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OncoMatch/Clinical Trials/NCT05948813

TY-9591 in the Patients With EGFR Mutations in Advanced NSCLC With Brain Metastases

Is NCT05948813 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including TY-9591 and Osimertinib for nsclc.

Phase 2RecruitingTYK Medicines, IncNCT05948813Data as of May 2026

Treatment: TY-9591 · OsimertinibThis study is to evaluate the efficacy and safety of TY-9591 in first-line treatment of patients with EGFR-sensitive mutation-positive non-small cell lung cancer with brain metastases compared to Osimertinib.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: EGFR activating mutation

Presence of an activating EGFR-sensitive mutations (including exon 19 deletions, L858R, the above mentioned mutations alone or co-existed with other EGFR-mutated sites).

Required: EGFR exon 19 deletion

including exon 19 deletions

Required: EGFR L858R

including...L858R

Disease stage

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: EGFR inhibitor

Previous treatment with EGFR inhibitor

Cannot have received: systemic antitumor therapy

Previous treatment with Systematic antitumor therapy (including targeted therapy, biotherapy and immunodrug therapy, etc.)

Cannot have received: chemotherapy

Exception: standard chemotherapy within 28 days before the first dose of the study drug

Previous treatment with standard chemotherapy with 28 days before the first dose of the study drug

Cannot have received: traditional Chinese medicine antitumor therapy

Exception: within 7 days before the first dose of the study drug

traditional Chinese medicine antitumor therapy within 7 days before the first dose of the study drug

Cannot have received: radiation therapy

Exception: whole brain radiation therapy (WBRT) at any time; radiation to more than 30% of the bone marrow or wide field of radiation within 28 days of the first dose; limited field of radiation within 7 days of the first dose; palliative radiation therapy for bone metastasis

Previous whole brain radiation therapy (WBRT); Receiving radiation to more than 30% of the bone marrow or with a wide field of radiation that had to be completed within 28 days of the first dose of study treatment; Radiotherapy with a limited field of radiation within 7 days of the first dose of study treatment or palliative radiation therapy for bone metastasis

Cannot have received: major surgery

Exception: within 28 days of the first dose of study treatment

Major surgery within 28 days of the first dose of study treatment

Cannot have received: other clinical trial therapy

Exception: within 28 days prior to the first administration of the investigational drug

Participants in other clinical trials (other than non-interventional clinical trials) within 28 days prior to the first administration of the investigational drug

Cannot have received: allogeneic bone marrow transplant

Previous allogeneic bone marrow transplant

Lab requirements

Blood counts

adequate bone marrow reserve function

Kidney function

no kidney dysfunction

Liver function

no liver dysfunction

Cardiac function

QTc ≤ 470 ms (from 3 ECGs); no clinically important abnormalities in rhythm; no factors that increase risk of QTc prolongation; LVEF ≥ 50%

Adequate bone marrow reserve function, and no liver, kidney and coagulation dysfunction. Cardiac function and disease are consistent with the following: Corrected QT interval(QTc)> 470 milliseconds from 3 electrocardiograms (ECGs); Any clinically important abnormalities in rhythm; Any factors that increase the risk of QTc prolongation; Left ventricular ejection fraction (LVEF) <50%.

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

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