Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| 2022-502606-33-00 | Registry Identifier | CTIS (EU) | |
| 2020-000058-89 | EudraCT Number |
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This is a Phase III, randomised, controlled, 3-arm, multi-centre study of neoadjuvant osimertinib as monotherapy or in combination with chemotherapy, versus SoC chemotherapy alone, for the treatment of patients with resectable EGFRm Non-Small Cell Lung Cancer
Not provided
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1: Placebo with platinum-based chemotherapy | Placebo Comparator | Placebo plus investigator's choice of platinum-based standard of care chemotherapy (pemetrexed/carboplatin or pemetrexed/cisplatin) |
|
| Arm 2: Osimertinib with platinum-based chemotherapy | Experimental | Osimertinib 80 mg QD (Dose may be reduced to 40 mg QD at the discretion of the investigator) plus investigator's choice of platinum-based standard of care chemotherapy (pemetrexed/carboplatin or pemetrexed/cisplatin) |
|
| Arm 3: Osimertinib monotherapy | Experimental | Osimertinib 80 mg QD (Dose may be reduced to 40 mg QD at the discretion of the investigator) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Osimertinib | Drug | Oral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Major Pathological Response (MPR) - IASLC Method | Defined as ≤10% viable cancer cells in the surgical specimen, as assessed per central pathology laboratory post-surgery (IASLC method). Patients will only be considered to have an MPR if they also have an R0 margin result. | From date of randomization to an average of 12 weeks after the first dose |
| Major Pathological Response (MPR) - Chemotherapy Method | Defined as ≤10% viable cancer cells in the surgical specimen, as assessed per central pathology laboratory post-surgery (chemotherapy method). Patients will only be considered to have an MPR if they also have an R0 margin result. | From date of randomization to an average of 12 weeks after the first dose |
| Measure | Description | Time Frame |
|---|---|---|
| Pathological Complete Response (pCR) - IASLC Method | Defined as absence of any viable cancer cells in the dissected tumour samples, including the main tumour, lymph nodes, and margins as assessed per central pathology laboratory post-surgery using IASLC method. Patients will only be considered to have pCR if they also have an R0 margin result based on site assessment. | From date of randomization to an average of 12 weeks after the first dose |
Not provided
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jamie Chaft, MD | Memorial Sloan Kettering, USA | Principal Investigator |
| Masahiro Tsuboi, MD | National Cancer Center Hospital East, Japan | Principal Investigator |
| Walter Weder, MD | Thoraxchirurgie Bethanien, Switzerland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Duarte | California | 91010 | United States | ||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40454705 | Derived | He J, Tsuboi M, Weder W, Chen KN, Hochmair MJ, Shih JY, Lee SY, Lee KY, Nhung NV, Saeteng S, Liu L, Xing L, Gia NH, Murakami S, Han Y, Saavedra MP, Yoon SH, Teixeira CHA, Escriu C, Martinez-Marti A, Blakely CM, Yatabe Y, Dacic S, Rukazenkov Y, Huang X, Dayal A, Chaft JE; NeoADAURA Investigators. Neoadjuvant Osimertinib for Resectable EGFR-Mutated Non-Small Cell Lung Cancer. J Clin Oncol. 2025 Sep 10;43(26):2875-2887. doi: 10.1200/JCO-25-00883. Epub 2025 Jun 2. | |
| 40311309 |
| Label | URL |
|---|---|
| Clinical Study Protocol\_Redacted | View source |
Not provided
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool. Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
All participants completed a pre-screening and screening period during which EGFR mutation type, disease stage, and inclusion/exclusion criteria were assessed, clinical laboratories, and radiological assessment were administered. Prior to randomization, the Investigator decided which chemotherapy regimen (carboplatin/pemetrexed or cisplatin/pemetrexed) a patient will receive in the event of randomization to a chemotherapy containing treatment arm.
This Phase III, randomized, controlled, 3-arm, multi-center study was conducted in patients with resectable EGFRm NSCLC. A total of 1044 participants were screened between 16DEC2020 and 08DEC2023. 358 were randomized in a 1:1:1 ratio to 3 study arms. 2 participants were randomized to Osi + Chemo arm but did not receive any treatment (2 withdrawn).
