NCT04035486 · STUDY IN CONTEXT
FLAURA2
Draft scope assessment: narrower. FLAURA2 tests osimertinib with platinum-pemetrexed chemotherapy against osimertinib alone. It addresses a treatment question within this indication rather than the whole indication, and its results do not describe patients treated with osimertinib monotherapy as first-line care. Source null
Read the full study record and all posted results →
Linked outcomes
Adverse events were summarized by maximum reported Common Terminology Criteria for Adverse Event (CTCAE) grade, version 5.0. Grade 1 (Mild): asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2 (Moderate): minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living. Grade 3 (Severe or medically significant but not immediately life-threatening): hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living. Grade 4 (Life-threatening consequences): urgent intervention indicated. Grade 5: Death related to AE. Includes adverse events with onset date on or after the date of first dose and up to and including 28 days following discontinuation of treatment but prior to the start of a new anti-cancer therapy.
Progression-free survival (PFS) using Investigator assessment as defined by RECIST 1.1. Median progression free survival (months) calculated using the Kaplan-Meier method. Progression-free survival (PFS) is 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 patient withdraws from randomized therapy or receives another anti-cancer therapy prior to progression. Patients who have not progressed or died at the time of analysis will be censored at the time of the latest date of assessment from their last evaluable RECIST assessment. The primary efficacy analysis of the investigator-assessed progression-free survival will be performed when approximately 278 PFS events and at least 16 months of follow-up after Last subject in, has occurred in the 556 randomized patients.
Sensitivity analysis for progression-free survival (PFS) by blinded independent central review (BICR) using Investigator assessment as defined by RECIST 1.1. Median progression free survival (months) calculated using the Kaplan-Meier method. Progression-free survival (PFS) is 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 patient withdraws from randomized therapy or receives another anti-cancer therapy prior to progression. Patients who have not progressed or died at the time of analysis will be censored at the time of the latest date of assessment from their last evaluable RECIST assessment. The primary efficacy analysis of the investigator-assessed progression-free survival will be performed when approximately 278 PFS events and at least 16 months of follow-up after Last subject in, has occurred in the 556 randomized patients.
Reported safety
Quality of life and patient-reported measures
EORTC QLQ · Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) (Randomized Component)
Score direction: Not stated by the study. Direction is never inferred from an instrument name.
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0017
- source section id
- NCT04035486-om-0017
- source outcome index
- 17
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) (Randomized Component)
- measure definition
- QLQ-C30 has 30 questions and scores range from 0-100 after a linear transformation. Questions are combined to produce symptom scales, individual symptom items, functional scales, and global health status (GHS)/quality of life (QoL). Positive change from baseline scores on the GHS/QoL and functioning scales indicate improvement on health status/function, and negative change scores on symptom scales/items represent less symptom severity/improvement on symptom status. The score values calculated by averaging across patients overall mean across all visits. The analysis was performed using a MMRM analysis on the change from baseline in the score at each visit, including subject (random effect), treatment, visit (fixed effect \& repeated measure) and treatment by visit interaction as explanatory variables, with the baseline score as a covariate along with the baseline score by assessment interaction.
- time frame
- Up to approximately 33 months after the first patient is randomized.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Full Analysis Set, includes all randomized participants.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
EORTC QLQ · Median Time to Deterioration in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) (Randomized Component)
Score direction: Not stated by the study. Direction is never inferred from an instrument name.
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0018
- source section id
- NCT04035486-om-0018
- source outcome index
- 18
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Median Time to Deterioration in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) (Randomized Component)
- measure definition
- The EORTC QLQ-C30 consists of 30 questions that are combined to produce 3 symptom scales (fatigue, pain, and nausea/vomiting), 5 individual symptom items (dyspnea, insomnia, appetite loss, constipation, and diarrhea), 5 functional scales (physical, role, cognitive, emotional, and social), and a global measure of health status/QoL. Scores range from 0-100 after a linear transformation. Time to deterioration (TTD) is defined as the time from randomization until the date of the first clinically meaningful worsening (a change in the score from baseline of ≥10) that is confirmed at a subsequent assessment or death in the absence of a clinically meaningful symptom, function, or global health status/QoL worsening, regardless of whether the patient withdraws from study treatment or receives another anticancer therapy prior to symptom, function or GHS/QoL deterioration. The median TTD was calculated using the Kaplan-Meier method.
