A Study to Assess Adverse Events, Change in Disease Activity of Intravenous Telisotuzumab Adizutecan in Combination with Osimertinib as First-Line Treatment in Adult Participants with Locally Advanced Unresectable or Metastatic EGFR-Mutated Non-Squamous Non-Small Cell Lung Cancer

2024-518586-10-00 Protocol M25-287 Phase II and Phase III (Integrated) Ongoing, recruiting

Start 18 Sep 2025 · Status Ongoing, recruiting · 4 EU/EEA countries · 17 sites · Protocol M25-287

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Ongoing, recruiting
Participants planned 218
Countries 4
Sites 17

Non-Squamous Non-Small Cell Lung Cancer

Phase 2: - To evaluate the safety and tolerability of telisotuzumab adizutecan in combination with osimertinib. - To optimize and select the RP3D of telisotuzumab adizutecan in combination with osimertinib. - To evaluate the efficacy as measured by ORR of telisotuzumab adizutecan in combination with osimertinib. Phase …

Key facts

Sponsor
AbbVie Deutschland GmbH & Co. KG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
18 Sep 2025 → ongoing
Decision date (initial)
2025-08-25
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
AbbVie

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy

Phase 2: - To evaluate the safety and tolerability of telisotuzumab adizutecan in combination with osimertinib. - To optimize and select the RP3D of telisotuzumab adizutecan in combination with osimertinib. - To evaluate the efficacy as measured by ORR of telisotuzumab adizutecan in combination with osimertinib.
Phase 3: To demonstrate the superiority of telisotuzumab adizutecan in combination with osimertinib over standard of care in terms of efficacy measured by PFS based on BICR assessment.

Secondary objectives 6

  1. Phase 2: To further evaluate the efficacy of telisotuzumab adizutecan in combination with osimertinib as measured by PFS, DoR, DCR, and OS.
  2. Phase 2: To characterize the PK and immunogenicity of telisotuzumab adizutecan in combination with osimertinib.
  3. Phase 3: To demonstrate the superiority of telisotuzumab adizutecan in combination with osimertinib over standard of care in terms of OS
  4. Phase 3: To further evaluate the efficacy of telisotuzumab adizutecan in combination with osimertinib as measured by ORR, DoR, and DCR compared with standard of care.
  5. Phase 3: To evaluate the impact of telisotuzumab adizutecan in combination with osimertinib on patient-reported lung cancer symptoms as measured by the EORTC QLQ-LC13.
  6. Phase 3: To evaluate the impact of telisotuzumab adizutecan in combination with osimertinib on patient-reported physical functioning and GHS/QoL as measured by the relevant domains of the EORTC QLQ-C30.

Conditions and MedDRA coding

Non-Squamous Non-Small Cell Lung Cancer

VersionLevelCodeTermSystem organ class
27.1 PT 10061873 Non-small cell lung cancer 100000004864

Regulatory references

Scientific advice from competent authorities
Food And Drug Administration, European Medicines Agency
Plan to share IPD
Yes
IPD plan description
AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information. To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/ For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1 during the screening period and prior to dosing of study treatment on Cycle 1 Day 1.
  2. All participants must consent to provide recently obtained FFPE tumor tissue (ideally collected during or after locally advanced or metastatic diagnosis) or archived tissue during screening for c-Met IHC testing and study stratification. c-Met IHC results are required prior to randomization.
  3. Participants must have at least one non-irradiated measurable disease per RECIST version 1.1. If only one measurable lesion exists, it is acceptable to be used (as a target lesion) as long as it has not been previously irradiated and as long as it has not been biopsied within 14 days of the baseline tumor assessment scans.
  4. Any toxicities from prior systemic anti-cancer therapy must have resolved to CTCAE Grade 1 or baseline level (except for alopecia [any grade] or Grade ≤ 2 peripheral neuropathy).
  5. Participants should not have any major, life-threatening conditions and life expectancy as determined by the investigator should be at least 3 months.

