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Clinical Trials List

Protocol NumberD5160C00022
NCT Number(ClinicalTrials.gov Identfier)NCT02474355

2016-01-01 - 2019-08-31

Phase III

Terminated8

ICD-10C34

Malignant neoplasm of bronchus and lung

ICD-9162.9

Malignant neoplasm of bronchus and lung, unspecified

An international, randomised, multi-centre, active controlled, open-label Phase III study evaluating the efficacy of in patients with T790M-positive locally advanced or metastatic non-small cell lung cancer (NSCLC) whose disease progressed on one epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) treatment

  • Trial Applicant

    PAREXEL INTERNATIONAL CO., LTD.

  • Sponsor

    AstraZeneca AB

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/11/11

Investigators and Locations

Principal Investigator Inn-Wen Chong Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Wu-Chou Su Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Audit

None

Principal Investigator 褚乃銘 Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Yuh-Min Chen Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

19 Stop recruiting

Audit

None

Principal Investigator 林孟志 Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Cheng-Ta Yang Division of Hematology & Oncology
Linkou Chang Gung Medical Foundation

Taiwan National PI

楊政達

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

26 Stop recruiting

Audit

None

Principal Investigator Inn-Wen Chong 未分科

Co-Principal Investigator

Audit

CRO

Principal Investigator Chong-Jen Yu Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Audit

None

Principal Investigator Gee-chen Chang

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Condition/Disease

Non-Small Cell Lung Cancer (NSCLC)

Objectives

To investigate the efficacy and safety of standard platinum doublet chemotherapy as a second line treatment for patients with locally advanced or metastatic NSCLC whose disease progressed on or after one prior 1st line EGFR-TKI therapy and whose tumours carry at least one EGFR activating mutation and a T790M mutation versus standard platinum doublet chemotherapy

Test Drug

AZD9291

Active Ingredient

AZD9291

Dosage Form

tablet
tablet

Dosage

40
80

Endpoints

To investigate the efficacy and safety of standard platinum doublet chemotherapy as a second line treatment for patients with
locally advanced or metastatic NSCLC whose disease progressed on or after one prior 1st line EGFR-TKI therapy and whose tumours carry at least one EGFR activating mutation and a T790M mutation versus standard platinum doublet chemotherapy

Inclution Criteria

1. Main inclusion criteria:
1. Pathologically confirmed diagnosis of adenocarcinoma of the lung.
Patients with mixed histology are eligible if adenocarcinoma is the
predominant histology.
2. Locally advanced stage IIIb or metastatic stage IV NSCLC

Exclusion Criteria

1. More than one line of prior therapy for locally advanced stage IIIb or
metastatic stage IV NSCLC.
a. Radiotherapy alone is not counted as a line of therapy
b. Radiosensitisers and/or intrapleural administration of anti-cancer agents
are not counted as a line of therapy
2. Previous treatment with BI 1482694, or other 3rd generation EGFR
inhibiting drugs that target T790M-positive mutant EGFR (e.g. AZD9291,
CO-1686).
3. Previous treatment with an approved 1st or 2nd generation EGFR-TKI i.e.
erlotinib, gefitinib, and afatinib within 8 days or 5 half-lives, whichever is
longer, prior to randomisation. Treatment with an approved 1st or 2nd
generation EGFR-TKI during screening is allowed as long as the washout
period of 8 days or 5 half-lives is guaranteed.
4. Previous chemotherapy and experimental anticancer therapy within 4
weeks, anticancer immunotherapy within 2 weeks, or anticancer hormonal
treatment within 2 weeks, of the first administration of study drug.
5. Radiotherapy within 4 weeks prior to randomisation except as follows;
a. Palliative radiotherapy to regions other than the chest is allowed up to 2
weeks prior to randomisation
b. Single dose palliative radiotherapy for symptomatic metastasis within 2
weeks prior to randomisation may be allowed but must be discussed with the
sponsor Major surgery within 4 weeks prior to randomisation or scheduled during
the projected course of the study.

The Estimated Number of Participants

  • Taiwan

    189 participants

  • Global

    3500 participants