Non-Small Cell Lung CancerPhase 3NCT04248829
Clinical Trial of YH25448(Lazertinib) as the First-line Treatment in Patients With EGFR Mutation Positive Locally Advanced or Metastatic NSCLC (LASER301)
A Phase 3 study testing Lazertinib 240 mg/160 mg and Gefitinib 250 mg in people with Non-Small Cell Lung Cancer, run by Yuhan Corporation at 80 sites in 13 countries.
Trial summary
This Phase III study will be conducted to evaluate the efficacy and safety of YH25448 as first-line treatment in locally advanced or metastatic Non-small Cell Lung Cancer (NSCLC) patients with EGFR mutations Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Small Cell Lung Cancer
- What is being tested?
- Lazertinib 240 mg/160 mg and Gefitinib 250 mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 393 participants
- Where
- 80 sitesin 13 countries
- Study dates
- 13 Feb 2020to 22 Apr 2026
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Pathologically confirmed adenocarcinoma of the lung
- Locally advanced or metastatic NSCLC, not amenable to curative surgery or radiotherapy
- At least 1 of the 2 common EGFR mutations known to be associated with EGFR TKI sensitivity (Ex19del or L858R), either alone or in combination with other EGFR mutations
- Treatment-naïve for locally advanced or metastatic NSCLC
- WHO performance status score of 0 to 1 with no clinically significant deterioration over the previous 2 weeks before randomization
- At least 1 measurable lesion, not previously irradiated and not chosen for biopsy during the study Screening period
Who cannot join
- Symptomatic and unstable brain metastases
- Leptomeningeal metastases
- Symptomatic spinal cord compression
- History of interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis which required steroid treatment, or any evidence of clinically active ILD
- Any medical conditions requiring chronic continuous oxygen therapy
- History of any malignancy other than the disease under study within 3 years before randomization
Show all 9Show fewer
- Any cardiovascular disease as follows:
- History of symptomatic chronic heart failure or serious cardiac arrhythmia requiring active treatment
- History of myocardial infarction or unstable angina within 24 weeks of randomization
Trial locations and contacts
80 sites in 13 countries.
80 sites in 13 countries
South Korea22 sites
The Catholic University of Korea, Bucheon St. Mary's Hospital
Bucheon-si, Gyeonggi-do, 14647
Inje University Haeundae Paik Hospital
Busan, 48108
Chungbuk National University Hospital
Cheongju-si, North Chungcheong, 28644
Yeungnam University Medical Center
Daegu, 42415
Keimyung University Dongsan Medical Center
Daegu, 42601
National Cancer Center
Goyang-si, Gyeonggi-do, 10408
Gachon University Gil Medical Center
Incheon, 21565
Gyeongsang National University Hospital
Jinju, Gyeongsangnam-do, 52727
CHA Bundang Medical Center, CHA University
Seongnam-si, Gyeonggi-do, 13496
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Korea University Anam Hospital
Seoul, 02841
Seoul National University Hospital
Seoul, 03080
Kangbuk Samsung Hospital
Seoul, 03181
The Catholic University of Korea, Eunpyeong St.Mary's Hospital
Seoul, 03312
Severance Hospital
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, 06591
SMG-SNU Boramae Medical Center
Seoul, 07061
The Catholic University of Korea, St. Vincent's Hospital
Suwon, Gyeonggi-do, 16247
Ajou University Hospital
Suwon, Gyeonggi-do, 16499
Ulsan University Hospital
Ulsan, 44033
Russia15 sites
Arkhangelsk Regional Clinical Oncological Dispensary
Arkhangelsk, Arkhangelskaya oblast, 163045
GAUZ Republican clinical oncology dispensary of the Ministry
Kazan', 420029
Republic Clinical Oncology Despensary
Kazan', 420029
Medincentre (GLAVUPDK)
Moscow, 119034
VitaMed LLC
Moscow, 121309
GBUZ of Nizhny Novgorod region Clinical diagnostic center
Nizhny Novgorod, Nizhny Novgorod Oblast, 603006
MBUZ City Clinical Hospital #1
Novosibirsk
Budgetary Healthcare Institution of Omsk Region "Clinical Oncology Dispensary"
Omsk, 644013
Private medical institution "Euromedservice"
Pushkin, 196603
First St. Petersburg State Medical University n. a. Pavlov
Saint Petersburg, 197022
