New combo therapy targets tough lung cancer
NCT ID NCT02917993
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether adding itacitinib to the standard drug osimertinib is safe and effective for people with advanced non-small cell lung cancer that has a specific EGFR gene mutation. The trial involved 59 participants and was completed. The goal was to see if the combination could shrink tumors better than osimertinib alone, while also checking for side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- itacitinib combined with osimertinib
- What this could lead to
- If successful, this combination could offer a new treatment option for people with a specific type of advanced lung cancer that has an EGFR mutation.
- What could go wrong
- This is an early-phase trial with only 59 participants, so results may not apply to everyone. Combining drugs can increase side effects, and the added benefit of itacitinib over osimertinib alone is not yet proven.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
-
59 people
The number who actually took part.
- Started
-
Dec 2016
- Finished
-
Dec 2025
- Lead sponsor
-
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
-
18 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 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: * 18 years of age or older at screening; outside the U.S. and European Union, an older limit could apply depending on local regulation (eg, 19 years and older for South Korea and 20 years and older for Taiwan). * Histologically or cytologically confirmed unresectable locally advanced (Stage IIIB) or metastatic (Stage IV) NSCLC. * Documented evidence of somatic activating mutation in EGFR (eg, G719X, exon 19 deletion, L858R, L861Q) in a tumor tissue sample. If a tissue sample is not available, then EGFR mutation status may be determined from circulating tumor DNA obtained from a blood sample using a validated or approved test kit. * Phase 1: Subjects must have previously received and progressed on or after treatment with an EGFR tyrosine kinase inhibitor (TKI). Additional lines of systemic therapy including investigational agents for locally advanced or metastatic NSCLC are allowed. * Phase 2: Subjects must not have received more than 1 prior line of therapy for locally advanced or metastatic NSCLC. First-line treatment must include an EGFR TKI, and subjects must have documented disease progression during or following treatment. Subjects with disease that progressed more than 6 months after completion of neoadjuvant/adjuvant chemotherapy or chemoradiation therapy are eligible if they received an EGFR TKI as first-line treatment for advanced NSCLC. * Subjects must have evidence of a T790M mutation in tumor tissue or plasma obtained after disease progression during or after treatment with an EGFR TKI. T790M mutation status from a local laboratory is acceptable; however, a tumor tissue sample or plasma sample suitable for centralized T790M mutation analysis must be available. * Radiographically measurable or evaluable disease per RECIST v1.1. Exclusion Criteria: * Known CNS metastases, unless stable and asymptomatic. Subjects with CNS metastases may be eligible for the study, provided: * There is no evidence of new or enlarging CNS metastasis or new neurological symptoms attributable to CNS metastases. * Subjects who are receiving corticosteroids must be on a stable or decreasing dose for at least 4 weeks before first dose of study treatment. * Laboratory parameters outside the protocol-defined range. * Clinically significant abnormalities found on an ECG. * Clinically significant or uncontrolled cardiac disease. * Past history of interstitial lung disease (ILD), drug induced ILD, radiation pneumonitis that required steroid treatment, or any evidence of clinically active ILD. * Current or previous other malignancy within 2 years of study entry, except cured basal or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive malignancy. * Concurrent anticancer therapy (eg, chemotherapy, radiation therapy, surgery, immunotherapy, biologic therapy, or hormonal therapy). * Any previous use of Janus kinase (JAK) inhibitor, osimertinib, or other EGFR-directed therapy for T790M-mt NSCLC.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Lung cancer are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
Antiga Guarderia-Servei d'Oncologia Hospital Vall d'Hebron. P.Vall Hebron 119-129
Barcelona, 08035, Spain
-
Asan Medical Center Department of Oncology, 88, Olympic-ro 43-gil
Seoul, Songpa-gu, 05505, South Korea
-
Cleveland Clinic, 9500 Euclid Avenue, G Building
Cleveland, Ohio, 44195, United States
-
Dana-Farber Cancer Institute, 450 Brookline Avenue
Boston, Massachusetts, 02215, United States
-
Earle A. Chiles Research Institute Providence Cancer Center, 4805 NE Glisan Street, 2N35
Portland, Oregon, 97213, United States
-
Georgetown University Hospital, 3800 Reservoir Rd, NW
Washington D.C., District of Columbia, 20007, United States
-
Henry Ford Health System, 2799 W Grand Blvd.
