New drug cocktail aims to outsmart lung cancer
NCT ID NCT07005102
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding an experimental drug called telisotuzumab adizutecan to the standard targeted therapy osimertinib can improve outcomes for people with advanced EGFR-mutated non-small cell lung cancer. About 854 adults will be enrolled worldwide. The trial has two stages: first to find the best dose, then to compare the combo against standard care (osimertinib plus chemotherapy). The main goals are to see if the combo shrinks tumors and delays cancer growth.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Telisotuzumab adizutecan (an investigational antibody-drug conjugate) combined with osimertinib (a targeted therapy)
- What this could lead to
- If successful, this combination could offer a more effective first-line treatment option for people with a specific type of advanced lung cancer, potentially delaying disease progression.
- What could go wrong
- This is an early-to-mid stage trial (phase 2/3) testing an investigational drug. The combination may cause more side effects than standard care, and it's not yet proven to be better or safe long-term.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 854 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Nov 2036
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 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: * Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1 during the screening period and prior to dosing of study treatment on Cycle 1 Day 1. * Must consent to provide recently obtained formalin-fixed, paraffin-embedded (FFPE) tumor tissue (ideally collected during or after locally advanced or metastatic diagnosis) or archived tissue during screening for c-Met immunohistochemistry (IHC) testing and study stratification. c-Met IHC results are required prior to randomization. * Must have at least one non-irradiated measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. If only one measurable lesion exists, it is acceptable to be used (as a target lesion) as long as it has not been previously irradiated and as long as it has not been biopsied within 14 days of the baseline tumor assessment scans. * Any toxicities from prior systemic anti-cancer therapy must have resolved to common terminology criteria for adverse events (CTCAE) Grade 1 or baseline level (except for alopecia \[any grade\] or Grade \<= 2 peripheral neuropathy). * Should not have any major, life-threatening conditions and life expectancy as determined by the investigator should be at least 3 months. * No prior estimated glomerular filtration rate (EGFR) tyrosine kinase inhibitor (TKI) in the locally advanced and/or metastatic setting (except for when it is allowed on study prior to C1D1). Participants treated with prior EGFR TKI in the adjuvant setting are allowed to enroll provided that \>= 126 months (since last dose of e.g., adjuvant osimertinib) have passed before Cycle 1, Day 1. * Diagnosis of histologically or cytologically confirmed metastatic/locally advanced non-squamous NSCLC with documented classical EGFR mutation (Exon 19 Del or Exon 21 L858R) either alone or in combination with other EGFR mutations as detected by an Food and Drug Administration (FDA)-approved or other validated test in a Clinical Laboratory Improvement Amendments (CLIA) certified laboratory (sites in the US) or an accredited Laboratory (sites outside of the US) in accordance with site standard of care. A copy of the test report documenting the EGFR mutation must be available in the participant records. Exclusion Criteria: * History of interstitial lung disease (ILD), pneumonitis that required treatment with systemic steroids, or any evidence of active ILD/pneumonitis on screening chest computed tomography (CT) scan. * History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis. * Participants has leptomeningeal disease, or participant has spinal cord compression not definitively treated with surgery or radiation. * History of any malignancy other than disease under study except for 1. Malignancy treated with curative intent and with no known active disease present for 2 years before the first dose of study treatment and felt to be at low risk for recurrence by investigator. 2. Successfully treated nonmelanoma skin cancer. 3. Localized carcinoma in situ of the cervix. 4. Breast Cancer; lobular carcinoma in situ or ductal carcinoma in situ that is considered completely cured.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
51 sites in 13 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AZ-Delta. /ID# 275753
RECRUITINGRoeselare, West-Vlaanderen, 8800, Belgium
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Asan Medical Center /ID# 275600
RECRUITINGSeoul, Seoul Teugbyeolsi, 05505, South Korea
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Austin Health /ID# 275505
RECRUITINGHeidelberg, Victoria, 3084, Australia
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Azienda Ospedaliero Universitaria San Luigi Gonzaga /ID# 275215
RECRUITINGOrbassano, Torino, 10043, Italy
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CHU de Liege /ID# 277971
RECRUITINGLiège, 4000, Belgium
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Chungbuk National University Hospital /ID# 275768
RECRUITINGCheongju-si, North Chungcheong, 28644, South Korea
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Hospital Clinic de Barcelona /ID# 275476
RECRUITINGBarcelona, 08036, Spain
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Hospital Cuf Porto /ID# 275395
RECRUITINGPorto, 4100-180, Portugal
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Hospital General Universitario Gregorio Maranon /ID# 275475
RECRUITINGMadrid, 28007, Spain
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Hospital Universitario 12 de Octubre /ID# 277698
RECRUITINGMadrid, 28041, Spain
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IRCCS Istituti Fisioterapici Ospitalieri-Istituto Nazionale Tumori Regina Elena /ID# 274948
RECRUITINGRome, Roma, 00144, Italy
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Inje University Haeundae Paik Hospital /ID# 275388
RECRUITINGBusan, Busan Gwang Yeogsi, 48108, South Korea
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Instituto Valenciano de Oncología /ID# 275471
