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AZD9291 Versus Gefitinib or Erlotinib in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer

A Phase III, Double-blind, Randomised Study to Assess the Safety and Efficacy of AZD9291 Versus a Standard of Care Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor as First Line Treatment in Patients With Epidermal Growth Factor Receptor Mutation Positive, Locally Advanced or Metastatic Non Small Cell Lung Cancer.

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02296125
Acronym
FLAURA
Enrollment
674
Registered
2014-11-20
Start date
2014-12-03
Completion date
2025-11-20
Last updated
2026-04-21

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

Conditions

Locally Advanced or Metastatic EGFR Sensitising Mutation Positive Non Small Cell Lung Cancer

Keywords

Advanced Non-Small Cell Lung Cancer; EGFRm+; AZD9291; TKI; Phase III

Brief summary

To assess the efficacy and safety of AZD9291 versus a standard of care epidermal growth factor receptor tyrosine kinase inhibitor in patients with locally advanced or Metastatic Non Small Cell Lung Cancer

Detailed description

This is a Phase III, double-blind, randomised study assessing the efficacy and safety of AZD9291 (80 mg orally, once daily) versus a standard of care (SoC) Epidermal Growth Factor Receptor (EGFR) Tyrosine Kinase Inhibitor (TKI) (either gefitinib \[250 mg orally, once daily\] or erlotinib \[150 mg orally, once daily\]) in patients with locally advanced or metastatic Non-small Cell Lung Cancer (NSCLC) that is known to be EGFR sensitising mutation (EGFRm) positive, treatment-naïve and eligible for first-line treatment with an EGFR-TKI.

Interventions

DRUGAZD9291 80 mg/40 mg + placebo

The initial dose of AZD9291 80 mg once daily can be reduced to 40 mg once daily under specific circumstances. A cycle of treatment is defined as 21 days of once daily treatment. Number of Cycles: as long as patients are continuing to show clinical benefit, as judged by the Investigator, and in the absence of discontinuation criteria.

DRUGPlacebo Erlotinib 150/100mg

The initial dose of Placebo Erlotinib 150 mg once daily can be reduced to Placebo 100 mg once daily under specific circumstances. A cycle of treatment is defined as 21 days of once daily treatment. Number of cycles: as long as patients are continuing to show clinical benefit, as judged by the Investigator, and in the absence of discontinuation criteria.

The initial dose of Placebo Gefitinib 250 mg once daily cannot be reduced. A cycle of treatment is defined as 21 days of once daily treatment. Number of cycles: as long as patients are continuing to show clinical benefit, as judged by the Investigator, and in the absence of discontinuation criteria.

DRUGErlotinib 150/100 mg

The initial dose of Erlotinib 150mg once daily can be reduced to 10 mg once daily under specific circumstances. A cycle of treatment is defined as 21 days of once daily treatment. Number of Cycles: as long as patients are continuing to show clinical benefit, as judged by the Investigator, and in the absence of discontinuation criteria. Following objective disease progression according to RECIST 1.1, as per investigator assessment, patients who were randomized to Standard of Care arm may have the option to receive open-label AZD9291 (crossover to active AZD9291).

The initial dose of Gefitinib 250mg once daily cannot be reduced. A cycle of treatment is defined as 21 days of once daily treatment. Number of Cycles: as long as patients are continuing to show clinical benefit, as judged by the Investigator, and in the absence of discontinuation criteria. Following objective disease progression according to RECIST 1.1, as per investigator assessment, patients who were randomized to Standard of Care arm may have the option to receive open-label AZD9291 (crossover to active AZD9291).

DRUGPlacebo AZD9291 80 mg/ 40 mg

The initial dose of Placebo AZD9291 80 mg once daily can be reduced to Placebo AZD9291 40 mg once daily under specific circumstances. A cycle of treatment is defined as 21 days of once daily treatment. Number of cycles: as long as patients are continuing to show clinical benefit, as judged by the Investigator, and in the absence of discontinuation criteria.

Sponsors

AstraZeneca
Lead SponsorINDUSTRY
Parexel
CollaboratorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No

Inclusion criteria

1. Male or female, aged at least 18 years. 2. Pathologically confirmed adenocarcinoma of the lung. 3. Locally advanced or metastatic NSCLC, not amenable to curative surgery or radiotherapy. 4. The tumour harbours one of the 2 common EGFR mutations known to be associated with EGFR-TKI sensitivity (Ex19del, L858R). 5. Mandatory provision of an unstained, archived tumour tissue sample in a quantity sufficient to allow for central analysis of EGFR mutation status. 6. Patients must be treatment-naïve for locally advanced or metastatic NSCLC and eligible to receive first-line treatment with gefitinib or erlotinib as selected by the participating centre. Prior adjuvant and neo-adjuvant therapy is permitted(chemotherapy, radiotherapy, investigational agents). 7. Provision of informed consent prior to any study specific procedures, sampling, and analysis. 8. World Health Organization Performance Status of 0 to 1 with no clinically significant deterioration over the previous 2 weeks and a minimum life expectancy of 12 weeks

Exclusion criteria

1. Treatment with any of the following: * Prior treatment with any systemic anti-cancer therapy for locally advanced/metastatic NSCLC. * Prior treatment with an EGFR-TKI. * Major surgery within 4 weeks of the first dose of study drug. * Radiotherapy treatment to more than 30% of the bone marrow or with a wide field of radiation within 4 weeks of the first dose of study drug. * Patients currently receiving medications or herbal supplements known to be potent inducers of cytochrome P450 (CYP) 3A4. * Alternative anti-cancer treatment * Treatment with an investigational drug within five half-lives of the compound or any of its related material. 2. Any concurrent and/or other active malignancy that has required treatment within 2 years of first dose of study drug. 3. Spinal cord compression, symptomatic and unstable brain metastases, except for those patients who have completed definitive therapy, are not on steroids, have a stable neurologic status for at least 2 weeks after completion of the definitive therapy and steroids. 4. Any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension and active bleeding diatheses; or active infection including hepatitis B, hepatitis C and human immunodeficiency virus (HIV). 5. Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product, or previous significant bowel resection that would preclude adequate absorption of AZD9291. 6. Any of the following cardiac criteria: * Mean resting corrected QT interval (QTc) \>470 msec, obtained from 3 ECGs, using the screening clinic ECG machine-derived QTcF value. * Any clinically important abnormalities in rhythm, conduction, or morphology of resting ECG. * Any patient with any factors that increase the risk of QTc prolongation or risk of arrhythmic events or unexplained sudden death under 40 years of age in first-degree relatives or any concomitant medication known to prolong the QT interval. 7. Past medical history of ILD, drug-induced ILD, radiation pneumonitis which required steroid treatment, or any evidence of clinically active ILD. 8. Involvement in the planning and/or conduct of the study

Design outcomes

Primary

MeasureTime frameDescription
Median Progression Free Survival (PFS) (Months)At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomisation until progressionProgression-free survival was defined as the time from randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anti-cancer therapy prior to progression and was used to assess the efficacy of single agent osimertinib compared with SoC EGFR-TKI therapy as measured by PFS. The primary endpoint of PFS was based on Investigator assessment.
Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsAt baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomisation until progressionProgression-free survival was defined as the time from randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anti-cancer therapy prior to progression and was used to assess the efficacy of single agent osimertinib compared with SoC EGFR-TKI therapy as measured by PFS.

