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Osimertinib (AZD9291; Tagrisso)

Alias: AZD-9291; AZD9291; AZD 9291; Mereletinib; AZD9291; AZD 9291; UNII-3C06JJ0Z2O; Osimertinib [USAN]; Osimertinib free base; Mereletinib; Trade name: Tagrisso
Cat No.:V0546 Purity: ≥98%
Osimertinib (formerly AZD-9291 and mereletinib; trade name Tagrisso) is an oral bioavailable, irreversible/covalent, and mutant-selective EGFR inhibitor with potential antineoplastic activity.
Osimertinib (AZD9291; Tagrisso)
Osimertinib (AZD9291; Tagrisso) Chemical Structure CAS No.: 1421373-65-0
Product category: EGFR
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
25mg
50mg
100mg
500mg
1g
2g
5g
Other Sizes

Other Forms of Osimertinib (AZD9291; Tagrisso):

  • OSIMERTINIB MESYLATE
  • Osimertinib-d6 (AZD-9291-d6; Mereletinib-d6)
  • OSIMERTINIB DIMESYLATE
  • Osimertinib-13C,d3
Official Supplier of:
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Top Publications Citing lnvivochem Products
Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Osimertinib (formerly AZD-9291 and mereletinib; trade name Tagrisso) is an oral bioavailable, irreversible/covalent, and mutant-selective EGFR inhibitor with potential antineoplastic activity. In LoVo cells, it inhibits WT EGFR, L858R/T790M EGFR, and Exon 19 deletion EGFR with IC50 values of 493.8 nM, 11.44, and 12.92 nM, respectively. Both the FDA and the European Commission approved it in 2017 for the treatment of cancer.

Biological Activity I Assay Protocols (From Reference)
Targets
EGFRL858R (IC50 = 12 nM); EGFRL858R/T790M (IC50 = 1 nM)
ln Vitro

AZD9291 exhibits a noticeably stronger suppression of proliferation in mutant EGFR cell lines when compared to wild-type in vitro. [2]

ln Vivo
AZD9291 (5 mg/kg p.o.) significantly inhibits EGFR phosphorylation and important downstream signaling pathways like AKT and ERK, leading to a significant regression of tumors in EGFRm+ (PC9) and EGFRm+/T790M (H1975) tumor models in vivo.
Enzyme Assay
In Corning black, clear-bottomed 384-well plates, 10,000 cells are seeded per well in growth medium, and the plates are then incubated for an entire night at 37°C with 5% CO2. Compounds are serially diluted in 100% DMSO and used to acoustically dose cells using an Echo 555. After aspirating the medium and incubating the plates for an additional two hours, 40μL of lysis buffer is added to each well. Greiner black high bind 384-well plates are blocked with 3% BSA after being coated with capture antibody. After the block is removed, 15μL of lysate is added to the Greiner black high bind 384-well plates, and the plates are incubated for two hours. Detection antibody (20μL) was added and the plates were incubated for two hours after aspiration and PBS washing. Aspiration and PBS washing are followed by the addition of 20μL of QuantaBlu fluorogenic peroxidase substrate and an hour of incubation. Add 20μL of QuantaBlu stop solution to each plate, and use an Envision plate reader to read the fluorescence at 352 nm for excitation and 460 nm for emission. A suitable software program is used to export the data obtained with each compound and perform curve fitting analysis. By calculating the compound concentration necessary to produce a 50% effect, an IC50 value is obtained from this data.
Cell Assay
In vitro, AZD9291 shows significant suppression of EGFR phosphorylation in EGFRm+ (e.g., PC9; < 25 nM) and EGFR m+/T790M (e.g., H1975; < 25 nM) cell lines, but much less activity against wild-type EGFR lines (e.g., LoVo; > 500 nM). In vitro, AZD9291 continuously demonstrated a much more powerful suppression of proliferation in mutant EGFR cell lines when compared to wild-type.
Animal Protocol
In Vivo Antitumor Efficacy Studies[5]
All in vivo efficacy studies were performed as reported previously by ourselves.
Rat in Vivo Toxicology Studies[5]
The animals used were 10-week-old male RccHan:WIST rats obtained from Harlan, U.K. Animals (n = 3/compound) received a single oral dose of compound as a suspension in 0.5% w/v HPMC/0.1% w/v Tween in deionized water at a concentration of 20 mg/mL. Blood glucose levels were measured using an Accuchek Active meter. Serum insulin concentrations were determined using a commercial rat ELISA kit. Water and food were available ad libitum.
In vivo studies[4]
NSCLC cell lines (PC9, H1975, or MGH134) were evaluated by IMPACT testing prior to their use in vivo. ~0.5–1 × 10^6 cells were suspended in a PBS and Matrigel solution (PBS: Matrigel = 1:1), and 100μl of cell suspension was subcutaneously injected into the flank of ~6–8 week-old female nude mice. Tumor size was measured three times weekly with calipers and tumor volume was calculated by the formula, V = L × W2 × 0.52 (L = longest diameter, W = shortest diameter). When tumor volume reached ~100–200 mm3, mice were randomized into treatment groups, with each group having 5–6 mice. AZD0156 was resuspended in Ora-Plus suspension, and osimertinib was dissolved in a 10% DMSO, 30% PEG400 and 60% H2O solution. All drugs were administered orally with 100μl drug suspension/dose per mouse. AZD0156 was administrated at 50mg/kg daily, and osimertinib was administrated at 5mg/kg daily. All mice were dosed Monday-Friday (5 days/week). Tumor size was monitored two to three times per week until the end point when tumors reached ~1,000 mm3 or tumors were ulcerated.
5 mg/kg; p.o
EGFRm+ and EGFRm+/T790M transgenic mice
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
The median time to Cmax was found to be 6 hours.
Osimertinib is primarily eliminated through excretion in the feces (68%), to a lesser extent through urine (14%), while only 2% is excreted unchanged.
The mean volume of distribution at steady state is 918 L.
Oral clearance is 14.3 L/hr.
Metabolism / Metabolites
Osimertinib is metabolized to at least two pharmacologically active metabolites, AZ7550 and AZ5104, that circulate at approximately 10% of the concentration of the parent compound. Biochemical assays have shown that AZ7550 has similar potency and efficacy to osimertinib, while AZ5104 is more potent against mutant and wild-type EGFR. The main metabolic pathways are oxidation (predominantly by CYP3A) and dealkylation.
Biological Half-Life
The population estimated mean half-life is 48 hours.
Toxicity/Toxicokinetics
Hepatotoxicity
Elevations in serum aminotransferase levels are uncommon during osimertinib therapy occurring in 4% to 5% of patients and rising above 5 times the upper limit of the normal range in only 1% or less. In preregistration trials, there was a single incidence of clinically apparent liver injury attributed to osimertinib therapy, but the clinical features and relatedness to therapy were not defined. Since its approval and more widespread use, there have been no published cases of liver injury due to osimertinib.
Likelihood score: E* (unproven but suspected cause of clinically apparent liver injury).
Effects During Pregnancy and Lactation
◉ Summary of Use during Lactation
No information is available on the clinical use of osimertinib during breastfeeding. Because osimertinib is 95% bound to plasma proteins, the amount in milk is likely to be low. However, its half-life is about 48 hours and it might accumulate in the infant. The drug also has 2 active metabolites that have not been studied in breastmilk. The manufacturer recommends that breastfeeding be discontinued during osimertinib therapy and for 2 weeks after the final dose.
◉ Effects in Breastfed Infants
Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk
Relevant published information was not found as of the revision date.
Protein Binding
Plasma protein binding of osimertinib is 95%.
References

