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OncoMatch/Clinical Trials/NCT05686434

Osimertinib Therapy After Resection in High-risk Stage I EGFRm NSCLC (OSTAR)

Is NCT05686434 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Osimertinib for nsclc, stage i.

Phase 2RecruitingTianjin Medical University Cancer Institute and HospitalNCT05686434Data as of May 2026

Treatment: OsimertinibThis is a prospective, open, single-center, single-arm phase II clinical study with common EGFR-sensitive mutations (Ex19del and L858R) identified in the central laboratory.To evaluate the efficacy and safety of adjuvant Osimertinib therapy in completely resected stage I non-squamous non-small cell lung cancer (NSCLC) with high-risk factors (solid and/or micropapillary component ≥10%, and/or airway spread).

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: EGFR exon 19 deletion

the tumor contains one of the two common EGFR mutations known to be associated with EGFR-TKI sensitivity (Ex19del, L858R), alone or in conjunction with other EGFR mutations, including T790M

Required: EGFR L858R

the tumor contains one of the two common EGFR mutations known to be associated with EGFR-TKI sensitivity (Ex19del, L858R), alone or in conjunction with other EGFR mutations, including T790M

Disease stage

Required: Stage I

Performance status

WHO 0–1

Prior therapy

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

Cannot have received: antitumor therapy

Exposure to other antitumor therapies before enrollment

Lab requirements

Blood counts

absolute neutrophil count <1.5×10⁹/L; Platelet count <100×10⁹/L; Hemoglobin <90 g/L

Kidney function

Serum creatinine >1.5 ULN with creatinine clearance <50 mL/min [as measured or calculated by Cockcroft and Gault formulas] - creatinine clearance only needs to be confirmed when creatinine >1.5 ULN

Liver function

Alanine aminotransferase > 2.5 ULN; Aspartate aminotransferase >2.5 times ULN; Total bilirubin > 1.5 ULN

Cardiac function

QTc > 470 ms from 3 ECGs; clinically significant ECG abnormalities (e.g., left bundle branch block, third degree heart block, second degree heart block); factors increasing risk of prolonged QTc or arrhythmia (heart failure, hypokalemia, congenital long QT syndrome, sudden unexplained death under 40 years of age in a first-degree relative, or any concomitant medication known to prolong the QT interval)

Lack of adequate bone marrow reserve or organ function (demonstrated by any of the following laboratory values: absolute neutrophil count <1.5×10⁹/L; Platelet count <100×10⁹/L; Hemoglobin <90 g/L; Alanine aminotransferase > 2.5 ULN; Aspartate aminotransferase >2.5 times ULN; Total bilirubin > 1.5 ULN; Serum creatinine >1.5 ULN with creatinine clearance <50 mL/min [as measured or calculated by Cockcroft and Gault formulas] - creatinine clearance only needs to be confirmed when creatinine >1.5 ULN); Any of the following cardiac criteria: QTc > 470 ms from 3 ECGs; clinically significant ECG abnormalities; factors increasing risk of prolonged QTc or arrhythmia

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

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