LLC "Eurocityclinic"
Saint Petersburg, 197022
Limited Liability Company "AV Medical Group" - Oncology
Saint Petersburg, 197082
Saint-Petersburg City Clinical Oncology Dispensary
Saint Petersburg, 198255
GBUZ "Regional clinical oncologic dispensary of Volgograd"
Volgograd, 400138
Yaroslavl regional oncology hospital
Yaroslavl, 150054
Turkey (Türkiye)9 sites
Adana Baskent Practice and Research Hospital
Adana, 1120
Cukurova University Medical Faculty
Adana, 1330
Ankara Liv Hospital
Ankara, 06680
Hacettepe University Medical Faculty - Medical Oncology
Ankara, 6230
Trakya University Medical Faculty
Edirne, 22030
Istanbul Medeniyet University Goztepe Training and Research Hospital - Medical Oncology
Istanbul, 34722
Medical Point İzmir Hospital
Izmir, 35560
Kocaeli University Medical Faculty
Kocaeli, 41380
Inonu University Turgut Ozal Medical Center
Malatya, 44280
Ukraine8 sites
Oblasne komunalne nekomertsiine pidpryiemstvo "Bukovynskyi klinichnyi onkolohichnyi tsentr", strukturnyi pidrozdil klinichnoi onkolohii, m.Chernivtsi
Chernivtsi, 58013
Komunalne nekomertsiine pidpryiemstvo "Miska klinichna likarnia №4" Dniprvskoi miskoi rady", khimioterapevtychne viddilennia z dennym statsionarom, Derzhavnyi zaklad "Dnipropetrovskyi derzhavnyi medychnyi universitet", kafedra onkolohii i medychnoi radio
Dnipro, 49102
Komunalne nekomertsiine pidpryiemstvo Kharkivskoi oblasnoi rady "Oblasnyi klinichnyi spetsializovanyi dyspanser radiatsiinoho zakhystu naselennia" - khirurhichne viddilennia
Kharkiv, Kharkiv Oblast, 61166
Kyiv City Clinical Oncology Center - Department of Chemotherapy
Kyiv, 3115
Komunalne nekomertsiine pidpryiemstvo Sumskoi oblasnoi rady "Sumskyi klinichnyi onkolohichnyi tsentr", onkotorakalne viddilennia, Sumskyi derzhavnyi universytet, kafedra onkolohii ta radiolohii, m. Sumy
Sumy, 40022
Tsentralna miska klinichna likarnia
Uzhhorod, Zakarpattia Oblast, 88000
Podilskyi rehionalnyi tsentr onkolohii, viddilennia khimioterapii
Vinnytsia, 21029
Medychnyi tsentr Tovarystva z obmezhenoiu vidpovidalnistiu "Onkolaif"
Zaporizhzhya, 69059
Malaysia6 sites
Hospital Pulau Pinang
George Town, Pulau Pinang, 10400
Hospital Sultan Ismail
Johor Bahru, Johor, 81100
Hospital Raja Perempuan Zainab Ii
Kota Bharu, Kelantan, 15586
University Malaya Medical Centre
Kuala Lumpur, Selangor, 59100
Hospital Tengku Ampuan Afzan
Kuantan, Pahang, 25100
Hospital Umum Sarawak
Kuching, Sarawak, 10450
Thailand5 sites
Ramathibodi Hospital, Mahidol University
Bangkok, 10400
Siriraj Hospital
Bangkok, 10700
Chiang Mai University - Faculty of Medicine
Chiang Mai, 50200
Prince of Songkla University
Hat Yai, 90110
Srinagarind Hospital, Khon Kaen University
Khon Kaen, 40002
Greece3 sites
Eugenideio Therapeutirio - Ongcology Department
Athens, 11528
Attikon Hospital
Athens, 12462
Theageneio Anticancer Hospital of Thessaloniki
Thessaloniki, 54007
Philippines3 sites
Perpetual Succour Hospital
Cebu, 6000
Manila Doctors Hospital - Clinical Trial Office
Manila, Quezon, 1000
Philippine General Hospital
Manila, 1000
Serbia3 sites
Clinical Hospital Center "Bezanijska Kosa"
Belgrade, Belgrade, 11080
Institute for Pulmonary Diseases of Vojvodina
Kamenitz, Vojvodina, 21204
Clinical Center Kragujevac
Kragujevac, 34000
Hungary2 sites
Debreceni Egyetem
Debrecen, H-4012
Törökbálinti Tüdőgyógyintézet
Törökbálint, 2045
Taiwan2 sites
National Taiwan University Hospital
Taipei, 10002
Taipei Veterans General Hospital
Taipei, 11217
About this study
Official title: A Phase III, Randomized, Double-blind Study to Assess the Efficacy and Safety of Lazertinib Versus Gefitinib as the First-line Treatment in Patients With Epidermal Growth Factor Receptor Sensitizing Mutation Positive, Locally Advanced or Metastatic Non-Small Cell Lung Cancer
This Phase III study will be conducted to evaluate the efficacy and safety of YH25448 as first-line treatment in locally advanced or metastatic Non-small Cell Lung Cancer (NSCLC) patients with EGFR mutations
Read the detailed description
YH25448 is an oral, highly potent, mutant-selective and irreversible EGFR Tyrosine-kinase inhibitors (TKIs) that targets both the T790M mutation and activating EGFR mutations while sparing wild type EGFR.
