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

  1. 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
  2. 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.

Participants with serious adverse events per group for FLAURA2, as posted
GroupAffectedAt risk
Safety Run-In: AZD9291 + Carboplatin + Pemetrexed515
Safety Run-In: AZD9291 + Cisplatin + Pemetrexed615
Randomized: AZD9291 + Chemo104276
Randomized: AZD929153275

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 PubMed
  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

  6. Osimertinib with or without Chemotherapy in EGFR-Mutated Advanced NSCLC.

    The New England journal of medicine · 2023 Nov 23

  7. 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

  8. Combining Osimertinib With Chemotherapy in EGFR-Mutant NSCLC at Progression.

    Clinical lung cancer · 2021 May

  9. 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

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.

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Source

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.