[1]. Patent. 2013, WO2013014448 A1.

[2]. Mol Cancer Ther (2013) 12 (11_Supplement): A109.

[3]. Sci Transl Med. 2022 Mar 30;14(638):eabc7480.

[4]. AZD9291, an irreversible EGFR TKI, overcomes T790M-mediated resistance to EGFR inhibitors in lung cancer. Cancer Discov. 2014 Sep;4(9):1046-61.
[5]. Discovery of a potent and selective EGFR inhibitor (AZD9291) of both sensitizing and T790M resistancemutations that spares the wild type form of the receptor. J Med Chem. 2014 Oct 23;57(20):8249-67.
Additional Infomation
Pharmacodynamics
A pharmacokinetic/pharmacodynamic analysis suggested a concentration-dependent QTc interval prolongation of 14 msec (upper bound of two-sided 90% CI: 16 msec) at a dose of osimertinib 80 mg.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C28H33N7O2
Molecular Weight
499.61
Exact Mass
499.269
Elemental Analysis
C, 67.31; H, 6.66; N, 19.62; O, 6.40
CAS #
1421373-65-0
Related CAS #
Osimertinib mesylate;1421373-66-1;Osimertinib-d6;1638281-44-3;Osimertinib dimesylate;2070014-82-1;Osimertinib-13C,d3;2254100-49-5
PubChem CID
71496458
Appearance
Brown to yellow solid powder
Density
1.2±0.1 g/cm3
Index of Refraction
1.618
LogP
3.3
Hydrogen Bond Donor Count
2
Hydrogen Bond Acceptor Count
7
Rotatable Bond Count
10
Heavy Atom Count
37
Complexity
752
Defined Atom Stereocenter Count
0
SMILES
O(C([H])([H])[H])C1=C(C([H])=C(C(=C1[H])N(C([H])([H])[H])C([H])([H])C([H])([H])N(C([H])([H])[H])C([H])([H])[H])N([H])C(C([H])=C([H])[H])=O)N([H])C1=NC([H])=C([H])C(C2=C([H])N(C([H])([H])[H])C3=C([H])C([H])=C([H])C([H])=C32)=N1
InChi Key
DUYJMQONPNNFPI-UHFFFAOYSA-N
InChi Code
InChI=1S/C28H33N7O2/c1-7-27(36)30-22-16-23(26(37-6)17-25(22)34(4)15-14-33(2)3)32-28-29-13-12-21(31-28)20-18-35(5)24-11-9-8-10-19(20)24/h7-13,16-18H,1,14-15H2,2-6H3,(H,30,36)(H,29,31,32)
Chemical Name
N-[2-[2-(dimethylamino)ethyl-methylamino]-4-methoxy-5-[[4-(1-methylindol-3-yl)pyrimidin-2-yl]amino]phenyl]prop-2-enamide
Synonyms
AZD-9291; AZD9291; AZD 9291; Mereletinib; AZD9291; AZD 9291; UNII-3C06JJ0Z2O; Osimertinib [USAN]; Osimertinib free base; Mereletinib; Trade name: Tagrisso
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: ~99 mg/mL (~198.1 mM)
Water: <1 mg/mL
Ethanol: ~43 mg/mL (~86.0 mM)
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.5 mg/mL (5.00 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.

