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Non-small Cell Lung CancerPhase 3COMPELNCT04765059

A Study to Evaluate Chemotherapy Plus Osimertinib Against Chemotherapy Plus Placebo in Patients With Non-small Cell Lung Cancer (NSCLC)

A Phase 3 study testing Osimertinib (AZD9291) pemetrexed cisplatin or carboplatin in people with Non-small Cell Lung Cancer, run by AstraZeneca at 40 sites in 6 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The study will evaluate the efficacy and safety of treatment with chemotherapy in combination with osimertinib compared to chemotherapy in combination with placebo in patients whose disease has progressed extracranially following first-line osimertinib treatment. Read more about this study

Who is it for?
Ages 18 to 130 years
Conditions the study is for
Non-small Cell Lung Cancer
What is being tested?
Osimertinib (AZD9291) pemetrexed cisplatin or carboplatin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
98 participants
Where
40 sitesin 6 countries
Study dates
12 Sep 2021to 2 Jun 2027
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 to 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form and in this protocol.
  • Pathologically confirmed non-squamous NSCLC.
  • Locally advanced (clinical stage IIIB or IIIC) or metastatic NSCLC (clinical stage IVA or IVB) or recurrent NSCLC, not amenable to curative surgery or radiotherapy.
  • Evidence of radiological extracranial disease progression following (Investigator-assessed) response or SD for ≥ 6 months during first-line osimertinib treatment, but who have not received further, subsequent treatment.
  • Tumor known to harbor 1 of the 2 or both common epidermal growth factor receptor (EGFR) mutations known to be associated with EGFR tyrosine kinase inhibitor (TKI) sensitivity (Ex19del or L858R), either alone or in combination with other EGFR mutations, which may include T790M.
  • World Health Organization performance status of 0 to 1 at screening with no clinically significant deterioration in the previous 2 weeks.
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  • Life expectancy >12 weeks at Day 1.
  • At least 1 lesion, not previously irradiated, that can be accurately measured.
  • Females must be using highly effective contraceptive measures, and must have a negative pregnancy test prior to start of dosing if of childbearing potential, or must have evidence of non-childbearing potential by fulfilling criteria at screening.
  • Male patients must be willing to use barrier contraception

Who cannot join

  • Clinical or radiological evidence of CNS progression on first-line osimertinib.
  • Past medical history of interstitial lung disease (ILD)/pneumonitis, drug-induced ILD/pneumonitis, radiation pneumonitis that required steroid treatment, or any evidence of clinically active ILD/pneumonitis.
  • Any evidence of severe or uncontrolled systemic diseases.
  • Any of the following cardiac criteria:
  • Mean resting QTc >470 msec ii) Any clinically important abnormalities in rhythm, conduction, or morphology of resting electrocardiogram iii) Any factors that increase the risk of QTc prolongation or risk of arrhythmic events
  • Any concurrent and/or other active malignancy that has required treatment within 2 years of first dose of investigational product (IP).
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  • Any unresolved toxicities from prior therapy.
  • Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product, or previous significant bowel resection that would preclude adequate absorption of osimertinib.
  • More than 4 weeks elapsed since last dose of osimertinib by date of randomization.
  • Unable to tolerate osimertinib 80 mg first-line therapy.
  • Prior treatment with any systemic anti-cancer therapy.
  • Major surgery within 4 weeks of the first dose of IP.
  • Radiotherapy treatment to more than 30% of the bone marrow or with a wide field of radiation within 4 weeks of the first dose of IP.
  • Current use of medications or herbal supplements known to be strong inducers of cytochrome P450 (CYP) 3A4.
  • Participation in another clinical study with an IP other than first-line osimertinib during the 4 weeks prior to Day 1.

Trial locations and contacts

40 sites in 6 countries.