Secondary

MeasureTime frameDescription
Objective Response Rate (ORR)At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomisation until progressionORR was defined as the number (%) of participants with measurable disease with at least 1 visit response of Complete response (CR) or Partial response (PR) and it was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy. ORR was based on Investigator assessment.
Duration of Response (DoR)At baseline and every 6 weeks for the first 18 months and then every 12 weeks until objective disease progressionDuration of response was defined as the time from the date of first documented response until the date of documented progression or death in the absence of disease progression and was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy.
Disease Control Rate (DCR)At baseline and every 6 weeks for the first 18 months and then every 12 weeks until objective disease progressionThe DCR was defined as the percentage of participants who had a best overall response (BOR) of Complete response (CR), Partial response (PR) or Stable disease (SD) ≥6 weeks prior to any Progressive disease (PD) event and was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy.
Depth of ResponseAt baseline and every 6 weeks for the first 18 months and then every 12 weeks until objective disease progressionThe Depth of response was defined as the relative change in the sum of the longest diameters of Response Evaluation Criteria in Solid Tumors (RECIST) Target lesions (TLs) at the nadir, in the absence of new lesions (NLs) or progression of Non-target lesions (NTLs), compared to baseline and was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy
Overall Survival (OS)- Number of Participants With an EventFrom first dose to end of study or date of death from any cause, whichever comes first, assessed every 6 weeks (approximately 29 months)Overall survival was defined as the time from the date of randomisation until death from any cause and was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy
Plasma Concentrations of AZD9291Blood samples collected from each participant at pre-dose, 0.5 to 2 hours, and 3 to 5 hours post-dose on Day 1 Cycle 1, and every other cycle thereafter up to and including Cycle 13 (approximately 9 months)To characterise the pharmacokinetics (PK) of osimertinib
Plasma Concentrations of Metabolites AZ5104Blood samples collected from each participant at pre-dose, 0.5 to 2 hours, and 3 to 5 hours post-dose on Day 1 Cycle 1, and every other cycle thereafter up to and including Cycle 13 (approximately 9 months)To characterise the pharmacokinetics (PK) of osimertinib metabolite AZ5104.
Plasma Concentrations of Metabolite AZ7550Blood samples collected from each participant at pre-dose, 0.5 to 2 hours, and 3 to 5 hours post-dose on Day 1 Cycle 1, and every other cycle thereafter up to and including Cycle 13 (approximately 9 months)To characterise the pharmacokinetics (PK) of osimertinib metabolite AZ7550.
Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Questionnaire completed in cycle 2 and 3, prior to Week 6 scan (approximately 2 months)The CTSQ-16 was a 16-item questionnaire measuring 3 domains related to participant's satisfaction with cancer therapy: Expectations of therapy, Feelings about side effects, and Satisfaction with therapy. Scores ranged from 0 to 100 for each domain, with a higher score associated with the best outcome on each domain. The three domains of interest were separately analysed using an ANCOVA stratified by race (Asian versus Non-Asian) and mutation type (Ex19del versus L858R). The results of the analyses were presented in terms of mean together with standard deviation.
Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Questionnaires completed at baseline, first 9 months, and at week 1, 2, 3, 4, 5, 6, 12, 18, 24, 30 and 36The EORTC QLQ-LC13 was a lung-cancer-specific module comprising 13 questions to assess lung cancer symptoms (cough, haemoptysis, dyspnoea, and site-specific pain); treatment related side-effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia); and pain medication. An outcome variable consisting of a score from 0 to 100 was derived for each of the symptom scales/symptom items. Higher scores on the global health status/QoL and functioning scales indicated better health status/QoL and function. Higher scores on the symptoms scales indicated greater symptom burden. The analysis was performed using a Mixed-effects model for repeated measures analysis on the change from baseline in PRO symptom score at each visit up to 9 months (281 days), including participants, treatment, visit and treatment by visit interaction as explanatory variables, the baseline PRO score as a covariate along with the baseline PRO score by visit interaction, using an unstructured covariance structure.
Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Questionnaires completed at baseline, first 9 months, and at week 6, 12, 18, 24, 30, and 36.The EORTC QLQ-C30 cancer-specific questionnaire consisted of 30 questions, combined to produce 5 functional scales, 3 symptom scales, 6 individual items, and a global measure of health status/QoL. An outcome variable consisting of a score from 0 to 100 was derived for each of the symptom scales/symptom items, the functional scales, and the global health status/QoL scale in the EORTC QLQ-C30. Higher scores on the global health status and functioning scales indicated better health status/function. Higher scores on the symptoms scales indicated greater symptom burden. The analysis was performed using a Mixed-effects model for repeated measures analysis on the change from baseline in PRO symptom score at each visit up to 9 months (281 days), including participants, treatment, visit and treatment by visit interaction as explanatory variables, the baseline PRO score as a covariate along with the baseline PRO score by visit interaction, using an unstructured covariance structure.

Countries

Australia, Belgium, Brazil, Bulgaria, Canada, China, Czechia, France, Germany, Hungary, Israel, Italy, Japan, Malaysia, Philippines, Poland, Portugal, Romania, Russia, South Korea, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey (Türkiye), Ukraine, United Kingdom, United States, Vietnam

Participant flow

Recruitment details

A total of 556 participants in Global cohort (out of 673 participants in Global and China cohorts) were randomized to treatment at 132 study centres in 29 countries. An additional 117 participants in 19 centres were enrolled into the China extension cohort only.