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Osimertinib + Chemo | Osimertinib 80 mg QD + investigator's choice of chemotherapy (carboplatin AUC5 + pemetrexed 500 mg/m2 or cisplatin 75 mg/m2 + pemetrexed 500 mg/m2) |
| FG001 | Osimertinib |
| Title | Milestones | Reasons Not Completed | ||||
|---|---|---|---|---|---|---|
| Overall Study |
|
Not provided
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Dec 8, 2023 | Nov 27, 2025 |
Not provided
Not provided
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Not provided
The two arms with SoC chemotherapy (placebo plus chemotherapy versus osimertinib plus chemotherapy) will be double-blinded and placebo-controlled.
Osimertinib monotherapy arm will be open label, sponsor-blind.
| Cisplatin | Drug | Cisplatin (75mg/m2) to be administered with pemetrexed on Day 1 of every 3-week cycle for 3 cycles. |
|
| Carboplatin | Drug | Carboplatin (AUC5) to be administered with pemetrexed on Day 1 of every 3-week cycle for 3 cycles |
|
| Placebo | Drug | Oral |
|
| Pemetrexed | Drug | Pemetrexed (500 mg/m2) to be administered with cisplatin or carboplatin on Day 1 of every 3-week cycle for 3 cycles |
|
| Pathological Complete Response (pCR) - Chemotherapy Method | Defined as absence of any viable cancer cells in the dissected tumour samples, including the main tumour, lymph nodes, and margins as assessed per central pathology laboratory post-surgery using chemotherapy method. Patients will only be considered to have pCR if they also have an R0 margin result based on site assessment. | From date of randomization to an average of 12 weeks after the first dose |
| Downstaging | Measured using pathologic mediastinal lymph node evaluation. Pathological downstaging is defined as baseline N2 patients becoming N1/N0 or N1 to N0 at the time of surgery. Only patients with pathological staging at both baseline and surgery are included in this analysis. | From date of randomization to an average of 12 weeks after the first dose. |
| Concordance of EGFRm Status Between Tumor Tissue DNA and Patient-matched Plasma-derived ctDNA (Mutation Ex19Del or L858R) | Comparing the baseline central cobas® EGFR Mutation Test V2 between tumor tissue DNA and matched plasma ctDNA results (excluding invalid results). Since this endpoint uses pre-randomization data, treatment arms were combined for the analysis. | Screening/Baseline |
| Concordance of EGFR Mutation Status Between the Local and Central Test Results From Baseline Tumor Samples (Mutation Ex19Del or L858R) | Comparing the local EGFR mutation test result used for patient selection with the retrospective baseline central cobas® EGFR Mutation Test V2 results (excluding invalid results). Since this endpoint uses pre-randomization data, treatment arms were combined for the analysis. | Screening/Baseline |
| Change From Baseline in EORTC QLQ-C30 Primary Subscale Scores (Neoadjuvant Period) | Average change from baseline across all visits are reported. The analysis was performed using a MMRM analysis on the change from baseline in the score at each visit, including subject (random effect), treatment, visit (fixed effect & repeated measure) and treatment by visit interaction as explanatory variables, with the baseline score as a covariate along with the baseline score by assessment interaction. EORTC QLQ-C30 has 30 questions and questions are combined to produce symptom scales, individual symptom items, functional scales, and global health status (GHS)/quality of life (QoL). Each of the scale/items range from 0-100 after a linear transformation. Positive change from baseline scores on the GHS/QoL and functioning scales indicate improvement on health status/function, and negative change scores on symptom scales/items represent less symptom severity/improvement on symptom status. | Assessed at baseline, Cycle 2 Day1, Cycle 3 Day1, and Pre-surgical assessment (on D64, -1 to +21 days ). |
