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Study reference · NCT04035486

FLAURA2

Adding chemotherapy to osimertinib: final overall survival

Fixed release · explorer-2026-09-11

At four years, estimated overall survival was 49.1% with osimertinib plus chemotherapy and 40.8% with osimertinib alone. Severe adverse events were more frequent with the combination.

Estimated survival at 4 years

Overall survival · percentage alive in each trial group

Osimertinib + chemotherapy49.1%

Study group: 279 participants · 95% confidence interval 43%–55%

Osimertinib alone40.8%

Study group: 278 participants · 95% confidence interval 34.9%–46.6%

The small black line shows uncertainty (95% confidence interval), where available. These estimates describe study groups, not an individual’s chance of survival.

Overall-survival hazard ratio: 0.77 (95% CI 0.61–0.96), combination versus osimertinib alone.

Grade 3 or higher adverse events from any cause

Final overall-survival report. Lower percentages mean fewer reported severe events.

Osimertinib + chemotherapy70%

See the safety population below.

Osimertinib alone34%

See the safety population below.

Safety results as reported for treated participants; safety denominators are not independently verified in this preview.

Put the research in context

Who was studied?

Compare the reported population with what you know. It is fine to be unsure—those are useful questions for your care team.

Read the original sources →
Previously untreated advanced nonsquamous NSCLC with an EGFR exon 19 deletion or L858R mutation;
WHO performance status 0–1.

These are reported population details, not a complete list of eligibility criteria. Who could enroll, who participated, and whose results were analyzed can differ. This checklist does not score your match, recommend treatment, or determine trial eligibility.

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Study design & endpoints

Open-label, randomized phase 3 trial; 557 participants.

Primary: progression-free survival. Overall survival was a key secondary endpoint; this is its planned final analysis.

What the chart cannot tell you

  • The combination included platinum and pemetrexed chemotherapy, followed by maintenance treatment.
  • Four-year landmark percentages and their confidence intervals come from the sponsor’s published results table, separately identified below.
  • Severe adverse events include events from any cause. Quality-of-life results are not included in this preview.

Results are group estimates, not a personalized forecast, treatment recommendation, or confirmation of trial eligibility.

Full results table
FLAURA2: results as recorded in this release
GroupEfficacy nMedian overall survival, months (CI)Survival at 4 years (95% CI)Severe events
Osimertinib + chemotherapy27947.5 (41.0–not calculable)49.1% (43–55%)70%
Osimertinib alone27837.6 (33.2–43.2)40.8% (34.9–46.6%)34%

Grade 3 or higher adverse events from any cause. Safety results as reported for treated participants; safety denominators are not independently verified in this preview.

Median survival is a time point, not average lifespan. Confidence levels and analysis details are reported with the source.

Keep exploring

FLAURA →