NCT04988295 · STUDY IN CONTEXT
A Study of Amivantamab and Lazertinib in Combination With Platinum-Based Chemotherapy Compared With Platinum-Based Chemotherapy in Patients With Epidermal Growth Factor Receptor (E
Draft scope assessment: unclear. Attached because the study's own record names EGFR and names EGFR and describes metastatic disease. The study record does not state Exon 19 Deletion, so it may describe a different alteration of the same gene. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full. Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
Read the full study record and all posted results →
Linked outcomes
PFS is defined as the time from randomization until the date of objective disease progression or death, whichever came first, as assessed by BICR according to RECIST version 1.1. Progressed disease: Sum of diameters increased by greater than or equal to (\>=)20 percent (%) and \>=5 millimeter (mm) from nadir (including baseline if it was smallest sum).
Follow-up for the extension cohort is still ongoing and thus results from the analysis that includes the extension cohort will be reported up on study completion.
Main Study+ Extension Cohort: Objective Response Rate as Assessed by Blinded Independent Central Review
Main Study+ Extension Cohort: Overall Survival
Main Study+ Extension Cohort: Duration of Response as Assessed by Blinded Independent Central Review
Main Study+ Extension Cohort: Time to Subsequent Therapy
Reported safety
Quality of life and patient-reported measures
EORTC QLQ · Main Study+ Extension Cohort: Change From Baseline With European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC-QLQ-C30)
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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- qol key
- qol-0016
- source section id
- NCT04988295-om-0016
- source outcome index
- 16
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Main Study+ Extension Cohort: Change From Baseline With European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC-QLQ-C30)
- measure definition
- Source null
- time frame
- Up to 4 years 10 months
- analysis role
- secondary
- reporting status
- NOT_POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
PROMIS · Main Study+ Extension Cohort: Change From Baseline With Patient-Reported Outcomes Measurement Information System -Physical Function (PROMIS-PF)
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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- qol key
- qol-0017
- source section id
- NCT04988295-om-0017
- source outcome index
- 17
- instrument
- PROMIS
- instrument basis
- matched 'promis' in the study's own wording
- scale title
- Main Study+ Extension Cohort: Change From Baseline With Patient-Reported Outcomes Measurement Information System -Physical Function (PROMIS-PF)
- measure definition
- Source null
- time frame
- Up to 4 years 10 months
- analysis role
- secondary
- reporting status
- NOT_POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Source null
- 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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- trial label
- A Study of Amivantamab and Lazertinib in Combination With Platinum-Based Chemotherapy Compared With Platinum-Based Chemotherapy in Patients With Epidermal Growth Factor Receptor (E
- applicability
- unclear
- applicability note
- Attached because the study's own record names EGFR and names EGFR and describes metastatic disease. The study record does not state Exon 19 Deletion, so it may describe a different alteration of the same gene. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- provenance class
- regulator-cited
- discovery note
- Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
- outcome Count
- 6
- harms Count
- 3
- qol Count
- 2
- outcomes
- release id
- clinical-indications-draft-1
- disease state id
- ds-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- outcome key
- om-0000
- source section id
- NCT04988295-om-0000
- source outcome index
- 0
- endpoint
- Main Study: Progression-free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 as Assessed by Blinded Independent Central Review (BICR)
- endpoint definition
- PFS is defined as the time from randomization until the date of objective disease progression or death, whichever came first, as assessed by BICR according to RECIST version 1.1. Progressed disease: Sum of diameters increased by greater than or equal to (\>=)20 percent (%) and \>=5 millimeter (mm) from nadir (including baseline if it was smallest sum).
- time origin
- From randomization to either disease progression or death, whichever occurred first (up to 1 year 7 months)
- analysis role
- primary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Full analysis set (FAS) as defined in the protocol included all randomized participants, classified according to their assigned treatment arm regardless of the actual treatment received. The outcomes reported here are for main study participants. For Arm A participants, data were planned to be analyzed as a single arm collectively for the LACP and ACP-L dosing regimens.
- 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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- outcome key
- om-0001
- source section id
- NCT04988295-om-0001
- source outcome index
- 1
- endpoint
- Main Study + Extension Cohort: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
- endpoint definition
- Follow-up for the extension cohort is still ongoing and thus results from the analysis that includes the extension cohort will be reported up on study completion.
