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Active, not recruitingNCT05463224Updated Jul 28, 2026

Lazertinib for NSCLC Harboring Activating EGFR Mutations in TKI naïve Patients

A Phase 2 interventional study of Lazertinib group in NSCLC, sponsored by Sehhoon Park. Active, not recruiting at 1 site in South Korea. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-07-28.

Sponsored by Sehhoon Park · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
150
Allocation
Not applicable
Ages
19 Years and older
Sex
All
01

Study summary

The primary objective is to evaluate the efficacy/safety of lazertinib and to explore the resistance mechanism of lazertinib as first-line in patients with NSCLC harboring activating EGFR mutations.

Read the detailed description

As the 3rd generation EGFR TKI become a standard treatment option for the 1st line therapy in EGFR mutated patients, necessity for evaluating resistant mechanism to determine the matched subsequent therapeutic option has been highlighted. The idea of understanding the exact resistance mechanism to 1st line 3rd generation EGFR TKI treatment is emphasized based on the observation that resistance mechanism is different based on osimertinib used as 1st line or 2nd line treatment.6,7 Although resistance mechanisms to lazertinib in patients with prior EGFR TKI treatment have been studied, there are no current data available regarding the resistance mechanism after first-line lazertinib treatment.

Based on this observation, PI designed this study to elucidate the efficacy/safety of Lazertinib and to explore resistance mechanisms of 1st line lazertinib treatment in NSCLC patients with activating EGFR mutation.

02

Conditions studied

  • NSCLC
03

In context

Lead sponsor

Sehhoon Park is the lead sponsor of 5 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically or cytologically confirmed locally advanced or metastatic non-small cell lung cancer which is not amenable to treatment with a curative aim (e.g. surgery or radiation). Patients who underwent curative intent surgery or definitive CRT and experience recurrence after 6 months are eligible.
  • Stage IIIC or IV by AJCC 8th edition
  • Confirmed EGFR mutations (exon 19 deletion, L858R)(The result from both cell-free DNA or tissue-based DNA from the local test is allowed.)
  • Age of 19 or more.
  • Performance status of Eastern Cooperative Oncology Group 0 to 2.
  • Expected minimum life expectancy of 12 weeks
  • Adequate organ function.

    • Available to provide the adequate tissue and blood for the genomic tests- At least 15 unstained slide and 20 cc of blood at baseline (mandatory) and disease progression.
  • Agreed to perform re-biopsy at the timepoint of disease progression.
  • At least two weeks after the chemotherapy
  • Female subjects must either be of non-reproductive potential
  • Subject willing and able to comply with the protocol
  • Signed written informed consent

Exclusion criteria

Exclusion Criteria:

  • Previously treatment with any kind of EGFR TKI (Previously chemotherapy treated patients is allowed)
  • Any concurrent and/or other active malignancy that has required systemic treatment within 2 years of first dose of study drug. (allowed for participation if investigator decided that previous malignancy is cured and not need for any additional treatment)
  • Uncontrolled central nervous system metastases- patient with asymptomatic brain metastases or CNS symptom manageable with TKI and evaluated by investigator can be enrolled.
  • Spinal cord compression, leptomeningeal carcinomatosis
  • Uncontrolled systemic illness, including uncontrolled hypertension, active bleeding, or active infection
  • Radiotherapy with a wide field of radiation within 2 weeks or radiotherapy with a limited field of radiation (localized radiotherapy or gamma knife surgery) for palliation within 1 week
  • Any unresolved toxicities from prior therapy, greater than CTCAE grade 1
  • Mean QT interval corrected for heart rate (QTc) ≥ 470 ms
  • No measurable lesion
  • Unable to swallow the product due to refractory nausea, vomiting or chornic gastrointestinal disease.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
150 participants (actual)

Study arms

  • Experimental
    Lazertinib group

    Lazertinib 240mg daily (1 cycle of 21 days)

    Drug: Lazertinib group

Interventions

  • DrugLazertinib group

    Lazertinib 240mg, Once, po, daily (1 cycle of 21 days)

    Also known as: Leclaza

06

What researchers measure

Primary outcomes

  1. progression-free survival

    C1D1 until the date of objective disease progression or death

    Time frame: through study completion, an average of 18.0 month

  2. Resistance mechanism analysis

    The mutation profile of baseline and at the timepoint of resistance will be evaluated using tissue and cfDNA

    Time frame: Screening, Discontiunuation Visit

Secondary outcomes

  1. Objective response rate (ORR)

    as the percentage of patients with measurable disease with at least one visit response of complete response (CR) or partial response (PR)

    Time frame: through study completion, an average of 18.0 month

  2. Duration of Response (DoR)

    as the time from the date of first documented response (CR or PR) until the date of documented progression or death, whichever comes first

    Time frame: through study completion, an average of 18.0 month

  3. Disease control rate (DCR)

    as the percentage of patients who have a best overall response of CR or PR or stable disease (SD at ≥ 6 weeks, prior to any PD event)

    Time frame: through study completion, an average of 18.0 month

  4. Overall survival (OS)

    s the time from the date of C1D1 until the date of death due to any cause

    Time frame: through study completion, an average of 18.0 month

  5. intracranial PFS (iPFS)

    as the time from C1D1 until the date of objective intracranial disease progression or death whichever comes first in patients for the iFAS

    Time frame: through study completion, an average of 18.0 month

  6. intracranial ORR (iORR)

    as the percentage of patients who have at least 1 CR or PR in intracranial lesion, according to RECIST v1.1 prior to disease progression in patients who have at least one measurable intracranial lesion at baseline

    Time frame: through study completion, an average of 18.0 month

  7. intracranial DCR (iDCR)

    as the percentage of patients who have a best intracranial overall response of CR or PR or SD in patients who have at least one measurable intracranial lesion at baseline

    Time frame: through study completion, an average of 18.0 month

07

Study locations

1 site
  • Samsung Medical Center
    Seoul, Gangnamgu 06351, South Korea
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05463224
Lead sponsor
Sehhoon Park
Responsible party
Sehhoon Park (M.D, Ph.D. Principal Investigator, Clinical Professor, Samsung Medical Center) — Sponsor-investigator
First posted
Jul 18, 2022
Start date
Jan 4, 2023
Primary completion
Dec 1, 2026 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Jul 28, 2026

Study contacts

Sehhoon Park, MD
principal investigator · Samsung Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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