Exclusion criteria 4

  1. History of interstitial lung disease (ILD), pneumonitis that required treatment with systemic steroids, or any evidence of active ILD/pneumonitis on screening chest CT scan.
  2. History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis.
  3. History of any malignancy other than disease under study except for a. Malignancy treated with curative intent and with no known active disease present for 2 years before the first dose of study treatment and felt to be at low risk for recurrence by investigator. b. Successfully treated nonmelanoma skin cancer. c. Localized carcinoma in situ of the cervix. d. Breast Cancer; lobular carcinoma in situ or ductal carcinoma in situ that is considered completely cured.
  4. Participants has leptomeningeal disease, or subject has spinal cord compression not definitively treated with surgery or radiation.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Phase 2: Objective response (OR) based on Blinded independent central review (BICR) assessment per RECIST version 1.1
  2. Phase 3: Progression-free survival (PFS) based on BICR assessment per RECIST version 1.1.

Secondary endpoints 11

  1. Phase 2: PFS based on BICR assessment per RECIST version 1.1.
  2. Phase 2: Duration of response (DoR) based on BICR assessment per RECIST version 1.1.
  3. Phase 2: Disease control rate (DC) based on BICR assessment per RECIST version 1.1.
  4. Phase 2: Overall Survival
  5. Phase 3: Overall Survival
  6. Phase 3: OR based on BICR assessment per RECIST version 1.1.
  7. Phase 3: DoR based on BICR assessment per RECIST version 1.1.
  8. Phase 3: DC based on BICR assessment per RECIST version 1.1.
  9. Phase 3: Change from baseline at Week 12 in physical functioning as measured by the EORTC QLQ‑C30
  10. Phase 3: Change from baseline at Week 12 in key lung cancer symptoms as measured by the EORTC QLQ-LC13.
  11. Phase 3: Change from baseline at Week 12 in GHS/QoL as measured by the EORTC QLQ-C30.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 11

Pemetrexed

SUB09655MIG · Substance

Active substance
Pemetrexed
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
00 mg/ml milligram(s)/millilitre
Max total dose
00 mg/ml milligram(s)/millilitre
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Pemetrexed

SUB09655MIG · Substance

Active substance
Pemetrexed
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Pemetrexed

SUB09655MIG · Substance

Active substance
Pemetrexed
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Telisotuzumab adizutecan

PRD11535908 · Product

Active substance
Telisotuzumab Adizutecan
Substance synonyms
Telisotuzumab conjugated to (2S)-2-(2-bromoacetamido)-N-[(2S)-1-({3-[(7S)-7-ethyl-7-hydroxy-8,11-dioxo-7,8,11,13-tetrahydro-2H,10H-[1,3]dioxolo[4,5-g]pyrano[3',4':6,7]indolizino[1,2-b]quinolin-14-yl]bicyclo[1.1.1]pentan-1-yl}amino)-1-oxopropan-2-yl]-3-methylbutanamide, ABBV-400, DC-1951796
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
40 Week(s)
Authorisation status
Not Authorised
MA holder
ABBVIE DEUTSCHLAND GMBH & CO. KG
Paediatric formulation
No
Orphan designation
No

Carboplatin

SUB06614MIG · Substance

Active substance
Carboplatin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
00 mg/ml milligram(s)/millilitre
Max total dose
00 mg/ml milligram(s)/millilitre
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Carboplatin

SUB06614MIG · Substance

Active substance
Carboplatin
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
00 mg/ml milligram(s)/millilitre
Max total dose
00 mg/ml milligram(s)/millilitre
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Carboplatin

SUB06614MIG · Substance

Active substance
Carboplatin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
00 mg/ml milligram(s)/millilitre
Max total dose
00 mg/ml milligram(s)/millilitre
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Osimertinib

SUB176340 · Substance

Active substance
Osimertinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Osimertinib

SUB176340 · Substance

Active substance
Osimertinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cisplatin

SUB07483MIG · Substance

Active substance
Cisplatin
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
00 mg/ml milligram(s)/millilitre
Max total dose
00 mg/ml milligram(s)/millilitre
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cisplatin

SUB07483MIG · Substance

Active substance
Cisplatin
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
00 mg/ml milligram(s)/millilitre
Max total dose
00 mg/ml milligram(s)/millilitre
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

AbbVie Deutschland GmbH & Co. KG

Sponsor organisation
AbbVie Deutschland GmbH & Co. KG
Address
Knollstrasse
City
Ludwigshafen Am Rhein
Postcode
67061
Country
Germany

