Clinical trial • Phase I/II • Oncology

OSIMERTINIB MESYLATE for Advanced solid tumors | Non-small cell lung cancer (EGFR-mutant) | Non-small cell lung cancer (EGFR-wildtype)

Phase I/II trial of OSIMERTINIB MESYLATE for Advanced solid tumors | Non-small cell lung cancer (EGFR-mutant) | Non-small cell lung cancer (EGFR-wildtype).

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Advanced solid tumors | Non-small cell lung cancer (EGFR-mutant) | Non-small cell lung cancer (EGFR-wildtype)
Trial Stage
Phase I/II
Drug Modality
Small molecule | Monoclonal antibody | ADC

Key dates

Initial CTIS Submission Date
08-01-2025
First CTIS Authorization Date
08-04-2025

Trial design

open-label, none/not specified-controlled, adaptive Phase I/II trial across 24 sites in Spain, Netherlands, France and others.

Open Label
Yes
Comparator
None/Not specified
Adaptive
True - Dose-finding escalation design with DLT evaluation to determine maximum safe dose and select doses for expansion.
Biomarker Stratified
True, biomarker: EGFR mutation status (EGFR-mutant vs EGFR-wildtype)
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
168

Eligibility

Recruits 168 No vulnerable population selected; trial enrols adults only. Informed consent obtained from participants; no assent/child consent procedures described..

Vulnerable Population
No vulnerable population selected; trial enrols adults only. Informed consent obtained from participants; no assent/child consent procedures described.

Inclusion criteria

  • {"criterion_text":"- Participants must have at least one measurable lesion per response evaluation criteria in solid tumors."}
  • {"criterion_text":"- Participants must have an Eastern Cooperative Oncology Group Performance Status of 0 or 1."}
  • {"criterion_text":"- Participants must have a life expectancy of at least 3 months at the time of the first dose."}

Exclusion criteria

  • {"criterion_text":"- Participants must not have any mixed Small Cell Lung Cancer (SCLC) and Non-Small Cell Lung Cancer (NSCLC) histology."}
  • {"criterion_text":"- Participants with spinal cord compression, symptomatic central nervous system (CNS) metastases, progression of existing CNS metastases, or the appearance of new lesions as shown on CNS imaging during screening will be excluded."}
  • {"criterion_text":"- Participants must not have a history of serious recurrent infections."}
  • {"criterion_text":"- Participants must not have a history of severe heart disease."}
  • {"criterion_text":"- Other protocol-defined Inclusion/Exclusion criteria apply."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Number of participants with adverse events (AEs)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Number of participants with serious adverse events (SAEs)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Number of participants with AEs meeting protocol defined dose-limiting toxicity (DLT) critera","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Number of participants with AEs leading to discontinuation","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Number of participants with AEs leading to death","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Number of DLTs that occur during the DLT evaluation period","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Maximum observed serum concentration (Cmax)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Time of maximum observed concentration (Tmax)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Area under the concentration-time curve from time zero to time of last quantifiable concentration (AUC(0-T))","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Area under the serum concentration-time curve within a dosing interval (AUC(TAU))","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Objective response rate (ORR)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Best Overall Response (BOR)","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
168
Recruitment Window Months
42
Consent Approach
Informed consent obtained from adult participants; subject information and informed consent forms (L1 SIS and ICF) provided in multiple languages (English, Spanish, Dutch, French, Italian) as per submitted documents. No assent or child consent procedures described.

Geography

Total Number Of Sites
24
Total Number Of Participants
108

Spain

Earliest CTIS Part Ii Submission Date
14-03-2025
Latest Decision Or Authorization Date
17-07-2025
Processing Time Days
125
Number Of Sites
10
Number Of Participants
33

