New drug cocktail aims to shrink lung tumors before surgery
NCT ID NCT07586202
First seen Jun 25, 2026 · Last updated Aug 28, 2026 · Updated 5 times
Summary
This Phase 2 trial tests whether giving a combination of amivantamab and either lazertinib or chemotherapy before surgery can shrink or stop the growth of EGFR-mutated non-small cell lung cancer. About 68 people with stage II-IIIB lung cancer that can be surgically removed will participate. The main goal is to see how many patients have very few or no cancer cells left in the removed tumor tissue.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- amivantamab and lazertinib or chemotherapy (carboplatin and pemetrexed)
- What this could lead to
- If successful, this could offer a new treatment option before surgery to shrink or eliminate EGFR-mutated lung cancer, potentially improving long-term outcomes.
- What could go wrong
- This is an early Phase 2 trial with only 68 participants, so results may not apply to everyone. Side effects from the drug combinations could be significant, and the treatment may not work as hoped.
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
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 68 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Apr 2028
An estimate. End dates often move.
- 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 years and older
- 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: * Participant must have histologically or cytologically confirmed non-squamous non-small cell lung cancer (NSCLC) with completely resectable Stage II-IIIB N2 disease * Complete surgical resection of the primary NSCLC must be deemed achievable, as assessed by a multidisciplinary team evaluation * Participant must consent to a screening biopsy, if clinically feasible, if no adequate tumor tissue is available for a baseline sample * Participant may have a prior or concurrent second malignancy (other than the disease under study) which natural history or treatment is unlikely to interfere with any study endpoints of safety or the efficacy of the study treatment(s). Prior or concurrent second malignancies must be reviewed and agreed to with the medical monitor * Have an eastern cooperative oncology group (ECOG) performance status of 0 or 1 Exclusion Criteria: * History of uncontrolled illness * Medical history of (non-infectious) interstitial lung disease (ILD)/pneumonitis, or has current interstitial lung disease (ILD)/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening * Suspected or known allergies, hypersensitivity, or intolerance to excipients of: the combination of amivantamab and lazertinib or carboplatin and pemetrexed * Presence of primary driver mutations (anaplastic lymphoma kinase \[ALK\], mesenchymal-epithelial transition \[MET\], human epidermal growth factor receptor 2 \[HER2\], proto-oncogene tyrosine-protein kinase ROS \[ROS1\], neurotrophic tyrosine receptor kinase \[NTRK\], B-Raf proto-oncogene \[BRAF\], REarranged during transfection \[RET\], or kirsten rat sarcoma viral oncogene homolog \[KRAS\]) , besides EGFR Exon 19del or Exon 21 L858R mutations, as determined by local genomic testing * Prior treatment with any systemic anti-cancer therapy for NSCLC including EGFR-tyrosine kinase inhibitor (TKI) therapy, chemotherapy, biologic therapy, immunotherapy, or any investigational drug
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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.
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The places running it
20 sites in 6 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Chi Mei Medical Center Liouying Branch
RECRUITINGTainan, 736, Taiwan
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City of Hope
RECRUITINGDuarte, California, 91010, United States
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City of Hope 1
RECRUITINGIrvine, California, 92618, United States
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Guangdong Provincial People's Hospital
RECRUITINGGuangzhou, 510060, China
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Hosp. Gral. Univ. Dr. Balmis
RECRUITINGAlicante, 03010, Spain
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Hosp. Gral. Univ. Gregorio Maranon
RECRUITINGMadrid, 28007, Spain
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Korea University Guro Hospital
RECRUITINGSeoul, 152-703, South Korea
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Kyungpook National University Chilgok Hospital
RECRUITINGBuk Gu, 41404, South Korea
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NTU Biomedical Park Hospital
RECRUITINGZhubei, 302, Taiwan
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Princess Margaret Hospital
RECRUITINGToronto, Ontario, M5G 2C1, Canada
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Providence Cancer Center
RECRUITINGPortland, Oregon, 97213, United States
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Providence Oncology and Hematology Care Clinic Westside
RECRUITINGPortland, Oregon, 97225, United States
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Pusan National University Hospital
RECRUITINGBusan, 49241, South Korea
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Samsung Medical Center
RECRUITINGSeoul, 06351, South Korea
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Shandong Cancer Hospital
RECRUITINGJinan, 250117, China
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Sichuan Cancer Hospital
RECRUITINGCheng Du Shi, 610044, China
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Taichung Veterans General Hospital
RECRUITINGTaichung, 40705, Taiwan
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Taipei Medical University Hospital
RECRUITINGTaipei, 110, Taiwan
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Tianjin Chest Hospital
RECRUITINGTianjin, 300222, China
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West China Hospital Sichuan University
RECRUITINGChengdu, 610041, China
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