Solubility in Formulation 2: ≥ 2.5 mg/mL (5.00 mM) (saturation unknown) in 5% DMSO + 40% PEG300 + 5% Tween80 + 50% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

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Solubility in Formulation 3: ≥ 2.08 mg/mL (4.16 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.


Solubility in Formulation 4: 1% DMSO+30% PEG 300+dd H2O: 30mg/mL

Solubility in Formulation 5: 5 mg/mL (10.01 mM) in 0.5%HPMC 1%Tween80 (add these co-solvents sequentially from left to right, and one by one), Suspened solution; with ultrasonication (<60°C).

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 2.0016 mL 10.0078 mL 20.0156 mL
5 mM 0.4003 mL 2.0016 mL 4.0031 mL
10 mM 0.2002 mL 1.0008 mL 2.0016 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

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An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
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  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
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  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
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Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
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In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
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Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Osimertinib With or Without Bevacizumab as Initial Treatment for Patients With EGFR-Mutant Lung Cancer
CTID: NCT04181060
Phase: Phase 3    Status: Recruiting
Date: 2024-11-20
Testing Osimertinib as a Treatment for Lung Cancers With an EGFR Exon 20 Change
CTID: NCT03191149
Phase: Phase 2    Status: Recruiting
Date: 2024-11-20
First in Human Study of AZD9592 in Solid Tumors
CTID: NCT05647122
Phase: Phase 1    Status: Recruiting
Date: 2024-11-19
Osimertinib In EGFR Mutant Lung Cancer
CTID: NCT03586453
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-19
Targeted Therapy Directed by Genetic Testing in Treating Patients With Advanced Refractory Solid Tumors, Lymphomas, or Multiple Myeloma (The MATCH Screening Trial)
CTID: NCT02465060
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-18
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Study of Precision Treatment for Rare Tumours in China Guided by PDO and NGS
CTID: NCT06692491
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-11-18


