Izalontamab brengitecan versus platinum-pemetrexed for EGFR‑mutated non‑small cell lung cancer after EGFR TKI failure
Official title: IZABRIGHT-Lung01: A Randomized, Open-label, Phase 2/3 Study of Izalontamab Brengitecan (BMS-986507) Versus Platinum-based Chemotherapy in Patients With EGFR-mutated Non-small Cell Lung Cancer and Disease Progression on EGFR Tyrosine Kinase Inhibitor Therapy
Run by Bristol-Myers Squibb · NCT07100080 · Data updated 2026-11-12
This trial tests whether izalontamab brengitecan works better than platinum‑pemetrexed chemotherapy for people with EGFR‑mutated non‑small cell lung cancer that has progressed after third‑generation EGFR TKI treatment.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 500 (estimated) |
| Sponsor | Bristol-Myers Squibb Industry-sponsored |
| Drugs / interventions | osimertinib, furmonertinib, lazertinib, chemotherapy, Izalontamab |
| Locations | 187 sites (Irvine, California and 186 other locations) |
| Status | Recruiting |
| Started | November 5, 2025 |
| Main results expected | December 15, 2028 |
| Study ends | November 15, 2030 |
| Registry record updated | October 9, 2026 |
| Trial ID | NCT07100080 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with non‑squamous NSCLC harboring sensitizing EGFR mutations whose disease progressed on a third‑generation EGFR TKI and who are eligible for platinum‑pemetrexed are the intended candidates.
✕Probably not a fit
People with squamous histology, inadequate organ or bone marrow function, leptomeningeal metastases or spinal cord compression, or those otherwise ineligible for a platinum doublet are unlikely to benefit from this protocol.
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 randomized, phase 2/3 interventional trial comparing the antibody–drug conjugate izalontamab brengitecan (BMS‑986507) to standard platinum‑pemetrexed chemotherapy in patients with non‑squamous EGFR‑mutated NSCLC after progression on a third‑generation EGFR TKI. Eligible participants must have a sensitizing EGFR mutation (for example exon 19 deletion or L858R) and be suitable for platinum‑based doublet chemotherapy. The study will enroll patients at multiple US sites and administer IV investigational therapy or standard platinum plus pemetrexed according to protocol schedules. Key safety and efficacy outcomes will be measured across the phase 2 and phase 3 portions to compare response, progression, and tolerability.
Why it matters
Potential benefit: If successful, this approach could offer a more effective treatment option that delays disease progression or improves survival compared with standard platinum‑pemetrexed chemotherapy.
How similar studies have gone: Other antibody–drug conjugates have shown activity in lung cancer, but direct head‑to‑head comparisons of izalontamab brengitecan versus platinum‑pemetrexed in this EGFR‑mutant, post‑TKI setting are novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Non-squamous NSCLC, not amenable to treatment in curative intent. * Documented evidence of EGFR mutation (exon 19 deletion, L858R mutation). * Progressive disease on a 3rd-generation (such as osimertinib, furmonertinib, lazertinib,...) EGFR-TKI-based mono- or combination therapy regimen as the most recent line of therapy in an adjuvant, locally advanced, or metastatic treatment setting. * Eligible to receive a platinum-based doublet chemotherapy regimen (either cisplatin or carboplatin in combination with pemetrexed). Exclusion criteria: * Inadequate organ function and/or bone marrow reserve. * Leptomeningeal metastases or spinal cord compression. * Poorly controlled systemic medical conditions. * Other protocol-defined inclusion/exclusion criteria apply.