This is a Phase III, Randomized, Double-blind study evaluating the efficacy and safety of YH25448 (240 mg orally, once daily) versus Gefitinib (250 mg orally, once daily) in patients with locally advanced or metastatic NSCLC that is known to be EGFR sensitizing mutation (EGFRm) positive, treatment-naïve and eligible for first-line treatment with an EGFR-TKI.
- Conditions
- Non-Small Cell Lung Cancer
- Being tested
- Lazertinib 240 mg/160 mg, Gefitinib 250 mg, Lazertinib-matching placebo 240 mg/160 mg, Gefitinib-matching placebo 250 mg
- Keywords
- Locally Advanced EGFR Sensitizing Mutation, Metastatic EGFR Sensitizing Mutation, EGFR TKI, Ex19del, L858R, First-line, YH25448, Advanced Non-Small Cell Lung Cancer, Adenocarcinoma of lung, Non-squamous carcinoma of lung, Phase III, Lazertinib
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Adenocarcinoma of Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Lazertinib 240 mg/160 mgDrug
Also called YH25448 240 mg/160 mg
The initial dose of lazertinib 240 mg (3 tablets of 80 mg lazertinib) once daily can be reduced to 160 mg once daily (2 tablets of 80 mg lazertinib) under specific circumstances
Gefitinib 250 mgDrug
Also called Iressa 250 mg
The initial dose for Gefitinib (250 mg once daily) cannot be reduced to a lower dose
Lazertinib-matching placebo 240 mg/160 mgDrug
Also called YH25448-matching placebo 240 mg/160 mg
The initial dose of lazertinib-matching placebo 240 mg (3 tablets of 80 mg lazertinib-matching placebo) once daily can be reduced to 160 mg once daily (2 tablets of 80 mg lazertinib-matching placebo) under specific circumstances
Gefitinib-matching placebo 250 mgDrug
Also called Iressa-matching placebo 250 mg
The initial dose for Gefitinib-matching placebo (250 mg once daily) cannot be reduced to a lower dose
| Study group | Role | What they receive |
|---|---|---|
| Lazertinib + Gefitinib-matching placebo | Experimental | Lazertinib (240 mg or 160 mg orally, once daily) plus Gefitinib-matching placebo (250 mg orally, once daily) in accordance with the randomization schedule Receives: Drug: Lazertinib 240 mg/160 mg; Drug: Gefitinib-matching placebo 250 mg |
| Gefitinib + Lazertinib-matching placebo | Active comparator | Gefitinib (250 mg orally, once daily) plus Lazertinib-matching placebo (240 mg or 160 mg orally, once daily) in accordance with the randomization schedule Receives: Drug: Gefitinib 250 mg; Drug: Lazertinib-matching placebo 240 mg/160 mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS) According to RECIST v1.1 by Investigator Assessment
PFS was defined as the time from randomization until the date of objective progression or death(by any cause whichever comes first based on investigator assessment using RECIST v1.1 and was used to assess the efficacy of lazertinib compared to the gefitinib).
Measured: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression, assessed up to 29 months per participant.
Secondary outcomes (11)
Objective Response Rate (ORR) According to RECIST v1.1 by Investigator Assessments
ORR was defined as the percentage of participants with measurable disease with at least on visit response of complete response(CR) or Partial response(PR) and it was used to further assess the efficacy of lazertinib compared with gefitinib.
