A 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)
NCT04035486 · FLAURA2 Phase 3Active, not recruiting
- Lead sponsor
- AstraZeneca (Industry)
- Enrollment
- 587 (actual)
- Start date
- 2 Jul 2019
- Primary completion
- 3 Apr 2023 (actual)
- Study completion
- 30 Sep 2027
- Last update posted
- 3 Sep 2026
Design
- Study type
- Interventional
- Primary purpose
- Treatment
- Allocation
- Randomized
- Intervention model
- Parallel
- Masking
- None
- Arms
- 2
Interventions
- Osimertinib Drug
- Pemetrexed/Carboplatin Drug
- Pemetrexed/Cisplatin Drug
Conditions and primary outcome
- Non-Small Cell Lung Cancer
Primary outcome
Adverse Events Graded by Common Terminology Criteria for Adverse Event v5 (Safety Run-In Treatment Arms Only) (From first dose date to 28 days following last dose, up to 45 months); Progression-free Survival (PFS) (Randomized Component) (Up to approximately 33 months after the first patient is randomized (maximum follow up of 33.3 months)); Sensitivity Analysis for Progression-free Survival (PFS) by Blinded Independent Central Review (BICR) Assessment (Randomized Component) (Up to approximately 33 months after the first patient is randomized (maximum follow up of 33.2 months).)
Posted results on ClinicalTrials.gov
Source: ClinicalTrials.gov results for NCT04035486 (opens in a new tab)· Licence: public-domain
First posted · Last update posted · Imported from ClinicalTrials.gov download 2026-10-25
Primary outcomes with a statistical analysis
Progression-free Survival (PFS) (Randomized Component)
- Time frame
- Up to approximately 33 months after the first patient is randomized (maximum follow up of 33.3 months)
- Measure
- Median
- Unit
- Months
Randomized: AZD9291 + Chemo vs Randomized: AZD9291Superiority
The analysis was performed using a log rank test stratified by race (Chinese/Asian vs. Non-Chinese/Asian vs. Non-Asian), WHO performance status (0 vs. 1), and method used for tissue testing (central vs. local).
- Estimate
- 0.62Hazard Ratio (HR)
- 95% CI, two-sided
- 0.49 to 0.79
- p-value
- <0.0001
- Method
- Log Rank
Sensitivity Analysis for Progression-free Survival (PFS) by Blinded Independent Central Review (BICR) Assessment (Randomized Component)
- Time frame
- Up to approximately 33 months after the first patient is randomized (maximum follow up of 33.2 months).
- Measure
- Median
- Unit
- Months
Randomized: AZD9291 + Chemo vs Randomized: AZD9291Superiority
The analysis was performed using a log rank test stratified by race (Chinese/Asian vs. Non-Chinese/Asian vs. Non-Asian), WHO performance status (0 vs. 1), and method used for tissue testing (central vs. local).
- Estimate
- 0.62Hazard Ratio (HR)
- 95% CI, two-sided
- 0.48 to 0.80
- p-value
- 0.0002
- Method
- Log Rank
Serious adverse events
Time frame: 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.
| Group | Affected | At risk |
|---|---|---|
| Safety Run-In: AZD9291 + Carboplatin + Pemetrexed | 5 | 15 |
| Safety Run-In: AZD9291 + Cisplatin + Pemetrexed | 6 | 15 |
| Randomized: AZD9291 + Chemo | 104 | 276 |
| Randomized: AZD9291 | 53 | 275 |
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.
Source: ClinicalTrials.gov, U.S. National Library of Medicine. Listing a study does not mean NLM has evaluated it.
Results from company and journal sources
No editor-confirmed results are on record for this study.
Publications
9 on PubMedLong-term safety of first-line osimertinib plus platinum-pemetrexed in EGFR-mutated advanced NSCLC: FLAURA2.
Lung cancer (Amsterdam, Netherlands) · 2026 Sep 14
PubMed 42728193 (opens in a new tab)DOI 10.1016/j.lungcan.2026.109588 (opens in a new tab)
Survival with Osimertinib plus Chemotherapy in EGFR-Mutated Advanced NSCLC.
The New England journal of medicine · 2026 Jan 1
PubMed 41104938 (opens in a new tab)DOI 10.1056/NEJMoa2510308 (opens in a new tab)
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
PubMed 40637621 (opens in a new tab)DOI 10.1002/cpt.3759 (opens in a new tab)
EGFR mutation testing across the osimertinib clinical program.
Lung cancer (Amsterdam, Netherlands) · 2025 Jun
PubMed 40311309 (opens in a new tab)DOI 10.1016/j.lungcan.2025.108549 (opens in a new tab)
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
PubMed 38042525 (opens in a new tab)DOI 10.1200/JCO.23.02219 (opens in a new tab)
Osimertinib with or without Chemotherapy in EGFR-Mutated Advanced NSCLC.
The New England journal of medicine · 2023 Nov 23
PubMed 37937763 (opens in a new tab)DOI 10.1056/NEJMoa2306434 (opens in a new tab)
Osimertinib plus platinum-pemetrexed in newly diagnosed epidermal growth factor receptor mutation-positive advanced/metastatic non-small-cell lung cancer: safety run-in results from the FLAURA2 study.
ESMO open · 2021 Oct
PubMed 34543864 (opens in a new tab)DOI 10.1016/j.esmoop.2021.100271 (opens in a new tab)
Combining Osimertinib With Chemotherapy in EGFR-Mutant NSCLC at Progression.
Clinical lung cancer · 2021 May
PubMed 33610453 (opens in a new tab)DOI 10.1016/j.cllc.2021.01.010 (opens in a new tab)
A Phase II Study of Osimertinib Combined With Platinum Plus Pemetrexed in Patients With EGFR-Mutated Advanced Non-Small-cell Lung Cancer: The OPAL Study (NEJ032C/LOGIK1801).
Clinical lung cancer · 2021 Mar
PubMed 33199228 (opens in a new tab)DOI 10.1016/j.cllc.2020.09.023 (opens in a new tab)
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.
CT-VCA trial quality
About CT-VCALoading CT-VCA scores…
Data integrity
Compare what the registry, company releases, FDA documents and publications say about this study.
Drugs on HealthTrade
Source
- NCT04035486 on ClinicalTrials.gov (opens in a new tab) Licence: public-domain. Read
Source: ClinicalTrials.gov, U.S. National Library of Medicine. Listing a study does not mean NLM has evaluated it.
Nothing on this page is medical or investment advice.