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OncoMatch/Clinical Trials/NCT05768490

Early or Delayed Intervention of Brain Radiotherapy Combined With Almonertinib in EGFR Mutated NSCLC With Brain Metastases

Is NCT05768490 recruiting? Yes, currently enrolling (Jun 2026). This Phase 3 trial studies Almonertinib for brain metastases.

Phase 3RecruitingSun Yat-sen UniversityNCT05768490Data as of Jun 2026Location: China

Treatment: AlmonertinibThis is a prospective, multicenter, randomized, controlled clinical study of NSCLC patients with intracranial oligo-metastatic EGFR-sensitive mutations treated with EGFR-TKI Almonertinib , according to the implementation time of brain radiotherapy. Patients were randomly divided into two groups, experimental group (early intervention group of brain radiotherapy) : the brain radiotherapy started within 1 month of TKI treatment, the brain radiotherapy here specifically refers to stereotactic radiotherapy; Control group (brain radiotherapy late intervention group) : Brain radiotherapy was given within 3 months after brain progression during TKI treatment. The differences in OS,iPFS, PFS, iORR, safety, neurocognitive function and quality of life between the two groups were compared.

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Almonertinib

Biomarker criteria

Required: EGFR exon 19 deletion

Required: EGFR l858r

Disease stage

Metastatic disease required

Demographics

Ages ≤ 75

Prior therapy

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

Cannot have received: EGFR inhibitor

Anti-EGFR-targeting drugs and other TKI drugs have not been used in the past

Cannot have received: EGFR inhibitor

Received EGFR inhibitors (including small molecule or monoclonal antibody therapy) or systematic anti-tumor therapy before treatment

Cannot have received: systemic anti-tumor therapy

Received EGFR inhibitors (including small molecule or monoclonal antibody therapy) or systematic anti-tumor therapy before treatment

Cannot have received: brain radiotherapy

The subjects had received brain radiotherapy before enrollment

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

Frequently asked questions

Is NCT05768490 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 exon 19 deletion is a required biomarker for enrollment.

Does this trial require EGFR?

Yes, EGFR l858r is a required biomarker for enrollment.

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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