New drug cocktail shows promise for Hard-to-Treat lung cancer
NCT ID NCT05801029
First seen Jun 27, 2026 · Last updated Sep 09, 2026 · Updated 2 times
Summary
This study tests whether combining two targeted drugs, osimertinib and amivantamab, can safely control advanced lung cancer that has a specific EGFR gene mutation. About 60 adults with newly diagnosed or recurrent non-small cell lung cancer that cannot be surgically removed will receive the drug combination as their first treatment. The main goals are to check side effects and see how long the cancer stays under control.
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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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60 people
The number who actually took part.
- Started
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Jul 2023
- Expected to finish
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Oct 2027
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: * Histologically or cytologically documented non-squamous NSCLC. NSCLC of mixed histology is allowed. * Newly diagnosed locally advanced or metastatic NSCLC or recurrent non-squamous NSCLC, not amenable to curative surgery or radiotherapy. * WHO PS of 0 to 1 with no deterioration over the 2 weeks prior to enrolment. * Minimum life expectancy \> 12 weeks at Day 1. * Confirmation by the local laboratory that the tumour harbours one of the 2 common EGFRm known to be associated with (Epidermal Growth Factor Receptor- Tyrosine Kinase Inhibitor) EGFR-TKI sensitivity. * At least 1 lesion that can be accurately measured at baseline as ≥10 mm in the longest diameter with computed tomography (CT) or magnetic resonance imaging (MRI) and that is suitable for accurate repeated measurements. * Contraceptive use by males or females should be consistent with local regulations Exclusion Criteria: * Any evidence of diseases, history of allogenic organ transplant, which in the investigator's opinion makes it undesirable for the participant to participate in the study or would jeopardise compliance with protocol. * Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the osimertinib, or previous significant bowel resection that would preclude adequate absorption distribution, metabolism, or excretion of osimertinib. * History of another primary malignancy except for malignancy treated with curative intent with no known active disease ≥2 years. * Any unresolved toxicities from prior therapy with Common Terminology Criteria for Adverse Events CTCAE) Grade ≥1, at the time of first dose of study intervention, with the exception of alopecia and Grade 2 prior platinum therapy related neuropathy. * Spinal cord compression or brain metastases unless asymptomatic, stable, and not requiring corticosteroids for at least 2 weeks prior to start of study intervention. * Active infection, including tuberculosis and infections with HBV (verified by known positive HBsAg result) or HCV. * Should participants with HIV infection be included, patients are only eligible if they meet the criteria per protocol. * Patient with protocol defined cardiac issue. * History of interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis that required steroid treatment, or any evidence of clinically active ILD. * Any concomitant medications known to be associated with Torsade de Pointes. * Prior exposure to any systemic anti-cancer therapy for advanced NSCLC not amenable to curative surgery or radiation including chemotherapy, biologic therapy, immunotherapy, or any investigational drug. * Any concurrent anti-cancer treatment without an adequate washout period prior to the first dose of study intervention. * Palliative radiotherapy with a limited field of radiation within 2 weeks, or with wide field of radiation or to more than 30% of the bone marrow within 4 weeks, prior to the first dose of study intervention. * Major surgical procedure or significant traumatic injury. * Current use of medications or herbal supplements known to be strong inducers of CYP 3A4. * Prior treatment with an EGFR-TKI. * Participants with a history of hypersensitivity, or intolerance to the active or inactive excipients of osimertinib, amivantamab, or recommended pre-treatments of amivantamab or drugs with a similar chemical structure or class to these drugs.
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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
Hong Kong, 150001, Hong Kong
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Research Site
Hong Kong, 999077, Hong Kong
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Research Site
Hong Kong, Hong Kong
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Research Site
George Town, 10990, Malaysia
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Research Site
Kota Bharu, 15586, Malaysia
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Research Site
Kuala Lumpur, 50586, Malaysia
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Research Site
Kuala Lumpur, 59100, Malaysia
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Research Site
Kuantan, 25100, Malaysia
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Research Site
Kuching, 93200, Malaysia
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Research Site
Singapore, 169610, Singapore
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Research Site
Singapore, 308433, Singapore
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Research Site
Anyang-si, 14068, South Korea
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Research Site
Busan, 49241, South Korea
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Research Site
Daegu, 42415, South Korea
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Research Site
Seoul, 08308, South Korea
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Research Site
Seoul, 5030, South Korea
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Research Site
Kaohsiung City, 82445, Taiwan
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Research Site
Taichung, 404, Taiwan
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Research Site
Taichung, 40705, Taiwan
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Research Site
Tainan, 73657, Taiwan
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Research Site
Taipei, 10048, Taiwan
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Research Site
Taipei, 110, Taiwan
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Research Site
Yunlin, 640, Taiwan
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Research Site
Bangkok, 10330, Thailand
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Research Site
Bangkok, 10400, Thailand
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Research Site
Bangkok, 10700, Thailand
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Research Site
Chiang Mai, 50200, Thailand
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Research Site
Songkhla, 90110, Thailand
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