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AZD9291 Dosing

Phase 3

Lung Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Mar 4, 2024

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
UNCONTROLLEDBiomarker
Total Trials2
Total Enrollment3,273
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02997501T790M Plasma Testing Methodology Comparison and Clinical ValidationPHASE3 COMPLETED 256Dec 23, 2016Oct 24, 2018Mar 4, 20247 China
NCT02474355Real World Treatment Study of AZD9291 for Advanced/Metastatic EGFR T790M Mutation NSCLCPHASE3 COMPLETED 3,017Sep 18, 2015Apr 18, 2019Nov 11, 2021201 Argentina, Australia +14
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Study Endpoints
Primary Endpoints
Concordance
Up to 6 months

To evaluate concordance of T790M plasma mutation testing between the Cobas test and each of other platforms: Super-ARMS, digital PCR or NGS.

PFS Using Investigator Assessments According to RECIST v1.1
The time from first dose of AZD9291 in this study until the date of disease progression as recorded in CRF or death (by any cause in the absence of progression), assessed up to 18 months

To assess the efficacy of AZD9291 monotherapy by assessment of PFS in adult patients with advanced or metastatic NSCLC, who have received prior EGFR- TKI therapy and are T790M mutation positive detected by any one of the four plasma testing platforms. PFS was defined using Response Evaluation Criteria In Solid Tumors version 1.1(RECIST v1.1).

Overall Survival (OS)
From the date of first dose of Osimertinib until the date of death (due to any cause) or last participant contact [up to 43 months]

OS was defined as the time, in months from the date of first dose of Osimertinib until death due to any cause, or at last documented contact with participant status "alive" (in this study any participants alive at study discontinuation, or lost to follow-up was considered being censored at study discontinuation date or at the last known date participant was alive). OS was summarized using a Kaplan-Meier (KM) estimate of the median time to death or censoring together with their 95% confidence intervals.

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
From screening to progression follow-up [every 6 weeks +/- 1 week] relative to the date of enrolment until the end of study [up to 43 months]

Safety assessment of Osimertinib was analyzed by evaluating AEs and SAEs.

Secondary Endpoints
Testing Sensitivity, Specificity, PPV, NPV
Up to 6 months.
Overall Response Rate (ORR)
From first patient first CT scan for RECIST assessment, till the last patient last CT scan, up to 22 months.
75% OS Duration
From first patient signed the consent to study completion, up to 22 months.
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeOTHER
Treatment Arms
ArmTypeDescription
AZD9291EXPERIMENTALSingle arm of AZD9291, starting dose of 80mg
Interventions
NameTypeDescription
T790M+ TestingPROCEDUREThe patient will need to have T790M+ testing
Baseline Visit Blood & Urine TestingPROCEDUREBlood count and standard chemistry testing to ensure patient meets inclusion/exclusion criteria
Baseline ECGPROCEDUREECG to ensure absence of any cardiac abnormality
Visual Slit-Lamp TestingPROCEDURESlit-lamp testing performed to ensure patients do not have any eye abnormalities or symptoms
AZD9291 DosingDRUGPatients to be provided with AZD9291 every 6 weeks (+/- 7 days)
Plasma AZD9291 testingPROCEDUREThe patient will need to have plasma AZD9291 testing before treatment
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Eligibility Criteria
Age Range18 Years — 130 Years
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: 1. Provision of informed consent prior to any study specific procedures. 2. Adults (according to China regulations for age of majority) 3. Histological or cytological confirmed locally advanced NSCLC (stage IIIB) or metastatic (stage IV) NSCLC, not amenable to curative surgery o...

Countries:ChinaArgentinaAustraliaAustriaBelgiumBrazilCanadaDenmarkIrelandItalySaudi ArabiaSouth KoreaSpainSwedenTaiwanUnited Kingdom
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