Osimertinib

Not yet reviewed: Listed from FDA or ClinicalTrials.gov records; an editor has not checked it yetListed from FDA or ClinicalTrials.gov records; an editor has not checked it yet.

Also known as Tagrisso, Osimertinib mesylate

ASTRAZENECA PLC AZN · Non-small Cell Lung Cancer; Anticancer Treatment; Cancer; Carcinoma; Carcinoma, Non-Small-Cell Lung

Key figures

  • Next catalyst

    None scheduled

    Only dates with a source are listed

  • Phase

    Approved

    Not recorded

  • Linked trials

    11

    From ClinicalTrials.gov

  • Latest FDA action

    Approved

    NDA208065,

Recalls, shortages, patents and EU status at a glance

Key information

Indications
Non-small Cell Lung Cancer; Anticancer Treatment; Cancer; Carcinoma; Carcinoma, Non-Small-Cell Lung Source: Conditions from ClinicalTrials.gov (opens in a new tab)
Designations
None recorded
Next catalyst
None scheduled

Development timeline

  1. Preclinical Completed
  2. Phase 1 Completed
  3. Phase 2 Completed
  4. Phase 3 CompletedFirst trial start 4 Aug 201411 linked trials
  5. Filed Completed
  6. Approved Current stageFirst approval 13 Nov 2015

Overview

Mechanism
Not recorded
Route
Not recorded
Modality
Not recorded
Specialties
Not recorded

Overview text is written by HealthTrade editors.

Key dates

No catalysts yet. Editors add each date together with its source.

FDA designations

No FDA designations are on record for Osimertinib. Editors add each one with its source.

Filed application

No filed application is on record for Osimertinib. Approvals are listed under FDA actions.

FDA advisory committees

No FDA advisory committee meetings are on record for Osimertinib.

Clinical trials

Trials linked to Osimertinib
TrialTitlePhaseStatusEnrollmentPrimary completionResults posted
NCT06417814ClinicalTrials.gov record for NCT06417814 (opens in a new tab)TROPION-Lung15A Study to Investigate the Efficacy and Safety of Dato-DXd With or Without Osimertinib Compared With Platinum Based Doublet Chemotherapy in Participants With EGFR-Mutated Locally Advanced or Metastatic Non-Small Cell Lung CancerPhase 3Active, not recruiting768 (actual)11 Jan 2027 (estimated) No

Publications listing TROPION-Lung15 (1), newest first

  1. TROPION-Lung15: a randomized phase III study of osimertinib combined with datopotamab deruxtecan (Dato-DXd) or Dato-DXd alone versus platinum-doublet chemotherapy in patients with EGFR-mutated advanced non-small cell lung cancer and whose disease has progressed on prior osimertinib.

    Therapeutic advances in medical oncology · 2025

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT06350097ClinicalTrials.gov record for NCT06350097 (opens in a new tab)TROPION-Lung14Phase III, Open-label Study of First-line Osimertinib With or Without Datopotamab Deruxtecan for EGFRm Locally Advanced or Metastatic Non-small Cell Lung CancerPhase 3Recruiting582 (estimated)21 Mar 2028 (estimated) No

Publications listing TROPION-Lung14 (1), newest first

  1. TROPION-Lung14 study protocol: a phase III study of osimertinib in combination with datopotamab deruxtecan versus osimertinib alone as first-line treatment for patients with EGFR-mutated locally advanced or metastatic non-small cell lung cancer.

    Therapeutic advances in medical oncology · 2026

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT05629234ClinicalTrials.gov record for NCT05629234 (opens in a new tab)ROSY-TRoll Over StudY for Patients Who Have Completed a Previous Oncology Study With Osimertinib (TAGRISSO) (ROSY-T)Phase 3Active, not recruiting37 (estimated)22 Feb 2027 (estimated) No
NCT05261399ClinicalTrials.gov record for NCT05261399 (opens in a new tab)SAFFRONSavolitinib Plus Osimertinib Versus Platinum-based Doublet Chemotherapy in Participants With Non-Small Cell Lung Cancer Who Have Progressed on Osimertinib TreatmentPhase 3Active, not recruiting341 (actual)6 Jul 2026 (actual) No
NCT05120349ClinicalTrials.gov record for NCT05120349 (opens in a new tab)ADAURA2A Global Study to Assess the Effects of Osimertinib in Participants With EGFRm Stage IA2-IA3 NSCLC Following Complete Tumour ResectionPhase 3Active, not recruiting390 (actual)2 Aug 2027 (estimated) No