| Change From Baseline in EORTC QLQ-LC13 Primary Subscale Scores (Neoadjuvant Period) | Average change from baseline across all visits are reported. The analysis was performed using a MMRM analysis on the change from baseline in the score at each visit, including subject (as a random effect), treatment, visit (as fixed effect and repeated measure) and treatment by visit interaction as explanatory variables, with the baseline score as a covariate along with the baseline score by assessment interaction. EORTC QLQ-LC13 has 13 questions and scores range from 0-100 after a linear transformation. Questions assess cough, hemoptysis, dyspnea, site specific pain, sore mouth, dysphagia, peripheral neuropathy, and alopecia and pain medication. While the QLQ-LC13 includes more scales, only the Coughing, Pain in chest, and Dyspnea subscale scores were analyzed for this endpoint. Negative change from baseline scores indicates less symptom severity, and thus improvement on health status. | Assessed at baseline, Cycle 2 Day1, Cycle 3 Day1, and Pre-surgical assessment (on D64, -1 to +21 days). |
| PK Plasma Concentrations of Osimertinib | Summary of plasma concentrations (nM) of Osimertinib | From the pre-dose of Cycle 2 to post-dose of Cycle 3 (each cycle is 21 days) |
| PK Plasma Concentrations of AZ5104 | Summary of plasma concentrations (nM) of AZ5104 | From the pre-dose of Cycle 2 to post-dose of Cycle 3 (each cycle is 21 days) |
| Irvine |
| California |
| 92618 |
| United States |
| Research Site | San Francisco | California | 94143 | United States |
| Research Site | Santa Monica | California | 90404 | United States |
| Research Site | Santa Rosa | California | 95403 | United States |
| Research Site | Boston | Massachusetts | 02215 | United States |
| Research Site | Lebanon | New Hampshire | 03756 | United States |
| Research Site | Commack | New York | 11725 | United States |
| Research Site | New York | New York | 10032 | United States |
| Research Site | Houston | Texas | 77030 | United States |
| Research Site | Fairfax | Virginia | 22031 | United States |
| Research Site | Seattle | Washington | 98104 | United States |
| Research Site | Graz | 8036 | Austria |
| Research Site | Vienna | 1210 | Austria |
| Research Site | Barretos | 14784-400 | Brazil |
| Research Site | Fortaleza | 60135-040 | Brazil |
| Research Site | Jaú | 17204310 | Brazil |
| Research Site | Porto Alegre | 90035-000 | Brazil |
| Research Site | Porto Alegre | 90610-000 | Brazil |
| Research Site | Recife | 52010-075 | Brazil |
| Research Site | Rio de Janeiro | 22271-110 | Brazil |
| Research Site | Santa Maria | 97015-450 | Brazil |
| Research Site | São José do Rio Preto | 15090-000 | Brazil |
| Research Site | São Paulo | 01327-001 | Brazil |
| Research Site | São Paulo | 04038-034 | Brazil |
| Research Site | São Paulo | 04501-000 | Brazil |
| Research Site | Panagyurishte | 4500 | Bulgaria |
| Research Site | Pleven | 5804 | Bulgaria |
| Research Site | Sofia | 1113 | Bulgaria |
| Research Site | Toronto | Ontario | M5G 2N2 | Canada |
| Research Site | Montreal | Quebec | H4A 3J1 | Canada |
| Research Site | Las Condes | 7560908 | Chile |
| Research Site | Santiago | 7500713 | Chile |
| Research Site | Santiago | 7500921 | Chile |
| Research Site | Beijing | 100142 | China |
| Research Site | Beijing | 100191 | China |
| Research Site | Beijing | CN-100730 | China |
| Research Site | Changsha | 410008 | China |
| Research Site | Changsha | 410013 | China |
| Research Site | Chengdu | 610041 | China |
| Research Site | Chongqing | 400037 | China |
| Research Site | Guangzhou | 510062 | China |
| Research Site | Guangzhou | 510095 | China |
| Research Site | Guangzhou | 510120 | China |
| Research Site | Guangzhou | 510515 | China |
| Research Site | Hangzhou | 310009 | China |
| Research Site | Hangzhou | 310022 | China |
| Research Site | Kunming | 650118 | China |
| Research Site | Nanchang | 330006 | China |
| Research Site | Nantong | 226001 | China |
| Research Site | Shandong | China |
| Research Site | Shanghai | 200030 | China |
| Research Site | Shanghai | 200032 | China |
| Research Site | Shanghai | 200433 | China |
| Research Site | Suzhou | 215006 | China |
| Research Site | Ürümqi | 830000 | China |
| Research Site | Wanzhou | 404000 | China |
| Research Site | Wenzhou | CN-325000 | China |
| Research Site | Xiamen | 361004 | China |
| Research Site | Yangzhou | 225001 | China |
| Research Site | Avignon | 84902 | France |
| Research Site | Bordeaux | 33000 | France |
| Research Site | Berlin | 12351 | Germany |
| Research Site | Bielefeld | 33611 | Germany |
| Research Site | Cologne | 51109 | Germany |
| Research Site | Esslingen a.N. | 73730 | Germany |
| Research Site | Freiburg im Breisgau | 79106 | Germany |
| Research Site | Gauting | 82131 | Germany |