Oral TEAD Inhibitor Targeting the Hippo Pathway in Subjects with Advanced Solid Tumors
CTID: NCT05228015
Phase: Phase 1    Status: Terminated
Date: 2024-11-18
Prospective Non-Interventional Study Comparing Osimertinib +/- Chemotherapy for EGFR-Mutated NSCLC Patients
CTID: NCT06538038
Phase:    Status: Recruiting
Date: 2024-11-15
Study to Allow Patients Previously Participating in a Novartis Sponsored Trial to Continue Receiving Capmatinib Treatment as Single Agent or in Combination With Other Treatments or the Combination Treatment Alone
CTID: NCT03040973
Phase: Phase 2    Status: Recruiting
Date: 2024-11-14
Telaglenastat Hydrochloride and Osimertinib in Treating Patients With EGFR-Mutated Stage IV Non-small Cell Lung Cancer
CTID: NCT03831932
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-11-12
18F-FDG PET and Osimertinib in Evaluating Glucose Utilization in Patients with EGFR Activated Recurrent Glioblastoma
CTID: NCT03732352
Phase: Phase 2    Status: Completed
Date: 2024-11-12
Phase II AZD9291 Open Label Study in NSCLC After Previous EGFR TKI Therapy in EGFR and T790M Mutation Positive Tumours
CTID: NCT02094261
Phase: Phase 2    Status: Completed
Date: 2024-11-06
Safety and Efficacy of Combination Osimertinib and Ipilimumab in Patients w EGFR Mutated NSCLC
CTID: NCT04141644
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-11-06
A Study to Investigate Safety and Efficacy of Osimertinib and Amivantamab in Participants With Non-small Cell Lung Cancer With Common Epidermal Growth Factor Receptor Mutations
CTID: NCT05801029
Phase: Phase 2    Status: Recruiting
Date: 2024-11-06
Biologically Guided Radiation Therapy (BgRT) and Stereotactic Body Radiation Therapy (SBRT) With Osimertinib for the Treatment of Patients With Oligoprogressive EGFR Positive Non-small Cell Lung Carcinoma
CTID: NCT06014827
Phase: Phase 2    Status: Recruiting
Date: 2024-11-06
A Study of 5 Years of Adjuvant Osimertinib in Completely Resected Epidermal Growth Factor Receptor Mutation (EGFRm) Non-small Cell Lung Carcinoma (NSCLC)
CTID: NCT05526755
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-05
A Study of Amivantamab and Lazertinib Combination Therapy Versus Osimertinib in Locally Advanced or Metastatic Non-Small Cell Lung Cancer
CTID: NCT04487080
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-05
Savolitinib Plus Osimertinib Versus Platinum-based Doublet Chemotherapy in Participants With Non-Small Cell Lung Cancer Who Have Progressed on Osimertinib Treatment
CTID: NCT05261399
Phase: Phase 3    Status: Recruiting
Date: 2024-11-05
A Study of SKB264 in Combination with Osimertinib Versus Osimertinib in Patients with Epidermal Growth Factor Receptor (EGFR) Mutations, Locally Advanced or Metastatic Non-Squamous Non-Small Cell Lung Cancer
CTID: NCT06670196
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-11-01
A Study to Evaluate the Safety, Tolerability, Drug Levels, and Preliminary Efficacy of BMS-986507 Combinations in Adult Participants With Advanced Solid Tumors
CTID: NCT06618287
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2024-11-01
Study of Osimertinib + SRS vs Osimertinib Alone for Brain Metastases in EGFR Positive Patients With NSCLC
CTID: NCT03769103
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-31
Testing AZD9291 as Potentially Targeted Treatment in Cancers With EGFR Genetic Changes (MATCH-Subprotocol E)
CTID: NCT06303167
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-31
Osimertinib Alone or With Chemotherapy for EGFR-Mutant Lung Cancers
CTID: NCT04410796
Phase: Phase 2    Status: Recruiting
Date: 2024-10-31
Study of Osimertinib With and Without Ramucirumab in Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)
CTID: NCT03909334
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-30
A 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 Cancer
CTID: NCT06417814
Phase: Phase 3    Status: Recruiting
Date: 2024-10-26
Phase III, Open-label Study of First-line Osimertinib With or Without Datopotamab Deruxtecan for EGFRm Locally Advanced or Metastatic Non-small Cell Lung Cancer
CTID: NCT06350097
Phase: Phase 3    Status: Recruiting
Date: 2024-10-26
To Evaluate the Efficacy/Safety of Osimertinib Prior to CRT and Maintenance of it With Stage III, Unresectable NSCLC With EGFR Mutations
CTID: NCT06194448
Phase: Phase 2    Status: Recruiting
Date: 2024-10-24
Treatment Strategies and Survival Outcome for Non-small Cell Lung Cancer With Oncogenic Mutation
CTID: NCT04322890
Phase: Phase 2    Status: Recruiting
Date: 2024-10-22
A Molecular Profiling Study of Patients With EGFR Mutation-positive Locally Advanced or Metastatic NSCLC Treated With Osimertinib
CTID: NCT03239340
Phase: Phase 2    Status: Completed
Date: 2024-10-21
A Global Study to Assess the Effects of Osimertinib Following Chemoradiation in Patients With Stage III Unresectable Non-small Cell Lung Cancer (LAURA)
CTID: NCT03521154
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-18
Quaratusugene Ozeplasmid (Reqorsa) and Osimertinib in Patients With Advanced Lung Cancer Who Progressed on Osimertinib
CTID: NCT04486833
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-10-17
SI-B001 Combined With Osimertinib Mesylate Tablets in the Treatment of Recurrent Metastatic Non-small Cell Lung Cancer.
CTID: NCT05020769
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-10-15