Publications listing ADAURA2 (1), newest first

  1. EGFR mutation testing across the osimertinib clinical program.

    Lung cancer (Amsterdam, Netherlands) · 2025 Jun

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT04765059ClinicalTrials.gov record for NCT04765059 (opens in a new tab)COMPELA Study to Evaluate Chemotherapy Plus Osimertinib Against Chemotherapy Plus Placebo in Patients With Non-small Cell Lung Cancer (NSCLC)Phase 3Active, not recruiting98 (actual)28 Oct 2024 (actual) Yes First posted Results on ClinicalTrials.gov for NCT04765059 (opens in a new tab)

Posted results on ClinicalTrials.gov for COMPEL

  • Progression Free Survival (PFS) (Months)
    • Treatment Arm A: Osimertinib (AZD9291), Pemetrexed, Cisplatin or Carboplatin vs Treatment Arm B: Placebo for Osimertinib (AZD9291), Pemetrexed, Cisplatin or Carboplatin: Hazard Ratio (HR) 0.43 (95% CI 0.27 to 0.70), Log Rank, other

Serious adverse events (From date of first dose (Day 1) until Follow-up (28 days post last dose) (up to 3 years 1 month)): Treatment Arm A: Osimertinib (AZD9291), Pemetrexed, Cisplatin or Carboplatin 18 of 48; Treatment Arm B: Placebo for Osimertinib (AZD9291), Pemetrexed, Cisplatin or Carboplatin 15 of 48

Source: ClinicalTrials.gov results for NCT04765059 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

NCT04351555ClinicalTrials.gov record for NCT04351555 (opens in a new tab)NeoADAURAA Study of Osimertinib With or Without Chemotherapy Versus Chemotherapy Alone as Neoadjuvant Therapy for Patients With EGFRm Positive Resectable Non-Small Cell Lung CancerPhase 3Active, not recruiting358 (actual)15 Oct 2024 (actual) Yes First posted Results on ClinicalTrials.gov for NCT04351555 (opens in a new tab)

Posted results on ClinicalTrials.gov for NeoADAURA

  • Major Pathological Response (MPR) - IASLC Method (Percentage of Participants)
    • Osimertinib + Chemo vs Placebo + Chemo: Odds Ratio (OR) 19.82 (95% CI 4.60 to 85.32), p-value <0.0001, Cochran-Mantel-Haenszel, superiority
    • Osimertinib vs Placebo + Chemo: Odds Ratio (OR) 19.28 (95% CI 4.56 to 81.63), p-value <0.0001, Cochran-Mantel-Haenszel, superiority
  • Major Pathological Response (MPR) - Chemotherapy Method (Percentage of Participants)
    • Osimertinib + Chemo vs Placebo + Chemo: Odds Ratio (OR) 19.17 (95% CI 4.45 to 82.66), p-value <0.0001, Cochran-Mantel-Haenszel, superiority
    • Osimertinib vs Placebo + Chemo: Odds Ratio (OR) 14.68 (95% CI 3.46 to 62.28), p-value <0.0001, Cochran-Mantel-Haenszel, superiority

Serious adverse events (Includes adverse events during the neoadjuvant analysis period, defined as from the first dose to the minimum of (date of last dose in neoadjuvant period + 28 days, the next treatment start date - 1, date of withdrawal of consent, date of death). For participants who received Osimertinib or Placebo, this was up to 138 days. For participants who received Pemetrexed, Cisplatin or Carboplatin, this was up to 107 days.): Osimertinib + Chemo 24 of 119; Osimertinib 13 of 117; Placebo + Chemo 24 of 120

Source: ClinicalTrials.gov results for NCT04351555 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing NeoADAURA (4), newest first

  1. Neoadjuvant Osimertinib for Resectable EGFR-Mutated Non-Small Cell Lung Cancer.

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025 Sep 10

  2. EGFR mutation testing across the osimertinib clinical program.

    Lung cancer (Amsterdam, Netherlands) · 2025 Jun

  3. Neoadjuvant and Adjuvant Osimertinib in Stage IA to IIIA, EGFR-Mutant NSCLC (NORA).

    Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2025 May

  4. Neoadjuvant osimertinib with/without chemotherapy versus chemotherapy alone for EGFR-mutated resectable non-small-cell lung cancer: NeoADAURA.

