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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
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:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
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
Name: Thomas Wehler, Prof Dr med
Affiliation: Universitätsklinikum Gießen Marburg
Role: PRINCIPAL_INVESTIGATOR