Pre-assignment details

During the 28 day screening period, participants were enrolled based on the presence in their tumour of at least 1 of the 2 most frequent Epidermal growth factor receptor (EGFR) mutations. At the time of enrolment, all participants were required to provide biopsy tissue for central testing of the Exon 19 deletion (Ex19del) and L858R mutations

Participants by arm

ArmCount
Global + China Extension Osimertinib Arm
All participants who were enrolled in Osimertinib Arm for either the global or China Extension study.
338
Global + China Extension SoC EGFR-TKI Arm
All participants who were enrolled in SoC EGFR-TKI Arm for either the Global or China Extension study
335
Total673

Baseline characteristics

CharacteristicGlobal + China Extension Osimertinib ArmTotalGlobal + China Extension SoC EGFR-TKI Arm
Age, Continuous
China Cohort
59.1 Years
STANDARD_DEVIATION 9.66
59.0 Years
STANDARD_DEVIATION 10.26
59.0 Years
STANDARD_DEVIATION 10.94
Age, Continuous
Global cohort
62.7 Years
STANDARD_DEVIATION 10.7
63.0 Years
STANDARD_DEVIATION 10.79
63.3 Years
STANDARD_DEVIATION 10.9
Race/Ethnicity, Customized
Asian-Global Cohort
77 Participants171 Participants94 Participants
Race/Ethnicity, Customized
Chinese-China cohort
71 Participants136 Participants65 Participants
Race/Ethnicity, Customized
Chinese-Global Cohort
32 Participants56 Participants24 Participants
Race/Ethnicity, Customized
Hispanic or Latino-Global Cohort
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Japanese-Global Cohort
65 Participants120 Participants55 Participants
Race/Ethnicity, Customized
Missing-Global Cohort
2 Participants2 Participants0 Participants
Race/Ethnicity, Customized
Other-Global Cohort
103 Participants207 Participants104 Participants
Race (NIH/OMB)
China Cohort
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
China Cohort
Asian
71 Participants136 Participants65 Participants
Race (NIH/OMB)
China Cohort
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
China Cohort
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
China Cohort
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
China Cohort
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
China Cohort
White
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Global Cohort
American Indian or Alaska Native
1 Participants2 Participants1 Participants
Race (NIH/OMB)
Global Cohort
Asian
174 Participants347 Participants173 Participants
Race (NIH/OMB)
Global Cohort
Black or African American
2 Participants4 Participants2 Participants
Race (NIH/OMB)
Global Cohort
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Global Cohort
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Global Cohort
Unknown or Not Reported
1 Participants2 Participants1 Participants
Race (NIH/OMB)
Global Cohort
White
101 Participants201 Participants100 Participants
Sex: Female, Male
China Cohort
Female
43 Participants89 Participants46 Participants
Sex: Female, Male
China Cohort
Male
28 Participants47 Participants19 Participants
Sex: Female, Male
Global cohort
Female
178 Participants350 Participants172 Participants
Sex: Female, Male
Global cohort
Male
101 Participants206 Participants105 Participants
Smoking status
Current smokers-China Cohort
3 Participants7 Participants4 Participants
Smoking status
Current smokers-Global Cohort
8 Participants17 Participants9 Participants
Smoking status
Former smokers-China Cohort
15 Participants26 Participants11 Participants
Smoking status
Former smokers-Global Cohort
89 Participants182 Participants93 Participants
Smoking status
Never smoked-China Cohort
53 Participants103 Participants50 Participants
Smoking status
Never smoked-Global Cohort
182 Participants357 Participants175 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
155 / 279166 / 27745 / 7144 / 65
other
Total, other adverse events
273 / 279271 / 27770 / 7164 / 65
serious
Total, serious adverse events
74 / 27976 / 27725 / 7112 / 65

Outcome results

Primary

Median Progression Free Survival (PFS) (Months)

Progression-free survival was defined as the time from randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anti-cancer therapy prior to progression and was used to assess the efficacy of single agent osimertinib compared with SoC EGFR-TKI therapy as measured by PFS. The primary endpoint of PFS was based on Investigator assessment.

Time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomisation until progression

Population: The full analysis set (FAS) and China-only FAS. FAS included all randomized participants prior to the end of global recruitment. The China-only FAS included all China participants randomized in mainland-China as part of the global study and all additional China participants recruited in mainland China after global recruitment was completed.

ArmMeasureValue (MEDIAN)
Osimertinib 80 mg (Global Cohort)Median Progression Free Survival (PFS) (Months)18.9 Months
SoC EGFR-TKI (Global Cohort)Median Progression Free Survival (PFS) (Months)10.2 Months
Osimertinib 80 mg (China Cohort)Median Progression Free Survival (PFS) (Months)17.8 Months
SoC EGFR-TKI (China Cohort)Median Progression Free Survival (PFS) (Months)9.8 Months
p-value: <0.000195% CI: [0.37, 0.57]Log Rank
p-value: 0.006595% CI: [0.37, 0.85]Log Rank
Primary

Percentage of Participants in Progression Free Survival at 6, 12, and 18 Months

Progression-free survival was defined as the time from randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anti-cancer therapy prior to progression and was used to assess the efficacy of single agent osimertinib compared with SoC EGFR-TKI therapy as measured by PFS.

Time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomisation until progression

Population: The full analysis set (FAS) and China-only FAS. FAS included all randomized participants prior to the end of global recruitment. The China-only FAS included all China participants randomized in mainland-China as part of the global study and all additional China participants recruited in mainland China after global recruitment was completed.

ArmMeasureGroupValue (NUMBER)
Osimertinib 80 mg (Global Cohort)Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsProgression free at 6 months (%)88.4 Percentage of Participants
Osimertinib 80 mg (Global Cohort)Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsProgression free at 18 months (%)50.9 Percentage of Participants
Osimertinib 80 mg (Global Cohort)Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsProgression free at 12 months (%)68.2 Percentage of Participants
SoC EGFR-TKI (Global Cohort)Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsProgression free at 6 months (%)75.2 Percentage of Participants
SoC EGFR-TKI (Global Cohort)Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsProgression free at 18 months (%)24.4 Percentage of Participants
SoC EGFR-TKI (Global Cohort)Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsProgression free at 12 months (%)42.3 Percentage of Participants
Osimertinib 80 mg (China Cohort)Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsProgression free at 12 months (%)67.3 Percentage of Participants
Osimertinib 80 mg (China Cohort)Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsProgression free at 6 months (%)78.8 Percentage of Participants
Osimertinib 80 mg (China Cohort)Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsProgression free at 18 months (%)46.9 Percentage of Participants
SoC EGFR-TKI (China Cohort)Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsProgression free at 6 months (%)72.3 Percentage of Participants
SoC EGFR-TKI (China Cohort)Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsProgression free at 18 months (%)25.8 Percentage of Participants
SoC EGFR-TKI (China Cohort)Percentage of Participants in Progression Free Survival at 6, 12, and 18 MonthsProgression free at 12 months (%)44.6 Percentage of Participants
Secondary

Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)

The EORTC QLQ-LC13 was a lung-cancer-specific module comprising 13 questions to assess lung cancer symptoms (cough, haemoptysis, dyspnoea, and site-specific pain); treatment related side-effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia); and pain medication. An outcome variable consisting of a score from 0 to 100 was derived for each of the symptom scales/symptom items. Higher scores on the global health status/QoL and functioning scales indicated better health status/QoL and function. Higher scores on the symptoms scales indicated greater symptom burden. The analysis was performed using a Mixed-effects model for repeated measures analysis on the change from baseline in PRO symptom score at each visit up to 9 months (281 days), including participants, treatment, visit and treatment by visit interaction as explanatory variables, the baseline PRO score as a covariate along with the baseline PRO score by visit interaction, using an unstructured covariance structure.

