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OncoMatch/Clinical Trials/NCT05271916

First-line Treatment With Dacomitinib Plus Anlotinib for Patients With Advanced NSCLC With EGFR 21L858R Mutations

Is NCT05271916 recruiting? Yes, currently enrolling (Jun 2026). This Phase 1/2 trial studies multiple treatments including Dacomitinib+Anlotinib and Dacomitinib for non-small cell lung cancer (nsclc).

Phase 1/2RecruitingShanghai Chest HospitalNCT05271916Data as of Jun 2026Location: China

Treatment: Dacomitinib+Anlotinib · DacomitinibThis is a multicenter, open label, Phase I/IIB study investigating the efficacy and safety of treatment with dacomitinib plus anlotinib as first-line therapy for patients with advanced non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) 21-L858R mutations. This study comprises two parts: 1. A dose escalation Phase I study to determine the recommended phase II dose. 2. a multi-center, open label, randomized controlled, Phase IIB study.

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Dacomitinib+AnlotinibDacomitinib

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: EGFR L858R mutation in exon 21

Only subjects with the L858R mutation in exon 21 to be included in this Phase IIb

Excluded: EGFR T790M mutation

Patients with concurrent EGFR T790M mutation or unknown mutation status or other mutation types [excluded]

Disease stage

Required: Stage IIIB, IV

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≤ 75

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: systemic therapy

Lab requirements

Blood counts

Hemoglobin ≥ 90 g/L, ANC ≥ 1.5x10^9/L, platelets ≥ 80x10^9/L

Kidney function

Creatinine ≤ 1.5 x ULN, or ≥ 60 mL/min

Liver function

Total bilirubin ≤ 1.5 x ULN, AST ≤ 2.5 x ULN (≤ 5.0 x ULN if hepatic metastases), ALT ≤ 2.5 x ULN (≤ 5.0 x ULN if hepatic metastases)

Cardiac function

LVEF ≥ 50% assessed by Doppler ultrasound

Adequate organ function, including: (1) Adequate bone marrow function Hemoglobin≥90g/L, absolute neutrophil count (ANC) should be ≥ 1.5x109/L, platelets should be ≥ 80x109/L; (2) Adequate liver function Total bilirubin ≤ 1.5 x upper normal limit (ULN), Aspartate Aminotransferase (AST) (SGOT) ≤ 2.5 x ULN (≤ 5.0 x ULN if hepatic metastases), Alanine Aminotransferase (ALT) (SGPT) ≤ 2.5 x ULN (≤ 5.0 x ULN if hepatic metastases), Creatinine≤ 1.5 x upper normal limit (ULN), or ≥ 60 mL/min; (3) Cardiac function: LVEF≥50% assessed by Doppler ultrasound

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

Frequently asked questions

Is NCT05271916 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Does this trial require EGFR?

Yes, EGFR L858R mutation in exon 21 is a required biomarker for enrollment.

Are patients with EGFR alterations eligible?

No. EGFR T790M mutation is an exclusion criterion.

What disease stage is eligible?

Stage IIIB or IV is required.

Is there an age limit?

Yes. Patients must be 75 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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