for people ages 18-100 (full criteria)
at San Francisco, California and other locations
study started
completion around



This is a Phase III, randomised, controlled, 3-arm, multi-centre study of neoadjuvant osimertinib as monotherapy or in combination with chemotherapy, versus SoC chemotherapy alone, for the treatment of patients with resectable EGFRm Non-Small Cell Lung Cancer

Official Title

A Phase III, Randomised, Controlled, Multi-center, 3-Arm Study of Neoadjuvant Osimertinib as Monotherapy or in Combination With Chemotherapy Versus Standard of Care Chemotherapy Alone for the Treatment of Patients With Epidermal Growth Factor Receptor Mutation Positive, Resectable Non-small Cell Lung Cancer


Non-Small Cell Lung Cancer, Resectable; NSCLC; Osimertinib; EGFRm Positive; Neoadjuvant; Adjuvant, Lung Neoplasms, Non-Small-Cell Lung Carcinoma, Carboplatin, Pemetrexed, Osimertinib, Cisplatin, Osimertinib monotherapy


You can join if…

Open to people ages 18-100

  • Male or female, at least 18 years of age. For patients aged <20 years and enrolled in Japan, a written informed consent should be obtained from the patient and his or her legally acceptable representative
  • Histologically or cytologically documented non-squamous NSCLC with completely resectable (Stage II - IIIB N2) disease (according to Version 8 of the IASLC Cancer Staging Manual [IASLC Staging Manual in Thoracic Oncology 2016]).
  • Complete surgical resection of the primary NSCLC must be deemed achievable, as assessed by a MDT evaluation (which should include a thoracic surgeon, specialised in oncologic procedures).
  • Eastern Cooperative Oncology Group (ECOG) PS of 0 or 1 at enrolment, with no deterioration over the previous 2 weeks prior to baseline or day of first dosing
  • A tumour which harbours one of the 2 common EGFR mutations known to be associated with EGFR-TKI sensitivity (Ex19del, L858R), either alone or in combination with other EGFR mutations (eg., T790M, G719X, Exon20 insertions, S7681 and L861Q).

You CAN'T join if...

  • Past medical history of ILD, drug-induced ILD, radiation pneumonitis which required steroid treatment, or any evidence of clinically active ILD.
  • History of another primary malignancy (including any known or suspected synchronous primary lung cancer), except for the following: Malignancy treated with curative intent and with no known active disease ≥2 years before the first dose of investigational product (IP) and of low potential risk for recurrence; Adequately treated non-melanoma skin cancer or lentigo malignancy without evidence of disease; Adequately treated carcinoma in situ without evidence of disease; Any synchronous Stage IA primary lung cancer that is ≤2 cm and planned to be resected during surgery for the Stage II to IIIB N2 lung tumour.
  • Patients who have pre-operative radiotherapy treatment as part of their care plan
  • Mixed small cell and NSCLC histology
  • Stages I, IIIB N3, IIIC, IVA, and IVB NSCLC
  • T4 tumours infiltrating the great vessels, the carina, the trachea, the oesophagus, the heart, and/or the vertebral body; and/or any bulky N2 disease.
  • Patients who are candidates to undergo only segmentectomies or wedge resections
  • Prior treatment with any systemic anti-cancer therapy for NSCLC including chemotherapy, biologic therapy, immunotherapy, or any investigational drug
  • Prior treatment with EGFR-TKI therapy
  • Current use of (or unable to stop use prior to receiving the first dose of study treatment) medications or herbal supplements known to be strong inducers of cytochrome P450 (CYP) 3A4 (at least 3 weeks prior)


  • Research Site in progress, not accepting new patients
    San Francisco California 94143 United States
  • Research Site in progress, not accepting new patients
    Santa Rosa California 95403 United States
  • Research Site accepting new patients
    Sakai-shi 591-8555 Japan
  • Research Site in progress, not accepting new patients
    Sendai-shi 980-0873 Japan
  • Research Site in progress, not accepting new patients
    Shinjuku-ku 160-0023 Japan
  • Research Site in progress, not accepting new patients
    Sunto-gun 411-8777 Japan
  • Research Site in progress, not accepting new patients
    Yokohama-shi 241-8515 Japan
  • Research Site accepting new patients
    Santiago 7500921 Chile
  • Research Site withdrawn
    Santiago 7520349 Chile
  • Research Site withdrawn
    Viña del Mar 2540488 Chile


accepting new patients at some sites,
but this study is not currently recruiting here
Start Date
Completion Date
Phase 3 research study
Study Type
Expecting 328 study participants
Last Updated