| Research Site | Georgsmarienhütte | 49124 | Germany |
| Research Site | Halle | 06120 | Germany |
| Research Site | Oldenburg | 26121 | Germany |
| Research Site | Würzburg | 97067 | Germany |
| Research Site | Mumbai | 400012 | India |
| Research Site | Namakkal | 637001 | India |
| Research Site | New Delhi | 110029 | India |
| Research Site | Varanasi | 221005 | India |
| Research Site | Haifa | 3109601 | Israel |
| Research Site | Jerusalem | 91120 | Israel |
| Research Site | Kfar Saba | 95847 | Israel |
| Research Site | Petah Tikva | 49100 | Israel |
| Research Site | Ramat Gan | 5265601 | Israel |
| Research Site | Tel Aviv | 62748 | Israel |
| Research Site | Bari | 70124 | Italy |
| Research Site | Florence | 50134 | Italy |
| Research Site | Monza | 20900 | Italy |
| Research Site | Orbassano | 10043 | Italy |
| Research Site | Padova | 35128 | Italy |
| Research Site | Rozzano | 20089 | Italy |
| Research Site | Varese | 21100 | Italy |
| Research Site | Akashi-shi | 673-8558 | Japan |
| Research Site | Bunkyō City | 113-8431 | Japan |
| Research Site | Chiba | 260-8677 | Japan |
| Research Site | Hiroshima | 734-8551 | Japan |
| Research Site | Kashiwa | 227-8577 | Japan |
| Research Site | Kōtoku | 135-8550 | Japan |
| Research Site | Kyoto | 606-8507 | Japan |
| Research Site | Niigata | 951-8566 | Japan |
| Research Site | Osaka | 541-8567 | Japan |
| Research Site | Sakai | 590-0197 | Japan |
| Research Site | Sakaishi | 591-8555 | Japan |
| Research Site | Sendai | 981-0914 | Japan |
| Research Site | Shinjuku-ku | 160-0023 | Japan |
| Research Site | Sunto-gun | 411-8777 | Japan |
| Research Site | Yokohama | 241-8515 | Japan |
| Research Site | Aguascalientes | 20230 | Mexico |
| Research Site | D.F | 14050 | Mexico |
| Research Site | Mexico City | '14080 | Mexico |
| Research Site | La Libertad | 13013 | Peru |
| Research Site | Lima | 0051 | Peru |
| Research Site | Lima | 15036 | Peru |
| Research Site | Lima | L41 | Peru |
| Research Site | Lima | LIMA 34 | Peru |
| Research Site | Olsztyn | 10-357 | Poland |
| Research Site | Kazan' | 420029 | Russia |
| Research Site | Krasnoyarsk | 660133 | Russia |
| Research Site | Moscow | 105229 | Russia |
| Research Site | Nizhny Novgorod | 603081 | Russia |
| Research Site | Obninsk | 249036 | Russia |
| Research Site | Perm | 614990 | Russia |
| Research Site | Saint Petersburg | 191036 | Russia |
| Research Site | Saint Petersburg | 197758 | Russia |
| Research Site | Daegu | 41404 | South Korea |
| Research Site | Hwasun-gun | 58128 | South Korea |
| Research Site | Incheon | 21431 | South Korea |
| Research Site | Seoul | 02447 | South Korea |
| Research Site | Seoul | 08308 | South Korea |
| Research Site | Seoul | 42601 | South Korea |
| Research Site | Yangsan | 50612 | South Korea |
| Research Site | Barcelona | 08035 | Spain |
| Research Site | Madrid | 28040 | Spain |
| Research Site | Majadahonda | 28222 | Spain |
| Research Site | Málaga | 29010 | Spain |
| Research Site | Winterthur | 8401 | Switzerland |
| Research Site | Zurich | CH-8091 | Switzerland |
| Research Site | Taichung | 40201 | Taiwan |
| Research Site | Taichung | 40447 | Taiwan |
| Research Site | Tainan | 73657 | Taiwan |
| Research Site | Taipei | 10002 | Taiwan |
| Research Site | Taipei | 110 | Taiwan |
| Research Site | Taipei | 112 | Taiwan |
| Research Site | Taipei | 235 | Taiwan |
| Research Site | Bangkok | 10330 | Thailand |
| Research Site | Bangkok | 10400 | Thailand |
| Research Site | Chiang Mai | 50200 | Thailand |
| Research Site | Khon Kaen | 40002 | Thailand |
| Research Site | Pathum Thani | 12120 | Thailand |
| Research Site | Phisanulok | 65000 | Thailand |
| Research Site | Ankara | 06010 | Turkey (Türkiye) |
| Research Site | Ankara | 06800 | Turkey (Türkiye) |
| Research Site | Ankara | 6500 | Turkey (Türkiye) |
| Research Site | Istanbul | 34010 | Turkey (Türkiye) |
| Research Site | Istanbul | 34214 | Turkey (Türkiye) |
| Research Site | Malatya | 44280 | Turkey (Türkiye) |
| Research Site | Birmingham | B9 5SS | United Kingdom |
| Research Site | Liverpool | L7 8YA | United Kingdom |
| Research Site | Hanoi | 100000 | Vietnam |
| Research Site | Ho Chi Minh City | 700000 | Vietnam |
| Research Site | Ho Chi Minh City | 70000 | Vietnam |
| Derived |