- time frame
- Up to approximately 33 months after the first patient is randomized.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Full Analysis Set, includes all randomized participants.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
EORTC QLQ · Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer 13 Items (EORTC QLQ-LC13) (Randomized Component)
Score direction: Not stated by the study. Direction is never inferred from an instrument name.
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0019
- source section id
- NCT04035486-om-0019
- source outcome index
- 19
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer 13 Items (EORTC QLQ-LC13) (Randomized Component)
- measure definition
- EORTC QLQ-LC13 has 13 questions and scores range from 0-100 after a linear transformation. Questions assess cough, hemoptysis, dyspnea, site specific pain, sore mouth, dysphagia, peripheral neuropathy, and alopecia and pain medication. While the QLQ-LC13 includes more scales, only the Coughing, Pain in chest, and Dyspnea subscale scores were analyzed for this endpoint. Negative change from baseline scores indicates less symptom severity, and thus improvement on health status. The score values calculated by averaging across patients overall mean across all visits. The analysis was performed using a MMRM analysis on the change from baseline in the score at each visit, including subject (as a random effect), treatment, visit (as fixed effect and repeated measure) and treatment by visit interaction as explanatory variables, with the baseline score as a covariate along with the baseline score by assessment interaction.
- time frame
- Up to approximately 33 months after the first patient is randomized.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Full Analysis Set, includes all randomized participants.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
EORTC QLQ · Time to Deterioration in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer 13 Items (EORTC QLQ-LC13) (Randomized Component)
Score direction: Not stated by the study. Direction is never inferred from an instrument name.
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0020
- source section id
- NCT04035486-om-0020
- source outcome index
- 20
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Time to Deterioration in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer 13 Items (EORTC QLQ-LC13) (Randomized Component)
- measure definition
- EORTC QLQ-LC13 has 13 questions and scores range from 0-100 after a linear transformation. Questions assess cough, hemoptysis, dyspnea, site specific pain, sore mouth, dysphagia, peripheral neuropathy, and alopecia and pain medication. Time to deterioration (TTD) is defined as the time from randomization until the date of the first clinically meaningful worsening (a change in the score from baseline of ≥10) that is confirmed at a subsequent assessment or death in the absence of a clinically meaningful symptom, function, or global health status/QoL worsening, regardless of whether the patient withdraws from study treatment or receives another anticancer therapy prior to symptom, function or GHS/QoL deterioration. The median TTD was calculated using the Kaplan-Meier method.
- time frame
- Up to approximately 33 months after the first patient is randomized.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Full Analysis Set, all randomized participants.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
FACT · Concordance of Epidermal Growth Factor Receptor (EGFR) Mutation Status Between the Local EGFR Mutation Test and the Central Cobas® EGFR Mutation Test v2 Results: Exon 19 Deletion (Randomized Component)
Score direction: Not stated by the study. Direction is never inferred from an instrument name.
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0021
- source section id
- NCT04035486-om-0021
- source outcome index
- 21
- instrument
- FACT
- instrument basis
- matched 'factor' in the study's own wording
- scale title
- Concordance of Epidermal Growth Factor Receptor (EGFR) Mutation Status Between the Local EGFR Mutation Test and the Central Cobas® EGFR Mutation Test v2 Results: Exon 19 Deletion (Randomized Component)
- measure definition
- Comparing the local EGFR mutation test result used for patient selection with the retrospective central cobas® EGFR Mutation Test v2 results in participants with EXON 19 Deletion, excluding invalid results. Since this endpoint uses pre-randomization data to compare results from a central vs. local lab, randomized component treatment arms were combined for analysis.
- time frame
- Screening/Baseline
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Participants with a valid local and central test result.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
FACT · Concordance of Epidermal Growth Factor Receptor (EGFR) Mutation Status Between the Local EGFR Mutation Test and the Central Cobas® EGFR Mutation Test v2 Results: L858R (Randomized Component)
Score direction: Not stated by the study. Direction is never inferred from an instrument name.
