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OncoMatch/Clinical Trials/NCT04410796

Osimertinib Alone or With Chemotherapy for EGFR-Mutant Lung Cancers

Is NCT04410796 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Osimertinib and Carboplatin for metastatic non-small cell lung cancer.

Phase 2RecruitingMemorial Sloan Kettering Cancer CenterNCT04410796Data as of May 2026

Treatment: Osimertinib · Carboplatin · PemetrexedThis study will compare the effectiveness of osimertinib alone with the combination of osimertinib and chemotherapy (carboplatin and pemetrexed) in people with metastatic lung cancer that has a change (mutation) in the gene EGFR. Osimertinib alone is the usual treatment for metastatic EGFR-mutant lung cancer. Researchers think adding chemotherapy to osimertinib could possibly add to the anticancer effects of the usual treatment and help stop cancer from growing or spreading.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: EGFR

Somatic activating mutation in EGFR in pre-treatment tumor biopsy/ cytology from pleural fluid or cfDNA

Required: EGFR

Patients with detectable plasma EGFR mutations at C2D1

Disease stage

Required: Stage IV

Metastatic disease required

metastatic non-small cell lung cancer; measurable (RECIST 1.1) indicator lesion not previously irradiated

Prior therapy

Min 0 prior lines

Cannot have received: chemotherapy

Exception: adjuvant therapy > 6 months prior to study start is acceptable

no prior chemotherapy for treatment of metastatic disease (adjuvant therapy > 6 months prior to study start is acceptable)

Lab requirements

Blood counts

Hemoglobin ≥ 9 g/dL; Platelets ≥ 150,000mm^3 (initial) or ≥ 100,000mm^3 (randomization); Absolute neutrophil count (ANC) ≥ 1500 cells/mm^3

Kidney function

Creatinine ≤ ULN OR calculated creatinine clearance ≥ 60ml/min calculated by Cockcroft and Gault equation

Liver function

AST, ALT ≤ 2.5 x ULN with no liver metastases or < 5x ULN with the presence of liver metastases (initial); AST, ALT ≤ 3x ULN with no liver metastases or ≤ 5x ULN with the presence of liver metastases (randomization); Total bilirubin ≤ 1.5 x ULN if no liver metastases or < 3 x ULN in the presence of documented Gilbert's Syndrome or liver metastases

Cardiac function

Mean resting corrected QT interval (QTc) > 470 msec (QTcF) excluded; clinically important ECG abnormalities excluded; factors increasing risk of QTc prolongation or arrhythmic events excluded

Adequate organ function (see detailed criteria); cardiac criteria: QTc > 470 msec, ECG abnormalities, risk factors for QTc prolongation/arrhythmia excluded

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • UC Davis Cancer Center (Data Collection Only) · Sacramento, California
  • University of California San Francisco · San Francisco, California
  • Moffitt Cancer Center · Tampa, Florida
  • John Hopkins Medical Center · Baltimore, Maryland
  • Massachusetts General Hospital (Data Collection Only) · Boston, Massachusetts

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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