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Spots Global Cancer Trial Database for AFAMOSI: Efficacy and Safety of Afatinib Followed by Osimertinib Compared to Osimertinib in Patients With EGFRmutated/T790M Mutation Negative Nonsquamous NSCLC

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Trial Identification

Brief Title: AFAMOSI: Efficacy and Safety of Afatinib Followed by Osimertinib Compared to Osimertinib in Patients With EGFRmutated/T790M Mutation Negative Nonsquamous NSCLC

Official Title: AFAMOSI: Prospective, Randomized, Multicenter Phase IV Study to Evaluate the Efficacy and Safety of Afatinib Followed by Osimertinib Compared to Osimertinib in Patients With EGFRmutated/T790M Mutation Negative Non-squamous NSCLC in the First-line Setting

Study ID: NCT04413201

Interventions

Afatinib
Osimertinib

Study Description

Brief Summary: This randomized, open label Phase IV trial will be performed in patients with a diagnosis of advanced NSCLC (non-squamous cell histology), harboring EGFR mutation positive but T790M Mutation negative, who have no previous chemotherapy for metastatic NSCLC. Neoadjuvant or adjuvant systemic treatments had to be finished at least (≥) 6 months before study inclusion. In conclusion, this study is investigating the important clinical question whether tumor growth and long term overall survival for a patient is better controlled in a specific treatment sequence of different EGFR-inhibitors. Patients will be treated with registered compounds according to their label in both treatment arms. Thus, all patients will get an effective treatment regimen and patients who progressed on afatinib, and who developed a T790M mutation will be treated subsequently with osimertinib. Those who progressed under osimertinib or under afatinib without T790M mutation will be treated according to the current treatment guidelines with Investigator´s choice of active therapy (ICT) including but not limited to platin doublet chemotherapy.

Detailed Description:

Keywords

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Klinikum der Ludwig-Maximilians-Universität München, München, Bayern, Germany

Universitätsklinikum Gießen Marburg, Gießen, Hessen, Germany

Sana-Klinikum Offenbach, Offenbach, Hessen, Germany

Evangelische Lungenklinik Berlin, Berlin, , Germany

Klinikum Bremen-Ost, Bremen, , Germany

Studiengesellschaft Hämato-Onkologie Hamburg, Hamburg, , Germany

Evangelisches Krankenhaus Hamm, Hamm, , Germany

Klinikverbund Allgäug gGmbH, Klinik für Pneumologie, c/o Klinik, Immenstadt, , Germany

Gemeinnützige Krankenhausbetriebsgesellschaft Konstanz Mbh, Konstanz, , Germany

Klinik Löwenstein gGmbH, Löwenstein, , Germany

Universitätsklinikum Regensburg, Regensburg, , Germany

Contact Details

Name: Thomas Wehler, Prof Dr med

Affiliation: Universitätsklinikum Gießen Marburg

Role: PRINCIPAL_INVESTIGATOR

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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