Time frame: Questionnaires completed at baseline, first 9 months, and at week 1, 2, 3, 4, 5, 6, 12, 18, 24, 30 and 36

Population: The full analysis set (FAS) and China-only FAS. FAS included all randomized participants prior to the end of global recruitment. The China-only FAS included all China participants randomized in mainland-China as part of the global study and all additional China participants recruited in mainland China after global recruitment was completed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 4-4.81 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 30-3.89 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 30-8.33 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 3-9.78 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 24-4.65 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, First 9 months-6.62 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 36-11.49 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 5-12.98 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 6-11.88 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 12-13.36 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 18-12.31 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 18-6.79 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 24-11.34 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 30-10.34 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 36-2.88 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 36-7.94 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 12-7.28 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 6-4.99 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 1-1.93 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, First 9 months-10.97 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, First 9 months-4.04 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 24-7.72 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 1-3.46 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 1-6.90 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 5-7.33 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 2-3.94 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 3-3.99 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 2-5.94 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 4-7.45 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 5-3.51 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 2-9.04 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 6-4.51 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 3-7.17 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 12-3.83 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 18-4.97 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 4-11.25 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 6-4.45 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 36-5.58 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 30-3.68 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 4-13.36 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 1-4.26 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 36-2.04 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, First 9 months-11.65 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, First 9 months-6.41 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 2-9.52 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 3-10.24 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, First 9 months-4.14 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 12-5.75 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 5-6.98 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 5-5.19 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 5-13.55 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 1-3.60 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 30-12.43 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 18-7.90 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 12-13.57 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 3-5.36 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 2-6.32 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 2-3.64 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 24-13.16 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 6-11.92 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 1-4.83 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 4-6.40 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 18-5.21 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 12-6.70 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 18-11.00 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 3-3.27 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 6-7.08 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 24-4.56 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 36-14.62 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 4-4.11 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 24-7.34 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 30-6.60 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 30-4.25 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 36-4.21 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 1-4.60 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 2-12.26 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 4-12.78 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 5-17.74 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 6-16.92 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 12-15.51 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 1-1.79 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 3-3.09 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 36-3.56 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, First 9 months-4.87 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 1-1.61 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 2-2.27 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 4-5.35 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 5-5.72 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 6-4.83 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 12-5.38 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 18-7.67 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 24-7.59 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 30-5.81 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, First 9 months-13.75 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 3-11.95 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 18-11.79 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 24-17.61 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 30-15.45 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 36-14.62 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, First 9 months-2.79 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 2-4.76 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 3-0.76 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 4-2.13 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 5-0.62 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 60.94 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 12-3.71 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 18-4.40 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 24-5.66 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 24-5.67 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 12-6.67 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, First 9 months-8.49 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 2-3.00 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 6-6.37 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 5-5.76 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 36-2.18 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 3-4.77 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 4-5.55 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 2-5.03 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 36-3.40 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 4-4.22 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 10.68 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, First 9 months-4.82 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 24-3.15 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 30-9.35 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 5-6.82 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 24-14.92 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 18-7.48 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 6-6.26 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 18-9.44 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 12-8.04 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 30-4.02 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 12-5.13 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 5-9.20 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 6-10.58 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 2-3.73 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 4-10.32 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 3-5.55 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 36-8.55 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 3-5.56 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Cough, week 1-3.69 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 18-7.24 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, First 9 months-4.74 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Dyspnoea, week 30-3.46 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)Pain in Chest, week 1-4.16 Unit on scale
Secondary

Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)

The EORTC QLQ-C30 cancer-specific questionnaire consisted of 30 questions, combined to produce 5 functional scales, 3 symptom scales, 6 individual items, and a global measure of health status/QoL. An outcome variable consisting of a score from 0 to 100 was derived for each of the symptom scales/symptom items, the functional scales, and the global health status/QoL scale in the EORTC QLQ-C30. Higher scores on the global health status and functioning scales indicated better health status/function. Higher scores on the symptoms scales indicated greater symptom burden. The analysis was performed using a Mixed-effects model for repeated measures analysis on the change from baseline in PRO symptom score at each visit up to 9 months (281 days), including participants, treatment, visit and treatment by visit interaction as explanatory variables, the baseline PRO score as a covariate along with the baseline PRO score by visit interaction, using an unstructured covariance structure.

Time frame: Questionnaires completed at baseline, first 9 months, and at week 6, 12, 18, 24, 30, and 36.

Population: The full analysis set (FAS) and China-only FAS. FAS included all randomized participants prior to the end of global recruitment. The China-only FAS included all China participants randomized in mainland-China as part of the global study and all additional China participants recruited in mainland China after global recruitment was completed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 36-6.90 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, First 9 months-6.15 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 36-5.47 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 18-6.83 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 24-7.14 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 30-5.19 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 24-6.18 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, First 9 months-5.48 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 18-7.27 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 6-4.13 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 30-4.50 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 12-6.52 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 6-4.54 Unit on scale
Osimertinib 80 mg (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 12-5.11 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 12-6.52 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 30-3.26 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 18-6.84 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 24-5.08 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 6-5.78 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, First 9 months-4.72 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 18-5.77 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 24-4.96 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 36-2.00 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, First 9 months-5.64 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 6-5.67 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 12-6.95 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 30-4.17 Unit on scale
SoC EGFR-TKI (Global Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 36-5.15 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 121.58 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, First 9 months1.18 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 36-6.78 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 360.98 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 12-5.40 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 24-2.26 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 63.20 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 302.19 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 181.42 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 24-8.92 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 6-1.73 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 18-6.64 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 30-4.43 Unit on scale
Osimertinib 80 mg (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, First 9 months-5.65 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 30-6.31 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 36-3.46 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, First 9 months-1.73 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 6-6.81 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 30-1.83 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 6-6.27 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 12-1.44 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, First 9 months-5.79 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 18-4.43 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 363.36 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Appetite Loss, week 240.24 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 18-7.90 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 24-3.87 Unit on scale
SoC EGFR-TKI (China Cohort)Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)Fatigue, week 12-6.36 Unit on scale
Secondary

Depth of Response

The Depth of response was defined as the relative change in the sum of the longest diameters of Response Evaluation Criteria in Solid Tumors (RECIST) Target lesions (TLs) at the nadir, in the absence of new lesions (NLs) or progression of Non-target lesions (NTLs), compared to baseline and was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy

Time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks until objective disease progression

Population: The full analysis set (FAS) and China-only FAS. FAS included all randomized participants prior to the end of global recruitment. The China-only FAS included all China participants randomized in mainland-China as part of the global study and all additional China participants recruited in mainland China after global recruitment was completed.

