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OncoMatch/Clinical Trials/NCT06350097

Phase III, Open-label Study of First-line Osimertinib With or Without Datopotamab Deruxtecan for EGFRm Locally Advanced or Metastatic Non-small Cell Lung Cancer

Is NCT06350097 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including Osimertinib and Datopotamab Deruxtecan for non-small cell lung cancer.

Phase 3RecruitingAstraZenecaNCT06350097Data as of May 2026

Treatment: Osimertinib · Datopotamab DeruxtecanThe purpose of this study is to evaluate efficacy and safety of osimertinib (tablet) in combination with Dato-DXd (i.v. infusion) compared with osimertinib (tablet) monotherapyas a first-line therapy in participants with locally advanced or metastatic EGFRm (Ex19del and/or L858R) NSCLC. Study details include: 1. The study duration will be event-driven, with an estimated duration of approximately 9 years. 2. Participants may receive study treatment until disease progression, unacceptable toxicity, or other specific discontinuation criteria are met. 3. The visit frequency will be every 3 weeks during the treatment period. Note: Participants on osimertinib treatment(osimertinib only arm or who have discontinued Dato-DXd while are still receiving osimertinib) are required to attend visits to perform assessments every 6 weeks from Cycle 7 until Cycle 17 and then visits every 12 weeks until disease progression or IP discontinuation. Participants who are receiving osimertinib + Dato-DXd are still required to attend visit to perform assessment every 3 weeks (q3w) per SoA.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: EGFR exon 19 deletion

The tumour harbors at least 1 of the 2 common EGFR mutations known to be associated with EGFR-TKI sensitivity (Ex19del or L858R), either alone or in combination with other genomic alterations, which may include EGFR T790M

Required: EGFR L858R

The tumour harbors at least 1 of the 2 common EGFR mutations known to be associated with EGFR-TKI sensitivity (Ex19del or L858R), either alone or in combination with other genomic alterations, which may include EGFR T790M

Disease stage

Required: Stage IIIB, IIIC, IV

Performance status

WHO 0–1

Prior therapy

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

Cannot have received: EGFR tyrosine kinase inhibitor

Participants must not have received prior EGFR TKIs or other systemic therapy for Stage IIIB, IIIC or IV NSCLC.

Cannot have received: antibody-drug conjugate

Prior exposure to any agent including an ADC containing a chemotherapeutic agent targeting topoisomerase I, TROP2-targeted therapy.

Cannot have received: TROP2-targeted therapy

Prior exposure to any agent including an ADC containing a chemotherapeutic agent targeting topoisomerase I, TROP2-targeted therapy.

Lab requirements

Blood counts

Adequate bone marrow reserve and organ function within 7 days before the first dose of study intervention.

Kidney function

Adequate bone marrow reserve and organ function within 7 days before the first dose of study intervention.

Liver function

Adequate bone marrow reserve and organ function within 7 days before the first dose of study intervention.

Adequate bone marrow reserve and organ function within 7 days before the first dose of study intervention.

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

US trial sites

  • Research Site · Fountain Valley, California
  • Research Site · Los Alamitos, California
  • Research Site · Los Angeles, California
  • Research Site · Los Angeles, California
  • Research Site · Orange, California

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

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