Table 7.
Ongoing and Future Clinical Trials for Epidermal Growth Factor Receptor Mutated Non-Small Cell Lung Cancer
Protocol Name | Phase | Patient Population | Treatment Regimen | Target Sample Size (n) | Primary Outcomes | Secondary Outcomes |
---|---|---|---|---|---|---|
NCT04035486 (FLAURA2)90 | III | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | Osimertinib + pemetrexed + cisplatin or carboplatin | 586 | PFS | OS, ORR, DOR, DCR |
NCT04099836 (TOP 1901)91 | II | EGFR mutated NSCLC in patients with progressive disease on osimertinib | Atezolizumab + bevacizumab | 39 | ORR | PFS, OS, safety |
NCT0420678792 | III | EGFR mutated advanced NSCLC receiving afatinib as first line treatment | Sequential afatinib treatments (observatory) | 825 | TOT | OS, PFS, ORR, DCR |
NCT04335292 (OCELOT)93 | II | Previously treated with osimertinib and second line platinum and pemetrexed | Osimertinib | 200 | ORR | PFS, DOR, DCR, OS, TTF, QOL |
NCT0423983394 | III | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | SH-1028 | 240 | PFS | ORR, DOR, DCR, OS, safety |
NCT0325508395 | I | EGFR mutated locally advanced or metastatic NSCLC who have progressed on an EGFR TKI | DS-1205c + osimertinib | 13 | Safety | PD, PK, ORR, DCR, PFS, OS |
NCT0394070396 | II | MET Amplified, EGFR mutated advanced or metastatic NSCLC having acquired resistance to prior EGFR TKI | Tepotinib + osimertinib | 90 | Safety, ORR | DOR, DCR, PFS, OS, QOL |
NCT0359951897 | I | EGFR mutated metastatic or unresectable NSCLC having acquired resistance to EGFR TKI | DS-1205c + gefitinib | 63 | Safety | PD, PK, ORR, DOR, DCR, PFS, OS |
NCT0344641798 | I/II | EGFR mutated advanced NSCLC who have progressed on EGFR TKI | ZN-e4 | 140 | Safety | Safety |
NCT04351555 (NeoADAURA)99 | III | EGFR mutated resectable NSCLC | Osimertinib + pemetrexed + cisplatin or carboplatin | 351 | MPR | PCR, EFS, OS, DFS, QOL |
NCT01532089100 | II | Treatment naïve EGFR mutated metastatic NSCLC | Erlotinib + bevacizumab | 88 | PFS | OS, ORR, safety |
NCT03909334101 | II | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | Osimertinib + ramucirumab | 150 | PFS | ORR, DCR, OS, safety |
NCT03382795102 | II | EGFR mutated advanced NSCC NSCLC who have progressed on EGFR TKI and chemotherapy | Gefitinib or erlotinib | 69 | ORR | PFS, OS, safety |
NCT02864251 (CheckMate722)103 | III | EGFR mutated advanced NSCLC who have progressed first or second line EGFR TKI | Nivolumab + chemotherapy or nivolumab + ipilimumab | 580 | PFS | OS, ORR, DOR |
NCT02347839 (NEGOTIATE)104 | II | EGFR mutated stage III unresectable NSCLC | Neoadjuvant gefitinib followed by surgery + gefitinib | 37 | Resectability rate | Perioperative complications, EFS, OS |
NCT01996098 (ICTAN)105 | III | EGFR mutated stage IIA-IIIA unresectable NSCLC | Icotinib following chemotherapy | 318 | DFS | OS, safety, QOL |
NCT04141644106 | IB | EGFR mutated locally advanced or metastatic NSCLC stable on osimertinib | Osimertinib + ipilimumab | 26 | Safety | ORR, PFS, OS |
NCT04085315107 | I | EGFR mutated metastatic NSCLC who have progressed on or stable on osimertinib | Alisertib + osimertinib | 36 | Safety | ORR, DOR, DCR, PFS, OS, CNS DCR |
NCT04248829 (LASER301)108 | III | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | Lazertinib | 380 | PFS | ORR, DOR, DCR, OS, QOL, CNS responses |
NCT03532698109 | III | EGFR T790M mutated metastatic NSCLC who have progressed on osimertinib | Osimertinib + aspirin | 100 | ORR | DCR, TTP, DOR |
NCT03861156110 | II | EGFR mutated locally advanced or metastatic NSCLC who have progressed on EGFR TKI and have a T790M mutation | D-0316 | 286 | ORR | PFS, OS, DOR, DCR, CNS response |