    Future oncology (London, England) · 2021 Nov

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT04035486ClinicalTrials.gov record for NCT04035486 (opens in a new tab)FLAURA2A Study of Osimertinib With or Without Chemotherapy as 1st Line Treatment in Patients With Mutated Epidermal Growth Factor Receptor Non-Small Cell Lung Cancer (FLAURA2)Phase 3Active, not recruiting587 (actual)3 Apr 2023 (actual) Yes First posted Results on ClinicalTrials.gov for NCT04035486 (opens in a new tab)

Posted results on ClinicalTrials.gov for FLAURA2

  • Progression-free Survival (PFS) (Randomized Component) (Months)
    • Randomized: AZD9291 + Chemo vs Randomized: AZD9291: Hazard Ratio (HR) 0.62 (95% CI 0.49 to 0.79), p-value <0.0001, Log Rank, superiority
  • Sensitivity Analysis for Progression-free Survival (PFS) by Blinded Independent Central Review (BICR) Assessment (Randomized Component) (Months)
    • Randomized: AZD9291 + Chemo vs Randomized: AZD9291: Hazard Ratio (HR) 0.62 (95% CI 0.48 to 0.80), p-value 0.0002, Log Rank, superiority

Serious adverse events (Includes treatment emergent adverse events with onset date on or after the date of first dose and up to and including 28 days following discontinuation of treatment but prior to the start of a new anti-cancer therapy. For the Safety Run-In treatment arms, this was up to 45 months, or the data cut-off. For the Randomized treatment arms, this was up to 33 months, or the data cut-off.): Safety Run-In: AZD9291 + Carboplatin + Pemetrexed 5 of 15; Safety Run-In: AZD9291 + Cisplatin + Pemetrexed 6 of 15; Randomized: AZD9291 + Chemo 104 of 276; Randomized: AZD9291 53 of 275

Source: ClinicalTrials.gov results for NCT04035486 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing FLAURA2 (9), newest first

  1. Long-term safety of first-line osimertinib plus platinum-pemetrexed in EGFR-mutated advanced NSCLC: FLAURA2.

    Lung cancer (Amsterdam, Netherlands) · 2026 Sep 14

  2. Survival with Osimertinib plus Chemotherapy in EGFR-Mutated Advanced NSCLC.

    The New England journal of medicine · 2026 Jan 1

  3. Population Pharmacokinetics and Exposure-Response Analysis of First-Line Osimertinib Plus Chemotherapy in Patients with EGFR-Mutated Advanced NSCLC.

    Clinical pharmacology and therapeutics · 2025 Nov

  4. EGFR mutation testing across the osimertinib clinical program.

    Lung cancer (Amsterdam, Netherlands) · 2025 Jun

  5. CNS Efficacy of Osimertinib With or Without Chemotherapy in Epidermal Growth Factor Receptor-Mutated Advanced Non-Small-Cell Lung Cancer.

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024 Mar 1

All 9 publications for NCT04035486

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT03833154ClinicalTrials.gov record for NCT03833154 (opens in a new tab)PACIFIC-4Durvalumab With Stereotactic Body Radiation Therapy (SBRT) vs Placebo With SBRT in Early Stage Unresected Non-small Cell Lung Cancer (NSCLC) Patients/ Osimertinib Following SBRT in Patients With Early Stage Unresected NSCLC Harboring an EGFR MutationPhase 3Active, not recruiting724 (actual)31 Oct 2028 (estimated) No
NCT03521154ClinicalTrials.gov record for NCT03521154 (opens in a new tab)LAURAA Global Study to Assess the Effects of Osimertinib Following Chemoradiation in Patients With Stage III Unresectable Non-small Cell Lung Cancer (LAURA)Phase 3Active, not recruiting216 (actual)5 Jan 2024 (actual) Yes First posted Results on ClinicalTrials.gov for NCT03521154 (opens in a new tab)

Posted results on ClinicalTrials.gov for LAURA

  • Progression-free Survival (PFS) by Blinded Independent Central Review (BICR) (Months)
    • Osimertinib vs Placebo: Hazard Ratio (HR) 0.16 (95% CI 0.10 to 0.24), p-value <0.001, Log Rank, superiority

Serious adverse events (From the time of signature of informed consent throughout the treatment period (maximum actual duration of 62.4 and 56.2 months for Osimertinib and Placebo respectively) up to and including 28 day follow up following last dose of study drug.): Osimertinib 55 of 143; Placebo 11 of 73

Source: ClinicalTrials.gov results for NCT03521154 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing LAURA (8), newest first

  1. Osimertinib after definitive CRT in unresectable stage III EGFR-mutated NSCLC: safety outcomes from the phase III LAURA study.

    Lung cancer (Amsterdam, Netherlands) · 2026 Aug

  2. Patient-reported outcomes from the LAURA study: osimertinib in patients with unresectable stage III EGFR-mutated non-small cell lung cancer after definitive chemoradiotherapy.

    European journal of cancer (Oxford, England : 1990) · 2026 Jun 3

  3. A plain language review of results from the LAURA study: osimertinib after chemoradiotherapy for patients with EGFR-mutated non-small cell lung cancer that cannot be removed by surgery.

