Clinical trial Recruiting at 45 sites Phase2; Phase3 Interventional Ages 18 and up

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.

More Non-Small Cell Lung Cancer trials

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment500 (estimated)
SponsorBristol-Myers Squibb
Industry-sponsored
Drugs / interventionsosimertinib, furmonertinib, lazertinib, chemotherapy, Izalontamab
Locations187 sites (Irvine, California and 186 other locations)
StatusRecruiting
StartedNovember 5, 2025
Main results expectedDecember 15, 2028
Study endsNovember 15, 2030
Registry record updatedOctober 9, 2026
Trial IDNCT07100080 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

  • 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
  • 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

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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.