Where it's running
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UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care building
Irvine, California, United States Recruiting -
University of California, Irvine (UCI) Health - UC Irvine Medical Center
Orange, California, United States Recruiting -
Shaw Cancer Center
Edwards, Colorado, United States Recruiting -
Piedmont Healthcare
Atlanta, Georgia, United States Recruiting -
John B Amos Cancer Center
Columbus, Georgia, United States Recruiting -
Rush University Medical Center
Chicago, Illinois, United States Recruiting
Show 44 more locations
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Dana-Farber Cancer Institute
Boston, Massachusetts, United States Recruiting -
Washington University School of Medicine
St Louis, Missouri, United States Recruiting -
Renown Regional Medical Center
Reno, Nevada, United States Recruiting -
Perlmutter Cancer Center at NYU Langone Hospital - Long Island
Mineola, New York, United States Recruiting -
NYU Langone Health
New York, New York, United States Recruiting -
Weill Cornell Medical College
New York, New York, United States Recruiting -
Rochester General Hospital Infectious Disease
Rochester, New York, United States Recruiting -
University Hospitals Cleveland Medical Center
Cleveland, Ohio, United States Recruiting -
The James Cancer Hospital and Solove Research Institute at The Ohio State University Comprehensive C
Columbus, Ohio, United States Recruiting -
Providence Cancer Institute Franz Clinic
Portland, Oregon, United States Recruiting -
Providence St. Vincent Medical Center
Portland, Oregon, United States Recruiting -
Oregon Health and Science University
Portland, Oregon, United States Recruiting -
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, United States Recruiting -
West Penn Allegheny Health
Pittsburgh, Pennsylvania, United States Recruiting -
Tennessee Oncology
Nashville, Tennessee, United States Recruiting -
University of Virginia Health System
Charlottesville, Virginia, United States Recruiting -
Virginia Commonwealth University (Vcu)
Richmond, Virginia, United States Recruiting -
Instituto Alexander Fleming
Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina Recruiting -
Hospital Italiano de Buenos Aires
Abb, Buenos Aires F.D., Argentina Recruiting -
Hospital Privado Universitario de Córdoba
Córdoba, Argentina Recruiting -
Arthur J. E. Child Comprehensive Cancer Centre
Calgary, Alberta, Canada Recruiting -
Princess Margaret Cancer Centre
Toronto, Ontario, Canada Recruiting -
Orlandi Oncologia
Santiago, Santiago Metropolitan, Chile Recruiting -
Falp
Santiago, Santiago Metropolitan, Chile Recruiting -
Bradfordhill
Santiago, Santiago Metropolitan, Chile Recruiting -
Fujian Cancer Hospital
Fuzhou, Fujian, China Recruiting -
Jiangmen Center Hospital
Jiangmen, Guangdong, China Recruiting -
Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology
Wuhan, Hubei, China Recruiting -
Shanxi Cancer Hospital
Taiyuan, Shanxi, China Recruiting -
National Cancer Centre Singapore
Singapore, Singapore Recruiting -
Tan Tock Seng Hospital
Singapore, Singapore Recruiting -
Kantonsspital Baden
Baden, Canton of Aargau, Switzerland Recruiting -
Cantonal Hospital St.Gallen
Sankt Gallen, Canton of St. Gallen, Switzerland Recruiting -
E-Da hospital
Kaohsiung City, Taiwan Recruiting -
Taichung Veterans General Hospital
Taichung, Taiwan Recruiting -
National Cheng Kung University Hospital
Tainan, Taiwan Recruiting -
National Taiwan University Hospital
Taipei, Taiwan Recruiting -
Taipei Medical University Hospital
Taipei, Taiwan Recruiting -
Taipei Veterans General Hospital
Taipei, Taiwan Recruiting -
Local Institution - 0085
Gainesville, Florida, United States Withdrawn -
Local Institution - 0142
Pembroke Pines, Florida, United States Not yet recruiting -
Local Institution - 0268
Chattanooga, Tennessee, United States Withdrawn -
Local Institution - 0025
Houston, Texas, United States Not yet recruiting -
Local Institution - 0173
San Antonio, Texas, United States Not yet recruiting
+137 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Email: Clinical.Trials@bms.com
- Phone: 855-907-3286
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.