| Murat-Onana ML, Ramalingam SS, Janne PA, Gray JE, Ahn MJ, John T, Yatabe Y, Huang X, Rukazenkov Y, Javey M, Brown H, Li-Sucholeiki X. EGFR mutation testing across the osimertinib clinical program. Lung Cancer. 2025 Jun;204:108549. doi: 10.1016/j.lungcan.2025.108549. Epub 2025 Apr 18. |
| 39732365 | Derived | Lee JB, Choi SJ, Shim HS, Park BJ, Lee CY, Sudhaman S, Velichko S, Hong MH, Cho BC, Lim SM. Neoadjuvant and Adjuvant Osimertinib in Stage IA to IIIA, EGFR-Mutant NSCLC (NORA). J Thorac Oncol. 2025 May;20(5):641-650. doi: 10.1016/j.jtho.2024.12.023. Epub 2024 Dec 26. |
| 34278827 | Derived | Tsuboi M, Weder W, Escriu C, Blakely C, He J, Dacic S, Yatabe Y, Zeng L, Walding A, Chaft JE. Neoadjuvant osimertinib with/without chemotherapy versus chemotherapy alone for EGFR-mutated resectable non-small-cell lung cancer: NeoADAURA. Future Oncol. 2021 Nov;17(31):4045-4055. doi: 10.2217/fon-2021-0549. Epub 2021 Jul 19. |
| Statistical Analysis Plan\_Redacted | View source |
| CSR Synopsis\_Redacted | View source |
Osimertinib 80 mg QD
| FG002 | Placebo + Chemo | Placebo once daily (QD) + investigator's choice of chemotherapy (carboplatin AUC5 + pemetrexed 500 mg/m2 or cisplatin 75 mg/m2 + pemetrexed 500 mg/m2) |
|
| Subject Received Any Study Treatment |
|
| Subjects Ongoing Neoadjuvant Treatment |
|
| Subjects Completed Neoadjuvant Treatment |
|
| COMPLETED | Subjects completed study |
|
| NOT COMPLETED |
|
|
Full Analysis Set (All randomized participants, regardless of the treatment actually received)
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Osimertinib + Chemo | Osimertinib 80 mg QD + investigator's choice of chemotherapy (carboplatin AUC5 + pemetrexed 500 mg/m2 or cisplatin 75 mg/m2 + pemetrexed 500 mg/m2) |
| BG001 | Osimertinib | Osimertinib 80 mg QD |
| BG002 | Placebo + Chemo | Placebo once daily (QD) + investigator's choice of chemotherapy (carboplatin AUC5 + pemetrexed 500 mg/m2 or cisplatin 75 mg/m2 + pemetrexed 500 mg/m2) |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Age, Customized | Count of Participants | Participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Major Pathological Response (MPR) - IASLC Method | Defined as ≤10% viable cancer cells in the surgical specimen, as assessed per central pathology laboratory post-surgery (IASLC method). Patients will only be considered to have an MPR if they also have an R0 margin result. | Full Analysis Set (All randomized participants, regardless of the treatment actually received) | Posted | Number | 95% Confidence Interval | Percentage of Participants | From date of randomization to an average of 12 weeks after the first dose |
|
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Major Pathological Response (MPR) - Chemotherapy Method | Defined as ≤10% viable cancer cells in the surgical specimen, as assessed per central pathology laboratory post-surgery (chemotherapy method). Patients will only be considered to have an MPR if they also have an R0 margin result. | Full Analysis Set (All randomized participants, regardless of the treatment actually received) | Posted | Number | 95% Confidence Interval | Percentage of Participants | From date of randomization to an average of 12 weeks after the first dose |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Pathological Complete Response (pCR) - IASLC Method | Defined as absence of any viable cancer cells in the dissected tumour samples, including the main tumour, lymph nodes, and margins as assessed per central pathology laboratory post-surgery using IASLC method. Patients will only be considered to have pCR if they also have an R0 margin result based on site assessment. | Full Analysis Set (All randomized participants, regardless of the treatment actually received) | Posted | Number | 95% Confidence Interval | Percentage of Participants | From date of randomization to an average of 12 weeks after the first dose |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Pathological Complete Response (pCR) - Chemotherapy Method | Defined as absence of any viable cancer cells in the dissected tumour samples, including the main tumour, lymph nodes, and margins as assessed per central pathology laboratory post-surgery using chemotherapy method. Patients will only be considered to have pCR if they also have an R0 margin result based on site assessment. | Full Analysis Set (All randomized participants, regardless of the treatment actually received) | Posted | Number | 95% Confidence