Measured: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression, assessed up to 29 months per participant.
Duration of Response (DoR) According to RECIST v1.1 by Investigator Assessments
DoR was defined as the time from the date of first documented response(CR or PR) until the date of documented progression or death, whichever comes first and was used to further assess the efficacy of lazertinib compared with gefitinib.
Measured: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression, assessed up to 29 months per participant.
Disease Control Rate (DCR) According to RECIST v1.1 by Investigator Assessments
DCR was defined as the percentage of participants who have a best overall response of CR or PR or SD(SD at >= 6weeks prior to any PD event) and was used to further assess the efficacy of lazertinib compared with gefitinib.
Measured: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression, assessed up to 29 months per participant.
Depth of Response According to RECIST v1.1 by Investigator Assessments
The depth of response was defined as the best percent change in the sum of diameters of target lesions in the absense of new lesions or progression of non-target lesions compared to the baseline and was used to further assess the efficacy of lazertinib compared with gefitinib.
Measured: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression.
Time to Response According to RECIST v1.1 by Investigator Assessments
Time to Response was defined as the time from the date of randomization until the date of first documented response and was used to further assess the efficacy of lazertinib compared with gefitinib.
Measured: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression.
Overall Survival (OS)
OS was defined as the time from the date of randomization until the date of death due to any cause and was used to further assess the efficacy of lazertinib compared with gefitinib.
Measured: From the randomization to end of study or date of death from any cause, whichever comes first, assessed every 6 weeks. (Up to 29 months per participant.)
Plasma Concentrations of Lazertinib
To characterize the pharmacokinetics (PK) of lazertinib.
Measured: Blood samples collected from each participant at pre-dose, 1 to 3 hours, and 4 to 6 hours post-dose on Day 1 Cycle 1, Day 1 Cycle 2, Day 1 Cycle 5, Day 1 Cycle 9, and Day 1 Cycle 13.
Cerebrospinal Fluid (CSF) Concentrations of Lazertinib
To characterize the pharmacokinetics (PK) of lazertinib.
Measured: A cerebrospinal fluid (CSF) sample once collected from participants with brain metastases, at Cycle 5 Day 1 or afterward.
Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire - Core 30 Items (QLQ-C30)
The EORTC QLQ-C30 consists of 30 items and measures cancer participants' functioning (health related quality of life (HRQoL)) and symptoms for all cancer types. Questions can be grouped into 5 multi item functional scales (physical, role, emotional, cognitive, and social); 3 multi item symptom scales (fatigue, pain, nausea/vomiting); a 2 item global HRQoL scale; 5 single items assessing additional symptoms commonly reported by cancer participants (dyspnea, loss of appetite, insomnia, constipation, diarrhea) and 1 item on the financial impact of the disease.
All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level.
- a high score for a functional scale represents a high / healthy level of functioning
- a high score for the global health status / QoL represents a high QoL
- but a high score for a symptom scale / item represents a high level of symptomatology / problems
Measured: Questionnaires completed at Cycle 1 Day1 , Cycle2 Day 1 and then every 6 weeks relative to the randomization date until 28d safety f/u or progression f/u visit(whichever is later).
Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaires Lung Cancer 13 Items (EORTC QLQ-LC13)
The EORTC QLQ-LC13 includes questions assessing cough, hemoptysis, dyspnea, site specific pain (symptoms), sore mouth, dysphagia, peripheral neuropathy, and alopecia (treatment related side effects), and pain medication.
The items on both measures were scaled and scored using the recommended EORTC procedures. Raw scores were transformed to a linear scale ranging from 0 to 100, with a higher score representing a higher level of functioning or higher level of symptoms. Provided at least half of the items in the scale were completed, the scale score was calculated using only those items for which values existed.
Measured: Questionnaires completed at Cycle 1 Day1 , Cycle2 Day 1 and then every 6 weeks relative to the randomization date until 28d safety f/u or progression f/u visit(whichever is later).
Change From Baseline in Euro-Quality of Life-5 Dimension-5 Level (EQ-5D-5L)
The EQ-5D comprises the following two questionnaires:
- The EQ-5D comprises 5 dimensions of health (mobility, self-care, usual activities, pain/discomfort, anxiety/depression). Each dimension comprises five levels (no problems, slight problems, moderate problem, severe problem, unable/extreme problems).
