Clinical trial Recruiting at 9 sites Observational Ages 18 and up

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 typeObservational
Ages18 Years and up
SexAll
Enrollment130 (estimated)
SponsorN-Power Medicine
Industry-sponsored
Drugs / interventionsamivantamab, osimertinib, lazertinib
Locations10 sites (Monterey, California and 9 other locations)
StatusRecruiting
StartedJune 5, 2025
Main results expectedDecember 2028
Study endsApril 2029
Registry record updatedSeptember 22, 2026
Trial IDNCT07028489 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.