Interval | Percentage of Participants | From date of randomization to an average of 12 weeks after the first dose |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Downstaging | Measured using pathologic mediastinal lymph node evaluation. Pathological downstaging is defined as baseline N2 patients becoming N1/N0 or N1 to N0 at the time of surgery. Only patients with pathological staging at both baseline and surgery are included in this analysis. | Full Analysis Set (All randomized patients with treatment arms assigned in accordance with randomized treatment allocation, regardless of the treatment actually received.) | Posted | Count of Participants | Participants | From date of randomization to an average of 12 weeks after the first dose. |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Concordance of EGFRm Status Between Tumor Tissue DNA and Patient-matched Plasma-derived ctDNA (Mutation Ex19Del or L858R) | Comparing the baseline central cobas® EGFR Mutation Test V2 between tumor tissue DNA and matched plasma ctDNA results (excluding invalid results). Since this endpoint uses pre-randomization data, treatment arms were combined for the analysis. | All screened subjects with evaluable results from screening tissue and plasma results. | Posted | Count of Participants | Participants | Screening/Baseline |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Concordance of EGFR Mutation Status Between the Local and Central Test Results From Baseline Tumor Samples (Mutation Ex19Del or L858R) | Comparing the local EGFR mutation test result used for patient selection with the retrospective baseline central cobas® EGFR Mutation Test V2 results (excluding invalid results). Since this endpoint uses pre-randomization data, treatment arms were combined for the analysis. | All screened subjects with evaluable results from screening tumor samples in both local test and central test. Since this endpoint uses pre-randomization data, randomized component treatment arms were combined for analysis. | Posted | Count of Participants | Participants | Screening/Baseline |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in EORTC QLQ-C30 Primary Subscale Scores (Neoadjuvant Period) | Average change from baseline across all visits are reported. The analysis was performed using a MMRM analysis on the change from baseline in the score at each visit, including subject (random effect), treatment, visit (fixed effect & repeated measure) and treatment by visit interaction as explanatory variables, with the baseline score as a covariate along with the baseline score by assessment interaction. EORTC QLQ-C30 has 30 questions and questions are combined to produce symptom scales, individual symptom items, functional scales, and global health status (GHS)/quality of life (QoL). Each of the scale/items range from 0-100 after a linear transformation. Positive change from baseline scores on the GHS/QoL and functioning scales indicate improvement on health status/function, and negative change scores on symptom scales/items represent less symptom severity/improvement on symptom status. | Full Analysis Set (All randomized patients with treatment arms assigned in accordance with randomized treatment allocation, regardless of the treatment actually received.) | Posted | Least Squares Mean | 95% Confidence Interval | Score | Assessed at baseline, Cycle 2 Day1, Cycle 3 Day1, and Pre-surgical assessment (on D64, -1 to +21 days ). |
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| Secondary | Change From Baseline in EORTC QLQ-LC13 Primary Subscale Scores (Neoadjuvant Period) | Average change from baseline across all visits are reported. The analysis was performed using a MMRM analysis on the change from baseline in the score at each visit, including subject (as a random effect), treatment, visit (as fixed effect and repeated measure) and treatment by visit interaction as explanatory variables, with the baseline score as a covariate along with the baseline score by assessment interaction. EORTC QLQ-LC13 has 13 questions and scores range from 0-100 after a linear transformation. Questions assess cough, hemoptysis, dyspnea, site specific pain, sore mouth, dysphagia, peripheral neuropathy, and alopecia and pain medication. While the QLQ-LC13 includes more scales, only the Coughing, Pain in chest, and Dyspnea subscale scores were analyzed for this endpoint. Negative change from baseline scores indicates less symptom severity, and thus improvement on health status. | Full Analysis Set (All randomized patients with treatment arms assigned in accordance with randomized treatment allocation, regardless of the treatment actually received.) | Posted | Least Squares Mean | 95% Confidence Interval | Score | Assessed at baseline, Cycle 2 Day1, Cycle 3 Day1, and Pre-surgical assessment (on D64, -1 to +21 days). |
