Prospective external control cohort for newly diagnosed advanced EGFR‑mutant NSCLC
Official title: Prospective External Control Cohort In Patients With Newly Diagnosed Advanced or Metastatic EGFR Mutant Non-Small Cell Lung Cancer
Run by N-Power Medicine · NCT07028489 · Data updated 2026-11-12
This project will create a prospective group of people with newly diagnosed advanced EGFR‑mutant non‑small cell lung cancer to collect standardized clinical and imaging data as an external control for treatment comparisons.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 130 (estimated) |
| Sponsor | N-Power Medicine Industry-sponsored |
| Drugs / interventions | amivantamab, osimertinib, lazertinib |
| Locations | 10 sites (Monterey, California and 9 other locations) |
| Status | Recruiting |
| Started | June 5, 2025 |
| Main results expected | December 2028 |
| Study ends | April 2029 |
| Registry record updated | September 22, 2026 |
| Trial ID | NCT07028489 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with newly diagnosed locally advanced or metastatic NSCLC carrying EGFR exon 19 deletion or exon 21 L858R, ECOG 0–1, diagnosed on or after Jan 1, 2024, and without prior osimertinib, amivantamab, or lazertinib treatment.
✕Probably not a fit
Patients with ECOG ≥2, prior exposure to osimertinib/amivantamab/lazertinib, non‑common EGFR mutations, or those unable to attend the participating sites or undergo standardized imaging are unlikely to benefit from enrollment.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The protocol enrolls adults with locally advanced or metastatic NSCLC harboring common EGFR mutations (exon 19 deletion or exon 21 L858R) diagnosed on or after January 1, 2024 and collects standardized data at baseline, during treatment, and at therapy discontinuation. Approximately 30% of participants who enroll before starting osimertinib will undergo imaging at predefined, standardized intervals. Key exclusions include ECOG performance status ≥2 and prior treatment with osimertinib, amivantamab, or lazertinib; additional analytic eligibility will follow the COPERNICUS statistical analysis plan. Enrollment is being conducted at three U.S. cancer centers and the cohort is intended to serve as a prospective external control for comparative analyses.
Why it matters
Potential benefit: If successful, the cohort could provide high‑quality prospective real‑world comparator data to help interpret outcomes of new EGFR‑targeted therapies and support clinical or regulatory decisions.
How similar studies have gone: Prospective registries and external control cohorts have been used successfully in oncology to contextualize trial outcomes, so this approach is established though the exact protocol and imaging standardization may differ.
Who can join: the full rules
Show full inclusion / exclusion criteria
INCLUSION CRITERIA * Be ≥18 years of age at the time of informed consent * Evidence of a confirmed diagnosis of EGFR mutant (EGFR exon 19del or EGFR exon 21 L858R) locally advanced or metastatic NSCLC diagnosed on Jan 1st 2024 or later. EXCLUSION CRITERIA * ECOG≥2 at diagnosis of advanced or metastatic NSCLC * Evidence of prior treatment with osimertinib, amivantamab or lazertinib. For the planned selection and analysis of external controls, further eligibility criteria will be applied according to the COPERNICUS SAP.
Where it's running
-
Pacific Cancer Care
Monterey, California, United States Recruiting -
Torrance Memorial Physician Network-Cancer Care
Torrance, California, United States Recruiting -
John Muir Health
Walnut Creek, California, United States Recruiting -
Bayhealth Cancer Center- Kent
Dover, Delaware, United States Recruiting -
Bayhealth Cancer Center- Sussex
Milford, Delaware, United States Recruiting -
Kootenai Clinic Cancer Services Coeur d'Alene
Coeur d'Alene, Idaho, United States Recruiting
Show 4 more locations
-
Northwest Oncology & Hematology
Elk Grove Village, Illinois, United States Recruiting -
New Mexico Oncology Hematology Consultants
Albuquerque, New Mexico, United States Recruiting -
Oncology Consultants, P.A.
Houston, Texas, United States Recruiting -
Lankenau Medical Center
Paoli, Pennsylvania, United States Not yet recruiting
Study contacts
- Study coordinator: N-Power Medicine Support
- Email: support@npowermedicine.com
- Phone: 1-833-467-6734
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Patient-specific MRD liquid biopsy for resected NSCLC
This study tests a personalized MRD blood and bronchial washing test after surgery to see if it can signal recurrence earlier in people with resected NSCLC.
-
Osimertinib Plus SRS/SRT for EGFR-Mutant NSCLC with Symptomatic Brain Metastases
This study tests whether adding targeted brain radiotherapy to osimertinib helps control brain metastases in adults with EGFR-mutant NSCLC and neurological symptoms.
-
Dato-DXd in solid tumors (Urothelial Cancer and KRAS-mutant NSCLC) in two sub-studies
This study tests Datopotamab Deruxtecan (Dato-DXd) alone or with other cancer drugs in people with urothelial cancer or KRAS-mutant non-small cell lung cancer.
-
SI-B036 safety test in advanced and metastatic solid tumors
This early-phase study checks whether SI-B036 is safe and tolerable in adults with advanced or metastatic solid cancers who have had prior therapy.
-
Postoperative EGFR-TKI Therapy for EGFR-mutant NSCLC Following Surgery
This registry tests whether giving an EGFR-TKI after surgery helps adults with EGFR-mutant, high-risk early-stage NSCLC.
-
HS-20093 with Adebrelimab vs HS-20093 alone in advanced non-squamous NSCLC
This study tests whether adding adebrelimab to HS-20093 helps patients with advanced non-squamous NSCLC who have already had treatment.
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.