NCT03126799111 | II | Treatment naïve EGFR mutated advanced or metastatic NSCLC | Erlotinib + bevacizumab | 128 | PFS | ORR, OS |
NCT03904823112 | II | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | Famitinib + HS-10,296 | 58 | ORR | DOR, DCR, PFS, safety |
NCT02973763113 | I | EGFR mutated advanced NSCLC who have progressed on an EGFR TKI and have a T790M mutation | Alflutinib | 14 | Safety | PK, PD, ORR, DOR, PFS |
NCT03802240 (ORIENT-31)114 | III | EGFR mutated locally advanced or metastatic non-squamous NSCLC who have progressed on EGFR-TKI | Sintilimab ± IBI305 + pemetrexed + cisplatin | 600 | PFS | OS, ORR |
NCT03502850115 | I/II | EGFR mutated locally advanced or metastatic NSCLC who have progressed on EGFR-TKI | ASK120067 | 135 | ORR | Safety, PFS, DOR, DCR, OS, PK, PD |
NCT03807778116 | I/II | EGFR mutated, exon 20 locally advanced or metastatic NSCLC who have progressed on EGFR-TKI | TAK-788 | 63 | Safety | PK, PD, ORR, DOR, DCR, PFS, OS, QOL |
NCT03799094117 | III | EGFR mutated locally advanced or metastatic NSCLC | Vitamin C + EGFR TKI | 150 | PFS | OS, QOL |
NCT03769103118 | II | Treatment naïve EGFR mutated metastatic NSCLC with BM | Osimertinib + SRS | 76 | CNS PFS | CNS OS, time to SRS/WBRT, OS, QOL |
NCT04153799119 | I | EGFR mutated locally advanced or metastatic NSCLC | CXCR5 Modified EGFR CAR-T | 11 | Safety, ORR | PK, PD, DOR, PFS |
NCT03201146120 | I/II | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | Apatinib + pemetrexed + cisplatin or carboplatin | 48 | ORR | PFS, DCR, OS |
NCT02954523121 | I/II | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | Osimertinib + dasatinib | 10 | Safety | PK, PD, PFS, OS, DOR |
NCT03727724 (AFACET)122 | II | EGFR mutated, exon 20 locally advanced or metastatic NSCLC | Afatinib + cetuximab | 37 | DCR | ORR, safety, DOR, PFS, OS |
NCT02716311 (ACE-Lung)123 | II | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | Afatinib + cetuximab | 118 | TTF | Safety, ORR, OS, PFS |
NCT01897480 (Balise)124 | II | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC who have disease control after an 8-week lead-in with erlotinib | LY2875358 + erlotinib | 150 | PFS | ORR, DOR, OS, PK |
NCT02503722125 | I | EGFR mutated advanced or metastatic NSCLC who have progressed on osimertinib | Sapanisertib + osimertinib | 36 | Safety | PK, PD, ORR, DCR, PFS |
NCT03521154 (LAURA)126 | III | EGFR mutated stage III unresectable NSCLC | Osimertinib following chemoradiation | 200 | PFS | CNS PFS, OS, ORR, DOR, DCR, safety |
NCT02789345127 | I | EGFR mutated advanced NSCLC who have progressed on an EGFR TKI and have a T790M mutation | Osimertinib + ramucirumab or necitumumab | 74 | Safety | PK, PD, ORR, DCR, DOR, PFS, OS |
NCT04129502128 | III | Treatment naïve EGFR mutated, exon 20 locally advanced or metastatic NSCLC | TAK-788 | 318 | PFS | ORR, OS, DOR, DCR, QOL |
NCT03811054129 | II | EGFR mutated advanced or metastatic NSCLC with slow progression on an EGFR TKI | Apatinib + EGFR-TKI | 60 | ORR | DCR, OS, PFS, safety |
NCT03434418130 | II | Treatment naïve uncommon EGFR mutated locally advanced or metastatic NSCLC (exon 18 G719X, exon 20 S768I, or exon 21 L861Q) |
Osimertinib | 37 | ORR | PFS, safety, OS |
NCT04036682131 | I/IIA | EGFR mutated, exon 20 locally advanced or metastatic NSCLC previously treated with platinum based chemotherapy | CLN-081 | 80 | Safety | ORR, DOR, DCR, PFS, OS, PK, PD |
NCT04426825132 | II | EGFR mutated advanced or metastatic NSCLC previously treated with an EGFR TKI | Atezolizumab + bevacizumab | 60 | PFS | ORR, DOR, OS, safety |
NCT02820116133 | II | EGFR mutated stage IIIA - IIIB NSCLC | Neoadjuvant icotinib | 67 | CRR | ORR, DCR, PFS, OS, safety |