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| Secondary | PK Plasma Concentrations of Osimertinib | Summary of plasma concentrations (nM) of Osimertinib | Pharmacokinetic analysis set | Posted | Geometric Mean | Geometric Coefficient of Variation | nM | From the pre-dose of Cycle 2 to post-dose of Cycle 3 (each cycle is 21 days) |
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| Secondary | PK Plasma Concentrations of AZ5104 | Summary of plasma concentrations (nM) of AZ5104 | Pharmacokinetic analysis set | Posted | Geometric Mean | Geometric Coefficient of Variation | nM | From the pre-dose of Cycle 2 to post-dose of Cycle 3 (each cycle is 21 days) |
|
|
Includes adverse events during the neoadjuvant analysis period, defined as from the first dose to the minimum of (date of last dose in neoadjuvant period + 28 days, the next treatment start date - 1, date of withdrawal of consent, date of death). For participants who received Osimertinib or Placebo, this was up to 138 days. For participants who received Pemetrexed, Cisplatin or Carboplatin, this was up to 107 days.
The safety analysis set (SAF) consists of all randomized patients (i.e. in the FAS) who receive at least 1 dose of study treatment (receive any of osimertinib, placebo, cisplatin, carboplatin, or pemetrexed). All-cause mortality was reported in ITT population.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Osimertinib + Chemo | Osimertinib 80 mg QD + investigator's choice of chemotherapy (carboplatin AUC5 + pemetrexed 500 mg/m2 or cisplatin 75 mg/m2 + pemetrexed 500 mg/m2) | 3 | 121 | 24 | 119 | 106 | 119 |
| EG001 | Osimertinib | Osimertinib 80 mg QD | 7 | 117 | 13 | 117 | 88 | 117 |
| EG002 | Placebo + Chemo | Placebo once daily (QD) + investigator's choice of chemotherapy (carboplatin AUC5 + pemetrexed 500 mg/m2 or cisplatin 75 mg/m2 + pemetrexed 500 mg/m2) | 7 | 120 | 24 | 120 | 101 | 120 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atypical pneumonia | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Empyema | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Postoperative wound infection | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Pulmonary tuberculosis | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Wound infection | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Foot fracture | Injury, poisoning and procedural complications | MedDRA version 27.0 | Systematic Assessment |
| |
| Arrhythmia | Cardiac disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Post procedural haemorrhage | Injury, poisoning and procedural complications | MedDRA version 27.0 | Systematic Assessment |
| |
| Skin laceration | Injury, poisoning and procedural complications | MedDRA version 27.0 | Systematic Assessment |
| |
| Wound secretion | Injury, poisoning and procedural complications | MedDRA version 27.0 | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Hepatic enzyme increased | Investigations | MedDRA version 27.0 | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA version 27.0 | Systematic Assessment |
| |
| Coronary artery disease | Cardiac disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Diabetes mellitus | Metabolism and nutrition disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Sinus tachycardia | Cardiac disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Bipolar disorder | Psychiatric disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Bronchospasm | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Chylothorax | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Hiccups | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Pulmonary artery thrombosis | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Tracheal fistula | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Vestibular disorder | Ear and labyrinth disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Subcutaneous emphysema | Skin and