Study of Osimertinib in Patients with a Lung Cancer with Brain or Leptomeningeal Metastases with EGFR Mutation
CTID: NCT04233021
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-15
Study to Assess the Efficacy and Safety of Adjuvant Osimertinib in NSCLC With Uncommon EGFRm
CTID: NCT05546866
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-15
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)
CTID: NCT04035486
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-15
Prospective Cohort of Locally Advanced and Metastatic Non-Small Cell Lung Cancer Patients With Activating EGFR Mutations
CTID: NCT05103605
Phase:    Status: Active, not recruiting
Date: 2024-10-15
Osimertinib and Necitumumab in Treating Patients With EGFR-Mutant Stage IV or Recurrent Non-small Cell Lung Cancer Who Have Progressed on a Previous EGFR Tyrosine Kinase Inhibitor
CTID: NCT02496663
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-10-09
A Precision Medicine Approach (SMMART-ACT) for the Treatment of Patients With Advanced, Recurrent Sarcoma, Prostate, Breast, Ovarian or Pancreatic Cancer
CTID: NCT06630325
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-10-08
Roll Over StudY for Patients Who Have Completed a Previous Oncology Study With Osimertinib (TAGRISSO) (ROSY-T)
CTID: NCT05629234
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-02
Study of Osimertinib With Carotuximab in Advanced, EGFR-mutated Non-Small Cell Lung Cancer
CTID: NCT05401110
Phase: Phase 1    Status: Recruiting
Date: 2024-10-02
Safety and Efficacy of Combining APL-101 With Frontline Osimertinib in Patients With EGFR-mutated Metastatic Non-small Cell Lung Cancer (NSCLC)
CTID: NCT04743505
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-10-02
Osimertinib and Gefitinib in EGFR Inhibitor naïve Advanced EGFR Mutant Lung Cancer
CTID: NCT03122717
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-09-26
A Study Comparing Savolitinib Plus Osimertinib vs Savolitinib Plus Placebo in Patients With EGFRm+ and MET Amplified Advanced NSCLC
CTID: NCT04606771
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-24
A Study of DB-1310 in Advanced/Metastatic Solid Tumors
CTID: NCT05785741
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-09-23
A Study of Tepotinib Plus Osimertinib in Osimertinib Relapsed MET Amplified NSCLC (INSIGHT 2)
CTID: NCT03940703
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-23
A Global Study to Assess the Effects of Osimertinib in Participants With EGFRm Stage IA2-IA3 NSCLC Following Complete Tumour Resection
CTID: NCT05120349
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-23
A Study of SKB264 for the Treatment of Participants With Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC)
CTID: NCT05816252
Phase: Phase 2    Status: Recruiting
Date: 2024-09-19
The Recurrence Gene Profiles of Adjuvant Osimertinib Therapy in Resected Non-Small-Cell Lung Cancer
CTID: NCT06477055
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-09-19
Study to Assess the Effect of AZD9291 on the Blood Levels of Simvastatin in Patients With EGFRm+ NSCLC
CTID: NCT02197234
Phase: Phase 1    Status: Completed
Date: 2024-09-19
A Study to Investigate the Safety and Efficacy of KQB198 as Monotherapy and in Combination in Participants With Advanced Solid Malignancies
CTID: NCT06507306
Phase: Phase 1    Status: Recruiting
Date: 2024-09-19
Study of AZD9291 Plus MEDI4736 Versus AZD9291 Monotherapy in NSCLC After Previous EGFR TKI Therapy in T790M Mutation Positive Tumours
CTID: NCT02454933
Phase: Phase 3    Status: Completed
Date: 2024-09-19
A Study to Learn About the Effectiveness of Cancer Medicines in Pati
Radiation during Osimertinib Treatment: a Safety and Efficacy Cohort Study
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2021-12-08
Efficacy study of osimertinib in treatment-naïve patients with EGFR mutant NSCLC according to TP53 mutational status (TEMPLE-2)
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2021-12-02
ERIS- EGFR-Mutated Lung Cancer in Randomized Investigator-Initiated Study
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2021-10-12
A phase III randomized, controlled, open-label, multicenter, global study of capmatinib in combination with osimertinib versus platinum - pemetrexed based doublet chemotherapy in patients with locally advanced or metastatic NSCLC harboring EGFR activating mutations who have progressed on prior 1st/2nd generation EGFR-TKI or osimertinib therapy and whose tumors are T790M mutation negative and harbor MET amplification (GEOMETRY-E)
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2021-09-10
A Phase III, Randomized, Double-Blind, Placebo-Controlled Study of Platinum Plus Pemetrexed Chemotherapy Plus Osimertinib Versus Platinum Plus Pemetrexed Chemotherapy Plus Placebo in Patients with EGFRm, Locally Advanced or Metastatic NSCLC who have Progressed Extracranially following First-Line Osimertinib Therapy (COMPEL)
CTID: null
Phase: Phase 3    Status: Completed, Trial now transitioned, Ongoing
Date: 2021-07-21
A Phase III, Randomised, Controlled, Multi-center, 3-Arm Study of Neoadjuvant Osimertinib as Monotherapy or in Combination with Chemotherapy versus Standard of Care Chemotherapy Alone for the Treatment of Patients with Epidermal Growth Factor Receptor Mutation Positive, Resectable Non-small Cell Lung Cancer
CTID: null
Phase: Phase 3    Status: Trial now transitioned, Ongoing
Date: 2021-01-06
