Clinical trial Recruiting at 10 sites Phase 3 Interventional Ages 18 and up

Izalontamab Brengitecan with Osimertinib in EGFR-mutant NSCLC: first-line versus standard options

Official title: A Phase III, Randomized, Open-label Study of Izalontamab Brengitecan (BMS-986507) in Combination With Osimertinib Versus Osimertinib Monotherapy or Osimertinib in Combination With Platinum-based Chemotherapy as First-Line Therapy in Patients With EGFR-Mutant Locally Advanced or Metastatic Non-small Cell Lung Cancer

Run by Bristol-Myers Squibb · NCT07680790 · Data updated 2026-11-12

This study tests whether adding iza-bren to osimertinib can help people with newly diagnosed EGFR-mutant non-small cell lung cancer, compared with osimertinib alone or osimertinib plus platinum-based chemotherapy.

More Non-Small Cell Lung Cancer trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment850 (estimated)
SponsorBristol-Myers Squibb
Industry-sponsored
Drugs / interventionsizalontamab, osimertinib, chemotherapy
Locations205 sites (Beverly Hills, California and 204 other locations)
StatusRecruiting
StartedSeptember 8, 2026
Main results expectedDecember 30, 2031
Study endsDecember 30, 2031
Registry record updatedNovember 10, 2026
Trial IDNCT07680790 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with newly diagnosed, non-squamous NSCLC, EGFR-sensitizing mutations (exon 19 deletion or L858R), measurable disease, ECOG 0-1, and no uncontrolled CNS disease.

Probably not a fit

Patients with alternative mutations, significant comorbidities, or those not meeting the eligibility criteria may not benefit from this regimen.

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

What this trial studies

This Phase 3 trial compares izalontamab brengitecan in combination with osimertinib to osimertinib alone or to osimertinib plus platinum-based chemotherapy in patients with untreated locally advanced or metastatic EGFR-mutant NSCLC. Eligible participants have identifiable EGFR-sensitizing mutations, measurable disease, and good performance status, and will be monitored for tumor response and safety. The study uses a randomized design to determine if the combination improves outcomes over current standard regimens. Primary endpoints typically include progression-free survival and overall survival, with secondary endpoints assessing response rate and safety. Enrollment is limited to select institutions in California.

Why it matters

Potential benefit: If successful, the approach could improve control of disease and extend survival for patients with EGFR-mutant NSCLC.

How similar studies have gone: Prior studies in targeted NSCLC therapies have shown benefit from combining EGFR inhibitors with additional agents; this specific combination is investigational and its success remains to be demonstrated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants must have histologically or cytologically confirmed non-squamous NSCLC, newly diagnosed locally advanced (Stage IIIB/IIIC), metastatic (Stage IVA/IVB), or recurrent disease not amenable to curative surgery or definitive radiotherapy and requiring systemic treatment
* Participants must have documented EGFR-TKI-sensitizing mutation (exon 19 deletion or exon 21 L858R substitution)
* Participants must have measurable extracranial disease per RECIST v1.1 as assessed by the investigator
* Participants must have ECOG Performance Status 0-1

Exclusion Criteria:

* Participants must not have unstable, symptomatic, or uncontrolled CNS metastases, including brain, leptomeningeal disease, and/or spinal cord compression
* Participants must not have history of ILD/pneumonitis requiring treatment with steroids (≥ Grade 2), or current or suspected ILD/pneumonitis
* Participants must not have clinically significant cardiac disease
* Other protocol-defined inclusion/exclusion criteria apply.

