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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 850 (estimated) |
| Sponsor | Bristol-Myers Squibb Industry-sponsored |
| Drugs / interventions | izalontamab, osimertinib, chemotherapy |
| Locations | 205 sites (Beverly Hills, California and 204 other locations) |
| Status | Recruiting |
| Started | September 8, 2026 |
| Main results expected | December 30, 2031 |
| Study ends | December 30, 2031 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07680790 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
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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
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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
- Study coordinator: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Email: Clinical.Trials@bms.com
- Phone: 855-907-3286
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This study tests whether adding febuxostat to osimertinib can increase osimertinib levels in the brain for patients with EGFR-mutated NSCLC who do not have CNS metastases.
-
Izalontamab Brengitecan plus Adagrasib in KRAS G12C NSCLC
This study tests whether the drug combo iza-bren and adagrasib can help adults with advanced KRAS G12C-mutant non-small cell lung cancer that has progressed after KRAS G12C inhibitors fail.
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.