A Phase 3, Randomized Study of Amivantamab and Lazertinib Combination Therapy Versus Osimertinib Versus Lazertinib as First-Line Treatment in Patients with EGFR Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer
CTID: null
Phase: Phase 3    Status: Ongoing, Trial now transitioned, GB - no longer in EU/EEA
Date: 2020-09-23
A Phase III, Open-label, Randomized Study of Osimertinib with or without Platinum Plus Pemetrexed Chemotherapy, as First-line Treatment in Patients with Epidermal Growth Factor Receptor (EGFR) Mutation Positive, Locally Advanced or Metastatic Non-small Cell Lung Cancer (FLAURA2)
CTID: null
Phase: Phase 3    Status: Ongoing, Trial now transitioned, GB - no longer in EU/EEA
Date: 2020-07-10
AFAMOSI: Prospective, randomized, multicenter Phase IV study to evaluate the efficacy and safety of afatinib followed by osimertinib compared to osimertinib in patients with EGFRmutated/T790M Mutation negative non-squamous NSCLC in the first-line setting.
CTID: null
Phase: Phase 4    Status: Trial now transitioned
Date: 2020-05-12
A Phase II, multi-centre study, to evaluate the efficacy and safety of osimertinib treatment for patients with EGFR-mutated non-small cell lung cancer (NSCLC)
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2020-01-07
A Phase II, two arm study to investigate tepotinib combined with osimertinib in MET amplified, advanced or metastatic non-small cell lung cancer (NSCLC) harboring activating EGFR mutations and having acquired resistance to prior osimertinib therapy (INSIGHT 2 Study)
CTID: null
Phase: Phase 2    Status: Trial now transitioned, Ongoing
Date: 2019-11-28
A phase II trial of an individualized treatment strategy for patients with metastatic non-clear cell renal carcinoma
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2019-11-20
A Biomarker-Directed Phase 2 Platform Study in Patients with Advanced Non-Small Cell Lung Cancer whose Disease has Progressed on First-Line Osimertinib Therapy
CTID: null
Phase: Phase 2    Status: Completed, Trial now transitioned, Ongoing
Date: 2019-08-15
Track and treat in NSCLC (TATIN) – ctDNA guided treatment of early resistance to targeted treatment in patients with EGFR positive NSCLC
CTID: null
Phase: Phase 2    Status: Completed
Date: 2019-07-12
A Phase II Study Assessing the Efficacy of Osimertinib in Combination with Savolitinib in Patients with EGFRm+ and MET+, Locally Advanced or Metastatic Non Small Cell Lung Cancer who have Progressed Following Treatment with Osimertinib
CTID: null
Phase: Phase 2    Status: Completed, Trial now transitioned, Ongoing
Date: 2019-05-15
Patients on osimertinib with EGFR mutation exon 20, non-T790M in lung cancer. The position-20 trial.
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2019-02-13
Phase 2 study evaluating MEchanisms of resistance on tumor tissue and Liquid biopsy in patients with EGFR mutated nonpretreated advanced Lung cancer Receiving OSimErtinib until and beyond radiological progression : the MELROSE trial
CTID: null
Phase: Phase 2    Status: Completed
Date: 2019-01-16
Exploring the theragnostic value of osimertinib in EGFR-mutated lung cancer (THEROS) - A multicentric phase II study in patients with TKI-resistant EGFR-mutated lung cancer exhibiting early metabolic response to osimertinib
CTID: null
Phase: Phase 2    Status: Temporarily Halted
Date: 2018-11-13
A Phase III, randomized, double-blind, placebo-controlled, multicenter, international study of Osimertinib as maintenance therapy in patients with locally advanced, unresectable EGFR mutation-positive Non-Small Cell Lung Cancer (Stage III) whose disease has not progressed following definitive platinum-based chemoradiation therapy (LAURA).
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Ongoing
Date: 2018-09-04
An Open-Label Phase 1/2 Study of INCB039110 in Combination With Osimertinib in Subjects With Locally Advanced or Metastatic
CTID: null
Phase: Phase 1, Phase 2    Status: Ongoing
Date: 2017-12-11
A Multicentre, Open-label, Single-arm, Molecular Profiling Study of Patients with EGFR Mutation-positive Locally Advanced or Metastatic NSCLC Treated with Osimertinib
CTID: null
Phase: Phase 2    Status: Completed, Ongoing
Date: 2017-11-13
APPLE trial: Feasibility and activity of AZD9291 (osimertinib) treatment on Positive PLasma T790M in EGFR mutant NSCLC patients
CTID: null
Phase: Phase 2    Status: Completed, Ongoing
Date: 2017-10-09
Randomized study of AZD9291 treatment of EGFR M+ NSCLC patients progressing on first line erlotinib. A study based upon detection of EGFR M+ ctDNA in plasma and urine.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-04-27
A randomised phase II trial of osimertinib and bevacizumab versus osimertinib alone as second-line treatment in stage IIIb-IVb NSCLC with confirmed EGFRm and T790M
CTID: null
Phase: Phase 2    Status: Completed, Ongoing
Date: 2017-04-24
OSIRIS (OSImertinib Rechallenge TKI In Subsequent line of therapy)
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2017-01-09
A phase IIa clinical trial to evaluate the safety and efficacy of osirmertinib (AZD9291) in first-line patients with EGFR mutation-positive locally advanced or metastatic non-small cell lung cancer and concomitant EGFR T790M mutation at time of diagnosis (AZENT study)
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2016-07-20
