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Cross-over to Osimertinib

Phase 3

Anticancer Treatment | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Jan 7, 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment421

FDA Designations

PRIORITY_REVIEW

Clinical trial landscape

Cross-over to Osimertinib · 1 trial · 1 indication

Phase 3 1
NCT02151981AZD9291 (Osimertinib) Versus Platinum-Based Doublet-Chemotherapy in Locally Advanced or Metastatic Non-Small Cell Lung CancerAnticancer Treatment
COMPLETED421 Analytics
PHASE3COMPLETED
AZD9291 (Osimertinib) Versus Platinum-Based Doublet-Chemotherapy in Locally Advanced or Metastatic Non-Small Cell Lung Cancer
Anticancer TreatmentUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS) by Investigator Assessment
RECIST tumour assessments every 6 weeks from randomisation until objective disease progression up to 19 months (at the time of the primary PFS analysis).

Per Response Evaluation Criteria in Solid Tumours (RECIST v1.1) assessed by MRI or CT: Progressive Disease (PD): \>= 20% increase in the sum of diameters of TLs and an absolute increase in sum of diameters of \>=5mm (compared to the previous minimum sum) or progression of NTLs or a new lesion. PFS is the time from date of randomisation until the date of PD (by investigator assessment) or death (by any cause in the absence of progression) regardless of whether the patient withdrew from randomised therapy or received another anti-cancer therapy prior to progression. Patients who had not progressed or died at the time of analysis were censored at the time of the latest date of assessment from their last evaluable RECIST 1.1 assessment.

Secondary Endpoints

Objective Response Rate (ORR) by Investigator Assessment
RECIST tumour assessments every 6 weeks from randomisation until objective disease progression up to 19 months (at the time of the primary PFS analysis).
Duration of Response (DoR) by Investigator Assessment
RECIST tumour assessments every 6 weeks from randomisation until objective disease progression up to 19 months (at the time of the primary PFS analysis).
Disease Control Rate (DCR) by Investigator Assessment
RECIST tumour assessments every 6 weeks from randomisation until objective disease progression up to 19 months (at the time of the primary PFS analysis).
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
OsimertinibEXPERIMENTALOsimertinib 80 mg, orally, once daily
Platinum-based doublet chemotherapyACTIVE_COMPARATORpemetrexed 500mg/m2 + carboplatin AUC5 or pemetrexed 500mg/m2 + cisplatin 75mg/m2

Interventions

NameTypeDescription
ChemotherapyDRUGRandomization to either Osimertinib or platinum-based doublet-chemotherapy on Day 1 of every 21d cycle in a 2:1 (Osimertinib:platinum-based doublet-chemotherapy) ratio
Cross-over to OsimertinibDRUGOnce subjects on the platinum-based doublet chemotherapy arm are determined to have objective radiological progression according to RECIST 1.1 by the investigator and confirmed by independent central imaging review, they will be given the opportunity to begin treatment with Osimertinib 80mg, once daily. These subjects may continue treatment with Osimertinib even after disease progression, as long as they are continuing to show clinical benefit, as judged by the investigator. Subjects who stop platinum-based doublet chemotherapy for reasons other than objective disease progression according to RECIST 1.1 will not be eligible to cross-over to Osimertinib.
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Eligibility Criteria

Age Range18 Years to 130 Years
SexALL
Healthy VolunteersNo
Study Sites150

Inclusion Criteria: * Subjects with histologically or cytologically documented NSCLC. * Locally advanced or metastatic NSCLC * Radiological documentation of disease progression following 1st line EGFR TKI Treatment without any further treatment * Eligible to receive treatment with the selected doub...

Countries:United StatesAustraliaCanadaChinaFranceGermanyHong KongHungaryItalyJapanMexicoNetherlandsRussiaSouth KoreaSpainSwedenTaiwanUnited Kingdom
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Frequently asked questions about Cross-over to Osimertinib

What is Cross-over to Osimertinib used for?

Cross-over to Osimertinib is an investigational small molecule being developed for anticancer treatment. It is being studied in patients with locally advanced or metastatic non-small cell lung cancer. The drug is currently in Phase 3 clinical development and has received FDA Priority Review designation.

Who makes Cross-over to Osimertinib?

Cross-over to Osimertinib is developed by AstraZeneca PLC, a biopharmaceutical company traded on the stock exchange under the ticker AZN. The company is conducting clinical trials to evaluate the drug's safety and efficacy in oncology.

What phase is Cross-over to Osimertinib in?

Cross-over to Osimertinib is in Phase 3 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. The drug has received FDA Priority Review designation, which is granted to therapies that may offer significant improvements over existing treatments.

What clinical trials is Cross-over to Osimertinib in?

Cross-over to Osimertinib is being evaluated in a Phase 3 clinical trial with the identifier NCT02151981. This completed trial enrolled 421 participants and compared the drug against platinum-based doublet chemotherapy in patients with locally advanced or metastatic non-small cell lung cancer.

Is Cross-over to Osimertinib the same as AZD9291?

Yes, Cross-over to Osimertinib is also known as AZD9291. The clinical trial NCT02151981, which evaluates this drug, is titled 'AZD9291 (Osimertinib) Versus Platinum-Based Doublet-Chemotherapy in Locally Advanced or Metastatic Non-Small Cell Lung Cancer.'