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0022
- source section id
- NCT04035486-om-0022
- source outcome index
- 22
- instrument
- FACT
- instrument basis
- matched 'factor' in the study's own wording
- scale title
- Concordance of Epidermal Growth Factor Receptor (EGFR) Mutation Status Between the Local EGFR Mutation Test and the Central Cobas® EGFR Mutation Test v2 Results: L858R (Randomized Component)
- measure definition
- Comparing the local EGFR mutation test result used for patient selection with the retrospective central cobas® EGFR Mutation Test v2 results in participants with L858R, excluding invalid results. Since this endpoint uses pre-randomization data to compare results from a central vs. local lab, randomized component treatment arms were combined for analysis.
- time frame
- Screening/Baseline
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Participants with a valid local and central test result.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
FACT · Progression-free Survival (PFS) by Investigator by Plasma Epidermal Growth Factor Receptor Mutation Status: Exon 19 Deletion - Participants With an Event (Randomized Component)
Score direction: Not stated by the study. Direction is never inferred from an instrument name.
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0023
- source section id
- NCT04035486-om-0023
- source outcome index
- 23
- instrument
- FACT
- instrument basis
- matched 'factor' in the study's own wording
- scale title
- Progression-free Survival (PFS) by Investigator by Plasma Epidermal Growth Factor Receptor Mutation Status: Exon 19 Deletion - Participants With an Event (Randomized Component)
- measure definition
- PFS is defined as the time from randomization until an event. An event is defined as the date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the subject withdraws from study treatment or receives another anti-cancer therapy prior to progression. Subgroup analysis was performed using a Cox proportional hazards model including treatment, subgroup and a treatment-by subgroup interaction term.
- time frame
- Up to approximately 33 months after the first patient is randomized.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Subgroup of Full Analysis Set, includes all randomized participants with Exon 19 Deletion EGFR mutation.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
FACT · Progression-free Survival (PFS) by Investigator by Plasma Epidermal Growth Factor Receptor Mutation Status: L858R - Participants With an Event (Randomized Component)
Score direction: Not stated by the study. Direction is never inferred from an instrument name.
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0024
- source section id
- NCT04035486-om-0024
- source outcome index
- 24
- instrument
- FACT
- instrument basis
- matched 'factor' in the study's own wording
- scale title
- Progression-free Survival (PFS) by Investigator by Plasma Epidermal Growth Factor Receptor Mutation Status: L858R - Participants With an Event (Randomized Component)
- measure definition
- PFS is defined as the time from randomization until an event. An event is defined as the date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the subject withdraws from study treatment or receives another anti-cancer therapy prior to progression. Subgroup analysis was performed using a Cox proportional hazards model including treatment, subgroup and a treatment-by subgroup interaction term.
- time frame
- Up to approximately 33 months after the first patient is randomized.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Subgroup of Full Analysis Set, includes all randomized participants with L858R EGFR mutation.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
Full draft applicability and source-link record
- trial
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- trial label
- FLAURA2
- applicability
- narrower
- applicability note
- FLAURA2 tests osimertinib with platinum-pemetrexed chemotherapy against osimertinib alone. It addresses a treatment question within this indication rather than the whole indication, and its results do not describe patients treated with osimertinib monotherapy as first-line care.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- provenance class
- regulator-cited
- discovery note
- Source null
- outcome Count
- 3
- harms Count
- 4
- qol Count
- 8
- outcomes
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- outcome key
- om-0000
- source section id
- NCT04035486-om-0000
- source outcome index
- 0
- endpoint
- Adverse Events Graded by Common Terminology Criteria for Adverse Event v5 (Safety Run-In Treatment Arms Only)
- endpoint definition
- Adverse events were summarized by maximum reported Common Terminology Criteria for Adverse Event (CTCAE) grade, version 5.0. Grade 1 (Mild): asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2 (Moderate): minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living. Grade 3 (Severe or medically significant but not immediately life-threatening): hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living. Grade 4 (Life-threatening consequences): urgent intervention indicated. Grade 5: Death related to AE. Includes adverse events with onset date on or after the date of first dose and up to and including 28 days following discontinuation of treatment but prior to the start of a new anti-cancer therapy.
