New lung cancer pill shows promise in Head-to-Head trial
NCT ID NCT04248829
First seen Jun 25, 2026 · Last updated Jun 30, 2026 · Updated 4 times
Summary
This Phase 3 trial tested a new targeted therapy, lazertinib, against the standard drug gefitinib in 393 people with advanced EGFR-mutated non-small cell lung cancer. The goal was to see if lazertinib could keep cancer from growing longer. Participants took either lazertinib or gefitinib daily, and researchers measured how long until the cancer progressed.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- lazertinib
- What this could lead to
- If lazertinib works better than gefitinib, it could become a new standard first-line treatment for people with EGFR-mutated lung cancer, potentially delaying cancer growth longer.
- What could go wrong
- This trial compares two similar drugs, so the improvement may be modest. As a completed Phase 3 study, results are robust, but individual responses vary and side effects are possible.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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393 people
The number who actually took part.
- Started
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Feb 2020
- Finished
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Apr 2026
- 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: * Pathologically confirmed adenocarcinoma of the lung * Locally advanced or metastatic NSCLC, not amenable to curative surgery or radiotherapy * At least 1 of the 2 common EGFR mutations known to be associated with EGFR TKI sensitivity (Ex19del or L858R), either alone or in combination with other EGFR mutations * Treatment-naïve for locally advanced or metastatic NSCLC * WHO performance status score of 0 to 1 with no clinically significant deterioration over the previous 2 weeks before randomization * At least 1 measurable lesion, not previously irradiated and not chosen for biopsy during the study Screening period Exclusion Criteria: * Symptomatic and unstable brain metastases * Leptomeningeal metastases * Symptomatic spinal cord compression * History of interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis which required steroid treatment, or any evidence of clinically active ILD * Any medical conditions requiring chronic continuous oxygen therapy * History of any malignancy other than the disease under study within 3 years before randomization * Any cardiovascular disease as follows: * History of symptomatic chronic heart failure or serious cardiac arrhythmia requiring active treatment * History of myocardial infarction or unstable angina within 24 weeks of randomization
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Get notified about this study
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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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Adana Baskent Practice and Research Hospital
Adana, 1120, Turkey (Türkiye)
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Ajou University Hospital
Suwon, Gyeonggi-do, 16499, South Korea
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Ankara Liv Hospital
Ankara, 06680, Turkey (Türkiye)
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Arkhangelsk Regional Clinical Oncological Dispensary
Arkhangelsk, Arkhangelskaya oblast, 163045, Russia
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Asan Medical Center
Seoul, 05505, South Korea
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Attikon Hospital
Athens, 12462, Greece
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Budgetary Healthcare Institution of Omsk Region "Clinical Oncology Dispensary"
Omsk, 644013, Russia
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CHA Bundang Medical Center, CHA University
Seongnam-si, Gyeonggi-do, 13496, South Korea
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Chiang Mai University - Faculty of Medicine
Chiang Mai, 50200, Thailand
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Chungbuk National University Hospital
Cheongju-si, North Chungcheong, 28644, South Korea
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Clinical Center Kragujevac
Kragujevac, 34000, Serbia
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Clinical Hospital Center "Bezanijska Kosa"
Belgrade, Belgrade, 11080, Serbia
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Cukurova University Medical Faculty
Adana, 1330, Turkey (Türkiye)
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Debreceni Egyetem
Debrecen, H-4012, Hungary
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Eugenideio Therapeutirio - Ongcology Department
Athens, 11528, Greece
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First St. Petersburg State Medical University n. a. Pavlov
Saint Petersburg, 197022, Russia
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GAUZ Republican clinical oncology dispensary of the Ministry
Kazan', 420029, Russia
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GBUZ "Regional clinical oncologic dispensary of Volgograd"
Volgograd, 400138, Russia
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GBUZ of Nizhny Novgorod region Clinical diagnostic center
Nizhny Novgorod, Nizhny Novgorod Oblast, 603006, Russia
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Gachon University Gil Medical Center
Incheon, 21565, South Korea
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Gyeongsang National University Hospital
Jinju, Gyeongsangnam-do, 52727, South Korea
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Hacettepe University Medical Faculty - Medical Oncology
Ankara, 6230, Turkey (Türkiye)
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Hospital Pulau Pinang
George Town, Pulau Pinang, 10400, Malaysia
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Hospital Raja Perempuan Zainab Ii
Kota Bharu, Kelantan, 15586, Malaysia
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Hospital Sultan Ismail
Johor Bahru, Johor, 81100, Malaysia
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Hospital Tengku Ampuan Afzan
Kuantan, Pahang, 25100, Malaysia
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Hospital Umum Sarawak
Kuching, Sarawak, 10450, Malaysia
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Inje University Haeundae Paik Hospital
Busan, 48108, South Korea
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Inonu University Turgut Ozal Medical Center
Malatya, 44280, Turkey (Türkiye)
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Institute for Pulmonary Diseases of Vojvodina
Kamenitz, Vojvodina, 21204, Serbia
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Istanbul Medeniyet University Goztepe Training and Research Hospital - Medical Oncology
