour resection with or without adjuvant chemotherapy.

Eligibility

Sex
ALL
Min age
18 Years
Max age
130 Years
Healthy volunteers
No
Inclusion Criteria: 1. Male or female aged at least 18 years. 2. Histologically confirmed diagnosis of primary NSCLC on predominantly non-squamous histology. 3. Magnetic Resonance Imaging (MRI) or contrast computed tomography (CT) scan of the brain. 4. Participants must be classified post-operatively as Stage II, IIIA, or IIIB on the basis of surgical pathologic criteria. 5. Confirmation by the local laboratory that the tumour harbours one of the two common EGFR mutations (Ex19del, L858R), either alone or in combination with other EGFR mutations including de novo EGFR mutation resulting in substitution of threonine with methionine at amino acid position 790 in exon 20 of EGFR (T790M) or uncommon EGFR mutations G719X, S768I, and L861Q, either alone, in combination with each other, or in combination with other uncommon EGFR mutations (excluding all exon 20 insertions) (Uncommon EGFRm Cohort). 6. Complete surgical resection of the primary NSCLC is mandatory. All gross disease must have been removed at the end of surgery. All surgical margins of resection must be negative for tumour. 7. Complete recovery from surgery and standard post-operative therapy (if applicable) at start of study intervention. 8. World Health Organisation Performance Status of 0 to 1. 9. Female participants must be using highly effective contraceptive measures, and must have a negative pregnancy test prior to start of dosing if of childbearing potential. 10. Male participants must use effective barrier contraception. Exclusion Criteria: 1. Major surgery (including primary tumour surgery, excluding placement of vascular access) within 4 weeks prior to the first dose of study drug. 2. Participants currently receiving medications or herbal supplements known to be strong inducers of CYP3A4 (at least 3 weeks prior to first dose). 3. Participants who have had only segmentectomies or wedge resections. 4. History of other malignancies, except: adequately treated non-melanoma skin cancer, curatively treated in situ cancer, or other solid tumours curatively treated with no evidence of disease for \> 5 years before the start of study intervention. 5. Treatment with any of the following: * Pre-operative or post-operative or planned radiation therapy for the current lung cancer. * Pre-operative (neo-adjuvant) platinum-based or other chemotherapy. * Any prior anti-cancer or immunological therapy, including investigational therapy, for treatment of NSCLC other than standard platinum-based doublet post-operative adjuvant chemotherapy. * Prior treatment with neoadjuvant or adjuvant EGFR tyrosine kinase inhibitor (TKI). 6. Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product, or previous significant bowel resection that would preclude adequate absorption of osimertinib. 7. Any of the following cardiac criteria: * Mean resting corrected QT (QTc) interval \> 470 msec, obtained from 3 electrocardiograms (ECGs). * Any clinically important abnormalities in rhythm, conduction, or morphology of resting ECG. * Any factors that increase the risk of QTc prolongation or risk of arrhythmic events. * Heart failure, congenital long QT interval (QT) syndrome, family history of long QT syndrome or unexplained sudden death under 40 years of age in first-degree relatives or any concomitant medication known to prolong the QT interval and cause Torsades de Pointes (TdP). 8. Past medical history of interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis that required steroid treatment, or any evidence of clinically active ILD. 9. Inadequate bone marrow reserve or organ function. 10. Women who are breastfeeding.

Primary outcome measure(s)

  • Estimate the Efficacy of Osimertinib as Measured by Disease Free Survival (DFS) [Common EGFRm Cohort]. — From date of first dose until date of disease recurrence or death (by any cause in the absence of recurrence), up to approximately 5 years. Assessed at 5 years.
    Defined as time from date of first dose until disease recurrence, or death due to any cause in the absence of recurrence.

Trial sites (56)

FacilityCityRegionStatus
Research Site Santa Rosa California
Research Site Las Vegas Nevada
Research Site White Plains New York
Research Site Hong Kong Hong Kong
Research Site Hong Kong Hong Kong
Research Site Hong Kong Hong Kong
Research Site Avellino Italy
Research Site Brescia Italy
Research Site Lecce Italy
Research Site Milan Italy
Research Site Naples Italy
Research Site Palermo Italy
Research Site Peschiera del Garda Italy
Research Site Reggio Emilia Italy
Research Site Sondrio Italy
Research Site Terni Italy
Research Site Udine Italy
Research Site Kuala Lumpur Malaysia
Research Site Kuantan Malaysia
Research Site Kuching Malaysia
Research Site Cebu Philippines
Research Site Manila Philippines
Research Site Quezon City Philippines
Research Site Singapore Singapore
Research Site Busan South Korea
Research Site Busan South Korea
Research Site Cheongju-si South Korea
Research Site Daejeon South Korea
Research Site Goyang-si South Korea
Research Site Gyeonggi-do South Korea
Research Site Incheon South Korea
Research Site Seongnam-si South Korea
Research Site Seoul South Korea
Research Site Seoul South Korea
Research Site Seoul South Korea
Research Site Seoul South Korea
Research Site Seoul South Korea
Research Site Seoul South Korea
Research Site Seoul South Korea
Research Site Badalona Spain

+ 16 more sites — see the full list on the official registry below.

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT05526755 on ClinicalTrials.gov ↗ ← All trials in Italy