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Table 6 Ongoing Neoadjuvant Clinical Trials Containing Molecularly Targeted Agents (MTAs) for Patients with NSCLC

From: Emerging precision neoadjuvant systemic therapy for patients with resectable non-small cell lung cancer: current status and perspectives

ClinicalTrials.Gov Identifier (Trial Name if available)

Biomarker(s)

Regimen

Phase

Sample Size

Stage

Primary Endpoint

Estimated or Actual Study Period [reference]

NCT04181372

VEGFR

FGFR

PDGFR

c-kit

Anlotinib hydrochloride + Platinum-based chemotherapy

II

50

II

Lymph node(N2) downstage rate

December 2019—August 1, 2022

NCT04351555 (NeoADAURA)

EGFR

Osimertinib ± Pemetrexed/Carboplatin or Pemetrexed/Cisplatin

III

328

II-IIIB (N2)

MPR

December 24, 2020—March 29, 2029

NCT04816838

EGFR

Osimertinib

Not stated

25

I-IIIA

ORR

March 2021- October 2025

NCT03349203

EGFR

Icotinib

II

60

IIIB or IV

ORR

October 1, 2018—December 30, 2023

NCT04926831

MET exon 14 skipping mutations

Capmatinib

II

38

IB-IIIA, N2 and selected IIIB (T3N2 or T4N2)

MPR

September 30, 2021—March 31, 2028

NCT04470076 (Neoafa)

EGFR

Afatinib + Pemetrexed, Gemcitabine + Cisplatin + Carboplatin

II

30

IIA-IIIB

MPR, ORR

July 10, 2020—July 30, 2023

NCT04455594 (ANSWER)

EGFR

Almonertinib

II

168

IIIA (N2)

ORR

October 2020—October 2025

NCT04302025

ALK

RET

ROS1

BRAF

MEK1

Alectinib + chemotherapy versus Entrectinib + chemotherapy versus Vemurafenib + chemotherapy versus Cobimetinib + chemotherapy versus Pralsetinib + chemotherapy

II

60

IIA, IIB, IIIA, and select IIIB (T3N2)

MPR

November 6, 2020—August 15, 2028

NCT01059188

EGFR

Cetuximab + Cisplatin + Docetaxel + Radiotherapy

II

69

IIIB

PFS

May 3, 2010—September 2021

NCT03433469

EGFR

Osimertinib

II

27

I-IIIA

MPR

July 31, 2018—May 31, 2026

NCT02347839 (NEGOTIATE)

EGFR

Gefitinib

II

37

III (III A-bulky N2, III B)

Resectability rate

January 2016 – January 2022

NCT02820116

EGFR

Icotinib

II

67

IIA-IIIB

Complete resection rate

May 2016—April 2023

NCT04841811 (APPROACH)

EGFR

Almonertinib

II

156

III

ORR, EFS

August 15, 2021—August 15, 2024

NCT04648189

EGFR

Cetuximab

II

40

I-IIIA

CTCs

June 1, 2021—November 30, 2022

NCT01470716

EGFR

Erlotinib

II

26

II, IIIA

PFS

January 2012—September 2022

NCT03749213

EGFR

Icotinib

II

36

IIIA (N2)

ORR

December 1, 2018—December 30, 2024

  1. Abbreviations: CTC circulating tumor cells, ORR overall response rate, MPR major pathological response, EFS event-free survival, PFS progression free survival, OS overall survival