ClinicalTrials.gg
CompletedNCT07838532AUMO-RWEUpdated Sep 24, 2026

Real-World Study of Aumolertinib in Patients With Advanced EGFR T790M-Positive NSCLC

An observational study in Non Small Cell Lung Cancer, T790M and EGFR Activating Mutation, sponsored by Xin Li. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Xin Li · Observational

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
637
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 1,878 studies in Carcinoma, Non-Small-Cell Lung with a site in China — 763 open to participants now, 986 under way, 203 of them phase 3. Carcinoma, Non-Small-Cell Lung · China.

Enrollment
64th of 286
637 · median 200
Started
2020
with 134 others
Observational
286 of 1,878
114 open now
Registered
1,851st of 1,878
by date

Among the 1,878 studies in Carcinoma, Non-Small-Cell Lung with a site in China, this one is the 64th largest by enrollment of the 286 observational ones that give a count, is one of 135 that started in 2020, is one of 286 observational ones, and was the 1,851st registered.

Carcinoma, Non-Small-Cell Lung

7,624 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,837 are open to participants now.

Browse Carcinoma, Non-Small-Cell Lung studies →

Open to participants now

763 of the 1,878 studies in Carcinoma, Non-Small-Cell Lung with a site in China are open now. Recruiting first, the newest first:

758 more — sign in →

All 763 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 1,326 Carcinoma, Non-Small-Cell Lung studies recruiting now, 988 (75%) set no upper age limit and 225 (17%) stop at 75 or younger; 34 take children under 18; 40 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 1,878 studies in Carcinoma, Non-Small-Cell Lung with a site in China, or all of them as a file.
02

Study summary

The single-arm phase II APOLLO study demonstrated favorable antitumor activity and an acceptable safety profile for aumolertinib in patients with EGFR T790M-positive locally advanced or metastatic non-small cell lung cancer after progression on a first- or second-generation epidermal growth factor receptor tyrosine kinase inhibitor, supporting conditional marketing authorization for this indication in China. However, registrational trials use restrictive patient selection, protocol-driven tumor assessment, and intensive follow-up, and APOLLO had no concurrent control group. Its findings may therefore not fully represent the more complex and heterogeneous patients treated in routine practice. As aumolertinib has been widely used in mainland China since approval, real-world evidence is needed to further evaluate its effectiveness and safety in clinical practice.

AUMO-RWE is a retrospective observational cohort study based on health care data from Jiangsu Province, China. The study will use deidentified outpatient and inpatient records from the China Health and Medical Big Data Center (East), securely linked to the Jiangsu Province Resident Death Registration Database. Eligible participants will be adults who first initiated aumolertinib in routine care between January 1, 2020, and December 31, 2024, after progression on a first- or second-generation EGFR tyrosine kinase inhibitor and who have documented EGFR T790M-positive disease. The primary outcome is overall survival. Secondary outcomes include real-world progression-free survival and adverse events recorded during treatment. Tumor response, treatment patterns, health care utilization, medical costs, health insurance payments, and patient out-of-pocket payments will also be described.

In addition, a trial-aligned cohort will be constructed using target trial emulation principles and key elements of the APOLLO protocol. Where data comparability permits, an unanchored matching-adjusted indirect comparison will standardize measured baseline characteristics of the real-world cohort to the published APOLLO population. This comparison is intended to describe and quantify trial-to-practice outcome differences and to inform clinical use and assessment of the value of health insurance reimbursement. Because both APOLLO and AUMO-RWE are single-arm aumolertinib cohorts, the comparison will not be interpreted as a randomized causal effect of aumolertinib versus another treatment.

Read the detailed description

Lung cancer is one of the leading causes of cancer burden worldwide, and non-small cell lung cancer accounts for most lung cancer cases. Sensitizing EGFR mutations are common oncogenic drivers among Chinese patients with advanced non-small cell lung cancer. First- and second-generation EGFR tyrosine kinase inhibitors provide substantial clinical benefit, but acquired resistance is nearly inevitable. EGFR T790M is an important resistance mechanism after progression on these agents. Third-generation EGFR tyrosine kinase inhibitors that selectively inhibit sensitizing EGFR mutations and T790M have therefore become an important subsequent treatment option for this population.

Aumolertinib is a third-generation EGFR tyrosine kinase inhibitor. The single-arm phase II APOLLO registrational study enrolled 244 patients with EGFR T790M-positive locally advanced or metastatic non-small cell lung cancer after progression on a prior EGFR tyrosine kinase inhibitor. The study reported an objective response rate of 68.9%, a disease control rate of 93.4%, and a median progression-free survival of 12.4 months. With longer follow-up, median overall survival was 30.2 months and the 24-month overall survival rate was 57.5%. The safety profile was considered acceptable in the trial setting. These findings supported conditional marketing authorization for this indication in China.

