Clinical trial • Oncology

Osimertinib for Non-small cell lung cancer (EGFR-mutated, locally advanced or metastatic)

Clinical trial of Osimertinib for Non-small cell lung cancer (EGFR-mutated, locally advanced or metastatic).

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Non-small cell lung cancer (EGFR-mutated, locally advanced or metastatic)
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
03-02-2025
First CTIS Authorization Date
02-06-2025

Trial design

Osimertinib 80 mg once daily (QD) (standard dosing) versus Osimertinib 80 mg every other day (QOD) (extended dosing interval).-controlled trial across 8 sites in Netherlands, Belgium, France.

Comparator
Osimertinib 80 mg once daily (QD) (standard dosing) versus Osimertinib 80 mg every other day (QOD) (extended dosing interval).
Target Sample Size
183

Eligibility

Recruits 183 No vulnerable population selected. Trial enrols adults only (Age ≥18 years). Participants must be able to understand the written information and give informed consent. No procedures for assent of minors are provided..

Pregnancy Exclusion
Patients who are either pregnant, breastfeeding or actively trying to conceive
Vulnerable Population
No vulnerable population selected. Trial enrols adults only (Age ≥18 years). Participants must be able to understand the written information and give informed consent. No procedures for assent of minors are provided.

Inclusion criteria

  • {"criterion_text":"- Age ≥18 years\n- Able to understand the written information and able to give informed consent\n- Sufficient knowledge of the local language in order answer the questionnaires\n- Locally advanced or metastatic NSCLC with an EGFR exon 19 deletions or exon 21 L858R muta-tions not eligible for curative intent therapy\n- Treatment with first-line osimertinib 80 mg QD with or without chemotherapy for at least three months according to standard of care;\n- A response on radiologic assessment (response is defined as: - complete or partial response as defined by RECIST 1.1, assessed by the treating physi-cian. - a radiological response according to the treating physician that does not meet the crite-ria for partial response according to RECIST 1.1.)"}

Exclusion criteria

  • {"criterion_text":"- Patients with known CNS metastases at baseline\n- Usage of strong CYP3A4 inducers as described in 9.1.2\n- Treatment related toxicity for which a dose reduction of osimertinib is indicated\n- Patients who are either pregnant, breastfeeding or actively trying to conceive"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Progression-free survival (PFS)","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Overall survival (OS)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Patient reported toxicity of any grade (laboratory abnormalities excluded)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Economic assessment","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Quality of life","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Cumulative incidence of central nervous system (CNS) metastases","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Feasibility / medication adherence","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
183
Recruitment Window Months
72
Consent Approach
Adults provide written informed consent themselves. Inclusion requires participants to be able to understand the written information and to give informed consent. Subject information and informed consent form documents for adults are listed; no assent procedures for minors are provided and no languages for the ICF are specified in the available record.

Geography

Total Number Of Sites
8
Total Number Of Participants
183

Netherlands

Earliest CTIS Part Ii Submission Date
20-05-2025
Latest Decision Or Authorization Date
02-06-2025
Processing Time Days
13
Number Of Sites
8
Number Of Participants
183

Sites

Site Name
Erasmus Medisch Centrum 1
Department Name
Pulmonary Medicine
Principal Investigator Name
A.C. Dingemans
Principal Investigator Email
a.dingemans@erasmusmc.nl
Contact Person Name
A.C. Dingemans
Contact Person Email
a.dingemans@erasmusmc.nl
Site Name
University Medical Center Groningen
Department Name
Pulmonary Medicine
Principal Investigator Name
A.J. van der Wekken
Principal Investigator Email
a.j.van.der.wekken@umcg.nl
Contact Person Name
A.J. van der Wekken
Contact Person Email
a.j.van.der.wekken@umcg.nl
Site Name
Leiden University Medical Center
Department Name
Pulmonary Medicine
Principal Investigator Name
E.F. Smit
Principal Investigator Email
e.f.smit@lumc.nl
Contact Person Name
E.F. Smit
Contact Person Email
F.van_der_Kley@lumc.nl
Site Name
Universitair Medisch Centrum Utrecht
Department Name
Pulmonary Medicine
Principal Investigator Name
W.K. de Jong
Principal Investigator Email
W.K.deJong-9@umcutrecht.nl
Contact Person Name
W.K. de Jong
Contact Person Email
W.K.deJong-9@umcutrecht.nl
Site Name
Radboud University Medical Center
Department Name
Pulmonary Medicine
Principal Investigator Name
M. van der Drift
Principal Investigator Email
Miep.vanderDrift@radboudumc.nl
Contact Person Name
M. van der Drift
Contact Person Email
Miep.vanderDrift@radboudumc.nl
Site Name
Amsterdam UMC
Department Name
Pulmonary Medicine
Principal Investigator Name
I. Bahce
Principal Investigator Email
i.bahce@amsterdamumc.nl
Contact Person Name
I. Bahce
Contact Person Email
i.bahce@amsterdamumc.nl
Site Name
Maastricht University Medical Center
Department Name
Pulmonary Medicine
Principal Investigator Name
L.E.L. Hendriks
Principal Investigator Email
lizza.hendriks@mumc.nl
Contact Person Name
L.E.L. Hendriks
Contact Person Email
loes.jansen@mumc.nl
Site Name
Leiden University Medical Center (alternate listing)
Department Name
Pulmonary Medicine
Principal Investigator Name
E.F. Smit
Principal Investigator Email
e.f.smit@lumc.nl
Contact Person Name
E.F. Smit
Contact Person Email
e.f.smit@lumc.nl

Belgium

France

Sponsor

Primary sponsor

Full Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
TAGRISSO 80 mg film-coated tablets
Active Substance
Osimertinib
Modality
Small molecule
Routes Of Administration
ORAL
Route
oral
Authorisation Status
Authorised (marketing authorisation EU/1/16/1086/002)
Starting Dose
80 mg
Dose Levels
80 mg
Frequency
80 mg QD (once daily) and 80 mg QOD (every other day)
Maximum Dose
80 mg

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