A Study of 5 Years of Adjuvant Osimertinib in Completely Resected Epidermal Growth Factor Receptor Mutation (EGFRm) Non-small Cell Lung Carcinoma (NSCLC)
This study is investigating a new use for a drug called osimertinib. It's for people in the UK who have had a specific type of lung cancer (Non-Small Cell Lung Carcinoma) removed by surgery. This cancer must also have a particular genetic change called an EGFR mutation. The main goal is to find out how well osimertinib works and if it's safe to take for 5 years after surgery. The hope is that taking this medicine will help stop the cancer from returning. This is a Phase 2 study, which means it builds on earlier research and aims to learn more about the drug's effects in a larger group of people.
At a glance
What is this study about?
Imagine you or someone you know has had a type of lung cancer called Non-Small Cell Lung Carcinoma (NSCLC) that's been successfully removed with an operation. This study is looking at whether a specific medicine, called osimertinib, can help prevent the cancer from coming back after surgery. It's for people whose cancer has a particular genetic feature known as an Epidermal Growth Factor Receptor mutation (EGFRm). Doctors often look for these genetic changes because they can guide which treatments might work best.
After surgery, some people might also have chemotherapy to try and kill any remaining cancer cells. This study wants to see if adding osimertinib to this process, or taking it after surgery if chemotherapy wasn't needed, can offer extra protection. The researchers want to understand if taking this medicine every day for five years makes a difference in keeping the cancer away.
The study is called a 'Phase 2 open-label study'. 'Phase 2' means it's one of the earlier stages of drug testing in people, focusing on safety and how well the drug works. 'Open-label' means that both the patient and their doctor will know they are receiving osimertinib. The goal is to gather more information about how effective and safe osimertinib is for this specific situation, helping doctors understand if it could become a standard treatment option in the future.
Key takeaways
- This study is for a specific type of lung cancer (NSCLC) that has an EGFR genetic change.
- The cancer must have been completely removed by surgery.
- The study explores taking the drug osimertinib for 5 years after surgery to prevent cancer recurrence.
- It's a Phase 2 study, focused on understanding how well osimertinib works and its safety.
- Participation involves regular clinic visits, taking daily medication, and close monitoring.
- You can stop participating at any time without affecting your standard care.
Who may be eligible?
To join this study, you would generally need to be at least 18 years old and have a specific type of lung cancer (NSCLC) confirmed by a biopsy. Crucially, your cancer must have a particular genetic change called an EGFR mutation, which your doctors will be able to test for. You must also have had an operation that completely removed your lung tumour, meaning no cancer was left behind after surgery. Your doctors will have classified your cancer as Stage II, IIIA, or IIIB based on what they found during the operation.
It’s also important that you've recovered well from your surgery and any other treatments you might have had, like chemotherapy, before starting the study medicine. Your general health should be good, often described by doctors as a 'performance status' of 0 or 1, meaning you’re able to carry out most daily activities without too much difficulty.
There are also some reasons why you might not be able to join. For example, if you've recently had other major surgery (besides the lung tumour removal), are taking certain strong medicines or herbal supplements, or have a history of other serious cancers (except for easily treated skin cancers). Women who could become pregnant would need to use effective birth control and have a negative pregnancy test, and men would also need to use effective barrier contraception during the study.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you at least 18 years old?
- Have you been diagnosed with Non-Small Cell Lung Carcinoma (NSCLC) that's Stage II, IIIA, or IIIB?
- Does your cancer have a specific genetic change called an EGFR mutation?
- Has your lung tumour been completely removed by surgery?
- Have you recovered well from your surgery and any other treatments?
- Are you in good general health (performance status 0 or 1)?
What does participation involve?
If you take part in this study, you would receive the study medicine, osimertinib, as tablets. You would take this medication every day for a total of five years. You'll have regular visits to the hospital for checks to see how you're doing and if the medicine is working. These visits will also involve safety checks, such as blood tests and possibly scans, to make sure you're tolerating the treatment well.
During your time in the study, doctors and nurses will closely monitor your health and any side effects you might experience. After the 5 years of taking the medication, there will still be follow-up appointments to continue monitoring your health and the long-term effects. The total duration of active treatment is 5 years, but follow-up could extend beyond that to understand the longer-term benefits.
Potential risks and benefits
Locations (56)
- Research SiteVerified postcodeSanta Rosa, United States
- Research SiteVerified postcodeLas Vegas, United States
- Research SiteVerified postcodeWhite Plains, United States
- Research SiteVerified postcodeHong Kong, Hong Kong
- Research SiteVerified postcodeHong Kong, Hong Kong
- Research SiteVerified postcodeHong Kong, Hong Kong
- Research SiteVerified postcodeAvellino, Italy
- Research SiteVerified postcodeBrescia, Italy
- Research SiteVerified postcodeLecce, Italy
- Research SiteVerified postcodeMilan, Italy
- Research SiteVerified postcodeNaples, Italy
- Research SiteVerified postcodePalermo, Italy
Common questions
What is NSCLC?
NSCLC stands for Non-Small Cell Lung Carcinoma, which is the most common type of lung cancer.
What is an EGFR mutation?
EGFR mutation refers to a specific genetic change in the cancer cells that can make them grow. This study is for people whose cancer has this specific change.
What does 'adjuvant' mean?
'Adjuvant' treatment means giving a medicine after the main treatment (like surgery) to try and prevent the cancer from returning.
How is osimertinib taken?
Osimertinib is taken as tablets, usually once a day, for a period of five years in this study.
What does 'Phase 2' mean for a study?
A Phase 2 study explores if a new therapy is effective and safe in a larger group of people after initial testing. It helps gather more information before potentially moving to bigger studies.
How to find out more
Always speak to your GP or specialist before deciding to take part in a study.
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