Detroit, Michigan, 48202, United States
-
Hospital Clinico Universitario Valencia Avenida Blasco Ibáñez 17 -8º
Valencia, 46010, Spain
-
Hospital Ramón y Cajal Ctra. Colmenar Viejo Km. 9,1 Planta (-)2 Dcha Oficina de Ensayos Clínicos Servicio de Oncología Médica
Madrid, 28034, Spain
-
Huntsman Cancer Institute, 2000 Circle of Hope Drive
Salt Lake City, Utah, 84112, United States
-
Innovative Clinical Research Institute, 15111 Whittier Blvd., Suite 216
Whittier, California, 90603, United States
-
Karmanos Cancer Institute, 4100 John R. street mail Code HW04HO
Detroit, Michigan, 48202, United States
-
Lynn Cancer Center, 701 NW 13th Street, Floor 2
Boca Raton, Florida, 33486, United States
-
NYU Langone Medical Center, 160 East 34th Street, Floor 8
New York, New York, 10016, United States
-
National Taiwan University Hospital, 7 Zhongshan South Road
Taipei, Zhongzheng District, 10002, Taiwan
-
Rocky Mountain Cancer Center, 1800 Williams Street, Suite 200
Denver, Colorado, 80124, United States
-
Severance Hospital, Yonsei University Health System 50-1 Yonsei-ro
Seoul, Seodaemun-gu, 03722, South Korea
-
St. Luke's University Health Network, 701 Ostrum Street, Suite 403
Fountain Hill, Pennsylvania, 18015, United States
-
Stony Brook University Medical Center, 3 Edmund D. Pellegrino Road
Stony Brook, New York, 11794, United States
-
Taipei Veterans General Hospital, No.201 Sec. 2 Shipai Rd l
Taipei, Beitou District, 11217, Taiwan
-
Texas Oncology - San Antonio Medical, 5206 Research Drive
San Antonio, Texas, 78240, United States
-
Texas Oncology - South Austin, 901 West 38th Street, Suite 200
Austin, Texas, 78705, United States
-
Texas Oncology-Tyler, 910 E Houston Street, Suite 100
Tyler, Texas, 75702, United States
-
The catholic University of Korea, Seoul St. Mary's hospital, 222 Banpo-daero
Seoul, Seocho-gu, 06591, South Korea
-
Thomas Jefferson University, 111 S. 11th Street
Philadelphia, Pennsylvania, 19107, United States
-
US Oncology-Virginia Cancer Specialists, PC, 8503 Arlington Blvd., Suite 400
Fairfax, Virginia, 22031, United States
-
University California San Francisco Thoracic Surgery and Oncology Clinic, 1600 Divisadero Street, Floor 4
San Francisco, California, 94115, United States
-
University of California San Diego, 3855 Health Sciences Drive, Mc 0987
La Jolla, California, 92093, United States
-
University of Texas -MD Anderson Cancer Center, 1515 Holcombe Blvd.
Houston, Texas, 77030, United States
-
Valley Hospital, 223 N Van Dien Avenue
Ridgewood, New Jersey, 07450, United States
-
West Virginia University Cancer Institute, 1 Medical Center Drive
Morgantown, West Virginia, 26506, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can an Anti-Fibrotic drug shield lungs from radiation after immunotherapy?
- App aims to catch a hidden radiotherapy side effect
- Which nerve block wins for lung surgery pain?
- Amazon plant put to the test against Cancer's relentless tiredness
- Can a virtual stress program help working spouses care for cancer patients without burning out?
- Freezing probe aims to kill lung tumors through the airways