Targeted drug shows promise for Hard-to-Treat lung cancer
NCT ID NCT03318939
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called poziotinib in 648 people with advanced non-small cell lung cancer that has specific genetic changes (EGFR or HER2 exon 20 mutations). The goal was to see if the drug could shrink tumors. The study was stopped early, but results showed some patients had their tumors shrink. Common side effects included skin rashes and diarrhea.
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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648 people
The number who actually took part.
- Started
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Oct 2017
- Finished
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Apr 2023
- 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.
Key Inclusion Criteria: * Participant must be willing and capable of giving written Informed Consent, adhering to dosing and visit schedules, and meeting all study requirements * Participant has histologically or cytologically confirmed locally advanced or metastatic non-small cell lung cancer (NSCLC) that is not amenable to treatment with curative intent * Prior treatment status: * Cohorts 1 and 2: Participant has had at least one prior systemic treatment for locally advanced or metastatic NSCLC * Cohorts 3 and 4: Participant is treatment-naïve for locally advanced or metastatic NSCLC and eligible to receive first-line treatment with poziotinib as determined by the Investigator. Adjuvant/neo-adjuvant therapies (chemotherapy, radiotherapy, or investigational agents) are permissible as long as they end at least 15 days prior to study entry. * Cohort 5: Participants who meet the criteria for enrollment in Cohorts 1 to 4, but the enrollment in the respective cohort has been closed * Cohort 6: Participant with EGFR mutation-positive NSCLC who progressed while on treatment with first-line osimertinib * Cohort 7: Participant has had at least one prior systemic treatment for locally advanced or metastatic NSCLC * Specific mutations: * Cohort 1 and 3: Documented EGFR exon 20 insertion mutation * Cohort 2 and 4: Documented HER2 exon 20 insertion mutation * Cohort 5: Documented EGFR or HER2 exon 20 insertion mutations * Cohort 6: Documented acquired EGFR mutation (tested after osimertinib progression) * Cohort 7: Documented EGFR or HER2 activating mutations * Participant has adequate organ function at Baseline Key Exclusion Criteria: * Participant has had previous treatment with poziotinib or any other EGFR or HER2 exon 20 insertion mutation-selective tyrosine kinase inhibitor (TKI) prior to study participation. The currently approved TKIs (ie, erlotinib, gefitinib, afatinib, osimertinib) are not considered to be exon 20 insertion-selective and are permissible (Cohorts 1 and 2). * Participant is concurrently receiving chemotherapy, biologics, immunotherapy for cancer treatment; systemic anti-cancer treatment or investigational treatment should not be used within 2 weeks or 5 half lives, whichever is longer; local radiation therapy for bone pain may be allowed * Participant has had other malignancies within the past 3 years, except for stable non-melanoma skin cancer, fully-treated and stable, early-stage prostate cancer, or carcinoma in situ of the cervix or breast without need of treatment * Participant is pregnant or breast-feeding
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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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Ambroise Pare University Hospital Center
Mons, Belgium
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BC Cancer - Vancouver
Vancouver, British Columbia, V5Z 4E6, Canada
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Baptist Cancer Center
Memphis, Tennessee, 38120, United States
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CTCA - Eastern Regional Medical Center
Philadelphia, Pennsylvania, 19124, United States
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CTCA - Midwestern Regional Medical Center
Zion, Illinois, 60099, United States
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CTCA - Southeastern Regional Medical Center
Newnan, Georgia, 30265, United States
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City of Hope
Duarte, California, 91010, United States
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2, Canada
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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Erasmus Medical Center
Rotterdam, Netherlands
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Florida Hospital
Orlando, Florida, 32804, United States
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General Hospital Delta
Roeselare, Belgium
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Georgetown University Medical Center
Washington D.C., District of Columbia, 20007, United States
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Gustave Roussy Oncology Institute, Department of Medical Oncology
Villejuif, France
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H. Lee Moffitt Cancer Center & Research Institute
Tampa, Florida, 33612, United States
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Hadassah Medical Center
Jerusalem, Israel
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Hattiesburg Clinic Hematology/Oncology
Hattiesburg, Mississippi, 39401, United States
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Hopital Larrey, CHU Toulouse, Unité d'Oncologie des Voies Respiratoires
Toulouse, France
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Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
Baltimore, Maryland, 21287, United States
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Kaiser Permanente Medical Center
Vallejo, California, 94589, United States
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Karmanos Cancer Institute
Detroit, Michigan, 48201, United States
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London Regional Cancer Program
London, Ontario, N6A 5W9, Canada
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Los Angeles Hematology Oncology Medical Group
Los Angeles, California, 90017, United States
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MD Anderson Cancer Center
Houston, Texas, 77030, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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Mayo Clinic Hospital
Phoenix, Arizona, 85054, United States
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Minnesota Oncology Hematology, P.A.