40 sites in 6 countries

Spain11 sites
  • Research Site

    Alicante, 03010

  • Research Site

    Barcelona, 08907

  • Research Site

    Córdoba, 14004

  • Research Site

    León, 24071

  • Research Site

    Madrid, 28040

  • Research Site

    Málaga, 29010

  • Research Site

    Murcia, 30008

  • Research Site

    Oviedo, 33011

  • Research Site

    Palma de Mallorca, 07010

  • Research Site

    Seville, 41013

  • Research Site

    Valencia, 46010

Other trials in Spain

China8 sites
  • Research Site

    Beijing, 100005

  • Research Site

    Beijing, 100142

  • Research Site

    Ganzhou, 341099

  • Research Site

    Guangzhou, 510080

  • Research Site

    Jinan, 250013

  • Research Site

    Shenyang, 110001

  • Research Site

    Tianjin, 300060

  • Research Site

    Zhengzhou, 450008

Other trials in China

Italy8 sites
  • Research Site

    Florence, 50134

  • Research Site

    Meldola, 47014

  • Research Site

    Messina, 98158

  • Research Site

    Naples, 80131

  • Research Site

    Padova, 35128

  • Research Site

    Roma, 00168

  • Research Site

    Terni, 05100

  • Research Site

    Verona, 37124

Other trials in Italy

Israel6 sites
  • Research Site

    Beersheba, 84101

  • Research Site

    Jerusalem, 9103102

  • Research Site

    Jerusalem, 9112001

  • Research Site

    Kfar Saba, 4428164

  • Research Site

    Tel Aviv, 6423906

  • Research Site

    Tel Litwinsky, 52621

Other trials in Israel

Germany5 sites
  • Research Site

    Berlin, 12351

  • Research Site

    Cologne, 50937

  • Research Site

    Cologne, 51109

  • Research Site

    Hanover, 30625

  • Research Site

    München, D-80336

Other trials in Germany

United States2 sites
  • Research Site

    Boston, Massachusetts, 02114

  • Research Site

    Silver Spring, Maryland, 20910

Other trials in United States

About this study

Official title: 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)

The study will evaluate the efficacy and safety of treatment with chemotherapy in combination with osimertinib compared to chemotherapy in combination with placebo in patients whose disease has progressed extracranially following first-line osimertinib treatment.

Read the detailed description

This is 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 epidermal growth factor receptor mutation-positive (EGFRm), locally advanced or metastatic NSCLC with or wihout stable brain metastases who responded to first-line osimertinib therapy (complete response [CR] or partial response [PR]) or stable disease (SD) for ≥ 6 months during first-line osimertinib treatment, and subsequently experienced radiological, extracranial disease progression. Approximately 204 patients were to be randomized in a 1:1 ratio to treatment with platinum plus pemetrexed chemotherapy plus osimertinib (Treatment Arm A) or platinum plus pemetrexed chemotherapy plus placebo (Treatment Arm B). However, the number of patients has been reduced to approximately 80 patients due to treatment landscape changes which outpaced study recruitment. Patients will be stratified based on the presence of brain metastases (stable brain metastases based on central nervous system (CNS) Response Evaluation Criteria in Solid Tumors, Version 1.1 [RECIST 1.1] assessments versus no brain metastases).

The 2 randomized treatment regimens are as follows:

  • Treatment Arm A: Osimertinib 80 mg once daily (QD) with pemetrexed (500 mg/m^2) (with pre-treatment) plus either cisplatin (75 mg/m^2) or carboplatin (area under the concentration-time curve [AUC] 5), both administered on Day 1 of 21-day cycles for 4 cycles, followed by osimertinib 80 mg QD plus pemetrexed maintenance (500 mg/m^2) on Day 1 of 21-day cycles
  • Treatment Arm B: Placebo QD with pemetrexed (500 mg/m^2) (with pre-treatment) plus either cisplatin (75 mg/m^2) or carboplatin (AUC5), both administered on Day 1 of 21-day cycles for 4 cycles, followed by placebo QD plus pemetrexed maintenance (500 mg/m^2) on Day 1 of 21-day cycles.
Being tested
Osimertinib (AZD9291) pemetrexed cisplatin or carboplatin, Placebo for osimertinib (AZD9291) pemetrexed cisplatin or carboplatin
Keywords
Osimertinib, Platinum, Pemetrexed, Epidermal growth factor receptor mutation positive (EGFRm), Extracranial progression
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Osimertinib (AZD9291) pemetrexed cisplatin or carboplatinDrug

    Randomized patients will receive oral dose of osimertinib with intravenous (IV) pemetrexed plus either IV cisplatin or IV carboplatin

  • Placebo for osimertinib (AZD9291) pemetrexed cisplatin or carboplatinDrug

    Randomized patients will receive oral dose of placebo matching osimertinib with IV pemetrexed plus either IV cisplatin or IV carboplatin