Sites

Site Name
Hospital Clinic De Barcelona
Department Name
Oncologia
Principal Investigator Name
Alejandro Navarro
Principal Investigator Email
afnavarro@clinic.cat
Contact Person Name
Alejandro Navarro
Contact Person Email
afnavarro@clinic.cat
Site Name
Institut Catala D'oncologia
Department Name
Oncologia
Principal Investigator Name
Noelia Vilarino
Principal Investigator Email
nvilarino@iconcologia.net
Contact Person Name
Noelia Vilarino
Contact Person Email
nvilarino@iconcologia.net
Site Name
Hospital Universitario 12 De Octubre
Department Name
Medical Oncology
Principal Investigator Name
Luis Paz-Ares
Principal Investigator Email
lpazares@hotmail.com
Contact Person Name
Luis Paz-Ares
Contact Person Email
lpazares@hotmail.com
Site Name
Hospital Universitari Vall D Hebron
Department Name
Oncologia-VHIO
Principal Investigator Name
Enriqueta Felip Font
Principal Investigator Email
efelip@vhio.net
Contact Person Name
Enriqueta Felip Font
Contact Person Email
efelip@vhio.net
Site Name
Hospital Universitario Hm Sanchinarro
Department Name
START Madrid
Principal Investigator Name
Ramon Yarza
Principal Investigator Email
ramon.yarza@startmadrid.com
Contact Person Name
Ramon Yarza
Contact Person Email
ramon.yarza@startmadrid.com
Site Name
Hospital Universitario Fundacion Jimenez Diaz
Department Name
START Madrid - FJD
Principal Investigator Name
Ester Garcia Lozano
Principal Investigator Email
ester.garcia@startmadrid.com
Contact Person Name
Ester Garcia Lozano
Contact Person Email
ester.garcia@startmadrid.com
Site Name
Hospital Universitario Puerta De Hierro De Majadahonda
Department Name
Oncologia
Principal Investigator Name
Mariano Provencio
Principal Investigator Email
mprovencio.ensayosclinicos@xxx.com
Contact Person Name
Mariano Provencio
Site Name
Complexo Hospitalario Universitario De Santiago
Department Name
Oncologia
Principal Investigator Name
Jorge Garcia
Principal Investigator Email
jorge.jose.garcia.gonzalez@sergas.es
Contact Person Name
Jorge Garcia
Site Name
Hospital Universitario Y Politecnico La Fe
Department Name
Oncologia
Principal Investigator Name
Oscar Juan
Principal Investigator Email
juan_osc@gva.es
Contact Person Name
Oscar Juan
Contact Person Email
juan_osc@gva.es
Site Name
Hospital Universitario Regional De Malaga
Department Name
Oncologia
Principal Investigator Name
Manuel Cobo
Principal Investigator Email
manuelcobodols@xxx.es
Contact Person Name
Manuel Cobo
Contact Person Email
manuelcobodols@xxx.es

Netherlands

Earliest CTIS Part Ii Submission Date
17-03-2025
Latest Decision Or Authorization Date
18-07-2025
Processing Time Days
123
Number Of Sites
2
Number Of Participants
17

Sites

Site Name
Leids Universitair Medisch Centrum (LUMC)
Department Name
Pulmonology
Principal Investigator Name
Egbert Smit
Principal Investigator Email
e.f.smit@lumc.nl
Contact Person Name
Egbert Smit
Contact Person Email
e.f.smit@lumc.nl
Site Name
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Department Name
Pulmonology
Principal Investigator Name
Gerrina Ruiter
Principal Investigator Email
g.ruiter@nki.nl
Contact Person Name
Gerrina Ruiter
Contact Person Email
g.ruiter@nki.nl

France

Earliest CTIS Part Ii Submission Date
22-10-2025
Latest Decision Or Authorization Date
07-11-2025
Processing Time Days
16
Number Of Sites
7
Number Of Participants
27

Sites

Site Name
Centre Hospitalier Regional De Marseille
Department Name
Medical Oncology
Principal Investigator Name
Laurent GREILLIER
Principal Investigator Email
laurent.greillier@ap-hm.fr
Contact Person Name
Laurent GREILLIER
Contact Person Email
laurent.greillier@ap-hm.fr
Site Name
Centre Hospitalier Universitaire De Montpellier
Department Name
Pulmonology department
Principal Investigator Name
Benoît ROCH
Principal Investigator Email
b-roch@chu-montpellier.fr
Contact Person Name
Benoît ROCH
Contact Person Email
b-roch@chu-montpellier.fr
Site Name
Institut Bergonie
Department Name
Medical Oncology
Principal Investigator Name
Sophie COUSIN
Principal Investigator Email
s.cousin@bordeaux.unicancer.fr
Contact Person Name
Sophie COUSIN
Contact Person Email
s.cousin@bordeaux.unicancer.fr
Site Name
Centre Leon Berard
Department Name
Medical Oncology
Principal Investigator Name
Aurelie SWALDUZ
Principal Investigator Email
aurelie.swalduz@lyon.unicancer.fr
Contact Person Name
Aurelie SWALDUZ
Site Name
Institut Gustave Roussy
Department Name
Thoracic oncology
Principal Investigator Name
David PLANCHARD
Principal Investigator Email
david.planchard@gustaveroussy.fr
Contact Person Name
David PLANCHARD
Site Name
Hopital Tenon
Department Name
Medical Oncology
Principal Investigator Name
Jacques CADRANEL
Principal Investigator Email
jacques.cadranel@aphp.fr
Contact Person Name
Jacques CADRANEL
Contact Person Email
jacques.cadranel@aphp.fr
Site Name
Institut Curie
Department Name
Pneumology
Principal Investigator Name
Nicolas GIRARD
Principal Investigator Email
nicolas.girard2@curie.fr
Contact Person Name
Nicolas GIRARD
Contact Person Email
nicolas.girard2@curie.fr