RECRUITINGValencia, 46009, Spain
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Ironwood Cancer and Research Centers - Chandler II /ID# 275443
RECRUITINGChandler, Arizona, 85224, United States
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Jessa Ziekenhuis - Campus Virga Jesse /ID# 275585
RECRUITINGHasselt, Limburg, 3500, Belgium
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Juntendo University Hospital /ID# 276424
RECRUITINGBunkyo-ku, Tokyo, 113-8431, Japan
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Kaiser Permanente Moanalua Medical Center /ID# 275942
RECRUITINGHonolulu, Hawaii, 96819, United States
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Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 275293
RECRUITINGKaohsiung City, 807, Taiwan
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Liverpool Hospital /ID# 276304
RECRUITINGLiverpool, New South Wales, 2170, Australia
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Mid Florida Hematology And Oncology Center /ID# 275278
RECRUITINGOrange City, Florida, 32763, United States
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National Cancer Center Hospital /ID# 275678
RECRUITINGChuo-Ku, Tokyo, 104-0045, Japan
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National Cancer Centre Singapore /ID# 275986
RECRUITINGSingapore, Central Singapore, 169611, Singapore
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National Taiwan University Cancer Center (Ntucc) /ID# 275291
RECRUITINGTaipei, 106, Taiwan
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National University Hospital /ID# 275988
RECRUITINGSingapore, 119074, Singapore
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Nho - Revive Research Institute /ID# 276115
RECRUITINGLincoln, Nebraska, 68506, United States
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Niigata University Medical and Dental Hospital /ID# 275685
RECRUITINGNiigata, Niigata, 951-8520, Japan
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Osaka Medical And Pharmaceutical University Hospital /ID# 275684
RECRUITINGTakatsuki, Osaka, 569-8686, Japan
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Princess Margaret Cancer Centre /ID# 274845
COMPLETEDToronto, Ontario, M5G 2M9, Canada
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Rabin Medical Center. /ID# 274540
RECRUITINGPetah Tikva, Central District, 4941492, Israel
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Rambam Health Care Campus- Haifa /ID# 274542
RECRUITINGHaifa, 3109601, Israel
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Renown Regional Medical Center /ID# 276049
RECRUITINGReno, Nevada, 89502, United States
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Samsung Medical Center /ID# 278083
RECRUITINGSeoul, Seoul Teugbyeolsi, 06351, South Korea
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Shizuoka Cancer Center /ID# 278082
RECRUITINGSunto-gun, Shizuoka, 411-8777, Japan
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St John Of God Murdoch Hospital /ID# 275700
RECRUITINGMurdoch, Western Australia, 6150, Australia
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Taipei Veterans General Hospital /ID# 275292
RECRUITINGTaipei, 112, Taiwan
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Texas Oncology - Palestine Cancer Center /ID# 276034
RECRUITINGPalestine, Texas, 75801, United States
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Texas Oncology - South Austin /ID# 276033
RECRUITINGAustin, Texas, 78745, United States
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The Chaim Sheba Medical Center /ID# 274541
RECRUITINGRamat Gan, Tel Aviv, 5265601, Israel
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The Iowa Clinic /ID# 276020
COMPLETEDWest Des Moines, Iowa, 50266, United States
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The Ottawa Hospital - General Campus /ID# 275611
RECRUITINGOttawa, Ontario, K1H 8L6, Canada
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The Queen Elizabeth Hospital /ID# 275719
RECRUITINGWoodville, South Australia, 5011, Australia
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The University of Texas MD Anderson Cancer Center /ID# 275107
RECRUITINGHouston, Texas, 77030, United States
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USC Norris Comprehensive Cancer Center /ID# 275343
RECRUITINGLos Angeles, California, 90033, United States
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Unidade Local de Saude de Braga, EPE /ID# 275394
RECRUITINGBraga, 4710-243, Portugal
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Unidade Local de Saude de Santo Antonio /ID# 275387
RECRUITINGPorto, 4099-003, Portugal
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Union Hospital Tongji Medical College /ID# 278711
RECRUITINGWuhan, Hubei, 430048, China
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Universitair Ziekenhuis Leuven /ID# 275586
RECRUITINGLeuven, Vlaams-Brabant, 3000, Belgium
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University Colorado Cancer Center /ID# 275382
RECRUITINGAurora, Colorado, 80045-2517, United States
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University of Washington Medical Center /ID# 275866
RECRUITINGSeattle, Washington, 98195, United States
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Usc Norris Oncology/Hematology Treatment Center /ID# 278673
RECRUITINGNewport Beach, California, 92663, United States
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Virginia Cancer Specialists - Fairfax /ID# 275071
RECRUITINGFairfax, Virginia, 22031, United States
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Yokohama Municipal Citizen's Hospital /ID# 275682
RECRUITINGYokohama, Kanagawa, 221-0855, Japan
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Yonsei University Health System Severance Hospital /ID# 275384
RECRUITINGSeoul, Seoul Teugbyeolsi, 03722, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Antibody-Drug conjugate takes aim at c-Met-High lung cancer
- Can a targeted pill boost lung cancer treatment?
- Can a novel drug combo outperform standard chemo for lung cancer?
- Can a Four-Drug cocktail shrink Hard-to-Treat lung tumors?
- New lung cancer drug aims to match Keytruda's success
- Targeted drug shows promise for Gene-Driven lung cancers