National Lung Matrix Trial: Multi-drug, genetic marker-directed, non-comparative, multi-centre, multi-arm phase II trial in non-small cell lung cancer
CTID: null
Phase: Phase 2    Status: GB - no longer in EU/EEA
Date: 2016-07-15
A longitudinal study evaluating molecular changes associated with resistance to first and third (AZD9291) generation EGFR TKIs in patients with EGFR mutant NSCLC using 'liquid biopsy'
CTID: null
Phase: Phase 2    Status: Completed
Date: 2016-05-12
A Phase II, Open-Label, Single Institution Observational Study to Assess the Tolerability and Impact on Quality of Life of AZD9291 in Patients with Advanced Non Small Cell Lung Cancer (NSCLC) who have Progressed Following Prior Therapy with an Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor Agent (ARPA)
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2016-01-15
Open Label, Multinational, Multicenter, Real World Treatment Study of Single Agent AZD9291 for Patients with Advanced/Metastatic Epidermal Growth Factor Receptor (EGFR) T790M Mutation-Positive Non-Small Cell Lung Cancer (NSCLC) Who Have Received Prior Therapy with an EGFR Tyrosine Kinase Inhibitor (EGFR-TKI)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2015-10-28
A Phase III, double-blind, randomized, placebo-controlled multi-centre, study to assess the efficacy and safety of AZD9291 versus Placebo, in patients with Epidermal Growth Factor Receptor Mutation Positive stage IB-IIIA non-small cell lung carcinoma, following complete tumour resection with or without adjuvant chemotherapy (ADAURA)
CTID: null
Phase: Phase 3    Status: Completed, Trial now transitioned, Ongoing
Date: 2015-08-12
AZD9291, an irreversible EGFR-TKI, in relapsed EGFR-mutated non-small cell lung cancer patients previously treated with an EGFR-TKI, coupled to extensive translational studies.
CTID: null
Phase: Phase 2    Status: Completed, Ongoing
Date: 2015-05-27
A phase III, double-blind, randomised study to assess the efficacy and safety of AZD9291 versus a standard of care Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor as first-line treatment in patients with Epidermal Growth Factor Receptor Mutation Positive, locally advanced or Metastatic Non-Small Cell Lung Cancer
CTID: null
Phase: Phase 3    Status: Completed, GB - no longer in EU/EEA
Date: 2014-12-17
A Phase III, Open Label, Randomized Study of AZD9291 versus Platinum-Based Doublet Chemotherapy for Patients with Locally Advanced or Metastatic Non-Small Cell Lung Cancer whose Disease has Progressed with Previous Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor Therapy and whose Tumours harbour a T790M mutation within the Epidermal Growth Factor Receptor Gene (AURA3)
CTID: null
Phase: Phase 3    Status: Ongoing, Completed, GB - no longer in EU/EEA
Date: 2014-08-19
A Phase II, Open Label, Single-arm Study to Assess the Safety and Efficacy of AZD9291 in Patients with EGFRm+/T790M+, Locally Advanced or Metastatic NSCLC who have Progressed Following Prior Therapy with an Approved Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor Agent.
CTID: null
Phase: Phase 2    Status: Completed, Ongoing
Date: 2014-05-20
A Phase I/II, Open-Label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics and Anti-tumour Activity of Ascending Doses of AZD9291 in Patients with Advanced Non Small Cell Lung Cancer who have Progressed Following Prior Therapy with an Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor Agent (AURA)
CTID: null
Phase: Phase 1, Phase 2    Status: Completed, GB - no longer in EU/EEA
Date: 2013-03-11
HER3-DXd (Patritumab Deruxtecan ; U3-1402) in Combination With Osimertinib in Subjects With Locally Advanced or Metastatic EGFR-mutated Non-Small Cell Lung Cancer
CTID: jRCT2031200247
Phase:    Status: Recruiting
Date: 2020-12-15
A prospective study of relationship between osimertinib-induced QT prolongation and pharmacokinetics, pharmacogenetics
CTID: UMIN000042663
PhaseNot applicable    Status: Recruiting
Date: 2020-12-05
TORG1938 (EPONA Study)
CTID: jRCTs071200029
Phase:    Status: Recruiting
Date: 2020-09-01
NeoADAURA
CTID: jRCT2080225229
Phase:    Status: recruiting
Date: 2020-06-13
A phase II study to assess the efficacy of osimertinib in patients with EGFR mutation-positive NSCLC who developed isolated CNS progression (T790M negative or unknown) during 1st or 2nd generation EGFR-TKI or systemic disease progression (T790M negative) after treatment with 1st or 2nd generation EGFR-TKI and platinum-based chemotherapy (WJOG12819L)
CTID: jRCT2080225210
Phase:    Status: recruiting
Date: 2020-05-29
YAMATO study
CTID: jRCTs031200021
Phase:    Status: Not Recruiting
Date: 2020-04-22
Uncommon EGFR mutations conducted with Osimertinib in patients with NSCLC: A phase 2 study
CTID: jRCTs071200002
Phase:    Status: Complete
Date: 2020-04-08
Hypothesis generative H2H study comparing the efficacy between afatinib and osimertinib based on the immunological biomarker in the NSCLC patients with EGFR mutations
CTID: jRCTs031190221
Phase:    Status: Not Recruiting
Date: 2020-02-25
Tepotinib plus osimertinib in osimertinib-relapsed MET amplified NSCLC
CTID: jRCT2080224898
Phase:    Status: completed
Date: 2019-09-30
FLAURA2
CTID: jRCT1080224820
Phase:    Status: completed
Date: 2019-08-05
A sing le-arm, phase I study of ramucirumab in combination with erlotinib or osimertinib in previously untreated patients with EGFR mutantion-posit ive metastatic Non-small cell lung cancer with brain metastases
