New hope for lung cancer patients: experimental drug shrinks tumors after other treatments fail
NCT ID NCT01802632
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new drug called AZD9291 in 603 people with advanced non-small cell lung cancer whose tumors had started growing again after previous targeted therapy. The main goals were to find the safest and most effective dose, measure how the drug moves through the body, and see if it could shrink tumors. The results helped decide the best dose for future studies.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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603 people
The number who actually took part.
- Started
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Mar 2013
- Finished
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Dec 2023
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 130 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Provision of signed and dated, written informed consent prior to any study specific procedures, sampling and analyses * Aged at least 18 years. Patients from Japan aged at least 20 years. * Histological or cytological confirmation diagnosis of Non Small Cell Lung Cancer (NSCLC). * Radiological documentation of disease progression while on a previous continuous treatment with an EGFR TKI e.g. gefitinib or erlotinib (with the exception of 1st line expansion cohort). In addition other lines of therapy may have been given. All patients must have documented radiological progression on the last treatment administered prior to enrolling in the study. * Patients (with the exception of 1st line expansion cohort) must fulfil one of the following: * Confirmation that the tumour harbours an EGFR mutation known to be associated with EGFR TKI sensitivity (including G719X, exon 19 deletion, L858R, L861Q) OR * Must have experienced clinical benefit from EGFR TKI, according to the Jackman criteria (Jackman et al 2010) followed by systemic objective progression (RECIST or WHO) while on continuous treatment with EGFR TKI. * Previous treatment with a single-agent EGFR TKI (e.g. gefitinib or erlotinib). * Females should be using adequate contraceptive measures, should not be breast feeding and must have a negative pregnancy test prior to start of dosing or evidence of non-child bearing potential. * Male patients should be willing to use barrier contraception. * For 1st Line expansion cohort ONLY, confirmation that the tumour is EGFRm+ve and have had no prior therapy for their advanced disease (for 1st line patients biopsy will be at time of diagnosis of advanced disease). * For dose expansion and extension cohorts, patients must also have confirmation of tumour T790M mutation status (confirmed positive or negative) from a biopsy sample taken after disease progression on the most recent treatment regimen (irrespective of whether this is EGFR TKI or chemotherapy). Prior to entry a result from the central analysis of the patient's T790M mutation status must be obtained. \- World Health Organisation (WHO) performance status 0-1 with no deterioration over the previous 2 weeks and a minimum life expectancy of 12 weeks. Exclusion Criteria: * Treatment with an EGFR TKI (erlotinib or gefitinib) within 8 days (approximately 5x half-life) of the first dose of study treatment. * Any cytotoxic chemotherapy, investigational agents or other anticancer drugs from the treatment of advanced NSCLC from a previous treatment regimen or clinical study within 14 days of the first dose of study treatment. * AZD9291 in the present study (ie, dosing with AZD9291 previously initiated in this study). * Any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension, active bleeding diatheses, or active infection. * Past medical history of interstitial lung disease, drug-induced interstitial lung disease, radiation pneumonitis which required steroid treatment, or any evidence of clinically active interstitial lung disease.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Research Site
Aurora, Colorado, 80045, United States
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Research Site
Atlanta, Georgia, 30322, United States
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Research Site
Boston, Massachusetts, 02114, United States
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Research Site
Boston, Massachusetts, 02215, United States
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Research Site
Charlotte, North Carolina, 28204, United States
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Research Site
Nashville, Tennessee, 37232, United States
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Research Site
Houston, Texas, 77030, United States
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Research Site
Heidelberg, 3084, Australia
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Research Site
Kogarah, 2217, Australia
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Research Site
Nedlands, 6009, Australia
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Research Site
Pierre-Bénite, 69310, France
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Research Site
Saint-Herblain, 44805, France
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Research Site
Villejuif, 94800, France
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Research Site
Cologne, 50924, Germany
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Research Site
Essen, 45122, Germany
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Research Site
Würzburg, 97080, Germany
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Research Site
Genova, 16100, Italy
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Research Site
Orbassano, 10043, Italy
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Research Site
Roma, 00144, Italy
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Research Site
Chiba, 260-8717, Japan
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Research Site
Fukuoka, 811-1395, Japan
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Research Site
Fukuoka, 812-8582, Japan
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Research Site
Habikino-shi, 583-8588, Japan
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Research Site
Hirakata-shi, 573-1191, Japan
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Research Site
Hiroshima, 730-8518, Japan
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Research Site
Kanazawa, 920-8641, Japan
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Research Site
Kashiwa, 227-8577, Japan
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Research Site
Kobe, 650-0047, Japan
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Research Site
Matsuyama, 790-0007, Japan
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Research Site
Okayama, 700-8558, Japan
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Research Site
Shinjuku-ku, 160-0023, Japan
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Research Site
Sunto-gun, 411-8777, Japan
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Research Site
Takatsuki-shi, 569-8686, Japan
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Research Site
Yokohama, 221-0855, Japan
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Research Site
Seoul, 03080, South Korea
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Research Site
Seoul, 03722, South Korea
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Research Site
Seoul, 05505, South Korea
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Research Site
Seoul, 6351, South Korea
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Research Site
Madrid, 08035, Spain
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Research Site
Madrid, 28041, Spain
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Research Site
Seville, 41013, Spain
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Research Site
Tainan, 704, Taiwan
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Research Site
Taipei, 10002, Taiwan
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Research Site
Manchester, M20 4BX, United Kingdom
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Research Site
Newcastle upon Tyne, NE7 7DN, United Kingdom
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Other studies related to the condition(s) this trial covers.
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