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AZD9291 /

Phase 3

Stage IB-IIIA Non-small Cell Lung Carcinoma | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Mar 30, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment682
FDA Designations
PRIORITY_REVIEW
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02511106AZD9291 Versus Placebo in Patients With Stage IB-IIIA Non-small Cell Lung Carcinoma, Following Complete Tumour Resection With or Without Adjuvant Chemotherapy.PHASE3 ACTIVE NOT_RECRUITING 682Oct 21, 2015Jan 31, 2029Mar 30, 2026238 United States, Australia +23
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Study Endpoints
Primary Endpoints
Assess the Efficacy of AZD9291 Compared to Placebo as Measured by Disease Free Survival (DFS).
Up to approximately 5 years after the first patient is randomized (maximum follow up of 70 months)

Defined as the time from the date of randomization until the date of disease recurrence or death (by any cause in the absence of recurrence).

Secondary Endpoints
Disease Free Survival (DFS) Rate at 2, 3 and 5 Years
Up to approximately 5 years after the first patient is randomized (maximum follow up of 70 months). DFS rate at 2 years (%), 3 years (%) and 5 years (%) are presented.
Overall Survival (OS)
Up to approximately 7 years after the first patient is randomized (maximum follow up of 86 months)
Overall Survival Rate at 2, 3 and 5 Years
Up to approximately 7 years after the first patient is randomized (maximum follow up of 86 months). OS rate at 2 years (%), 3 years (%) and 5 years (%) are presented.
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
AZD9291EXPERIMENTALAZD9291 (80 mg or 40 mg orally, once daily), in accordance with the randomization schedule.
Placebo AZD9291PLACEBO_COMPARATORMatching placebo for AZD9291 (80 mg or 40 mg orally, once daily), in accordance with the randomization schedule.
Interventions
NameTypeDescription
AZD9291 80 mg/40 mgDRUGThe initial dose of AZD9291 80 mg once daily can be reduced to 40 mg once daily.
Placebo AZD9291 80 mg/40 mgDRUGThe initial dose of Placebo AZD9291 80 mg once daily can be reduced to 40 mg once daily.
Open-label AZD9291 80 mg/40 mgDRUGEligible patients will be offered open-label osimertinib upon recurrence and in the absence of intervening systemic anti-cancer therapy.
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Eligibility Criteria
Age Range18 Years — 130 Years
SexALL
Healthy VolunteersNo
Study Sites238

Inclusion Criteria: 1. Male or female, aged at least 18 years. 2. Histologically confirmed diagnosis of primary non small lung cancer (NSCLC) on predominantly non-squamous histology 3. MRI or CT scan of the brain must be done prior to surgery as it is considered standard of care. 4. Patients must b...

Countries:United StatesAustraliaBelgiumBrazilCanadaChinaFranceGermanyHong KongHungaryIsraelItalyJapanNetherlandsPolandRomaniaRussiaSouth KoreaSpainSwedenTaiwanThailandTurkey (Türkiye)UkraineVietnam
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT02511106primaryCompletionDate: changed
LOWMay 24, 2026NCT02511106studyFirstPostDate: changed