- time origin
- From first dose date to 28 days following last dose, up to 45 months
- analysis role
- primary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Participants from the Safety Analysis Set, which includes all participants in the Safety Run-In Treatment Arms who received at least 1 dose of study treatment (osimertinib, cisplatin, carboplatin, or pemetrexed).
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- outcome key
- om-0001
- source section id
- NCT04035486-om-0001
- source outcome index
- 1
- endpoint
- Progression-free Survival (PFS) (Randomized Component)
- endpoint definition
- Progression-free survival (PFS) using Investigator assessment as defined by RECIST 1.1. Median progression free survival (months) calculated using the Kaplan-Meier method. Progression-free survival (PFS) is 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 patient withdraws from randomized therapy or receives another anti-cancer therapy prior to progression. Patients who have not progressed or died at the time of analysis will be censored at the time of the latest date of assessment from their last evaluable RECIST assessment. The primary efficacy analysis of the investigator-assessed progression-free survival will be performed when approximately 278 PFS events and at least 16 months of follow-up after Last subject in, has occurred in the 556 randomized patients.
- time origin
- Up to approximately 33 months after the first patient is randomized (maximum follow up of 33.3 months)
- analysis role
- primary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Full Analysis Set, includes all randomized participants.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- outcome key
- om-0002
- source section id
- NCT04035486-om-0002
- source outcome index
- 2
- endpoint
- Sensitivity Analysis for Progression-free Survival (PFS) by Blinded Independent Central Review (BICR) Assessment (Randomized Component)
- endpoint definition
- Sensitivity analysis for progression-free survival (PFS) by blinded independent central review (BICR) using Investigator assessment as defined by RECIST 1.1. Median progression free survival (months) calculated using the Kaplan-Meier method. Progression-free survival (PFS) is 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 patient withdraws from randomized therapy or receives another anti-cancer therapy prior to progression. Patients who have not progressed or died at the time of analysis will be censored at the time of the latest date of assessment from their last evaluable RECIST assessment. The primary efficacy analysis of the investigator-assessed progression-free survival will be performed when approximately 278 PFS events and at least 16 months of follow-up after Last subject in, has occurred in the 556 randomized patients.
- time origin
- Up to approximately 33 months after the first patient is randomized (maximum follow up of 33.2 months).
- analysis role
- primary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Full Analysis Set, includes all randomized participants.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- arms
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- outcome key
- om-0000
- arm key
- OG000
- arm label
- Safety Run-In: AZD9291 + Carboplatin + Pemetrexed
- regimen
- Osimertinib (AZD9291) 80 mg once daily (QD) with Carboplatin (AUC of 5 mg/mL/min \[AUC5\]) and Pemetrexed (500 mg/m2), both administered every 3 weeks (Q3W) for 4 cycles, followed by Osimertinib 80 mg once daily plus Pemetrexed maintenance (500 mg/m2) Q3W
- analyzed count
- 15
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT04035486-om-0000#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- outcome key
- om-0000
- arm key
- OG001
- arm label
- Safety Run-In: AZD9291 + Cisplatin + Pemetrexed
- regimen
- Osimertinib (AZD9291) 80 mg once daily (QD) with Cisplatin (75 mg/m2) and Pemetrexed (500 mg/m2), both administered every 3 weeks (Q3W) for 4 cycles, followed by Osimertinib 80 mg once daily plus Pemetrexed maintenance (500 mg/m2) Q3W
- analyzed count
- 15
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT04035486-om-0000#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- outcome key
- om-0001
- arm key
- OG000
- arm label
- Randomized: AZD9291 + Chemo
- regimen
- Osimertinib (AZD9291) 80 mg in combination with pemetrexed (500 mg/m2) plus either cisplatin (75 mg/m2) or carboplatin (AUC5) on Day 1 of 21-day cycles for 4 cycles, followed by Osimertinib (AZD9291) 80 mg QD with Pemetrexed maintenance (500 mg/m2) Q3W
- analyzed count
- 279
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT04035486-om-0001#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- outcome key
- om-0001
- arm key
- OG001
- arm label
- Randomized: AZD9291
- regimen
- Osimertinib (AZD9291) 80mg QD.