Although APOLLO provided pivotal evidence of clinical benefit, its single-arm design and restrictive eligibility criteria limit direct generalization to routine practice. Older patients and those with poorer performance status, comorbidities, organ dysfunction, complex metastatic patterns, or different prior treatment pathways are more frequently encountered in the real world. In addition, the frequency of imaging assessment, dose modification, treatment interruption, subsequent therapy, and completeness of follow-up may differ from those in a registrational trial. Real-world outcomes may therefore differ from trial results. A large real-world study with long-term follow-up can provide further evidence on the effectiveness and safety of aumolertinib and can also inform assessment of health care utilization, medical costs, and the value of health insurance reimbursement.

This is a population-based, retrospective, observational, single-cohort study using health care data from Jiangsu Province, China. The China Health and Medical Big Data Center (East) covers outpatient and inpatient care for approximately 80 million urban and rural residents and includes demographic characteristics, diagnoses, imaging and laboratory findings, clinical and pathology notes, prescriptions and medication orders, health care institutions, medical costs, and health insurance reimbursement. Broad screening will identify patients with a lung cancer-related code (C34 or D02.200) and a record of aumolertinib between January 1, 2020, and December 31, 2024. Final eligibility will be confirmed from pathology or cytology, disease stage, prior treatment, disease progression, and molecular testing records. Within a secure environment, patients will be linked through a unique card number to the Jiangsu Province Resident Death Registration Database to determine vital status through January 1, 2025. The study will not assign treatment, contact patients, or alter clinical care.

Time zero is the first confirmed aumolertinib prescription, executed medication order, or administration. Eligibility assessment, treatment initiation, and the start of outcome follow-up will be aligned at time zero. The primary outcome is overall survival, defined as the time from time zero to death from any cause. Secondary outcomes include real-world progression-free survival and adverse events. Real-world disease progression will be ascertained from treating clinician documentation, radiology reports, pathology findings, and longitudinal clinical records. An adverse event will be described as treatment-related only when causality is explicitly documented in the medical record.

Using target trial emulation principles, the study will prespecify and align eligibility criteria, treatment strategy, time zero, follow-up, outcomes, and analysis. An indication-aligned new-user cohort and a stricter trial-aligned cohort will be analyzed separately. Overall survival and real-world progression-free survival will be described using Kaplan-Meier methods, survival probabilities at fixed time points, and restricted mean survival time. For the trial-aligned cohort, where common variable definitions and data quality permit, an unanchored matching-adjusted indirect comparison will align measured characteristics with published APOLLO baseline distributions. Weight distributions, effective sample size, and residual imbalance will be reported. The comparison with APOLLO is a trial-to-practice benchmark intended to assess consistency and transportability of outcomes; it is not a randomized causal comparison of aumolertinib versus another treatment.

03

Conditions studied

  • Non Small Cell Lung Cancer
  • T790M
  • EGFR Activating Mutation

Keywords

  • Aumolertinib
  • EGFR tyrosine kinase inhibitor
  • real-world evidence
  • target trial emulation
  • overall survival
  • progression-free survival
04

Who can participate

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

Study population

The study population will be drawn from outpatient and inpatient records of urban and rural residents of Jiangsu Province covered by the China Health and Medical Big Data Center (East). All records with aumolertinib exposure and a lung cancer-related code between January 1, 2020, and December 31, 2024, will undergo broad screening. The final cohort will be confirmed using pathology, disease stage, prior treatment, progression, and genetic testing results. Vital status will be linked by the data custodian within a secure environment to the Jiangsu Province Resident Death Registration Database. All patients' medical records have been anonymised.

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 or older at time zero.
  • Unresectable locally advanced, recurrent or non-small cell lung cancer.
  • Prior continuous treatment with a first- or second-generation EGFR tyrosine kinase inhibitor and radiographic or clinical documentation of disease progression during or after the most recent relevant regimen.
  • A documented positive EGFR T790M mutation result obtained after disease progression and before initiation of aumolertinib.
  • There is a clear record of the date on which aumolertinib was first administered, and there is at least one complete record of an efficacy assessment following treatment.

Exclusion criteria

Exclusion Criteria:

  • Any record of treatment with a third-generation EGFR tyrosine kinase inhibitor before aumolertinib initiation.
  • Inability to confirm any core requirement: non-small cell lung cancer, progression after a first- or second-generation EGFR TKI, or EGFR T790M positivity.
  • Another active primary before time zero that, according to prespecified rules, could materially affect interpretation of survival outcomes.
  • The medical records were incomplete.
Terms in these criteria, in plain language(2)

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

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
Retrospective
Enrollment
637 participants (actual)
Patient registry
No

Groups and cohorts

  • Aumolertinib Real-World Cohort

    Drug: Aumolertinib monotherapy (development code: HS-10296)

Interventions

  • DrugAumolertinib monotherapy (development code: HS-10296)

    The study does not assign treatment. Exposure is defined by the first confirmed aumolertinib prescription, executed medication order, or administration in routine clinical practice. The approved regimen is 110 mg orally once daily. Actual dose modifications, discontinuation, switching, and treatment beyond progression will be captured from the medical record.

06

What researchers measure

Primary outcomes

  1. Overall Survival (OS)

    Overall survival is defined as the time from time zero, defined as the date of first recorded use of aumolertinib 110 mg once daily, to death from any cause. Vital status and date of death will be obtained through linkage with the Jiangsu resident mortality registry. Participants alive on December 31, 2024 will be administratively censored on that date. Kaplan-Meier methods will be used to estimate median OS and OS probabilities at 6, 9, 12, 24 and 48 months with 95% confidence intervals.