Italy

Earliest CTIS Part Ii Submission Date
14-10-2025
Latest Decision Or Authorization Date
03-12-2025
Processing Time Days
50
Number Of Sites
5
Number Of Participants
31

Sites

Site Name
Fondazione IRCCS Istituto Nazionale Dei Tumori
Department Name
S.C Oncologia Medica 1
Principal Investigator Name
Giuseppe Lo Russo
Principal Investigator Email
giuseppe.lorusso@istitutotumori.mi.it
Contact Person Name
Giuseppe Lo Russo
Site Name
Centro Di Riferimento Oncologico Di Aviano
Department Name
Oncologia medica e dei tumori immuno-correlati
Principal Investigator Name
Alessandra Bearz
Principal Investigator Email
alessandra.bearz@cro.it
Contact Person Name
Alessandra Bearz
Contact Person Email
alessandra.bearz@cro.it
Site Name
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Department Name
Oncologia Medica
Principal Investigator Name
Daniele Daniele
Principal Investigator Email
gennaro.daniele@policlinicogemelli.it
Contact Person Name
Daniele Daniele
Site Name
Azienda Ospedaliero Universitaria Careggi
Department Name
Oncologia
Principal Investigator Name
Lorenzo Antonuzzo
Principal Investigator Email
lorenzo.antonuzzo@gmail.com
Contact Person Name
Lorenzo Antonuzzo
Contact Person Email
lorenzo.antonuzzo@gmail.com
Site Name
Istituto Di Candiolo Fondazione Del Piemonte Per L'Oncologia IRCCS
Department Name
Oncologia Medica
Principal Investigator Name
Vanessa Gregorc
Principal Investigator Email
vanesa.gregorc@ircc.it
Contact Person Name
Vanessa Gregorc
Contact Person Email
vanesa.gregorc@ircc.it

Sponsor

Primary sponsor

Full Name
Bristol-Myers Squibb Services Unlimited Company
Organisation Type
Pharmaceutical company
Country Of Registered Address
Ireland

Contract research organisations

Name
PPD Development LP
Responsibilities
Serology/ endocrinology, Medical image analysis/ review - X-ray, MRI, ultrasound, etc.
Name
Iqvia Holdings Inc.
Responsibilities
Monitoring, Regulatory, Investigator recruitment,Data management, SUSAR reporting, Quality assurance auditing, Statistical analysis,Medical writing
Name
Endpoint Clinical Inc.
Responsibilities
Subject Number Assignment, Treatment/Arm Assignment, Drug (re) Supplies Assignment

Third parties

  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Provides electronic payments, travel arrangements,electronic study-related comunications to patients","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"Serology/ endocrinology, Medical image analysis/ review - X-ray, MRI, ultrasound, etc.","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Iqvia Holdings Inc.","duties_or_roles":"Monitoring, Regulatory, Investigator recruitment,Data management, SUSAR reporting, Quality assurance auditing, Statistical analysis,Medical writing","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Perceptive","duties_or_roles":"Medical image analysis/ review - X-ray, MRI, ultrasound, etc.","organisation_type":"Industry"}
  • {"country":"Germany","full_name":"Azenta Germany GmbH","duties_or_roles":"sample storage","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Data Management Platform","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":",Tumor blocks/slides storage,PGX spl, spl storage for vendors,IHC,Legacy LabCorp Central Lab.; Routine clinical pathology testing,Clinical chemistry, Clinical haematology, Clinical microbiology","organisation_type":"Pharmaceutical company"}
  • {"country":"India","full_name":"Accenture Solutions Private Limited","duties_or_roles":"Embarc operations","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Endpoint Clinical Inc.","duties_or_roles":"Subject Number Assignment, Treatment/Arm Assignment, Drug (re) Supplies Assignment","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Emsere","duties_or_roles":"bulk supply/ancillary supply provider","organisation_type":"Industry"}

Investigational products

Investigational Product Name
OSIMERTINIB MESYLATE
Active Substance
OSIMERTINIB MESYLATE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Investigational Product Name
PEMBROLIZUMAB
Active Substance
PEMBROLIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS USE
Investigational Product Name
BL-B01D1
Active Substance
IZALONTAMAB BRENGITECAN
Modality
ADC
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS USE
Combination Treatment
Yes

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