- analyzed count
- 278
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT04035486-om-0001#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- outcome key
- om-0002
- arm key
- OG000
- arm label
- Randomized: AZD9291 + Chemo
- regimen
- Osimertinib (AZD9291) 80 mg in combination with pemetrexed (500 mg/m2) plus either cisplatin (75 mg/m2) or carboplatin (AUC5) on Day 1 of 21-day cycles for 4 cycles, followed by Osimertinib (AZD9291) 80 mg QD with Pemetrexed maintenance (500 mg/m2) Q3W
- analyzed count
- 279
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT04035486-om-0002#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- outcome key
- om-0002
- arm key
- OG001
- arm label
- Randomized: AZD9291
- regimen
- Osimertinib (AZD9291) 80mg QD.
- analyzed count
- 278
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT04035486-om-0002#groups/OG001
- harms
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- harm key
- EG000
- source section id
- NCT04035486-ae
- event group key
- EG000
- event group label
- Safety Run-In: AZD9291 + Carboplatin + Pemetrexed
- serious affected
- 5
- serious at risk
- 15
- other affected
- 15
- other at risk
- 15
- frequency threshold
- 5
- collection period
- Includes treatment emergent adverse events with onset date on or after the date of first dose and up to and including 28 days following discontinuation of treatment but prior to the start of a new anti-cancer therapy. For the Safety Run-In treatment arms, this was up to 45 months, or the data cut-off. For the Randomized treatment arms, this was up to 33 months, or the data cut-off.
- event definition
- All AE data is based off of the Safety Analysis Set, which includes all patients who received at least 1 dose of study treatment. The All-Cause Mortality section is based off of all subjects who were assigned a study treatment in either the Safety Run-In or Randomized Treatment Arms.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- harm key
- EG001
- source section id
- NCT04035486-ae
- event group key
- EG001
- event group label
- Safety Run-In: AZD9291 + Cisplatin + Pemetrexed
- serious affected
- 6
- serious at risk
- 15
- other affected
- 14
- other at risk
- 15
- frequency threshold
- 5
- collection period
- Includes treatment emergent adverse events with onset date on or after the date of first dose and up to and including 28 days following discontinuation of treatment but prior to the start of a new anti-cancer therapy. For the Safety Run-In treatment arms, this was up to 45 months, or the data cut-off. For the Randomized treatment arms, this was up to 33 months, or the data cut-off.
- event definition
- All AE data is based off of the Safety Analysis Set, which includes all patients who received at least 1 dose of study treatment. The All-Cause Mortality section is based off of all subjects who were assigned a study treatment in either the Safety Run-In or Randomized Treatment Arms.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- harm key
- EG002
- source section id
- NCT04035486-ae
- event group key
- EG002
- event group label
- Randomized: AZD9291 + Chemo
- serious affected
- 104
- serious at risk
- 276
- other affected
- 273
- other at risk
- 276
- frequency threshold
- 5
- collection period
- Includes treatment emergent adverse events with onset date on or after the date of first dose and up to and including 28 days following discontinuation of treatment but prior to the start of a new anti-cancer therapy. For the Safety Run-In treatment arms, this was up to 45 months, or the data cut-off. For the Randomized treatment arms, this was up to 33 months, or the data cut-off.
- event definition
- All AE data is based off of the Safety Analysis Set, which includes all patients who received at least 1 dose of study treatment. The All-Cause Mortality section is based off of all subjects who were assigned a study treatment in either the Safety Run-In or Randomized Treatment Arms.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- harm key
- EG003
- source section id
- NCT04035486-ae
- event group key
- EG003
- event group label
- Randomized: AZD9291
- serious affected
- 53
- serious at risk
- 275
- other affected
- 258
- other at risk
- 275
- frequency threshold
- 5
- collection period
- Includes treatment emergent adverse events with onset date on or after the date of first dose and up to and including 28 days following discontinuation of treatment but prior to the start of a new anti-cancer therapy. For the Safety Run-In treatment arms, this was up to 45 months, or the data cut-off. For the Randomized treatment arms, this was up to 33 months, or the data cut-off.
