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PHASE III, OPEN-LABEL, RANDOMIZED STUDY OF OSIMERTINIB WITH OR WITHOUT PLATINUM PLUS PEMETREXED CHEMOTHERAPY, AS FIRST-LINE TREATMENT IN PATIENTS WITH EPIDERMAL GROWTH FACTOR RECEPTOR (EGFR) MUTATION - POSITIVE, LOCALLY ADVANCED OR METASTATIC NON-SMALL CELL LUNG CANCER (FLAURA2)

Not Applicable
Conditions
-C349 Bronchus or lung, unspecified
Bronchus or lung, unspecified
C349
Registration Number
PER-025-20
Lead Sponsor
AstraZeneca AB,
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1 Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. 2 Provision of signed and dated, written informed consent form prior to any mandatory study-specific procedures, sampling, and analyses. 3 For patients who agree to the optional genetic testing, provision of signed and dated genetic testing section of the written Main ICF prior to collection of a sample for genetic analysis for inclusion in the optional genetic research as allowed by local regulations. 4 Male or female, at least 18 years of age; patients from Japan at least 20 years of age. 5 Pathologically confirmed nonsquamous NSCLC 6 Newly diagnosed locally advanced (clinical stage IIIB, IIIC) or metastatic NSCLC (clinical stage IVA or IVB) or recurrent NSCLC (per Version 8 of the International Association for the Study of Lung Cancer [IASLC] Staging Manual in Thoracic Oncology), not amenable to curative surgery or radiotherapy. 7 The tumor harbors 1 of the 2 common EGFR mutations known to be associated with EGFR-TKI sensitivity (Ex19del or L858R), either alone or in combination with other EGFR mutations, which may include T790M, assessed by a CLIA-certified (US sites) or an accredited (outside of the US) local laboratory or by central prospective tissue testing.

Exclusion Criteria

1 Spinal cord compression; symptomatic and unstable brain metastases, except for those patients who have completed definitive therapy, are not on steroids, and have a stable neurological status for at least 2 weeks after completion of the definitive therapy and steroids. Patients with asymptomatic brain metastases can be eligible for inclusion if in the opinion of the Investigator immediate definitive treatment is not indicated. 2 Past medical history of ILD, drug-induced ILD, radiation pneumonitis that required steroid treatment, or any evidence of clinically active ILD. 3 Any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension and active bleeding diatheses, which in the Investigator’s opinion makes it undesirable for the patient to participate in the trial or which would jeopardize compliance with the protocol, or active infection including hepatitis B, hepatitis C and human immunodeficiency virus (HIV). Screening for chronic conditions is not required.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br>Outcome name:PFS using Investigator assessment as defined by RECIST 1.1; Sensitivity analysis of PFS using BICR assessment as defined by RECIST 1.1<br>PFS=progression-free survival<br>RECIST=Response Evaluation Criteria in Solid Tumors<br>BICR=blinded independent central review<br>Measure:To assess the efficacy of osimertinib plus chemotherapy treatment compared with osimertinib<br>Timepoints:Every 6 then every 12 weeks.<br>
Secondary Outcome Measures
NameTimeMethod
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