Istanbul, 34722, Turkey (Türkiye)
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Kangbuk Samsung Hospital
Seoul, 03181, South Korea
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Keimyung University Dongsan Medical Center
Daegu, 42601, South Korea
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Kocaeli University Medical Faculty
Kocaeli, 41380, Turkey (Türkiye)
-
Komunalne nekomertsiine pidpryiemstvo "Miska klinichna likarnia №4" Dniprvskoi miskoi rady", khimioterapevtychne viddilennia z dennym statsionarom, Derzhavnyi zaklad "Dnipropetrovskyi derzhavnyi medychnyi universitet", kafedra onkolohii i medychnoi radio
Dnipro, 49102, Ukraine
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Komunalne nekomertsiine pidpryiemstvo Kharkivskoi oblasnoi rady "Oblasnyi klinichnyi spetsializovanyi dyspanser radiatsiinoho zakhystu naselennia" - khirurhichne viddilennia
Kharkiv, Kharkiv Oblast, 61166, Ukraine
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Komunalne nekomertsiine pidpryiemstvo Sumskoi oblasnoi rady "Sumskyi klinichnyi onkolohichnyi tsentr", onkotorakalne viddilennia, Sumskyi derzhavnyi universytet, kafedra onkolohii ta radiolohii, m. Sumy
Sumy, 40022, Ukraine
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Korea University Anam Hospital
Seoul, 02841, South Korea
-
Kyiv City Clinical Oncology Center - Department of Chemotherapy
Kyiv, 3115, Ukraine
-
LLC "Eurocityclinic"
Saint Petersburg, 197022, Russia
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Limited Liability Company "AV Medical Group" - Oncology
Saint Petersburg, 197082, Russia
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MBUZ City Clinical Hospital #1
Novosibirsk, Russia
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Manila Doctors Hospital - Clinical Trial Office
Manila, Quezon, 1000, Philippines
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Medical Point İzmir Hospital
Izmir, 35560, Turkey (Türkiye)
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Medincentre (GLAVUPDK)
Moscow, 119034, Russia
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Medychnyi tsentr Tovarystva z obmezhenoiu vidpovidalnistiu "Onkolaif"
Zaporizhzhia, 69059, Ukraine
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National Cancer Center
Goyang-si, Gyeonggi-do, 10408, South Korea
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National Taiwan University Hospital
Taipei, 10002, Taiwan
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National University Hospital
Singapore, 119074, Singapore
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Oblasne komunalne nekomertsiine pidpryiemstvo "Bukovynskyi klinichnyi onkolohichnyi tsentr", strukturnyi pidrozdil klinichnoi onkolohii, m.Chernivtsi
Chernivtsi, 58013, Ukraine
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Perpetual Succour Hospital
Cebu, 6000, Philippines
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Philippine General Hospital
Manila, 1000, Philippines
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Podilskyi rehionalnyi tsentr onkolohii, viddilennia khimioterapii
Vinnytsia, 21029, Ukraine
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Prince of Songkla University
Hat Yai, 90110, Thailand
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Princess Alexandra Hospital
Woolloongabba, Queensland, 4102, Australia
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Private medical institution "Euromedservice"
Pushkin, 196603, Russia
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Ramathibodi Hospital, Mahidol University
Bangkok, 10400, Thailand
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Republic Clinical Oncology Despensary
Kazan', 420029, Russia
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SMG-SNU Boramae Medical Center
Seoul, 07061, South Korea
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Saint-Petersburg City Clinical Oncology Dispensary
Saint Petersburg, 198255, Russia
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Samsung Medical Center
Seoul, 06351, South Korea
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Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620, South Korea
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Seoul National University Hospital
Seoul, 03080, South Korea
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Severance Hospital
Seoul, 03722, South Korea
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Siriraj Hospital
Bangkok, 10700, Thailand
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Srinagarind Hospital, Khon Kaen University
Khon Kaen, 40002, Thailand
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Taipei Veterans General Hospital
Taipei, 11217, Taiwan
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The Catholic University of Korea, Bucheon St. Mary's Hospital
Bucheon-si, Gyeonggi-do, 14647, South Korea
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The Catholic University of Korea, Eunpyeong St.Mary's Hospital
Seoul, 03312, South Korea
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The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, 06591, South Korea
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The Catholic University of Korea, St. Vincent's Hospital
Suwon, Gyeonggi-do, 16247, South Korea
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Theageneio Anticancer Hospital of Thessaloniki
Thessaloniki, 54007, Greece
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Trakya University Medical Faculty
Edirne, 22030, Turkey (Türkiye)
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Tsentralna miska klinichna likarnia
Uzhhorod, Zakarpattia Oblast, 88000, Ukraine
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Törökbálinti Tüdőgyógyintézet
Törökbálint, 2045, Hungary
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Ulsan University Hospital
Ulsan, 44033, South Korea
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University Malaya Medical Centre
Kuala Lumpur, Selangor, 59100, Malaysia
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VitaMed LLC
Moscow, 121309, Russia
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Yaroslavl regional oncology hospital
Yaroslavl, 150054, Russia
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Yeungnam University Medical Center
Daegu, 42415, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Smaller chest drain may speed recovery after lung cancer surgery
- Gut bacteria may hold clues to why some cancer treatments work better
- Breath-Tracking sensor aims to sharpen lung cancer scans
- Can PET scan signals predict who beats lung cancer with immunotherapy?
- Two-Drug combo takes aim at Hard-to-Treat lung cancer