- The EQ VAS records the participants self-rated health status on a vertical graduated (0-100) visual analogue scale. The patient's self-rated health is assessed on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state) by the EQ-VAS.
Measured: Questionnaires completed at Cycle 1 Day1 , Cycle2 Day 1 and then every 6 weeks relative to the randomization date until 28d safety f/u or progression f/u visit(whichever is later).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jan 2020
- Study start13 Feb 2020
- Primary completion29 Jul 2022
- Study completion22 Apr 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Yuhan CorporationThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Approximately 380 patients will be randomized in a 1:1 ratio to either lazertinib (n=190) or gefitinib (n= 190). Following objective disease progression according to RECIST v1.1, as per investigator assessment, patients who were randomized to gefitinib arm may have the option to receive open-label lazertinib
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 393 participants (actual)
Sponsor and investigators
- Lead sponsor
- Yuhan Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04248829
- Sponsor's protocol ID
- YH25448-301
- Status last verified
- May 2026
- First submitted
- 14 Jan 2020
- Last updated
- 29 Jun 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual participant data (including data dictionaries) that underline the results reported in study-related publications will be made available during the period beginning 1 year and ending 5 years after all trial primary and secondary endpoints were assessed. Only requests from researchers who provide a methodologically sound proposal will be reviewed and approved by the sponsor. The analysis type should be in accordance with aims in the proposal approved by the sponsor. Proposals should be directed to hmbyun@yuhan.co.kr. Other documents(i.e. a summary of the study results, study protocol, statistical analysis plan) will be posted in the publicly accessible database (i.e. clinicaltrials.gov) no later than 1 year after the study's primary completion date.
Publications
Soo RA, Cho BC, Kim JH, Ahn MJ, Lee KH, Zimina A, Orlov S, Bondarenko I, Lee YG, Lim YN, Lee SS, Lee KH, Pang YK, Fong CH, Kang JH, Lim CS, Danchaivijitr P, Kilickap S, Yang JC, Arslan C, Lee H, Park SN, Cicin I. Central Nervous System Outcomes of Lazertinib Versus Gefitinib in EGFR-Mutated Advanced NSCLC: A LASER301 Subset Analysis. J Thorac Oncol. 2023 Dec;18(12):1756-1766. doi: 10.1016/j.jtho.2023.08.017. Epub 2023 Oct 22.
PubMed 37865896Cho BC, Ahn MJ, Kang JH, Soo RA, Reungwetwattana T, Yang JC, Cicin I, Kim DW, Wu YL, Lu S, Lee KH, Pang YK, Zimina A, Fong CH, Poddubskaya E, Sezer A, How SH, Danchaivijitr P, Kim Y, Lim Y, An T, Lee H, Byun HM, Zaric B. Lazertinib Versus Gefitinib as First-Line Treatment in Patients With EGFR-Mutated Advanced Non-Small-Cell Lung Cancer: Results From LASER301. J Clin Oncol. 2023 Sep 10;41(26):4208-4217. doi: 10.1200/JCO.23.00515. Epub 2023 Jun 28.
PubMed 37379502
Study at a glance
From the registry record, last updated by the sponsor on 29 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomized, Double-blind Study to Assess the Efficacy and Safety of Lazertinib Versus Gefitinib as the First-line Treatment in Patients With Epidermal Growth Factor Receptor Sensitizing Mutation Positive, Locally Advanced or Metastatic Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT04248829
- Acronym / sponsor ID
- YH25448-301
- Conditions
- Non-Small Cell Lung Cancer
- Keywords
- Locally Advanced EGFR Sensitizing Mutation, Metastatic EGFR Sensitizing Mutation, EGFR TKI, Ex19del, L858R, First-line, YH25448, Advanced Non-Small Cell Lung Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 393 participants (actual)
- Lead sponsor
- Yuhan CorporationIndustry (pharma, biotech, devices)
- Study start
- 13 Feb 2020 (actual)
- Primary completion
- 29 Jul 2022 (actual)
- Study completion
- 22 Apr 2026 (actual)
- First posted
- 30 Jan 2020 (actual)
- Results
- Posted 22 Mar 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This Phase III study will be conducted to evaluate the efficacy and safety of YH25448 as first-line treatment in locally advanced or metastatic Non-small Cell Lung Cancer (NSCLC) patients with EGFR mutations
Detailed description
YH25448 is an oral, highly potent, mutant-selective and irreversible EGFR Tyrosine-kinase inhibitors (TKIs) that targets both the T790M mutation and activating EGFR mutations while sparing wild type EGFR.