Where it's running

  • Rocky Mountain Cancer Centers
    Boulder, Colorado, United States
    Recruiting
  • Cancer Care Centers of Brevard - Rockledge
    Palm Bay, Florida, United States
    Recruiting
  • Washington University School Of Medicine
    St Louis, Missouri, United States
    Recruiting
  • Texas Oncology
    Beaumont, Texas, United States
    Recruiting
  • Texas Oncology - DFW
    Dallas, Texas, United States
    Recruiting
  • Texas Oncology - San Antonio
    San Antonio, Texas, United States
    Recruiting
Show 44 more locations
  • Shenandoah Oncology, P.C. (Shenandoah Oncology Associates, P.C.)
    Winchester, Virginia, United States
    Recruiting
  • Jewish General Hospital
    Montreal, Quebec, Canada
    Recruiting
  • Kaohsiung Medical University Chung-Ho Memorial Hospital
    Kaohsiung City, Taiwan
    Recruiting
  • China Medical University Hospital
    Taichung, Taiwan
    Recruiting
  • Local Institution - 0212
    Beverly Hills, California, United States
    Not yet recruiting
  • Local Institution - 0504
    Fullerton, California, United States
    Not yet recruiting
  • Local Institution - 0357
    La Jolla, California, United States
    Not yet recruiting
  • Local Institution - 0161
    Washington D.C., District of Columbia, United States
    Not yet recruiting
  • Local Institution - 0527
    Fort Myers, Florida, United States
    Not yet recruiting
  • Local Institution - 0366
    Orlando, Florida, United States
    Not yet recruiting
  • Local Institution - 0526
    St. Petersburg, Florida, United States
    Not yet recruiting
  • Local Institution - 0524
    West Palm Beach, Florida, United States
    Not yet recruiting
  • Local Institution - 0185
    Chicago, Illinois, United States
    Not yet recruiting
  • Local Institution - 0207
    Ottawa, Illinois, United States
    Not yet recruiting
  • Local Institution - 0503
    Baltimore, Maryland, United States
    Not yet recruiting
  • Local Institution - 0537
    Baltimore, Maryland, United States
    Not yet recruiting
  • Local Institution - 0523
    Silver Spring, Maryland, United States
    Not yet recruiting
  • Local Institution - 0521
    Edina, Minnesota, United States
    Not yet recruiting
  • Local Institution - 0364
    Saint Paul, Minnesota, United States
    Not yet recruiting
  • Local Institution - 0402
    Omaha, Nebraska, United States
    Not yet recruiting
  • Local Institution - 0290
    Lebanon, New Hampshire, United States
    Not yet recruiting
  • Local Institution - 0183
    New Brunswick, New Jersey, United States
    Not yet recruiting
  • Local Institution - 0153
    New York, New York, United States
    Not yet recruiting
  • Local Institution - 0157
    The Bronx, New York, United States
    Not yet recruiting
  • Local Institution - 0385
    Charlotte, North Carolina, United States
    Not yet recruiting
  • Local Institution - 0438
    Sandusky, Ohio, United States
    Not yet recruiting
  • Local Institution - 0404
    Portland, Oregon, United States
    Not yet recruiting
  • Local Institution - 0487
    Easton, Pennsylvania, United States
    Not yet recruiting
  • Local Institution - 0200
    Sioux Falls, South Dakota, United States
    Not yet recruiting
  • Local Institution - 0199
    Memphis, Tennessee, United States
    Not yet recruiting
  • Local Institution - 0411
    Salt Lake City, Utah, United States
    Not yet recruiting
  • Local Institution - 0165
    Fairfax, Virginia, United States
    Not yet recruiting
  • Local Institution - 0530
    Fairfax, Virginia, United States
    Not yet recruiting
  • Local Institution - 0283
    Seattle, Washington, United States
    Not yet recruiting
  • Local Institution - 0502
    Morgantown, West Virginia, United States
    Not yet recruiting
  • Local Institution - 0077
    Mar del Plata, Buenos Aires, Argentina
    Not yet recruiting
  • Local Institution - 0514
    Río Cuarto, Córdoba Province, Argentina
    Not yet recruiting
  • Local Institution - 0086
    Buenos Aires, Argentina
    Not yet recruiting
  • Local Institution - 0432
    Buenos Aires, Argentina
    Not yet recruiting
  • Local Institution - 0085
    Buenos Aires, Argentina
    Not yet recruiting
  • Local Institution - 0078
    Buenos Aires, Argentina
    Not yet recruiting
  • Local Institution - 0151
    Buenos Aires, Argentina
    Not yet recruiting
  • Local Institution - 0424
    Camperdown, New South Wales, Australia
    Not yet recruiting
  • Local Institution - 0439
    Westmead, New South Wales, Australia
    Not yet recruiting

+155 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

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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.