ArmMeasureValue (MEAN)Dispersion
Osimertinib 80 mg (Global Cohort)Depth of Response-52.36 percentage of changeStandard Deviation 25.065
SoC EGFR-TKI (Global Cohort)Depth of Response-45.66 percentage of changeStandard Deviation 28.27
Osimertinib 80 mg (China Cohort)Depth of Response-49.17 percentage of changeStandard Deviation 24.303
SoC EGFR-TKI (China Cohort)Depth of Response-42.92 percentage of changeStandard Deviation 26.814
p-value: 0.002595% CI: [-11.205, -2.403]Regression, Linear
p-value: 0.134895% CI: [-15.246, 2.072]Regression, Linear
Secondary

Disease Control Rate (DCR)

The DCR was defined as the percentage of participants who had a best overall response (BOR) of Complete response (CR), Partial response (PR) or Stable disease (SD) ≥6 weeks prior to any Progressive disease (PD) event and was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy.

Time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks until objective disease progression

Population: The full analysis set (FAS) and China-only FAS. FAS included all randomized participants prior to the end of global recruitment. The China-only FAS included all China participants randomized in mainland-China as part of the global study and all additional China participants recruited in mainland China after global recruitment was completed.

ArmMeasureValue (NUMBER)
Osimertinib 80 mg (Global Cohort)Disease Control Rate (DCR)97.1 Percentage of participants
SoC EGFR-TKI (Global Cohort)Disease Control Rate (DCR)92.4 Percentage of participants
Osimertinib 80 mg (China Cohort)Disease Control Rate (DCR)97.2 Percentage of participants
SoC EGFR-TKI (China Cohort)Disease Control Rate (DCR)95.4 Percentage of participants
p-value: 0.01195% CI: [1.25, 6.78]Regression, Logistic
p-value: 0.577295% CI: [0.27, 12.98]Regression, Logistic
Secondary

Duration of Response (DoR)

Duration of response was defined as the time from the date of first documented response until the date of documented progression or death in the absence of disease progression and was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy.

Time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks until objective disease progression

Population: The full analysis set (FAS) and China-only FAS. FAS included all randomized participants prior to the end of global recruitment. The China-only FAS included all China participants randomized in mainland-China as part of the global study and all additional China participants recruited in mainland China after global recruitment was completed.

ArmMeasureValue (MEDIAN)
Osimertinib 80 mg (Global Cohort)Duration of Response (DoR)17.2 Months
SoC EGFR-TKI (Global Cohort)Duration of Response (DoR)8.5 Months
Osimertinib 80 mg (China Cohort)Duration of Response (DoR)16.4 Months
SoC EGFR-TKI (China Cohort)Duration of Response (DoR)10.9 Months
p-value: 0.013395% CI: [1.21, 5.09]Regression, Linear
p-value: <0.000195% CI: [1.68, 3.08]Regression, Linear
Secondary

Objective Response Rate (ORR)

ORR was defined as the number (%) of participants with measurable disease with at least 1 visit response of Complete response (CR) or Partial response (PR) and it was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy. ORR was based on Investigator assessment.

Time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomisation until progression

Population: The full analysis set (FAS) and China-only FAS. FAS included all randomized participants prior to the end of global recruitment. The China-only FAS included all China participants randomized in mainland-China as part of the global study and all additional China participants recruited in mainland China after global recruitment was completed.

ArmMeasureValue (NUMBER)
Osimertinib 80 mg (Global Cohort)Objective Response Rate (ORR)76.7 Percentage of participants
SoC EGFR-TKI (Global Cohort)Objective Response Rate (ORR)69.0 Percentage of participants
Osimertinib 80 mg (China Cohort)Objective Response Rate (ORR)76.1 Percentage of participants
SoC EGFR-TKI (China Cohort)Objective Response Rate (ORR)70.8 Percentage of participants
p-value: 0.48595% CI: [0.61, 2.84]Regression, Logistic
p-value: 0.03695% CI: [1.03, 2.22]Regression, Logistic
Secondary

Overall Survival (OS)- Number of Participants With an Event

Overall survival was defined as the time from the date of randomisation until death from any cause and was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy

Time frame: From first dose to end of study or date of death from any cause, whichever comes first, assessed every 6 weeks (approximately 29 months)

Population: The full analysis set (FAS) and China-only FAS. FAS included all randomized participants prior to the end of global recruitment. The China-only FAS included all China participants randomized in mainland-China as part of the global study and all additional China participants recruited in mainland China after global recruitment was completed.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Osimertinib 80 mg (Global Cohort)Overall Survival (OS)- Number of Participants With an EventDeath155 Participants
Osimertinib 80 mg (Global Cohort)Overall Survival (OS)- Number of Participants With an EventTerminated prior to death20 Participants
Osimertinib 80 mg (Global Cohort)Overall Survival (OS)- Number of Participants With an EventStill in survival follow-up104 Participants
SoC EGFR-TKI (Global Cohort)Overall Survival (OS)- Number of Participants With an EventDeath166 Participants
SoC EGFR-TKI (Global Cohort)Overall Survival (OS)- Number of Participants With an EventTerminated prior to death25 Participants
SoC EGFR-TKI (Global Cohort)Overall Survival (OS)- Number of Participants With an EventStill in survival follow-up86 Participants
Osimertinib 80 mg (China Cohort)Overall Survival (OS)- Number of Participants With an EventStill in survival follow-up25 Participants
Osimertinib 80 mg (China Cohort)Overall Survival (OS)- Number of Participants With an EventDeath45 Participants
Osimertinib 80 mg (China Cohort)Overall Survival (OS)- Number of Participants With an EventTerminated prior to death1 Participants
SoC EGFR-TKI (China Cohort)Overall Survival (OS)- Number of Participants With an EventDeath44 Participants
SoC EGFR-TKI (China Cohort)Overall Survival (OS)- Number of Participants With an EventTerminated prior to death4 Participants
SoC EGFR-TKI (China Cohort)Overall Survival (OS)- Number of Participants With an EventStill in survival follow-up17 Participants
p-value: 0.046295% CI: [0.6409, 0.9963]Log Rank
p-value: 0.441695% CI: [0.5568, 1.291]Log Rank
Secondary

Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)

The CTSQ-16 was a 16-item questionnaire measuring 3 domains related to participant's satisfaction with cancer therapy: Expectations of therapy, Feelings about side effects, and Satisfaction with therapy. Scores ranged from 0 to 100 for each domain, with a higher score associated with the best outcome on each domain. The three domains of interest were separately analysed using an ANCOVA stratified by race (Asian versus Non-Asian) and mutation type (Ex19del versus L858R). The results of the analyses were presented in terms of mean together with standard deviation.