- event definition
- All AE data is based off of the Safety Analysis Set, which includes all patients who received at least 1 dose of study treatment. The All-Cause Mortality section is based off of all subjects who were assigned a study treatment in either the Safety Run-In or Randomized Treatment Arms.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- quality of life
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0017
- source section id
- NCT04035486-om-0017
- source outcome index
- 17
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) (Randomized Component)
- measure definition
- QLQ-C30 has 30 questions and scores range from 0-100 after a linear transformation. Questions are combined to produce symptom scales, individual symptom items, functional scales, and global health status (GHS)/quality of life (QoL). Positive change from baseline scores on the GHS/QoL and functioning scales indicate improvement on health status/function, and negative change scores on symptom scales/items represent less symptom severity/improvement on symptom status. The score values calculated by averaging across patients overall mean across all visits. The analysis was performed using a MMRM analysis on the change from baseline in the score at each visit, including subject (random effect), treatment, visit (fixed effect \& repeated measure) and treatment by visit interaction as explanatory variables, with the baseline score as a covariate along with the baseline score by assessment interaction.
- time frame
- Up to approximately 33 months after the first patient is randomized.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Full Analysis Set, includes all randomized participants.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0018
- source section id
- NCT04035486-om-0018
- source outcome index
- 18
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Median Time to Deterioration in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) (Randomized Component)
- measure definition
- The EORTC QLQ-C30 consists of 30 questions that are combined to produce 3 symptom scales (fatigue, pain, and nausea/vomiting), 5 individual symptom items (dyspnea, insomnia, appetite loss, constipation, and diarrhea), 5 functional scales (physical, role, cognitive, emotional, and social), and a global measure of health status/QoL. Scores range from 0-100 after a linear transformation. Time to deterioration (TTD) is defined as the time from randomization until the date of the first clinically meaningful worsening (a change in the score from baseline of ≥10) that is confirmed at a subsequent assessment or death in the absence of a clinically meaningful symptom, function, or global health status/QoL worsening, regardless of whether the patient withdraws from study treatment or receives another anticancer therapy prior to symptom, function or GHS/QoL deterioration. The median TTD was calculated using the Kaplan-Meier method.
- time frame
- Up to approximately 33 months after the first patient is randomized.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Full Analysis Set, includes all randomized participants.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0019
- source section id
- NCT04035486-om-0019
- source outcome index
- 19
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer 13 Items (EORTC QLQ-LC13) (Randomized Component)
- measure definition
- EORTC QLQ-LC13 has 13 questions and scores range from 0-100 after a linear transformation. Questions assess cough, hemoptysis, dyspnea, site specific pain, sore mouth, dysphagia, peripheral neuropathy, and alopecia and pain medication. While the QLQ-LC13 includes more scales, only the Coughing, Pain in chest, and Dyspnea subscale scores were analyzed for this endpoint. Negative change from baseline scores indicates less symptom severity, and thus improvement on health status. The score values calculated by averaging across patients overall mean across all visits. The analysis was performed using a MMRM analysis on the change from baseline in the score at each visit, including subject (as a random effect), treatment, visit (as fixed effect and repeated measure) and treatment by visit interaction as explanatory variables, with the baseline score as a covariate along with the baseline score by assessment interaction.
- time frame
- Up to approximately 33 months after the first patient is randomized.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Full Analysis Set, includes all randomized participants.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0020
- source section id
- NCT04035486-om-0020
- source outcome index
- 20
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Time to Deterioration in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer 13 Items (EORTC QLQ-LC13) (Randomized Component)
- measure definition
- EORTC QLQ-LC13 has 13 questions and scores range from 0-100 after a linear transformation. Questions assess cough, hemoptysis, dyspnea, site specific pain, sore mouth, dysphagia, peripheral neuropathy, and alopecia and pain medication. Time to deterioration (TTD) is defined as the time from randomization until the date of the first clinically meaningful worsening (a change in the score from baseline of ≥10) that is confirmed at a subsequent assessment or death in the absence of a clinically meaningful symptom, function, or global health status/QoL worsening, regardless of whether the patient withdraws from study treatment or receives another anticancer therapy prior to symptom, function or GHS/QoL deterioration. The median TTD was calculated using the Kaplan-Meier method.
