5-Year pill course aims to keep lung cancer from returning
NCT ID NCT05526755
First seen Jun 27, 2026 · Last updated Aug 04, 2026 · Updated 2 times
Summary
This study tests whether taking osimertinib for 5 years after surgery can prevent lung cancer from coming back in people with a specific EGFR mutation. About 188 adults with stage II-IIIB non-small cell lung cancer who had their tumor fully removed will take the drug. The main goal is to see how long they stay cancer-free.
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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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188 people
The number who actually took part.
- Started
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Mar 2023
- Expected to finish
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Nov 2029
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 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: 1. Male or female aged at least 18 years. 2. Histologically confirmed diagnosis of primary NSCLC on predominantly non-squamous histology. 3. Magnetic Resonance Imaging (MRI) or contrast computed tomography (CT) scan of the brain. 4. Participants must be classified post-operatively as Stage II, IIIA, or IIIB on the basis of surgical pathologic criteria. 5. Confirmation by the local laboratory that the tumour harbours one of the two common EGFR mutations (Ex19del, L858R), either alone or in combination with other EGFR mutations including de novo EGFR mutation resulting in substitution of threonine with methionine at amino acid position 790 in exon 20 of EGFR (T790M) or uncommon EGFR mutations G719X, S768I, and L861Q, either alone, in combination with each other, or in combination with other uncommon EGFR mutations (excluding all exon 20 insertions) (Uncommon EGFRm Cohort). 6. Complete surgical resection of the primary NSCLC is mandatory. All gross disease must have been removed at the end of surgery. All surgical margins of resection must be negative for tumour. 7. Complete recovery from surgery and standard post-operative therapy (if applicable) at start of study intervention. 8. World Health Organisation Performance Status of 0 to 1. 9. Female participants must be using highly effective contraceptive measures, and must have a negative pregnancy test prior to start of dosing if of childbearing potential. 10. Male participants must use effective barrier contraception. Exclusion Criteria: 1. Major surgery (including primary tumour surgery, excluding placement of vascular access) within 4 weeks prior to the first dose of study drug. 2. Participants currently receiving medications or herbal supplements known to be strong inducers of CYP3A4 (at least 3 weeks prior to first dose). 3. Participants who have had only segmentectomies or wedge resections. 4. History of other malignancies, except: adequately treated non-melanoma skin cancer, curatively treated in situ cancer, or other solid tumours curatively treated with no evidence of disease for \> 5 years before the start of study intervention. 5. Treatment with any of the following: * Pre-operative or post-operative or planned radiation therapy for the current lung cancer. * Pre-operative (neo-adjuvant) platinum-based or other chemotherapy. * Any prior anti-cancer or immunological therapy, including investigational therapy, for treatment of NSCLC other than standard platinum-based doublet post-operative adjuvant chemotherapy. * Prior treatment with neoadjuvant or adjuvant EGFR tyrosine kinase inhibitor (TKI). 6. Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product, or previous significant bowel resection that would preclude adequate absorption of osimertinib. 7. Any of the following cardiac criteria: * Mean resting corrected QT (QTc) interval \> 470 msec, obtained from 3 electrocardiograms (ECGs). * Any clinically important abnormalities in rhythm, conduction, or morphology of resting ECG. * Any factors that increase the risk of QTc prolongation or risk of arrhythmic events. * Heart failure, congenital long QT interval (QT) syndrome, family history of long QT syndrome or unexplained sudden death under 40 years of age in first-degree relatives or any concomitant medication known to prolong the QT interval and cause Torsades de Pointes (TdP). 8. Past medical history of interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis that required steroid treatment, or any evidence of clinically active ILD. 9. Inadequate bone marrow reserve or organ function. 10. Women who are breastfeeding.
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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
Santa Rosa, California, 95403, United States
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Research Site
Las Vegas, Nevada, 89169, United States
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White Plains, New York, 10601, United States
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Hong Kong, 150001, Hong Kong
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Hong Kong, 999077, Hong Kong
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Hong Kong, Hong Kong
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Avellino, 83100, Italy
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Brescia, 25123, Italy
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Lecce, 73100, Italy
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Milan, 20141, Italy
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Naples, 80131, Italy
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Palermo, 90146, Italy
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Peschiera del Garda, 37019, Italy
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Reggio Emilia, 42123, Italy
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Sondrio, 23100, Italy
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Terni, 05100, Italy
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Udine, 33100, Italy
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Kuala Lumpur, 59100, Malaysia
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Kuantan, 25100, Malaysia
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Kuching, 93586, Malaysia
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Cebu, 6000, Philippines
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Manila, 1000, Philippines
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Quezon City, 1100, Philippines
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Singapore, 119074, Singapore
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Busan, 48108, South Korea
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Busan, 49241, South Korea
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Cheongju-si, 28644, South Korea
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Daejeon, 35015, South Korea
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Goyang-si, 410-769, South Korea
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Gyeonggi-do, 13620, South Korea
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Incheon, 21565, South Korea
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Seongnam-si, 13496, South Korea
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Seoul, 03080, South Korea
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Seoul, 03722, South Korea
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Seoul, 05030, South Korea
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Seoul, 05505, South Korea
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Seoul, 06273, South Korea
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Seoul, 06351, South Korea
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Seoul, 06591, South Korea
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Badalona, 08013, Spain
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Barcelona, 08036, Spain
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Bilbao, 48013, Spain
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Granada, 18014, Spain
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L'Hospitalet de Llobregat, 08907, Spain
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Madrid, 28007, Spain
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Seville, 41009, Spain
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Valencia, 46026, Spain
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Hualien City, 970, Taiwan
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Kaohsiung City, 82445, Taiwan
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Kaohsiung City, 833401, Taiwan
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Taichung, 40705, Taiwan
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Taipei, 10449, Taiwan
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Bangkok, 10700, Thailand
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Research Site
Songkhla, 90110, Thailand
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London, SW3 6JJ, United Kingdom
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Research Site
Nottingham, NG5 1PB, United Kingdom