Study groups in NCT04765059
Study groupRoleWhat they receive
Treatment Arm AExperimentalAll randomized patients will receive osimertinib 80 mg QD with pemetrexed (500 mg/m^2) (with pre-treatment) plus either cisplatin (75 mg/m^2) or carboplatin ([AUC] 5), both administered on Day 1 of 21-day cycles for 4 cycles, followed by osimertinib 80 mg QD plus pemetrexed maintenance (500 mg/m^2) on Day 1 of 21-day cycles
Receives: Drug: Osimertinib (AZD9291) pemetrexed cisplatin or carboplatin
Treatment Arm BPlacebo comparatorAll randomized patients will receive placebo QD with pemetrexed (500 mg/m^2) (with pre-treatment) plus either cisplatin (75 mg/m^2) or carboplatin (AUC5), both administered on Day 1 of 21-day cycles for 4 cycles, followed by placebo QD plus pemetrexed maintenance (500 mg/m^2) on Day 1 of 21-day cycles
Receives: Drug: Placebo for osimertinib (AZD9291) pemetrexed cisplatin or carboplatin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival (PFS)

    Progression free survival is defined as time from randomization until progression (intracranial or extracranial, whichever occurs first) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 (for extracranial progression) and Central nervous system (CNS) RECIST 1.1 (for intracranial progression) as assessed by the Investigator at local site or death due to any cause.

    Measured: From date of first dose (Day 1) until date of progression at local site or death due to any cause or data cut-off date whichever occurred first (up to 3 years 1 month)

Secondary outcomes (4)
  1. Intracranial Progression Free Survival in Participants With Brain Metastases at Baseline

    Intracranial PFS (IC-PFS) is defined as time from randomization until intracranial progression per CNS RECIST 1.1 as assessed by the Investigator at local site or death due to any cause.

    For participants with brain metastases at baseline, the IC-PFS rate at specified timepoints was estimated using the Kaplan-Meier method which indicated the percentage of these participants who remain alive and free from intracranial progression per CNS RECIST 1.1 as assessed by the Investigator. The data was calculated throughout the study as per the below timeframe but IC-PFS rate at 6 months has been presented as it was clinically relevant.

    Measured: Assessed from date of first dose (Day 1) until date of intracranial progression at local site or death due to any cause or data cut off date whichever occurred first (up to 3 years 1 month), data for 6 months reported

  2. Intracranial Progression Free Survival in Participants Without Brain Metastases at Baseline

    Intracranial PFS (IC-PFS) is defined as time from randomization until intracranial progression per CNS RECIST 1.1 as assessed by the Investigator at local site or death due to any cause.

    For participants without brain metastases at baseline, the IC-PFS rate at specified timepoints was estimated using the Kaplan-Meier method which indicated the percentage of these participants who remain alive and free from intracranial progression per CNS RECIST 1.1 as assessed by the Investigator. The data was calculated throughout the study as per the below timeframe but IC-PFS rate at 6 months has been presented as it was clinically relevant.

    Measured: Assessed from date of first dose (Day 1) until date of intracranial progression at local site or death due to any cause or data cut off date whichever occurred first (up to 3 years 1 month), data for 6 months reported

  3. Extracranial Progression Free-survival

    Extracranial PFS is defined as time from randomization until extracranial progression per RECIST 1.1 as assessed by the Investigator at local site or death due to any cause.

    Measured: From date of first dose (Day 1) until date of extracranial progression at local site or death due to any cause or data cut-off date whichever occurred first (up to 3 years 1 month)

  4. Overall Survival (OS)

    Overall survival is defined as the length of time from randomization until the date of death due to any cause.

    Measured: From date of first dose (Day 1) until post progression survival follow-up (up to 3 years 1 month)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Feb 2021
  2. Study start12 Sep 2021
  3. Primary completion28 Oct 2024
  4. Study completion2 Jun 2027 (estimated)

Resources

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
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
98 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04765059
Sponsor's protocol ID
D5162C00042
Other IDs
2019-003969-18, 2019
Acronym
COMPEL
Status last verified
Jul 2026
First submitted
11 Feb 2021
Last updated
7 Jul 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. "Yes", indicates that AZ are accepting requests for IPD, but this does not mean all requests will be approved.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Osimertinib (AZD9291) pemetrexed cisplatin or carboplatin in people with Non-small Cell Lung Cancer, run by AstraZeneca at 40 sites in 6 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 10 inclusion and 15 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: under way, not looking for participants, as of the sponsor's last update on 7 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 40 sites in Spain, China, Italy, Israel, Germany and 1 more country. 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. Some participants in this study may receive a placebo. 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 13 Jan 2026). 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) (time frame: From date of first dose (Day 1) until date of progression at local site or death due to any cause or data cut-off date whichever occurred first (up to 3 years 1 month)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 7 Jul 2026.

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