    Time frame: From first use of aumolertinib to death from any cause or administrative censoring on December 31, 2024; up to 60 months.

Secondary outcomes

  1. Real-World Progression-Free Survival (rwPFS)

    rwPFS is defined as the time from first use of aumolertinib to the first recorded disease progression or death from any cause, whichever occurs first. Disease progression will be identified from clinical records, imaging reports, or medical documentation. Among patients with no documented progression, death within 91 days after the last documented progression-free assessment will be counted as a progression/death event on the date of death; death occurring more than 91 days after the last progression-free assessment, or no death, will result in censoring on the date of the last documented progression-free assessment. Patients with no post-index disease assessment or follow-up record will be excluded from the rwPFS analysis. Kaplan-Meier methods will estimate median rwPFS and rwPFS probabilities at 6, 9, 12, 24 and 48 months with 95% confidence intervals.

    Time frame: From first use of aumolertinib to disease progression, death from any cause, or censoring; data available through December 31, 2024; up to 60 months.

  2. Incidence of Documented Adverse Events (AEs)

    Proportion of patients with at least one documented safety event or adverse event after initiation of aumolertinib. Events will be identified from outpatient, inpatient, clinical narrative, prescription, test results and medical order records using a prespecified algorithm and summarized by prespecified categories. As CTCAE grading and investigator-assessed causality are not systematically available, this outcome will not be interpreted as the incidence of CTCAE-graded treatment-related adverse events.

    Time frame: From the first administration of aumolertinib until three months after discontinuation of aumolertinib, death or the date of the last available medical record, whichever occurs first; up to 60 months.

Other outcomes

  1. Treatment Discontinuation Due to Adverse Events

    Proportion of patients with a documented record of aumolertinib treatment discontinuation due to an adverse event.

    Time frame: From first use of aumolertinib to December 31, 2024, death, or last available healthcare record, whichever occurs first; up to 60 months.

  2. Dose Reduction Due to Adverse Events

    Proportion of patients with a documented record of aumolertinib dose reduction due to an adverse event.

    Time frame: From first use of aumolertinib to December 31, 2024, death, or last available healthcare record, whichever occurs first; up to 60 months.

07

Study locations

1 site
  • Nanjing Medical University
    Nanjing, Jiangsu 211166, China
08

References and documents

Publications

  • Ton TGN, Pal N, Trinh H, Mahrus S, Bretscher MT, Machado RJM, Sadetsky N, Chaudhary N, Lu MW, Riely GJ. Replication of Overall Survival, Progression-Free Survival, and Overall Response in Chemotherapy Arms of Non-Small Cell Lung Cancer Trials Using Real-World Data. Clin Cancer Res. 2022 Jul 1;28(13):2844-2853. doi: 10.1158/1078-0432.CCR-22-0471. PubMed 35511917 ↗
  • Matthews AA, Danaei G, Islam N, Kurth T. Target trial emulation: applying principles of randomised trials to observational studies. BMJ. 2022 Aug 30;378:e071108. doi: 10.1136/bmj-2022-071108. No abstract available. PubMed 36041749 ↗
  • Lu S, Wang Q, Zhang G, Dong X, Yang CT, Song Y, Chang GC, Lu Y, Pan H, Chiu CH, Wang Z, Feng J, Zhou J, Xu X, Guo R, Chen J, Yang H, Chen Y, Yu Z, Shiah HS, Wang CC, Yang N, Fang J, Wang P, Wang K, Hu Y, He J, Wang Z, Shi J, Chen S, Wu Q, Sun C, Li C, Wei H, Cheng Y, Su WC, Hsia TC, Cui J, Sun Y, Ou SI, Zhu VW, Chih-Hsin Yang J. Efficacy of Aumolertinib (HS-10296) in Patients With Advanced EGFR T790M+ NSCLC: Updated Post-National Medical Products Administration Approval Results From the APOLLO Registrational Trial. J Thorac Oncol. 2022 Mar;17(3):411-422. doi: 10.1016/j.jtho.2021.10.024. Epub 2021 Nov 19. PubMed 34801749 ↗

Related links

Individual participant data

Plan to share: No — IPD will not be shared because the ethics committee approval and informed consent obtained for this retrospective study do not include permission for secondary data sharing with third parties.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2020 to primary completion in Dec 2024, 57 months.

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

Registered
Sep 18, 2026
First posted
Sep 24, 2026
StartActual
Mar 24, 2020
Primary completionActual
Dec 31, 2024
CompletionActual
Dec 31, 2024
Last update
Sep 24, 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 Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07838532
Lead sponsor
Xin Li
Responsible party
Xin Li (Professor, PhD, PhD supervisor, Deputy Dean of the School of Pharmacy, Nanjing Medical University, Nanjing Medical University) — Sponsor-investigator
First posted
Sep 24, 2026
Start date
Mar 24, 2020
Primary completion
Dec 31, 2024
Completion
Dec 31, 2024
Last update
Sep 24, 2026

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 completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion