Clinical trial Recruiting at 1 site Observational Ages 18 and up

Reasons for recurrence after adjuvant osimertinib in surgically removed EGFR-mutated lung cancer

Official title: Investigation of REcurrence Mechanisms to Adjuvant osimertINib in Radically Resected EGFR-mutated NSCLC Patients - REMAIN Study

Run by Gruppo Oncologico Italiano di Ricerca Clinica · NCT07363252 · Data updated 2026-11-12

This project looks for genetic and clinical reasons why people with EGFR-mutated lung cancer who had surgery and adjuvant osimertinib later had their cancer come back, using tissue and blood samples taken at recurrence.

More EGFR-mutated NSCLC trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment100 (estimated)
SponsorGruppo Oncologico Italiano di Ricerca Clinica
Academic / other
Drugs / interventionsosimertinib
Locations25 sites (Bari, BA and 24 other locations)
StatusRecruiting
StartedApril 14, 2026
Main results expectedDecember 2028
Study endsDecember 2028
Registry record updatedApril 22, 2026
Trial IDNCT07363252 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with radically resected stage IB–IIIA EGFR-activating mutation NSCLC who received adjuvant osimertinib and experienced relapse during or after that therapy, and who have a tissue and/or liquid biopsy from the time of recurrence and can give consent.

Probably not a fit

Patients without an available tissue or liquid biopsy at recurrence, with concurrent active non-NSCLC malignancies treated within the past two years, or who never received adjuvant osimertinib are unlikely to benefit from this project.

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 multicenter retrospective-prospective observational study of adults with radically resected stage IB-IIIA EGFR-mutated non-small cell lung cancer who received adjuvant osimertinib and subsequently relapsed either during treatment or after stopping it. Clinical data including demographics, comorbidities, and treatment outcomes will be collected for each patient. Centrally performed next-generation sequencing (NGS) will analyze tissue and/or liquid biopsies obtained at the time of recurrence, and NGS will also be run on surgical tissue where available. Patients may be enrolled at or after the time of recurrence and samples from participating Italian centers will be processed centrally for molecular profiling.

Why it matters

Potential benefit: If successful, the study could identify common resistance mechanisms after adjuvant osimertinib that help doctors choose better follow-up therapies and design future trials.

How similar studies have gone: Prior molecular studies in advanced EGFR-mutant NSCLC have identified both EGFR-dependent and EGFR-independent resistance mechanisms to osimertinib, but comprehensive NGS profiling specifically at adjuvant recurrence remains limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥ 18 years
* Diagnosis of radically resected IB-IIIA NSCLC with EGFR activating mutation
* Treatment with adjuvant osimertinib (starting from September 2022, date of approval) according to clinical practice
* Recurrence of disease during or after adjuvant therapy with osimertinib received according to clinical practice
* Availability of tissue and/or liquid biopsy sample collected at the time of recurrence
* Signed informed consent.

  * Exclusion Criteria:
* Unavailability of tissue and/or liquid biopsy sample collected at the time of recurrence
* Concomitant synchronous malignancies aside from NSCLC or any concurrent and/or active malignancy that has required treatment within 2 years
* Involvement in the planning and/or conduct of the study (applies to both investigator staff and/or staff at the study site).

Where it's running

  • U.O.C. Oncologia Medica Azienda Unità Sanitaria Locale della Romagna
    Ravenna, Ra, Italy
    Recruiting
  • IRCCS Oncologico Giovanni Paolo II
    Bari, Ba, Italy
    Active not recruiting
  • Asst Papa Giovanni Xxiii Sc Oncologia
    Bergamo, Bg, Italy
    Not yet recruiting
  • UOC di Oncologia Medica IRCCS - Policlinico S. Orsola Malpighi
    Bologna, Bo, Italy
    Not yet recruiting
  • Humanitas Istituto Clinico Catanese Contrada Cubba
    Misterbianco, CT, Italy
    Not yet recruiting
  • A.S.S.T - Monza Ospedale San Gerardo
    Monza, Mb, Italy
    Not yet recruiting
Show 19 more locations
  • Grande Ospedale Metropolitano Niguarda Ca' Granda
    Milan, Michigan, Italy
    Active not recruiting
  • Dip Oncologia-Ematologia - UO Oncologia AOU Policlinico di Modena
    Modena, Missouri, Italy
    Active not recruiting
  • Irccs Humanitas Research Hospital
    Milan, Mi, Italy
    Not yet recruiting
  • Fondazione IRCCS Istituto Nazionale dei Tumori di Milano
    Milan, Mi, Italy
    Not yet recruiting
  • Ospedale San Raffaele Dipartimento di Oncologia Medica
    Milan, Mi, Italy
    Not yet recruiting
  • European Institute of Oncology IRCCS
    Milan, Mi, Italy
    Not yet recruiting
  • UOC di Oncologia Medica 2 - IOV Istituto Oncologico Veneto
    Padova, Pd, Italy
    Not yet recruiting
  • S.O.C. di Oncologia Medica e dei Tumori Immuno-correlati, Centro di Riferimento Oncologico IRCCS
    Aviano, Pn, Italy
    Not yet recruiting
  • UOC di Oncologia Medica Azienda Ospedaliero-Universitaria di Parma
    Parma, Pr, Italy
    Not yet recruiting
  • S.C. Oncologia Provinciale, Azienda USL-IRCCS di Reggio Emilia
    Reggio Emilia, Re, Italy
    Active not recruiting
  • Fondazione Policlinico Universitario Campus Bio-Medico
    Roma, Rm, Italy
    Not yet recruiting
  • Ifo-Istituto Regina Elena - Oncologia Medica 1
    Roma, Rm, Italy
    Not yet recruiting
  • Fondazione Policlinico Universitario 'Agostino Gemelli' IRCCS
    Roma, Rm, Italy
    Not yet recruiting
  • AOU San Luigi Gonzaga - SSD oncologia polmonare
    Orbassano, To, Italy
    Not yet recruiting
  • SC Oncologia ASST Sette Laghi "Ospedale di Circolo e Fondazione Macchi "
    Varese, VA, Italy
    Not yet recruiting
  • "OSPEDALE P. PEDERZOLI" Casa di Cura Privata S.p.A.
    Peschiera del Garda, Vr, Italy
    Active not recruiting
  • AOU Integrata di Verona - Ospedale Borgo Trento
    Verona, Vr, Italy
    Not yet recruiting
  • Oncologia Clinica Sperimentale Toraco-Polmonare, IRCCS Pascale di Napoli
    Naples, Italy
    Not yet recruiting
  • A.O.U. "Maggiore della Carita'"- S.C.D.U Oncologia
    Novara, Italy
    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.