This is a Phase III, Randomized, Double-blind study evaluating the efficacy and safety of YH25448 (240 mg orally, once daily) versus Gefitinib (250 mg orally, once daily) in patients with locally advanced or metastatic NSCLC that is known to be EGFR sensitizing mutation (EGFRm) positive, treatment-naïve and eligible for first-line treatment with an EGFR-TKI.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Approximately 380 patients will be randomized in a 1:1 ratio to either lazertinib (n=190) or gefitinib (n= 190). Following objective disease progression according to RECIST v1.1, as per investigator assessment, patients who were randomized to gefitinib arm may have the option to receive open-label lazertinib
| Arm | Type | Receives |
|---|---|---|
| Lazertinib + Gefitinib-matching placebo | Experimental | Drug: Lazertinib 240 mg/160 mg, Drug: Gefitinib-matching placebo 250 mgLazertinib (240 mg or 160 mg orally, once daily) plus Gefitinib-matching placebo (250 mg orally, once daily) in accordance with the randomization schedule |
| Gefitinib + Lazertinib-matching placebo | Active comparator | Drug: Gefitinib 250 mg, Drug: Lazertinib-matching placebo 240 mg/160 mgGefitinib (250 mg orally, once daily) plus Lazertinib-matching placebo (240 mg or 160 mg orally, once daily) in accordance with the randomization schedule |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Pathologically confirmed adenocarcinoma of the lung
- Locally advanced or metastatic NSCLC, not amenable to curative surgery or radiotherapy
- At least 1 of the 2 common EGFR mutations known to be associated with EGFR TKI sensitivity (Ex19del or L858R), either alone or in combination with other EGFR mutations
- Treatment-naïve for locally advanced or metastatic NSCLC
- WHO performance status score of 0 to 1 with no clinically significant deterioration over the previous 2 weeks before randomization
Key exclusion criteria (9 listed)
- Symptomatic and unstable brain metastases
- Leptomeningeal metastases
- Symptomatic spinal cord compression
- History of interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis which required steroid treatment, or any evidence of clinically active ILD
- Any medical conditions requiring chronic continuous oxygen therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Lazertinib 240 mg/160 mgAlso: YH25448 240 mg/160 mgThe initial dose of lazertinib 240 mg (3 tablets of 80 mg lazertinib) once daily can be reduced to 160 mg once daily (2 tablets of 80 mg lazertinib) under specific circumstances | Drug | Lazertinib + Gefitinib-matching placebo |
| Gefitinib 250 mgAlso: Iressa 250 mgThe initial dose for Gefitinib (250 mg once daily) cannot be reduced to a lower dose | Drug | Gefitinib + Lazertinib-matching placebo |
| Lazertinib-matching placebo 240 mg/160 mgAlso: YH25448-matching placebo 240 mg/160 mgThe initial dose of lazertinib-matching placebo 240 mg (3 tablets of 80 mg lazertinib-matching placebo) once daily can be reduced to 160 mg once daily (2 tablets of 80 mg lazertinib-matching placebo) under specific circumstances | Drug | Gefitinib + Lazertinib-matching placebo |
| Gefitinib-matching placebo 250 mgAlso: Iressa-matching placebo 250 mgThe initial dose for Gefitinib-matching placebo (250 mg once daily) cannot be reduced to a lower dose | Drug | Lazertinib + Gefitinib-matching placebo |
Primary outcome
Progression-Free Survival (PFS) According to RECIST v1.1 by Investigator Assessment
Time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression, assessed up to 29 months per participant.
PFS was defined as the time from randomization until the date of objective progression or death(by any cause whichever comes first based on investigator assessment using RECIST v1.1 and was used to assess the efficacy of lazertinib compared to the gefitinib).
11 secondary outcomes
Objective Response Rate (ORR) According to RECIST v1.1 by Investigator Assessments
Time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression, assessed up to 29 months per participant.
Duration of Response (DoR) According to RECIST v1.1 by Investigator Assessments
Time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression, assessed up to 29 months per participant.