NCT03091491134 | II | EGFR mutated advanced or metastatic NSCLC who have progressed on an EGFR TKI | Nivolumab + ipilimumab | 184 | ORR | PFS, DOR, OS, safety |
NCT01982955 (INSIGHT)135 | IB/II | EGFR mutated advanced or metastatic MET positive NSCLC who have progressed on an EGFR TKI | Tepotinib + gefitinib | 70 | Safety | PFS, OS, ORR, DCR, PK, PD, QOL |
NCT04148898136 | II | EGFR mutated advanced or metastatic NSCLC with leptomeningeal metastasis | Osimertinib + bevacizumab | 80 | CNS PFS, ORR | CNS OS, PFS, safety |
NCT03603262137 | I | EGFR mutated advanced or metastatic NSCLC who have progressed on an EGFR TKI | SH-1028 | 85 | Safety, PK, PD | ORR, PFS, DCR, OS |
NCT02438722138 | II/III | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | Afatinib + cetuximab | 174 | PFS, OS | ORR, TTF, safety |
NCT04206072139 | II/III | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | D-0316 | 360 | PFS | ORR, DOR, DCR, OS, CNS PFS, safety |
NCT01405079140 | III | EGFR mutated stage II–IIIA (N1-N2) NSCLC | Gefitinib | 222 | DFS | OS, safety, QOL |
NCT02716116141 | I/II | EGFR/HER2 mutated locally advanced or metastatic NSCLC (also includes exon 20) | TAK-788 | 306 | ORR | PK, PD, DOR, DCR, PFS, OS |
NCT03755102142 | I | EGFR mutated advanced or metastatic NSCLC who have progressed on osimertinib | Dacomitinib + osimertinib | 24 | ORR | PFS, OS |
NCT03122717143 | I/II | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | Osimertinib + gefitinib | 64 | Safety | ORR, PFS, OS |
NCT04425681 (OWBLM)144 | II | EGFR mutated advanced or metastatic NSCLC with leptomeningeal metastasis | Osimertinib + bevacizumab | 20 | CNS PFS, ORR | CNS OS, PFS, safety |
NCT03396185145 | II | EGFR mutated stage IIIA-IIIB NSCLC | Icotinib following chemoradiation | 30 | RFS | OS, safety |
NCT03428022 (AFLC)146 | III | EGFR mutated advanced or metastatic NSCLC with slow progression on an EGFR TKI | Apatinib + EGFR-TKI | 54 | PFS | OS, ORR |
NCT04233021 (ORBITAL)147 | II | EGFR mutated advanced or metastatic NSCLC with brain or leptomeningeal metastasis | Osimertinib | 113 | ORR | OS, PFS, safety, QOL |
NCT04143607148 | III | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | ASK120067 | 334 | PFS | ORR, DOR, DCR, OS |
NCT04405674149 | II | EGFR mutated advanced or metastatic NSCC NSCLC who have progressed on an EGFR TKI | Tislelizumab + carboplatin + nab-paclitaxel | 66 | PFS | ORR, DCR, OS, DOR |
NCT03392246150 | II | Treatment naïve EGFR mutated locally advanced or metastatic NSCLC | Osimertinib + selumetinib | 25 | Best ORR | PFS, OS, safety |
NCT01553942 (ASCENT Trial)151 | II | Treatment naïve EGFR mutated stage III NSCLC | Afatinib + chemoradiation | 30 | ORR | PFS, safety, DCR |
NCT03823807152 | II | EGFR mutated advanced NSCLC who have progressed on an EGFR TKI and have a T790M mutation | SH-1028 | 300 | ORR | Safety, PK, PD, PFS, DOR, DCR, OS |
NCT04204473153 | I | EGFR mutated advanced or metastatic NSCLC who have progressed on an EGFR TKI | TY-9591 | 126 | Safety, ORR | PK, PD, PFS, DOR |
NCT04358562154 | II | EGFR mutated advanced NSCC NSCLC with uncleared plasma ctDNA EGFR mutation after progression on gefitinib | Gefitinib + anlotinib | 240 | PFS | OS, ORR, safety |
NCT02098954155 | II | EGFR mutated advanced or metastatic NSCLC who have progressed on an EGFR TKI | Erlotinib + gemcitabine + cisplatin | 40 | PFS | OS, ORR |
NCT03066206156 | II | EGFR mutated, exon 20 locally advanced or metastatic NSCLC | Poziotinib | 80 | ORR | DCR, PFS, OS, DOR, safety |
NCT01859026157 | I | EGFR or KRAS mutated advanced or metastatic NSCLC | MEK162 + erlotinib | 43 | Safety | PFS, OS |
NCT02520778158 | I | EGFR mutated advanced or metastatic NSCLC who have progressed on an EGFR TKI | Osimertinib + navitoclax | 50 | Safety | PK, PD, ORR |
