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Aumolertinib Adjuvant Therapy of Resectable Stage I EGFRm+ NSCLC With High-grade Patterns

Efficacy and Safety of Aumolertinib as Adjuvant Therapy in Resectable Stage I NSCLC With High-grade Patterns and EGFR-sensitizing Mutations (APPOINT)

Status
UNKNOWN
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04922138
Acronym
APPOINT
Enrollment
104
Registered
2021-06-10
Start date
2022-01-14
Completion date
2025-10-15
Last updated
2023-04-21

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

Conditions

Lung Cancer

Brief summary

Efficacy and safety of postoperative adjuvant treatment of NSCLC patients with Aumolertinib.

Detailed description

This is a multi-center, two-arm clinical study. In patients with stage I non-squamous non-small cell lung cancer (NSCLC) with EGFR 19del/21L858R with solid, micropapillary, and/or complex gland components ≥10% who have not received any systemic treatment, to evaluate the efficacy and safety of postoperative adjuvant Aumolertinib in NSCLC patients .

Interventions

All subjects who meet the enrollment conditions will be included in the Aumolertinib monotherapy group: Orally 110 mg Aumolertinib tablets (55 mg/tablet, 2 tablets/day) once a day until recurrence or completion of treatment or reaching the standard of discontinuation.

Sponsors

Jiangsu Hansoh Pharmaceutical Co., Ltd.
CollaboratorINDUSTRY
Baohui Han
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

Any patient who meets all of the following inclusion criteria will qualify for entry into the study: 1. Male or female, aged at least 18 years. 2. Histologically confirmed diagnosis of primary non small lung cancer (NSCLC) on predominantly non-squamous histology. 3. Brain examination must be done prior to surgery as it is considered standard of care. 4. Patients are pathologically confirmed to be stage I after operation, containing solid, micropapillary, and/or complex gland components ≥10%. 5. Confirmation by the central laboratory that the tumour harbours one of the 2 common EGFR mutations known to be associated with EGFR-TKI sensitivity (Ex19del, L858R), either alone or in combination with other EGFR mutations including T790M. 6. Providing paraffin embedded section(10-15sheets),wax blocks or fresh frozen tissues. 7. Complete surgical resection of the primary NSCLC is mandatory. All gross disease must have been removed at the end of surgery. All surgical margins of resection must be negative for tumour. 8. World Health Organization Performance Status of 0 to 1. 9. Women of childbearing age should take appropriate contraceptive measures from screening to 3 months after stopping the study treatment and should not breastfeed. Before starting the administration, the pregnancy test was negative. 10. Male patients should be willing to use barrier contraception from screening to stopping study treatment for 3 months.(i.e., condoms). 11. For inclusion in study, patient must provide a written informed consent. 12. ≤10 weeks between surgery and treatment period

Exclusion criteria

Any patient who meets any of the following

Design outcomes

Primary

MeasureTime frameDescription
2-year Disease free survival (DFS) rateFrom date of treatment start until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 monthsDefined as the proportion of patients alive and disease free at 2 years,estimated from Kaplan Meier plots of the primary endpoint of DFS at the time of the primary analysis

Secondary

MeasureTime frameDescription
3-, 4-, and 5-year DFS rateFrom date of treatment start until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 60 monthsDefined as the proportion of patients alive and disease free at 3, 4 and 5 years, respectively, estimated from Kaplan Meier plots of the primary endpoint of DFS at the time of the primary analysis.
Overall Survival (OS)Start of study drug to Survival Endpoint through study completion, an average of 5 years, assessed up to 60 monthsDefined as the time from the date of treatment start until date of death due to any cause
Patient health-related quality of life and symptoms (HRQoL) by SF-36v2 Health SurveyFrom date of treatment start until treatment completion or discontinuation, assessed up to 60 monthsDefined as a patient-reported survey of patient health. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section and the scores range from 0-100. A score of 0 is equivalent to maximum disability and a score of 100 is equivalent to no disability.

Other

MeasureTime frameDescription
Incidence of Adverse Events (AEs)From date of treatment start until 28 days after treatment completionAEs graded by CTCAE version 4.0

Countries

China

Contacts

Primary ContactBaohui Han, doctor
18930858216@163.com18930858216

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026