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Rechallenge of afatinib for EGFR mutated non-small cell lung cancer previously treated with osimertinib

Rechallenge of afatinib for EGFR mutated non-small cell lung cancer previously treated with osimertinib - Afatinib followed by osimertinib in patients with EGFR mutated NSCLC (REAL study)

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000049225
Enrollment
30
Registered
2022-10-17
Start date
2022-10-18
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Non-small cell lung cancer

Interventions

Afatinib 40mg orally once daily

Sponsors

Shinshu University School of Medicine
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Histologically or cytologically diagnosed non-squamous non-small cell lung cancer harboring drug sensitive EGFR mutation (exon19 deletion, L858R) 2) ECOG PS 0 or 1 3) Confirming disease progression after first line osimertinib monotherapy 4) Received at least one regimen of anticancer chemotherapy (cytotoxic agents, immune checkpoint inhibitor, anti-angiogenic inhibitors) as a second-line therapy after osimertinib resistance 5) Undergoing next generation sequencing-based gene panel tests after osimertinib resistance 6) Having at least one target legion for RECIST ver.1.1 7) Adequate organ functions judged by laboratory tests within 14 days prior to registration AST<=100 U/L ALT<=100 U/L creatinine<=2.0 mg/dL SpO2>=92%

Exclusion criteria

Exclusion criteria: 1) Having active multiple malignancies 2) Having active infectious disease (hepatitis B, hepatitis C, tuberculosis, HIV infection) 3) Pregnancy, breastfeeding or suspected of being pregnant 4) Undergoing concurrent anticancer therapy (chemotherapy, radiotherapy, immunotherapy, biological therapy, hormonal therapy) 5) Undergoing surgical treatment with organ removal within 28 days prior to registration

Design outcomes

Primary

MeasureTime frame
Objective response rate (ORR)

Secondary

MeasureTime frame
Safety (incidence rate and severity of adverse events) Progression-free survival (PFS) Overall survival (OS)

Countries

Japan

Contacts

Public ContactTaisuke Araki

Shinshu University School of Medicine First Department of Internal Medicine

shirasusan0516@gmail.com0263-37-2631

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026