NCT02824458159 | III | Treatment naïve EGFR mutated advanced or metastatic NSCC NSCLC | Gefitinib + apatinib | 346 | Safety, PFS | OS, ORR, DCR, DOR, QOL. PK, PD |
NCT03653546160 | II/III | Treatment naïve EGFR mutated advanced or metastatic NSCLC with CNS metastases | AZD3759 | 432 | PFS | CNS PFS, ORR, DCR, DOR, OS |
NCT0400783516 | II | EGFR mutated advanced or metastatic NSCLC who have progressed on an EGFR TKI | Anlotinib + EGFR TKI | 120 | PFS | ORR, DCR, OS, safety |
NCT03831932162 | I/II | EGFR mutated advanced or metastatic NSCLC who have progressed on an EGFR TKI | CB-839 + osimertinib | 53 | Safety, ORR | PFS,OS, PK, PD |
NCT00977470163 | II | Treatment naïve EGFR mutated advanced or metastatic NSCLC | Erlotinib + hydroxychloroquine | 76 | PFS | Safety, ORR, OS |
NCT03341494164 | II | Treatment naïve EGFR mutated advanced or metastatic NSCLC | Gefitinib + thalidomide | 128 | PFS | ORR, OS |
NCT02496663165 | I | EGFR mutated advanced or metastatic NSCLC who have progressed on an EGFR TKI | Osimertinib + necitumumab | 100 | Safety | ORR, PFS, DCR, PK, PD |
NCT01746251166 | II | EGFR mutated Stage I–III NSCLC | Afatinib (adjuvant) | 92 | RFS | Safety, OS |
NCT04181060167 | III | Treatment naïve EGFR mutated advanced or metastatic NSCLC | Osimertinib + bevacizumab | 300 | PFS | OS, ORR, time to CNS metastases, safety |
NCT02917993168 | I/II | EGFR mutated advanced or metastatic NSCLC who have progressed on an EGFR TKI | Itacitinib + osimertinib | 59 | Safety, ORR | PK, PD, PFS, OS |
NCT03983811169 | III | EGFR mutated Stage IIB-IIIA NSCLC | Icotinib + chemotherapy (adjuvant) | 174 | DFS | Safety |
NCT03260491170 | I | EGFR mutated advanced or metastatic NSCLC who have progressed on an EGFR TKI | U3-1402 | 198 | Safety, ORR | PK, PD, DCR, DOR, PFS, OS |
NCT04042558171 | II | Advanced or metastatic NSCLC who have progressed on a targeted therapy | Carboplatin + Pemetrexed + Atezolizumab + Bevacizumab | 149 | ORR | PFS, OS, DOR |
NCT02609776 (CHRYSALIS)172 | I | EGFR mutated advanced or metastatic NSCLC who have progressed on an EGFR TKI | Lazertinib | 460 | Safety, ORR | PK, PD, PFS, OS |
NCT03234712173 | I | Advanced solid tumors with overexpression EGFR | ABBV-321 | 120 | PK, PD | PFS, DOR, DCR, OS, ORR |
NCT01470716174 | II | EGFR mutated Stage II–IIIA NSCLC | Erlotinib (neoadjuvant) | 26 | PFS | ORR, OS, safety |
NCT03778229 (SAVANNAH)175 | II | EGFR mutated advanced or metastatic NSCLC who have progressed on osimertinib | Osimertinib + savolitinib | 192 | ORR | PFS, QOL, OS, safety, DOR |
NCT04201756176 | II | EGFR mutated Stage III resectable NSCLC | Afatinib (neoadjuvant) | 47 | ORR | DFS, OS, PFS, safety, QOL |
NCT03623750 (EPICAL)177 | IB | Treatment naïve advanced or metastatic NSCLC | Afatinib + EGF-PTI + cyclophosphamide | 30 | Safety | Clinical outcomes |
Abbreviations: BM, brain metastases; CAR-T, chimeric antigen receptor autologous T-Cells; CNS, central nervous system; CRR, complete resection rate; DCR, disease control rate; DFS, disease-free survival; DOR, duration of response; EGF-PTI, EGF pathway targeting immunization; EGFR, epidermal growth factor receptor; EFS, event-free survival; MET, mesenchymal-epithelial transition; MPR, major pathological response; NSCC, non-squamous cell carcinoma; NSCLC, non-small cell lung cancer; ORR, objective response rate; OS, overall survival; PCR, pathological complete response; PD, pharmacokinetics; PK, pharmacodynamics; PFS, progression-free survival; QOL, quality of life; SRS, stereotactic radiosurgery’ TKI, tyrosine kinase inhibitor; TOT, time on treatment; TTP, time to progression; TTF, time to treatment failure; WBRT, whole brain radiotherapy.