Time frame: Questionnaire completed in cycle 2 and 3, prior to Week 6 scan (approximately 2 months)

Population: The full analysis set (FAS) and China-only FAS. FAS included all randomized participants prior to the end of global recruitment. The China-only FAS included all China participants randomized in mainland-China as part of the global study and all additional China participants recruited in mainland China after global recruitment was completed.

ArmMeasureGroupValue (MEAN)Dispersion
Osimertinib 80 mg (Global Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Expectations with Therapy, Week 676.3 Unit on scaleStandard Deviation 20.58
Osimertinib 80 mg (Global Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Expectations with Therapy, Week 374.1 Unit on scaleStandard Deviation 22.42
Osimertinib 80 mg (Global Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Feelings about Side-Effects, Week 374.5 Unit on scaleStandard Deviation 17.22
Osimertinib 80 mg (Global Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Feelings about Side-Effects, Week 674.6 Unit on scaleStandard Deviation 19.83
Osimertinib 80 mg (Global Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Satisfaction with Therapy, Week 384.4 Unit on scaleStandard Deviation 12.88
Osimertinib 80 mg (Global Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Satisfaction with Therapy, Week 684.2 Unit on scaleStandard Deviation 13.94
SoC EGFR-TKI (Global Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Satisfaction with Therapy, Week 684.6 Unit on scaleStandard Deviation 12.38
SoC EGFR-TKI (Global Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Feelings about Side-Effects, Week 669.9 Unit on scaleStandard Deviation 20.73
SoC EGFR-TKI (Global Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Expectations with Therapy, Week 370.3 Unit on scaleStandard Deviation 21.85
SoC EGFR-TKI (Global Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Feelings about Side-Effects, Week 369.1 Unit on scaleStandard Deviation 20.96
SoC EGFR-TKI (Global Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Expectations with Therapy, Week 674.0 Unit on scaleStandard Deviation 19.46
SoC EGFR-TKI (Global Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Satisfaction with Therapy, Week 382.6 Unit on scaleStandard Deviation 13.6
Osimertinib 80 mg (China Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Expectations with Therapy, Week 682.2 Unit on scaleStandard Deviation 17.88
Osimertinib 80 mg (China Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Feelings about Side-Effects, Week 373.3 Unit on scaleStandard Deviation 19.89
Osimertinib 80 mg (China Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Feelings about Side-Effects, Week 669.0 Unit on scaleStandard Deviation 24.46
Osimertinib 80 mg (China Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Satisfaction with Therapy, Week 687.4 Unit on scaleStandard Deviation 13.29
Osimertinib 80 mg (China Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Satisfaction with Therapy, Week 387.2 Unit on scaleStandard Deviation 12.14
Osimertinib 80 mg (China Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Expectations with Therapy, Week 377.1 Unit on scaleStandard Deviation 20.6
SoC EGFR-TKI (China Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Expectations with Therapy, Week 379.2 Unit on scaleStandard Deviation 18.58
SoC EGFR-TKI (China Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Satisfaction with Therapy, Week 386.6 Unit on scaleStandard Deviation 11.07
SoC EGFR-TKI (China Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Satisfaction with Therapy, Week 687.2 Unit on scaleStandard Deviation 12.06
SoC EGFR-TKI (China Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Feelings about Side-Effects, Week 669.7 Unit on scaleStandard Deviation 20.99
SoC EGFR-TKI (China Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Expectations with Therapy, Week 682.6 Unit on scaleStandard Deviation 17.95
SoC EGFR-TKI (China Cohort)Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)Feelings about Side-Effects, Week 372.5 Unit on scaleStandard Deviation 17.46
Secondary

Plasma Concentrations of AZD9291

To characterise the pharmacokinetics (PK) of osimertinib

Time frame: Blood samples collected from each participant at pre-dose, 0.5 to 2 hours, and 3 to 5 hours post-dose on Day 1 Cycle 1, and every other cycle thereafter up to and including Cycle 13 (approximately 9 months)