Disease Control Rate (DCR) According to RECIST v1.1 by Investigator Assessments
Time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression, assessed up to 29 months per participant.
Depth of Response According to RECIST v1.1 by Investigator Assessments
Time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression.
Time to Response According to RECIST v1.1 by Investigator Assessments
Time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression.
Overall Survival (OS)
Time frame: From the randomization to end of study or date of death from any cause, whichever comes first, assessed every 6 weeks. (Up to 29 months per participant.)
Plasma Concentrations of Lazertinib
Time frame: Blood samples collected from each participant at pre-dose, 1 to 3 hours, and 4 to 6 hours post-dose on Day 1 Cycle 1, Day 1 Cycle 2, Day 1 Cycle 5, Day 1 Cycle 9, and Day 1 Cycle 13.
Cerebrospinal Fluid (CSF) Concentrations of Lazertinib
Time frame: A cerebrospinal fluid (CSF) sample once collected from participants with brain metastases, at Cycle 5 Day 1 or afterward.
Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire - Core 30 Items (QLQ-C30)
Time frame: Questionnaires completed at Cycle 1 Day1 , Cycle2 Day 1 and then every 6 weeks relative to the randomization date until 28d safety f/u or progression f/u visit(whichever is later).
Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaires Lung Cancer 13 Items (EORTC QLQ-LC13)
Time frame: Questionnaires completed at Cycle 1 Day1 , Cycle2 Day 1 and then every 6 weeks relative to the randomization date until 28d safety f/u or progression f/u visit(whichever is later).
Change From Baseline in Euro-Quality of Life-5 Dimension-5 Level (EQ-5D-5L)
Time frame: Questionnaires completed at Cycle 1 Day1 , Cycle2 Day 1 and then every 6 weeks relative to the randomization date until 28d safety f/u or progression f/u visit(whichever is later).
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jun 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37865896Soo RA, Cho BC, Kim JH, Ahn MJ, Lee KH, Zimina A, Orlov S, Bondarenko I, Lee YG, Lim YN, Lee SS, Lee KH, Pang YK, Fong CH, Kang JH, Lim CS, Danchaivijitr P, Kilickap S, Yang JC, Arslan C, Lee H, Park SN, Cicin I. Central Nervous System Outcomes of Lazertinib Versus Gefitinib in EGFR-Mutated Advanced NSCLC: A LASER301 Subset Analysis. J Thorac Oncol. 2023 Dec;18(12):1756-1766. doi: 10.1016/j.jtho.2023.08.017. Epub 2023 Oct 22.
- Derived from this study: PubMed 37379502Cho BC, Ahn MJ, Kang JH, Soo RA, Reungwetwattana T, Yang JC, Cicin I, Kim DW, Wu YL, Lu S, Lee KH, Pang YK, Zimina A, Fong CH, Poddubskaya E, Sezer A, How SH, Danchaivijitr P, Kim Y, Lim Y, An T, Lee H, Byun HM, Zaric B. Lazertinib Versus Gefitinib as First-Line Treatment in Patients With EGFR-Mutated Advanced Non-Small-Cell Lung Cancer: Results From LASER301. J Clin Oncol. 2023 Sep 10;41(26):4208-4217. doi: 10.1200/JCO.23.00515. Epub 2023 Jun 28.
- Individual participant dataSharing planned: Yes. De-identified individual participant data (including data dictionaries) that underline the results reported in study-related publications will be made available during the period beginning 1 year and ending 5 years after all trial primary and secondary endpoints were assessed. Only requests from researchers who provide a methodologically sound proposal will be reviewed and approved by the sponsor. The analysis type should be in accordance with aims in the proposal approved by the sponsor. Proposals should be directed to hmbyun@yuhan.co.kr. Other documents(i.e. a summary of the study results, study protocol, statistical analysis plan) will be posted in the publicly accessible database (i.e. clinicaltrials.gov) no later than 1 year after the study's primary completion date.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
80 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lazertinib 240 mg/160 mg and Gefitinib 250 mg in people with Non-Small Cell Lung Cancer, run by Yuhan Corporation at 80 sites in 13 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 29 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 80 sites in South Korea, Russia, Turkey (Türkiye), Ukraine, Malaysia and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 22 Mar 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS) According to RECIST v1.1 by Investigator Assessment (time frame: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomization until progression, assessed up to 29 months per participant.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04248829, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jun 2026.