CTID: jRCT2051190027
Phase:    Status: Not Recruiting
Date: 2019-06-21
ORCHARD
CTID: jRCT2080224686
Phase:    Status: recruiting
Date: 2019-05-16
A phase I study of osimertinib with bevacizumab and randomized phase II study of osimertinib with or without bevacizumab in EGFR mutated, T790M positive patients who had progressed EGFR-TKIs. (WJOG8715L)
CTID: jRCTs051180183
Phase:    Status: Complete
Date: 2019-03-26
LOGIK1604/NEJ032A (TAKUMI Trial)
CTID: jRCTs071180062
Phase:    Status: Complete
Date: 2019-03-19
PACIFIC-4
CTID: jRCT2080224593
Phase:    Status: recruiting
Date: 2019-03-14
A phase II study of osimertinib in patients with poor performance status and non-small-cell lung cancer
CTID: jRCT1041180081
Phase:    Status: Complete
Date: 2019-03-12
A Phase 2 Study of Osimertinib in combination with Platinum-pemetrexed in patients with EGFR-mutated Advanced non-small cell Lung cancer.
CTID: jRCTs031180226
Phase:    Status: Not Recruiting
Date: 2019-03-11
LOGIK1603/WJOG9116L (OCEAN study)
CTID: jRCTs071180017
Phase:    Status: Complete
Date: 2019-02-13
Osimertinib in poor PS patients with advanced NSCLC
CTID: jRCTs061180018
Phase:    Status: Complete
Date: 2019-01-31
Trial of the alternative therapy with osimeritinib and afatinib for NSCLC with EGFR mutation (Alt trial) (WJOG10818L)
CTID: jRCTs051180009
Phase:    Status: Complete
Date: 2018-11-26
A phase II trial of osimertinib for elderly patients with advanced or postoperative recurrent non-small-cell lung cancer
CTID: jRCTs071180007
Phase:    Status: Complete
Date: 2018-11-14
A phase I study; Afatinib in Combination of Osimertinib in patients with Relapsed Non-Small Cell Lung Cancer after failure of prior Osimertinib
CTID: jRCTs051180008
Phase:    Status: Complete
Date: 2018-11-08
LAURA
CTID: jRCT2080224097
Phase:    Status: completed
Date: 2018-10-17
Osimertinib combined bevacizumab in patients with non-small-cell lung cancer with malignant pleural and/or pericardial effusion -phase II trial-
CTID: jRCTs071180004
Phase:    Status: Complete
Date: 2018-10-17
Randomized phase II study of osimertinib plus ramucirumab and osimertinib for chemotherapy-naive patients with nonsquamous non-small cell lung cancer harboring EGFR mutations
CTID: jRCT2080224085
Phase:    Status: completed
Date: 2018-10-10
A phase 2 study of osimertinib in elderly patients with non-small-cell lung cancer
CTID: jRCTs071180002
Phase:    Status: Complete
Date: 2018-09-03
Investigational study for the management of central nervous system metastasis in non-small-cell lung cancer
CTID: UMIN000033006
PhaseNot applicable    Status: Pending
Date: 2018-07-01
A phase I study Afatinib in Combination of Osimertinib in patients with Relapsed Non-Small Cell Lung Cancer after failure of prior Osimertinib
CTID: UMIN000031501
Phase:    Status: Complete: follow-up complete
Date: 2018-03-09
Randomized phase II study of osimertinib plus bevacizumab and osimertinib for chemotherapy-naive patients with nonsquamous non-small cell lung cancer harboring EGFR mutations (investigator-initiated multicenter clinical trial, WJOG9717L)
CTID: UMIN000030206
Phase: Phase II    Status: Complete: follow-up complete
Date: 2017-12-01
Monitoring EGFR mutation status with cell-free DNA: a prospective exploratory analyses of phase Ib study of osimertinib plus ramucirumab in lung adenocarcinoma patients with EGFR T790M mutation
CTID: UMIN000030164
Phase:    Status: Complete: follow-up complete
Date: 2017-11-29
A Phase Ib study of osimertinib with ramucirumab in EGFR mutated lung adenocarcinoma patients. (LY3009806-IIT-01)
CTID: UMIN000030142
Phase:    Status: Complete: follow-up complete
Date: 2017-11-28
Phase II study of Osimertinib Treatment on EGFR T790M Cytology Positive NSCLC Patients (DETECTIVE study)
CTID: UMIN000029763
Phase:    Status: Complete: follow-up complete
Date: 2017-10-30
Osimertinib combined bevacizumab in untreated epidermal growth factor receptor mutaeted non-small-cell lung cancer patients with malignant pleural and/or pericardial effusion -phase II trial-
CTID: UMIN000028071
Phase: Phase II    Status: Complete: follow-up complete
Date: 2017-07-04
An Evaluation of tumor response to osimertinib by early FDG-PET finding in patients with T790M positive EGFR mutated non-small cell lung cancer
CTID: UMIN000027550
Phase:    Status: Complete: follow-up complete
Date: 2017-06-03
Biological Data
  • Osimertinib (AZD9291)

    AZD9291 binding mode and structure.2014 Sep;4(9):1046-61.

  • Osimertinib (AZD9291)

    Effect of AZD9291 on EGFR phosphorylationin vitro.2014 Sep;4(9):1046-61.

  • Osimertinib (AZD9291)

    In vivoanti-tumor efficacy of AZD9291 in subcutaneous xenograft models of EGFR-TKI sensitising and T790M resistant lung cancer.2014 Sep;4(9):1046-61.

  • Osimertinib (AZD9291)

    AZD9291 induces significant and sustained tumor regression in transgenic models of EGFR-TKI sensitising (C/L858R) and T790M resistant (C/L+T) lung cancer.2014 Sep;4(9):1046-61.

  • Osimertinib (AZD9291)

    AZD9291 inhibits EGFR phosphorylation and downstream signallng in murine models of EGFR T790M resistant lung cancer.2014 Sep;4(9):1046-61.

  • Osimertinib (AZD9291)

    Proof of concept clinical studies validating AZD9291 as a mutant-selective EGFR kinase T790M inhibitor.2014 Sep;4(9):1046-61.

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