- time origin
- up to 4 years 10 months
- analysis role
- primary
- reporting status
- NOT_POSTED
- data cutoff
- Source null
- population 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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- outcome key
- om-0002
- source section id
- NCT04988295-om-0002
- source outcome index
- 2
- endpoint
- Main Study+ Extension Cohort: Objective Response Rate as Assessed by Blinded Independent Central Review
- endpoint definition
- Main Study+ Extension Cohort: Objective Response Rate as Assessed by Blinded Independent Central Review
- time origin
- Up to 4 years 10 months
- analysis role
- secondary
- reporting status
- NOT_POSTED
- data cutoff
- Source null
- population 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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- outcome key
- om-0003
- source section id
- NCT04988295-om-0003
- source outcome index
- 3
- endpoint
- Main Study+ Extension Cohort: Overall Survival
- endpoint definition
- Main Study+ Extension Cohort: Overall Survival
- time origin
- Up to 4 years 10 months
- analysis role
- secondary
- reporting status
- NOT_POSTED
- data cutoff
- Source null
- population 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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- outcome key
- om-0004
- source section id
- NCT04988295-om-0004
- source outcome index
- 4
- endpoint
- Main Study+ Extension Cohort: Duration of Response as Assessed by Blinded Independent Central Review
- endpoint definition
- Main Study+ Extension Cohort: Duration of Response as Assessed by Blinded Independent Central Review
- time origin
- Up to 4 years 10 months
- analysis role
- secondary
- reporting status
- NOT_POSTED
- data cutoff
- Source null
- population 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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- outcome key
- om-0005
- source section id
- NCT04988295-om-0005
- source outcome index
- 5
- endpoint
- Main Study+ Extension Cohort: Time to Subsequent Therapy
- endpoint definition
- Main Study+ Extension Cohort: Time to Subsequent Therapy
- time origin
- Up to 4 years 10 months
- analysis role
- secondary
- reporting status
- NOT_POSTED
- data cutoff
- Source null
- population note
- Source null
- 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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- outcome key
- om-0000
- arm key
- OG000
- arm label
- Main Study: Arm A: Lazertinib + Amivantamab + Carboplatin + Pemetrexed (LACP/ACP-L)
- regimen
- LACP dosing (study start until 6 November 2022): Participants received Lazertinib 240 milligrams (mg) orally on Day 1 of each subsequent cycle, starting with Cycle 3, along with Amivantamab 1400 mg (1750 mg if body weight greater than or equal to \[\>=80\] kilograms \[kg\]) on Cycle 1 Days 1, 2, 8, and 15, and Cycle 2 Day 1 and 1750 mg (2100 mg if body weight \>=80 kg). Participant also received Pemetrexed 500 mg per square meter (mg/m\^2) on Day 1 21-day cycle, in combination with carboplatin 750 mg as IV infusion starting on Cycle 1 Day 1 for 4 cycles. From cycle 5 onwards, participants received Amivantamab, Pemetrexed and Lazertinib IV infusions at same dose, as maintenance until disease progression. ACP-L dosing (from 7 November 2022 until study completion): Participants received Amivantamab 1400 mg (1750 mg if body weight \>=80\] kg) on Cycle 1 Days 1,2, 8, and 15, and Cycle 2 Day 1 and 1750 mg (2100 mg if body weight \>=80 kg). Participant also received Pemetrexed 500 mg/m\^2 on Day 1 of each 21-day cycle, in combination with carboplatin 750 mg as IV infusion starting on Cycle 1 Day 1 for 4 cycles. Lazertinib 240 mg in ACP-L started on Cycle 5 Day 1 or sooner if carboplatin is discontinued before cycle 4. From cycle 5 onwards, participants received Amivantamab, Pemetrexed and Lazertinib IV infusions at same dose, as maintenance until disease progression. Each cycle consists of 21 days.
- analyzed count
- 263
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT04988295-om-0000#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- outcome key
- om-0000
- arm key
- OG001
- arm label
- Main Study: Arm B: Carboplatin + Pemetrexed (CP)
- regimen
- Participants received Pemetrexed 500 mg/m\^2 IV infusion and carboplatin 750 mg IV infusion from Day 1 of Cycle 1 to 4. From cycle 5 onwards, participants received Pemetrexed 500 mg/m\^2 IV infusion, as maintenance until disease progression. Each cycle consists of 21 days.