Population: The pharmacokinetic analysis set (osimertinib arm only) was defined as participants in the FAS who had at least 1 evaluable PK concentration and who had no detectable pre-dose osimertinib concentrations above the lower limit of quantitation (LLQ) on Cycle 1 Day 1.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 1 Day 1-0.5 - 2 hours4.9487 Nano molesGeometric Coefficient of Variation 1173.3679
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 7 Day 1-3-5 hours475.6587 Nano molesGeometric Coefficient of Variation 41.5778
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 3 Day 1, 0.5 - 2 hours397.7406 Nano molesGeometric Coefficient of Variation 45.8548
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 9 Day 1-Predose359.5284 Nano molesGeometric Coefficient of Variation 47.0592
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 5 Day 1, 0.5 - 2 hours369.0696 Nano molesGeometric Coefficient of Variation 51.3284
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 9 Day 1-0.5-2 hours363.0106 Nano molesGeometric Coefficient of Variation 48.3837
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 3 Day 1, 3 - 5 hours512.4012 Nano molesGeometric Coefficient of Variation 44.0653
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 9 Day 1-3-5 hours485.6006 Nano molesGeometric Coefficient of Variation 46.6459
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 1 Day 1-PredoseNA Nano moles
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 11 Day 1-Predose354.5330 Nano molesGeometric Coefficient of Variation 44.4308
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 1 Day 1-3 - 5 hours129.3340 Nano molesGeometric Coefficient of Variation 171.2983
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 11 Day 1-0.5 -2 hours367.7450 Nano molesGeometric Coefficient of Variation 45.2003
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 5 Day 1, 3-5 hours485.8142 Nano molesGeometric Coefficient of Variation 47.2759
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 11 Day 1-3-5 hours476.4472 Nano molesGeometric Coefficient of Variation 44.4457
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 5 Day 1, Predose358.5487 Nano molesGeometric Coefficient of Variation 53.8212
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 13 Day 1-Predose369.9834 Nano molesGeometric Coefficient of Variation 40.1071
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 7 Day 1-Predose347.6176 Nano molesGeometric Coefficient of Variation 47.7442
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 13 Day 1-0.5 -2 hours371.4157 Nano molesGeometric Coefficient of Variation 42.9794
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 3 Day 1- Predose394.3489 Nano molesGeometric Coefficient of Variation 43.9296
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 13 Day 1-3-5 hours496.6866 Nano molesGeometric Coefficient of Variation 40.8757
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of AZD9291Cycle 7 Day 1-0.5 - 2 hours357.8529 Nano molesGeometric Coefficient of Variation 45.0713
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 13 Day 1-3-5 hours499.0220 Nano molesGeometric Coefficient of Variation 62.5485
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 1 Day 1-PredoseNA Nano moles
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 5 Day 1, Predose419.5893 Nano molesGeometric Coefficient of Variation 63.2507
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 1 Day 1-3 - 5 hours131.5669 Nano molesGeometric Coefficient of Variation 120.5979
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 3 Day 1- Predose441.5606 Nano molesGeometric Coefficient of Variation 55.0039
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 3 Day 1, 0.5 - 2 hours441.7343 Nano molesGeometric Coefficient of Variation 60.0626
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 3 Day 1, 3 - 5 hours553.8090 Nano molesGeometric Coefficient of Variation 60.9883
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 5 Day 1, 0.5 - 2 hours426.8197 Nano molesGeometric Coefficient of Variation 60.3841
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 5 Day 1, 3-5 hours570.7729 Nano molesGeometric Coefficient of Variation 61.4401
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 7 Day 1-Predose397.5857 Nano molesGeometric Coefficient of Variation 54.9006
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 7 Day 1-0.5 - 2 hours411.6170 Nano molesGeometric Coefficient of Variation 49.4107
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 7 Day 1-3-5 hours530.7212 Nano molesGeometric Coefficient of Variation 56.5184
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 9 Day 1-Predose383.2238 Nano molesGeometric Coefficient of Variation 67.7153
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 9 Day 1-0.5-2 hours395.2179 Nano molesGeometric Coefficient of Variation 71.5532
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 9 Day 1-3-5 hours490.5964 Nano molesGeometric Coefficient of Variation 70.3383
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 11 Day 1-Predose410.4023 Nano molesGeometric Coefficient of Variation 66.2329
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 11 Day 1-0.5 -2 hours415.2427 Nano molesGeometric Coefficient of Variation 64.6174
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 11 Day 1-3-5 hours528.8081 Nano molesGeometric Coefficient of Variation 68.4645
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 13 Day 1-Predose404.2678 Nano molesGeometric Coefficient of Variation 62.0291
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 13 Day 1-0.5 -2 hours393.1688 Nano molesGeometric Coefficient of Variation 62.1053
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of AZD9291Cycle 1 Day 1-0.5 - 2 hours5.0249 Nano molesGeometric Coefficient of Variation 816.7305
Secondary

Plasma Concentrations of Metabolite AZ7550

To characterise the pharmacokinetics (PK) of osimertinib metabolite AZ7550.

Time frame: Blood samples collected from each participant at pre-dose, 0.5 to 2 hours, and 3 to 5 hours post-dose on Day 1 Cycle 1, and every other cycle thereafter up to and including Cycle 13 (approximately 9 months)

Population: The pharmacokinetic analysis set (osimertinib arm only) was defined as participants in the FAS who had at least 1 evaluable PK concentration and who had no detectable pre-dose osimertinib concentrations above the lower limit of quantitation (LLQ) on Cycle 1 Day 1.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 3 Day 1, 0.5 - 2 hours46.0045 Nano molesGeometric Coefficient of Variation 45.9584
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 7 Day 1, 0.5-2 hours46.3540 Nano molesGeometric Coefficient of Variation 49.0845
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 1 Day 1, PredoseNA Nano moles
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 7 Day 1,3-5 hours52.3533 Nano molesGeometric Coefficient of Variation 47.6489
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 3 Day 1, 3 - 5 hours51.7182 Nano molesGeometric Coefficient of Variation 45.324
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 9 Day 1, Predose49.6058 Nano molesGeometric Coefficient of Variation 45.505
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 1 Day 1, 3 - 5 hours1.8610 Nano molesGeometric Coefficient of Variation 147.4624
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 9 Day 1, 0.5-2 hours49.9381 Nano molesGeometric Coefficient of Variation 46.4568
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 5 Day 1, Predose44.4537 Nano molesGeometric Coefficient of Variation 54.9882
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 9 Day 1, 3-5 hours56.5354 Nano molesGeometric Coefficient of Variation 45.6736
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 13 Day 1, 3-5 hours61.6053 Nano molesGeometric Coefficient of Variation 42.2947
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 11 Day 1, Predose50.9710 Nano molesGeometric Coefficient of Variation 46.884
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 5 Day 1, 0.5 - 2 hours45.2186 Nano molesGeometric Coefficient of Variation 51.6418
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 11 Day 1, 0.5- 2 hours51.9773 Nano molesGeometric Coefficient of Variation 45.3186
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 3 Day 1, Predose46.1286 Nano molesGeometric Coefficient of Variation 45.1082
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 11 Day 1, 3- 5 hours57.6986 Nano molesGeometric Coefficient of Variation 48.2382
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 5 Day 1, 3-5 hours51.4018 Nano molesGeometric Coefficient of Variation 51.3627
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 13 Day 1, Predose54.5238 Nano molesGeometric Coefficient of Variation 43.8481
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 1 Day 1, 0.5 - 2 hours0.1437 Nano molesGeometric Coefficient of Variation 168.2087
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 13 Day 1, 0.5-2 hours54.1224 Nano molesGeometric Coefficient of Variation 43.7869
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 7 Day 1, Predose46.2912 Nano molesGeometric Coefficient of Variation 49.8713
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 13 Day 1, 3-5 hours63.3365 Nano molesGeometric Coefficient of Variation 46.3082
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 1 Day 1, PredoseNA Nano moles
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 1 Day 1, 0.5 - 2 hoursNA Nano moles
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 1 Day 1, 3 - 5 hours2.1876 Nano molesGeometric Coefficient of Variation 123.6012
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 3 Day 1, Predose55.9958 Nano molesGeometric Coefficient of Variation 50.5705
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 3 Day 1, 0.5 - 2 hours55.6754 Nano molesGeometric Coefficient of Variation 53.0925
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 3 Day 1, 3 - 5 hours62.3493 Nano molesGeometric Coefficient of Variation 53.5513
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 5 Day 1, Predose53.0434 Nano molesGeometric Coefficient of Variation 52.2936
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 5 Day 1, 0.5 - 2 hours53.1901 Nano molesGeometric Coefficient of Variation 51.5506
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 5 Day 1, 3-5 hours62.5218 Nano molesGeometric Coefficient of Variation 51.0627
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 7 Day 1, Predose53.4167 Nano molesGeometric Coefficient of Variation 50.8399
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 7 Day 1, 0.5-2 hours54.3942 Nano molesGeometric Coefficient of Variation 46.1253
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 7 Day 1,3-5 hours61.9004 Nano molesGeometric Coefficient of Variation 51.6117
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 9 Day 1, Predose54.8207 Nano molesGeometric Coefficient of Variation 50.2534
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 9 Day 1, 0.5-2 hours55.2437 Nano molesGeometric Coefficient of Variation 52.5736
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 9 Day 1, 3-5 hours60.8933 Nano molesGeometric Coefficient of Variation 50.3474
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 11 Day 1, Predose56.4643 Nano molesGeometric Coefficient of Variation 51.2351
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 11 Day 1, 0.5- 2 hours57.4778 Nano molesGeometric Coefficient of Variation 47.3639
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 11 Day 1, 3- 5 hours65.3053 Nano molesGeometric Coefficient of Variation 49.6916
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 13 Day 1, Predose56.0666 Nano molesGeometric Coefficient of Variation 51.2464
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolite AZ7550Cycle 13 Day 1, 0.5-2 hours56.8750 Nano molesGeometric Coefficient of Variation 47.4338
Secondary