- time frame
- Up to approximately 33 months after the first patient is randomized.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Full Analysis Set, all randomized participants.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0021
- source section id
- NCT04035486-om-0021
- source outcome index
- 21
- instrument
- FACT
- instrument basis
- matched 'factor' in the study's own wording
- scale title
- Concordance of Epidermal Growth Factor Receptor (EGFR) Mutation Status Between the Local EGFR Mutation Test and the Central Cobas® EGFR Mutation Test v2 Results: Exon 19 Deletion (Randomized Component)
- measure definition
- Comparing the local EGFR mutation test result used for patient selection with the retrospective central cobas® EGFR Mutation Test v2 results in participants with EXON 19 Deletion, excluding invalid results. Since this endpoint uses pre-randomization data to compare results from a central vs. local lab, randomized component treatment arms were combined for analysis.
- time frame
- Screening/Baseline
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Participants with a valid local and central test result.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0022
- source section id
- NCT04035486-om-0022
- source outcome index
- 22
- instrument
- FACT
- instrument basis
- matched 'factor' in the study's own wording
- scale title
- Concordance of Epidermal Growth Factor Receptor (EGFR) Mutation Status Between the Local EGFR Mutation Test and the Central Cobas® EGFR Mutation Test v2 Results: L858R (Randomized Component)
- measure definition
- Comparing the local EGFR mutation test result used for patient selection with the retrospective central cobas® EGFR Mutation Test v2 results in participants with L858R, excluding invalid results. Since this endpoint uses pre-randomization data to compare results from a central vs. local lab, randomized component treatment arms were combined for analysis.
- time frame
- Screening/Baseline
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Participants with a valid local and central test result.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0023
- source section id
- NCT04035486-om-0023
- source outcome index
- 23
- instrument
- FACT
- instrument basis
- matched 'factor' in the study's own wording
- scale title
- Progression-free Survival (PFS) by Investigator by Plasma Epidermal Growth Factor Receptor Mutation Status: Exon 19 Deletion - Participants With an Event (Randomized Component)
- measure definition
- PFS is defined as the time from randomization until an event. An event is defined as the date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the subject withdraws from study treatment or receives another anti-cancer therapy prior to progression. Subgroup analysis was performed using a Cox proportional hazards model including treatment, subgroup and a treatment-by subgroup interaction term.
- time frame
- Up to approximately 33 months after the first patient is randomized.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Subgroup of Full Analysis Set, includes all randomized participants with Exon 19 Deletion EGFR mutation.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- nct id
- NCT04035486
- qol key
- qol-0024
- source section id
- NCT04035486-om-0024
- source outcome index
- 24
- instrument
- FACT
- instrument basis
- matched 'factor' in the study's own wording
- scale title
- Progression-free Survival (PFS) by Investigator by Plasma Epidermal Growth Factor Receptor Mutation Status: L858R - Participants With an Event (Randomized Component)
- measure definition
- PFS is defined as the time from randomization until an event. An event is defined as the date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the subject withdraws from study treatment or receives another anti-cancer therapy prior to progression. Subgroup analysis was performed using a Cox proportional hazards model including treatment, subgroup and a treatment-by subgroup interaction term.
- time frame
- Up to approximately 33 months after the first patient is randomized.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Subgroup of Full Analysis Set, includes all randomized participants with L858R EGFR mutation.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- setting source links
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- link id
- link-NCT02296125
- source collection
- registry-study
- source key
- NCT02296125
- relation
- primary-publication
- relation note
- Source null
- recorded at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-egfr-mutated-advanced-nsclc
- link id
- link-NCT04035486
- source collection
- registry-study
- source key
- NCT04035486
- relation
- supporting-publication
- relation note
- Source null
- recorded at
- 2026-09-10T00:00:00Z
Preserved source evidence · Not medical advice
Triangle