ClinicalTrials.gg
RecruitingNCT07363252REMAINUpdated Apr 22, 2026

Investigation of REcurrence Mechanisms to Adjuvant osimertINib in Radically Resected EGFR-mutated NSCLC Patients

An observational study in EGFR-mutated NSCLC, sponsored by Gruppo Oncologico Italiano di Ricerca Clinica. Recruiting at 25 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-22.

Primary conditionnone(registry's first term: Recurrence)No conditionIs this wrong?Recurrence describes something many studies share rather than a condition a study is about. The study names no condition we can place it under, so it is not compared with other studies by condition.

Sponsored by Gruppo Oncologico Italiano di Ricerca Clinica · Observational

From the registry’s dates

  • Started Apr 2026; still recruiting 6 months later.
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
100
Ages
18 Years and older
Sex
All
01

Study summary

Retrospective-prospective observational multicentric study including radically resected EGFR-mutated NSCLC patients relapsed during or after adjuvant osimertinib, received according to clinical practice

Read the detailed description

This study will include patients

  1. who have already received adjuvant osimertinib and who relapsed at the end of the treatment (off-treatment recurrence) and patients
  2. who relapsed during the treatment (on-treatment recurrence). Patients could be enrolled at the time or after the recurrence. Data regarding clinical features for each patient, including demographics and comorbidities, and clinical outcomes of adjuvant osimertinib will be collected.

NGS analysis will be centrally performed on tissue biopsy and/or liquid biopsy collected at the time of recurrence in EGFR-mutated NSCLC treated with adjuvant osimertinib. NGS will be also centrally performed on tissue samples collected at the time of surgery.

02

Conditions studied

  • EGFR-mutated NSCLC

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Keywords

  • EGFR-mutated NSCLC
  • adjuvant osimertinib
  • Recurrence
03

In context

Lead sponsor

Gruppo Oncologico Italiano di Ricerca Clinica is the lead sponsor of 28 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

100 relapsed EGFR-mutated NSCLC patient receiving osimertinib in adjuvant setting and with tissue biopsy and/or liquid biopsy collected at the time of recurrence

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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 therapy with osimertinib received according to clinical practice
  • Availability of tissue and/or liquid sample collected at the time of recurrence
  • Signed .

Exclusion criteria

  • Exclusion Criteria:
  • Unavailability of tissue and/or liquid sample collected at the time of recurrence
  • Concomitant synchronous 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).
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
100 participants (estimated)
Patient registry
No

Interventions

  • Characterization of the molecular mechanisms of recurrence to adjuvant osimertinib

06

What researchers measure

Primary outcomes

  1. The primary endpoint of the study is the frequency of new variant(s) detected by Next Generation Sequencing (NGS) Panel at the time of recurrence to adjuvant osimertinib in tissue and/or liquid biopsy

    The primary endpoint of the study is the frequency of new variant(s) detected by Next Generation Sequencing (NGS) Panel at the time of recurrence to adjuvant osimertinib in tissue and/or liquid biopsy

    Time frame: 3 years

Secondary outcomes

  1. Secondary endpoint

    • Frequency of new variant(s) in Next Generation Sequencing (NGS) Panel in tissue sample at the time of recurrence to adjuvant osimertinib compared to surgical/pre-osimertinib sample

    Time frame: 3 years

  2. Secondary endpoint

    • percent of treatment options at disease relapse

    Time frame: 3 years

  3. Secondary endpoint

    • Correlation of new variants in NGS and clinical features to the onset of recurrence (on treatment/off treatment)