    Future oncology (London, England) · 2026 May

  4. EGFR mutation testing across the osimertinib clinical program.

    Lung cancer (Amsterdam, Netherlands) · 2025 Jun

  5. Osimertinib after definitive chemoradiotherapy in unresectable stage III epidermal growth factor receptor-mutated non-small-cell lung cancer: analyses of central nervous system efficacy and distant progression from the phase III LAURA study.

    Annals of oncology : official journal of the European Society for Medical Oncology · 2024 Dec

All 8 publications for NCT03521154

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT02151981ClinicalTrials.gov record for NCT02151981 (opens in a new tab)AURA3AZD9291 (Osimertinib) Versus Platinum-Based Doublet-Chemotherapy in Locally Advanced or Metastatic Non-Small Cell Lung CancerPhase 3Completed421 (actual)15 Apr 2016 (actual) Yes First posted Results on ClinicalTrials.gov for NCT02151981 (opens in a new tab)

Posted results on ClinicalTrials.gov for AURA3

  • Progression Free Survival (PFS) by Investigator Assessment (Months)
    • Osimertinib 80mg vs Chemotherapy: Hazard Ratio (HR) 0.30 (95% CI 0.23 to 0.41), p-value <0.001, Log Rank, superiority or other

Serious adverse events (AEs from start of study drug until 28 days post treatment discontinuation up to 4 years and 7 months (at the time of analysis)): Osimertinib 80 mg 84 of 279; Chemotherapy 36 of 136

Source: ClinicalTrials.gov results for NCT02151981 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing AURA3 (13), newest first

  1. Variability of Circulating Tumor DNA Levels in Plasma Samples From Patients With Advanced Non-Small-Cell Lung Cancer in the Absence of Treatment.

    JCO precision oncology · 2025 Oct

  2. EGFR mutation testing across the osimertinib clinical program.

    Lung cancer (Amsterdam, Netherlands) · 2025 Jun

  3. Longitudinal Analyses of Circulating Tumor DNA for the Detection of EGFR Mutation-Positive Advanced NSCLC Progression During Treatment: Data From FLAURA and AURA3.

    Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2024 Nov

  4. Early Clearance of Plasma Epidermal Growth Factor Receptor Mutations as a Predictor of Outcome on Osimertinib in Advanced Non-Small Cell Lung Cancer; Exploratory Analysis from AURA3 and FLAURA.

    Clinical cancer research : an official journal of the American Association for Cancer Research · 2023 Sep 1

  5. An Analysis of 5-Level Version of EQ-5D Adjusting for Treatment Switching: The Case of Patients With Epidermal Growth Factor Receptor T790M-Positive Nonsmall Cell Lung Cancer Treated With Osimertinib.

    Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2022 Jul

All 13 publications for NCT02151981

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

Source: ClinicalTrials.gov, U.S. National Library of Medicine. Posted results are shown as ClinicalTrials.gov prints them; results from company and journal sources are entered by editors and listed separately. Full result tables are on ClinicalTrials.gov.

Trial quality

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FDA actions

Original approvals and new-indication supplements for Osimertinib, newest first
ApplicationActionDateOutcomeReviewSource
NDA208065Action letter for NDA208065 (opens in a new tab) Supplement 35 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA208065Action letter for NDA208065 (opens in a new tab) Supplement 33 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA208065Action letter for NDA208065 (opens in a new tab) Supplement 30 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA208065Action letter for NDA208065 (opens in a new tab) Supplement 29 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA208065Action letter for NDA208065 (opens in a new tab) Supplement 21 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA208065Action letter for NDA208065 (opens in a new tab) Supplement 18 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA208065Action letter for NDA208065 (opens in a new tab) Supplement 16 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA208065Action letter for NDA208065 (opens in a new tab) Supplement 8 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA208065Action letter for NDA208065 (opens in a new tab) Supplement 6 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA208065Action letter for NDA208065 (opens in a new tab) Original 1 Type 1 - New Molecular EntityApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)

Data provided by the U.S. Food and Drug Administration.

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EU status (EMA)

Authorised

Tagrisso (EMEA/H/C/004124)

Authorised
Therapeutic area
Carcinoma, Non-Small-Cell Lung
Marketing authorisation holder
AstraZeneca AB
Active substance (INN)
osimertinib
ATC code
L01XE
Latest EMA decision

Matched by active substance: EMA's INN or active substance equals this drug's name.

Source: European Medicines Agency (EMA), medicines data download. Licence: EMA re-use with acknowledgement. EMA medicines report 2026-10-26.

Related news

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Sources

Record updated .

Dates come from company and FDA disclosures and can change. Nothing on this page is investment advice.