Minneapolis, Minnesota, 55404, United States
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Montefiore Einstein Medical Center for Cancer Care
The Bronx, New York, 10461, United States
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NYU Langone Medical Center
New York, New York, 10016, United States
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National Cancer Institute Regina Elena, IRCCS, Operative Unit of Medical Oncology A 1
Rome, Italy
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National Cancer Institute, IRCCS, Department of Medical Oncology
Milan, Italy
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North Shore Hematology Oncology Associates DBA New York Cancer and Blood Specialists
The Bronx, New York, 10469, United States
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North Shore Hematology Oncology Associates P.C. DBA NY Cancer and Blood Specialists
Port Jefferson Station, New York, 11776, United States
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Oklahoma Cancer Specialists and Research Institute, LLC
Tulsa, Oklahoma, 74146, United States
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Oncology Physician's Network Inc./OPN Healthcare
Arcadia, California, 91007, United States
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Pacific Shores Medical Group
Long Beach, California, 90813, United States
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Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9, Canada
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Rabin Medical Center
Petah Tikva, Israel
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Rambam Healthcare Campus
Haifa, Israel
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Rocky Mountain Cancer Center
Boulder, Colorado, 80303, United States
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Roswell Park Cancer Institute
Buffalo, New York, 14263, United States
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Saint Luc University Hospital
Brussels, Belgium
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Santa Maria delle Croci Hospital
Ravenna, Italy
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Seattle Cancer Care Alliance
Seattle, Washington, 98109, United States
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Soroka Medical Center
Beersheba, Israel
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Texas Oncology- Austin
Austin, Texas, 78745, United States
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The Bond & Steele Clinic, P.A. dba Bond Clinic, P.A.
Winter Haven, Florida, 33881, United States
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The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Torrance, California, 90502, United States
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The Ohio State University
Columbus, Ohio, 43210, United States
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UC Davis Comprehensive Cancer Center
Sacramento, California, 95817, United States
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UCLA Hematology/Oncology
Santa Monica, California, 90404, United States
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UCSD -Moores Cancer Center
La Jolla, California, 92093, United States
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UCSF Helen Diller Comprehensive Cancer Center at Mt Zion
San Francisco, California, 94115, United States
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USC/Norris Comprehensive Cancer Center
Los Angeles, California, 90033, United States
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University Cancer & Blood Center, LLC
Athens, Georgia, 30607, United States
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University Hospital 12 de Octubre
Madrid, Spain
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University Hospital Germans Trias i Pujol, Department of Medical Oncology
Barcelona, Spain
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University Hospitals Leuven
Leuven, Belgium
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Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031, United States
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Weill Cornell Medical College
New York, New York, 10065, United States
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Yale University, Yale Cancer Center Smilow Cancer Hospital at Yale
New Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new targeted drug shrink lung tumors?
- Can a targeted drug delivery system shrink lung tumors?
- Can a new drug combo revive the immune System's attack on resistant cancers?
- Can a cell therapy shrink Hard-to-Treat lung tumors?
- Can a nebulized biologic fight lung cancer from the inside out?
- Can a targeted drug tame HER2-Mutant lung cancer?