- analyzed count
- 263
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT04988295-om-0000#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- outcome key
- om-0000
- arm key
- OG002
- arm label
- Main Study: Arm C: Amivantamab + Carboplatin + Pemetrexed (ACP)
- regimen
- Participants received Amivantamab 1400 mg (1750 mg if body weight \>=80 kg) on Cycle 1 Days 1,2, 8, and 15, and Cycle 2 Day 1 and 1750 mg (2100 mg if body weight \>=80 kg) on Day 1 of each cycle, starting with Cycle 3. Participants also received Pemetrexed 500 mg/m\^2 on Day 1 of each 21-day cycle, in combination with carboplatin 750 mg as IV infusion starting on Cycle 1 Day 1 for 4 cycles. From cycle 5 onwards, participants received Amivantamab and Pemetrexed IV infusions at same dose, as maintenance until disease progression. Each cycle consists of 21 days.
- analyzed count
- 131
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT04988295-om-0000#groups/OG002
- harms
- release id
- clinical-indications-draft-1
- disease state id
- ds-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- harm key
- EG000
- source section id
- NCT04988295-ae
- event group key
- EG000
- event group label
- Main Study: Arm A: Lazertinib + Amivantamab + Carboplatin + Pemetrexed (LACP/ACP-L)
- serious affected
- 137
- serious at risk
- 263
- other affected
- 261
- other at risk
- 263
- frequency threshold
- 5
- collection period
- From Cycle 1 Day 1 up to 1 year 7 months
- event definition
- SAEs \& Other AEs:safety set-randomized participants who had at least 1 dose of study drug. All-cause mortality:FAS-all randomized participants, classified per assigned drug regardless of actual drug received. As per statistical analysis, Arm A AE planned to be collected and analyzed as single arm regardless of regimen LACP/ACP-L received. Since extension cohort is ongoing and its data collection and analysis was not planned for primary analysis, AE data will be reported after study completion.
- 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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- harm key
- EG001
- source section id
- NCT04988295-ae
- event group key
- EG001
- event group label
- Main Study: Arm B: Carboplatin + Pemetrexed (CP)
- serious affected
- 49
- serious at risk
- 243
- other affected
- 222
- other at risk
- 243
- frequency threshold
- 5
- collection period
- From Cycle 1 Day 1 up to 1 year 7 months
- event definition
- SAEs \& Other AEs:safety set-randomized participants who had at least 1 dose of study drug. All-cause mortality:FAS-all randomized participants, classified per assigned drug regardless of actual drug received. As per statistical analysis, Arm A AE planned to be collected and analyzed as single arm regardless of regimen LACP/ACP-L received. Since extension cohort is ongoing and its data collection and analysis was not planned for primary analysis, AE data will be reported after study completion.
- 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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- harm key
- EG002
- source section id
- NCT04988295-ae
- event group key
- EG002
- event group label
- Main Study: Arm C: Amivantamab + Carboplatin + Pemetrexed (ACP)
- serious affected
- 42
- serious at risk
- 130
- other affected
- 129
- other at risk
- 130
- frequency threshold
- 5
- collection period
- From Cycle 1 Day 1 up to 1 year 7 months
- event definition
- SAEs \& Other AEs:safety set-randomized participants who had at least 1 dose of study drug. All-cause mortality:FAS-all randomized participants, classified per assigned drug regardless of actual drug received. As per statistical analysis, Arm A AE planned to be collected and analyzed as single arm regardless of regimen LACP/ACP-L received. Since extension cohort is ongoing and its data collection and analysis was not planned for primary analysis, AE data will be reported after study completion.
- 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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- qol key
- qol-0016
- source section id
- NCT04988295-om-0016
- source outcome index
- 16
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Main Study+ Extension Cohort: Change From Baseline With European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC-QLQ-C30)
- measure definition
- Source null
- time frame
- Up to 4 years 10 months
- analysis role
- secondary
- reporting status
- NOT_POSTED
- higher is better
- Source null
- direction quote
- Source null
- population 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-non-small-cell-lung-cancer-rybrevant-b2022b2b
- nct id
- NCT04988295
- qol key
- qol-0017
- source section id
- NCT04988295-om-0017
- source outcome index
- 17
- instrument
- PROMIS
- instrument basis
- matched 'promis' in the study's own wording
- scale title
- Main Study+ Extension Cohort: Change From Baseline With Patient-Reported Outcomes Measurement Information System -Physical Function (PROMIS-PF)
- measure definition
- Source null
- time frame
- Up to 4 years 10 months
- analysis role
- secondary
- reporting status
- NOT_POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- setting source links
Preserved source evidence · Not medical advice
Triangle