    Time frame: 3 years

07

Study locations

1 of 25 sites recruiting
  • IRCCS Oncologico Giovanni Paolo II
    Bari, BA 70124, Italy
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Asst Papa Giovanni Xxiii Sc Oncologia
    Bergamo, BG 24127, Italy
    Not yet recruiting
    • Anna Bettini, MD · Contact
  • UOC di Oncologia Medica IRCCS - Policlinico S. Orsola Malpighi
    Bologna, BO 40138, Italy
    Not yet recruiting
    • Andrea De Giglio, MD · Contact
  • Humanitas Istituto Clinico Catanese Contrada Cubba
    Misterbianco, CT 95045, Italy
    Not yet recruiting
    • Alessandro Russo, MD · Contact
  • A.S.S.T - Monza Ospedale San Gerardo
    Monza, MB 20900, Italy
    Not yet recruiting
    • Diego Cortinovis, MD · Contact
  • Grande Ospedale Metropolitano Niguarda Ca' Granda
    Milan, Michigan 20162, Italy
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Dip Oncologia-Ematologia - UO Oncologia AOU Policlinico di Modena
    Modena, Missouri 41124, Italy
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Irccs Humanitas Research Hospital
    Milan, MI 20089, Italy
    Not yet recruiting
    • Luca Toschi, MD · Contact
  • Fondazione IRCCS Istituto Nazionale dei Tumori di Milano
    Milan, MI 20113, Italy
    Not yet recruiting
    • Marta Brambilla, MD · Contact
  • Ospedale San Raffaele Dipartimento di Oncologia Medica
    Milan, MI 20132, Italy
    Not yet recruiting
    • Alessandra Bulotta, MD · Contact
  • European Institute of Oncology IRCCS
    Milan, MI 20141, Italy
    Not yet recruiting
    • Antonio Passaro, MD · Contact
  • UOC di Oncologia Medica 2 - IOV Istituto Oncologico Veneto
    Padova, PD 35128, Italy
    Not yet recruiting
    • Giulia Pasello, MD · Contact
  • S.O.C. di Oncologia Medica e dei Tumori Immuno-correlati, Centro di Riferimento Oncologico IRCCS
    Aviano, PN 33081, Italy
    Not yet recruiting
    • Martina Bortolot, MD · Contact
  • UOC di Oncologia Medica Azienda Ospedaliero-Universitaria di Parma
    Parma, PR 43126, Italy
    Not yet recruiting
    • Alessandro Leonetti, MD · Contact
  • U.O.C. Oncologia Medica Azienda Unità Sanitaria Locale della Romagna
    Ravenna, RA 48100, Italy
    Recruiting
    • Chiara Bennati, MD · Contact
  • S.C. Oncologia Provinciale, Azienda USL-IRCCS di Reggio Emilia
    Reggio Emilia, RE 42123, Italy
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Fondazione Policlinico Universitario Campus Bio-Medico
    Roma, RM 00128, Italy
    Not yet recruiting
    • Alessandro Cortellini, MD · Contact
  • Ifo-Istituto Regina Elena - Oncologia Medica 1
    Roma, RM 00144, Italy
    Not yet recruiting
    • Fabiana Cecere, MD · Contact
  • Fondazione Policlinico Universitario 'Agostino Gemelli' IRCCS
    Roma, RM 00168, Italy
    Not yet recruiting
    • Emilio Bria, MD · Contact
  • AOU San Luigi Gonzaga - SSD oncologia polmonare
    Orbassano, TO 10043, Italy
    Not yet recruiting
    • Silvia Novello, MD · Contact
  • SC Oncologia ASST Sette Laghi "Ospedale di Circolo e Fondazione Macchi "
    Varese, VA 21100, Italy
    Not yet recruiting
    • Francesco Grossi, MD · Contact
  • "OSPEDALE P. PEDERZOLI" Casa di Cura Privata S.p.A.
    Peschiera del Garda, VR 37019, Italy
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • AOU Integrata di Verona - Ospedale Borgo Trento
    Verona, VR 37126, Italy
    Not yet recruiting
    • Lorenzo Belluomini, MD · Contact
  • Oncologia Clinica Sperimentale Toraco-Polmonare, IRCCS Pascale di Napoli
    Naples, 80131, Italy
    Not yet recruiting
    • Alessandro Morabito, MD · Contact
  • A.O.U. "Maggiore della Carita'"- S.C.D.U Oncologia
    Novara, 28100, Italy
    Not yet recruiting
    • Gloria Borra, MD · Contact
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Apr 2026 (actual). Primary completion is estimated for Dec 2028, 32 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 10, 2025
First posted
Jan 23, 2026
StartActual
Apr 14, 2026
Primary completionEst.
Dec 2028
CompletionEst.
Dec 2028
Last update
Apr 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07363252
Lead sponsor
Gruppo Oncologico Italiano di Ricerca Clinica
Responsible party
Sponsor
First posted
Jan 23, 2026
Start date
Apr 14, 2026
Primary completion
Dec 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Apr 22, 2026

Study contacts

Alessandro Leonetti, MD
Contact
aleonetti@ao.pr.it
+39 0521702682
Michele Tognetto
Contact
goirc-remain@goirc.org

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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