Plasma Concentrations of Metabolites AZ5104

To characterise the pharmacokinetics (PK) of osimertinib metabolite AZ5104.

Time frame: Blood samples collected from each participant at pre-dose, 0.5 to 2 hours, and 3 to 5 hours post-dose on Day 1 Cycle 1, and every other cycle thereafter up to and including Cycle 13 (approximately 9 months)

Population: The pharmacokinetic analysis set (osimertinib arm only) was defined as participants in the FAS who had at least 1 evaluable PK concentration and who had no detectable pre-dose osimertinib concentrations above the lower limit of quantitation (LLQ) on Cycle 1 Day 1.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 7 Day 1- Predose38.3847 Nano molesGeometric Coefficient of Variation 50.0861
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 3 Day 1, 0.5 - 2 hours42.7434 Nano molesGeometric Coefficient of Variation 52.8557
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 7 Day 1, 0.5-2 hours38.5301 Nano molesGeometric Coefficient of Variation 49.6296
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 1 Day 1 PredoseNA Nano moles
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 7 Day 1, 3-5 hours44.4670 Nano molesGeometric Coefficient of Variation 48.473
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 3 Day 1, 3 - 5 hours48.3547 Nano molesGeometric Coefficient of Variation 50.4286
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 9 Day 1, Predose40.1230 Nano molesGeometric Coefficient of Variation 47.0682
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 1 Day 1-3 - 5 hours3.9399 Nano molesGeometric Coefficient of Variation 153.7651
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 9 Day 1, 0.5-2 hours40.4987 Nano molesGeometric Coefficient of Variation 47.6483
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 5 Day 1, Predose39.3718 Nano molesGeometric Coefficient of Variation 56.6226
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 9 Day 1, 3-5 hours46.0310 Nano molesGeometric Coefficient of Variation 44.6875
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 13 Day 1, Predose40.4356 Nano molesGeometric Coefficient of Variation 47.2671
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 11 Day 1, Predose38.3859 Nano molesGeometric Coefficient of Variation 48.5351
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 5 Day 1, 0.5 - 2 hours39.4145 Nano molesGeometric Coefficient of Variation 55.3468
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 11 Day 1, 0.5-2 hours38.7620 Nano molesGeometric Coefficient of Variation 48.1414
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 3 Day 1-Predose42.9123 Nano molesGeometric Coefficient of Variation 50.241
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 11 Day 1, 3-5 hours43.9135 Nano molesGeometric Coefficient of Variation 50.6779
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 13 Day 1, 0.5- 2 hours40.1116 Nano molesGeometric Coefficient of Variation 46.3929
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 5 Day 1, 3-5 hours45.6842 Nano molesGeometric Coefficient of Variation 54.3876
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 13 Day 1, 3-5 hours45.9083 Nano molesGeometric Coefficient of Variation 44.8309
Osimertinib 80 mg (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 1 Day 1-0.5 - 2 hours0.1542 Nano molesGeometric Coefficient of Variation 230.5161
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 13 Day 1, 3-5 hours61.7426 Nano molesGeometric Coefficient of Variation 51.2924
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 13 Day 1, Predose55.1162 Nano molesGeometric Coefficient of Variation 54.3493
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 1 Day 1 PredoseNA Nano moles
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 1 Day 1-0.5 - 2 hoursNA Nano moles
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 1 Day 1-3 - 5 hours6.3053 Nano molesGeometric Coefficient of Variation 123.9308
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 3 Day 1-Predose56.8319 Nano molesGeometric Coefficient of Variation 51.0378
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 3 Day 1, 0.5 - 2 hours55.9947 Nano molesGeometric Coefficient of Variation 59.1318
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 3 Day 1, 3 - 5 hours64.0621 Nano molesGeometric Coefficient of Variation 54.2058
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 5 Day 1, Predose56.0330 Nano molesGeometric Coefficient of Variation 57.5022
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 5 Day 1, 0.5 - 2 hours55.3767 Nano molesGeometric Coefficient of Variation 55.9096
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 5 Day 1, 3-5 hours63.9216 Nano molesGeometric Coefficient of Variation 56.4249
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 7 Day 1- Predose52.5786 Nano molesGeometric Coefficient of Variation 51.0588
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 7 Day 1, 0.5-2 hours52.7638 Nano molesGeometric Coefficient of Variation 47.4797
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 7 Day 1, 3-5 hours60.6201 Nano molesGeometric Coefficient of Variation 50.6931
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 9 Day 1, Predose54.4349 Nano molesGeometric Coefficient of Variation 51.3447
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 9 Day 1, 0.5-2 hours54.7158 Nano molesGeometric Coefficient of Variation 54.6783
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 9 Day 1, 3-5 hours60.4649 Nano molesGeometric Coefficient of Variation 52.6147
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 11 Day 1, Predose56.4782 Nano molesGeometric Coefficient of Variation 59.1303
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 11 Day 1, 0.5-2 hours57.4095 Nano molesGeometric Coefficient of Variation 57.0891
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 13 Day 1, 0.5- 2 hours54.3858 Nano molesGeometric Coefficient of Variation 49.9148
SoC EGFR-TKI (Global Cohort)Plasma Concentrations of Metabolites AZ5104Cycle 11 Day 1, 3-5 hours65.1943 Nano molesGeometric Coefficient of Variation 58.5043

Source: ClinicalTrials.gov · Data processed: Apr 22, 2026