A new strategy to tame lung cancer Drug's nerve pain?

NCT ID NCT07774520

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Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Aug 19, 2026 · Last updated Aug 20, 2026 · Updated 1 time

Summary

This trial tests whether starting with a lower dose of the lung cancer drug lazertinib, along with magnesium supplements, can reduce the nerve damage (numbness, tingling, pain) it often causes. The study includes people with EGFR-mutant non-small cell lung cancer who are starting first-line treatment. Participants are randomly assigned to receive either the standard dose, a lower dose, or a lower dose plus magnesium, and the rates of nerve damage are compared.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
lazertinib (reduced dose) and magnesium lactate supplementation
What this could lead to
If successful, this approach could offer a way to reduce nerve damage from lazertinib without losing its anti-cancer effect, improving quality of life for lung cancer patients.
What could go wrong
The trial is in phase 2, so it's not yet proven. Lowering the dose might reduce effectiveness, and magnesium may not fully prevent neuropathy. Results may not apply to all patients.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 2

Tests whether the treatment actually works, and watches for side effects, in a larger group.

Participants

About 1,173 people

The number the study aims to enrol. It can still change while the study runs.

Started

May 2026

Expected to finish

Dec 2029

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

19 years and older

Sex

Anyone

Healthy volunteers

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: 1. Pathologically diagnosed pulmonary adenocarcinoma. 2. Patient with a stage not amenable to curative treatment by surgery or radiotherapy and requiring palliative chemotherapy. 3. Patient with no prior treatment history for lung cancer, or who relapsed \>=6 months after curative-intent therapy (concurrent chemoradiotherapy or adjuvant chemotherapy) with no subsequent anticancer treatment - i.e., a candidate for first-line chemotherapy. 4. Patient with a confirmed EGFR mutation of Exon 19 deletion or L858R. 5. Patient able to decide on participation in this study through voluntary decision-making. 6. Age 19 years or more. 7. ECOG PS 0-2. 8. Minimum life expectancy 12 weeks or more. 9. Adequate organ function. Exclusion Criteria: * Subjects with confirmed leptomeningeal/CNS metastasis on brain MRI or cerebrospinal fluid examination. * Subjects with pre-existing peripheral neuropathy. * Subjects who are taking any agent that may affect the development of peripheral neuropathy for reasons other than peripheral neuropathy (magnesium, pregabalin, gabapentin, duloxetine) and refuse to discontinue its use. * Subjects for whom, in the physician's judgment, participation in this study would carry greater harm than benefit (no specific items specified). * Uncontrolled systemic disease, including uncontrolled hypertension, severe heart failure, active bleeding, or active infection. * Pregnant or breastfeeding women. * History of interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis requiring steroid treatment, or evidence of clinically active ILD. * QTc prolongation based on QTc measured by ECG during the screening period (QTc \>=470 msec). * Subjects with a history of hypersensitivity to Magnes tablet. * Subjects with hereditary disorders of sugar metabolism such as galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption. * Subjects with a history of severe symptomatic renal failure. * Subjects taking a drug expected to have a clinically significant interaction when co-administered with magnesium-containing preparations - such as phosphate preparations, calcium preparations, oral tetracyclines, antacids, or levodopa - for whom discontinuation or substitution of the drug is not possible.

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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.

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

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Contacts and locations

Locations

  • Samsung Medical Center

    RECRUITING

    Seoul, Gang-nam Gu, 06351, South Korea

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