Clinical trial Recruiting at 2 sites Observational Ages 18 and up

Icotinib after surgery for early EGFR-mutant NSCLC

Official title: Multicenter, Retrospective, Observational Study of Icotinib for Post-Surgical Adjuvant Therapy in Stage IA2 High-Risk to IB Non-Small-Cell Lung Cancer With Positive EGFR-Sensitive Mutations

Run by Betta Pharmaceuticals Co., Ltd. · NCT07806604 · Data updated 2026-11-12

This study tests whether giving icotinib after surgery helps patients with early-stage EGFR-mutant NSCLC compare to just following them after surgery.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment2572 (estimated)
SponsorBetta Pharmaceuticals Co., Ltd.
Industry-sponsored
Drugs / interventionsicotinib
Locations2 sites (Beijing, Beijing Municipality and 1 other locations)
StatusRecruiting
StartedSeptember 2026
Main results expectedFebruary 2027
Study endsJune 2027
Registry record updatedSeptember 8, 2026
Trial IDNCT07806604 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with histologically confirmed NSCLC, predominantly adenocarcinoma, stage IA2 high-risk to IB, complete surgical resection (R0), and EGFR-sensitizing mutation-positive tumors.

Probably not a fit

Patients without EGFR-sensitizing mutations, those not receiving icotinib, or those with different histology or incomplete resection are less likely to benefit.

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 multicenter, retrospective observational study using real-world data to compare outcomes of patients with completely resected stage IA2 high-risk to IB NSCLC harboring EGFR-sensitizing mutations who received adjuvant icotinib versus those who had routine postoperative observation. Eligible institutions must meet data-quality standards and contribute a sufficient sample size. Propensity score matching will be used to balance groups and assess efficacy and safety of adjuvant icotinib in this population. The treatment arm includes patients treated with icotinib after R0 resection, while controls are historically observed post-surgery without anti-tumor therapy until recurrence or metastasis.

Why it matters

Potential benefit: If effective, adjuvant icotinib could improve disease-free survival for early EGFR-mutant NSCLC patients after surgery.

How similar studies have gone: Prior real-world observational data in similar settings have suggested potential benefit of adjuvant EGFR-targeted therapy, but results are still exploratory and require confirmation.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 1\. Histologically confirmed primary non small cell lung cancer (NSCLC), predominantly non squamous histology (including adenocarcinoma or mixed carcinoma with a major adenocarcinoma component)
* 2\. Pathologically confirmed stage IA2 high risk to IB NSCLC following complete surgical resection (R0) of primary lung cancer. Disease staging follows the 8th edition of the AJCC/UICC lung cancer staging system.
* 3\. Post surgical tumour tissue specimens test positive for EGFR sensitizing mutations using an approved assay
* 4\. Patients in the control group received postoperative observation without any anti tumour therapy prior to disease recurrence or metastasis.

Exclusion Criteria:

* 1\. A history of other malignancies within 5 years prior to lung cancer surgery, with the exception of curatively treated malignancies.
* 2.Prior receipt of systemic anti-tumor therapy for NSCLC within 6 months before lung cancer surgery or before disease recurrence and metastasis.

Where it's running

  • Beijing Cancer Hospital
    Beijing, Beijing Municipality, China
    Recruiting
  • Shanghai Pulmonary Hospital
    Shanghai, Shanghai Municipality, China
    Recruiting

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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.