Clinical trial Recruiting at 1 site Observational Ages 18 and up

Barriers and facilitators to sticking with osimertinib after early-stage NSCLC

Official title: Cross-sectional Qualitative Study to Identify Barriers and Facilitators of Persistence With 3rd Generation EGFR-TKI Osimertinib as Adjuvant Treatment (SECURE)

Run by AstraZeneca · NCT07542210 · Data updated 2026-11-12

This study asks how adults with early-stage NSCLC in China continue or stop adjuvant osimertinib, by talking with patients and doctors to understand what helps or hinders persistence.

More Non-Small Cell Lung Cancer trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment100 (estimated)
SponsorAstraZeneca
Industry-sponsored
Drugs / interventionsosimertinib
Locations1 site (Beijing)
StatusRecruiting
StartedAugust 13, 2026
Main results expectedOctober 30, 2026
Study endsOctober 30, 2026
Registry record updatedOctober 16, 2026
Trial IDNCT07542210 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with NSCLC who have received adjuvant osimertinib therapy, either off treatment after less than 34 months or off/ongoing after at least 34 months, and able to consent and participate in interviews.

Probably not a fit

Patients who did not take osimertinib or who cannot participate in interviews may not benefit from the study insights.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a cross-sectional qualitative study that uses individual interviews to explore factors influencing persistence with adjuvant osimertinib in early-stage NSCLC. About 100 participants will be enrolled, including around 85 patients and 15 physicians, and will be interviewed online or in person using a COM-B based guide. Interviews will be conducted in waves, recorded, transcribed, and analyzed with both deductive and inductive methods to identify barriers and facilitators. The study is observational and non-interventional, focusing on real-world experiences with the 3rd generation EGFR-TKI in China.

Why it matters

Potential benefit: Insights from this study could help improve guidelines and support for patients taking osimertinib after surgery.

How similar studies have gone: Previous qualitative work in oncology has successfully identified factors affecting medication persistence; this study applies a COM-B framework to a new adjuvant setting.

Who can join: the full rules

Show full inclusion / exclusion criteria
For patient

Inclusion Criteria:

* Adults (≥18 years) with NSCLC who have received osimertinib as the 3rd generation EGFR-TKI adjuvant therapy and meet one of the following: Patients who received adjuvant osimertinib for less than 34 months and discontinued treatment (off treatment), or Patients who received adjuvant osimertinib for at least 34 months (either off treatment or still on treatment).
* For off treatment patients, discontinuation or completion of osimertinib is required to occur within 6 months by screening.
* Willing and able to provide informed consent, participate in an online or in-person qualitative interview, and permit audio recording for research purposes.

Exclusion Criteria:

* Prior receipt of 3rd generation EGFR-TKI as adjuvant therapy as part of any interventional clinical trial.
* Prior receipt of 1st generation EGFR-TKIs as adjuvant therapy.
* Evidence of cognitive impairment that would likely to interfere with participation in an interview, as informally assessed during screening.
* Unaware of or do not understand their own medical condition.

For physicians

Inclusion Criteria:

* Licensed medical oncologists, thoracic surgeons, or pulmonologists with experience of prescribing osimertinib as adjuvant treatment and actively managing patients who will participate the interview.
* Managed 5 patients with early-stage NSCLC receiving osimertinib within the past 6 months.
* Holding a professional title equivalent to or higher than attending physician.
* Willing and able to provide informed consent, participate in an online or in-person qualitative interview, and permit audio recording for research purposes.

Exclusion Criteria:

* Unable or unwilling to follow study procedures.

Where it's running

  • Research Site
    Beijing, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.