subcutaneous tissue disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Axillary vein thrombosis | Vascular disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Embolism | Vascular disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Colitis | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Gastric ulcer | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Gastritis erosive | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Haemorrhoidal haemorrhage | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Cholecystitis acute | Hepatobiliary disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Hepatic function abnormal | Hepatobiliary disorders | MedDRA version 27.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| COVID-19 | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Neutropenia | Blood and lymphatic system disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Paronychia | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Procedural pain | Injury, poisoning and procedural complications | MedDRA version 27.0 | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA version 27.0 | Systematic Assessment |
| |
| Blood creatinine increased | Investigations | MedDRA version 27.0 | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA version 27.0 | Systematic Assessment |
| |
| Platelet count decreased | Investigations | MedDRA version 27.0 | Systematic Assessment |
| |
| White blood cell count decreased | Investigations | MedDRA version 27.0 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Hiccups | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Dermatitis acneiform | Skin and subcutaneous tissue disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Stomatitis | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Malaise | General disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA version 27.0 | Systematic Assessment |
|
The Institution and/or the Principal Investigator shall not include in or shall remove from any proposed publication any Confidential Information, errors or inaccuracies; and shall withhold publication, submission for publication or presentation for a period of ninety (90) days from the date on which the Company receives the material to allow the Company to take such measures as the Company considers necessary to preserve its proprietary rights and/or protect its Confidential Information.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Clinical Lead | AstraZeneca | 1-877-240-9479 | information.center@astrazeneca.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Sep 30, 2024 | Nov 27, 2025 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000596361 | osimertinib |
| D002945 | Cisplatin |
| D016190 | Carboplatin |
| D000068437 | Pemetrexed |
| ID | Term |
|---|---|
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D005971 | Glutamates |
| D024342 | Amino Acids, Acidic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000600 | Amino Acids, Dicarboxylic |
Not provided
Not provided
| >=50 and <65 years |
|
| >=65 and <75 years |
|
| >=75 years |
|
| Male |
|
| White |
|
| Other |
|
| Not reported |
|
| Not Hispanic or Latino |
|
| Not reported |
|
| Cochran-Mantel-Haenszel |
Stratified by disease stage (II vs. III), race (Non-Asian, Other Asian, Chinese living in China), mutation type (Ex19del vs. L858R) from IVRS/IWRS. |
| <0.0001 |
| Odds Ratio (OR) |
| 19.28 |
| 2-Sided |
| 95 |
| 4.56 |
| 81.63 |
Osi vs. (Placebo+Chemo) |
| Superiority |
99.9% CI=(1.71, 217.39) |
| Counts |
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| Participants |
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| Units | Counts |
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| Participants |
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| Units | Counts |
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| Participants |
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Osimertinib 80 mg QD |
| OG002 | Placebo + Chemo | Placebo once daily (QD) + investigator's choice of chemotherapy (carboplatin AUC5 + pemetrexed 500 mg/m2 or cisplatin 75 mg/m2 + pemetrexed 500 mg/m2) |
|
|
Osimertinib 80 mg QD |
| OG002 | Placebo + Chemo | Placebo once daily (QD) + investigator's choice of chemotherapy (carboplatin AUC5 + pemetrexed 500 mg/m2 or cisplatin 75 mg/m2 + pemetrexed 500 mg/m2) |
|
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