Scientific contact point

Organisation
AbbVie Deutschland GmbH & Co. KG
Contact name
Global Clinical Trials Helpdesk

Public contact point

Organisation
AbbVie Deutschland GmbH & Co. KG
Contact name
Global Clinical Trials Helpdesk

Third parties 8

OrganisationCity, countryDuties
Clario
ORL-000001148
Philadelphia, United States Other
Ventana Medical Systems Inc.
ORG-100043193
Oro Valley, United States Laboratory analysis
Iqvia Biotech Limited
ORG-100008726
Reading, United Kingdom Interactive response technologies (IRT)
Labcorp Central Laboratory Services SARL
ORG-100011524
Meyrin, Switzerland Laboratory analysis
Medidata Solutions Inc.
ORG-100016256
New York, United States Other
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
WCG Clinical Inc.
ORG-100040730
Wayland, United States Other
Veeva Systems Inc.
ORG-100006053
Pleasanton, United States E-data capture

Locations

4 EU/EEA countries · 17 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 9 4
Italy Authorised, recruiting 18 5
Portugal Ongoing, recruiting 8 3
Spain Ongoing, recruiting 15 5
Rest of world
Canada, Korea, Republic of, Australia, Japan, Singapore, China, United States, Israel, Taiwan
168

Investigational sites

Belgium

4 sites · Ongoing, recruiting
UZ Leuven
Pulmonology, Herestraat 49, 3000, Leuven
Jessa Ziekenhuis
Oncology, Stadsomvaart 11, 3500, Hasselt
Algemeen Ziekenhuis Delta
Oncology, Deltalaan 1, 8800, Roeselare
Centre hospitalier universitaire de Liege
Pneumology, Avenue De L'Hopital 1, 4000, Liege

Italy

5 sites · Authorised, recruiting
Ospedale San Raffaele S.r.l.
UOC Oncologia Medica, Via Olgettina 60, 20132, Milan
Universita' Campus Bio-medico Di Roma
Medical Oncology, Via Alvaro Del Portillo 200, 00128, Rome
I.F.O. Istituti Fisioterapici Ospitalieri
Oncologica Medica 2, Via Elio Chianesi N 53, 00144, Rome
Azienda Ospedaliero-Universitaria San Luigi Gonzaga
SCDU Medical Oncology, Regione Gonzole 10, 10043, Orbassano
Hospital Santa Maria Della Misericordia
S.C. Oncologia Medica, Piazzale Giorgio Menghini 1, 06129, Perugia

Portugal

3 sites · Ongoing, recruiting
Unidade Local De Saude De Santo Antonio E.P.E.
oncology, Largo Professor Abel Salazar, 4050-011, Porto
Hospital CUF Porto S.A.
oncology, Estrada Da Circunvalacao N 14341, 4100-180, Porto
CCAB Centro Clinico Academico Braga Associacao
oncology, Lugar De Sete Fontes S Victor, 4710-243, Braga

Spain

5 sites · Ongoing, recruiting
Fundacion Instituto Valenciano De Oncologia
Oncología, Calle Professor Beltran Baguena 8, 46009, Valencia
Institut Catala D'oncologia
Oncología, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital Clinic De Barcelona
oncología médica, Calle Villarroel 170, 08036, Barcelona
Hospital General Universitario Gregorio Maranon
Oncología, Calle Del Doctor Esquerdo 46, 28009, Madrid
Hospital Universitario 12 De Octubre
Oncología, Avenida De Cordoba Sn, 28041, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2025-09-30 2025-11-19
Italy 2025-11-11
Portugal 2025-09-18 2026-04-02
Spain 2025-10-17 2026-04-01

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 49 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_m25287-protocol_Redacted - Public 2.0
Recruitment arrangements (for publication) K1 M25-287 BE Recruitment and ICF Procedures _Public 1
Recruitment arrangements (for publication) K1 M25-287 IT EU CTR Recruitment and ICF Procedures_Public 1
Recruitment arrangements (for publication) K1 M25-287 PT EU CTR Recruitment and ICF Procedures_ Public 1
Recruitment arrangements (for publication) K1_M25-287 ES EU CTR Recruitment and ICF Procedures_Public 1
Subject information and informed consent form (for publication) L1 M25-287 BE Addendum ICF - Dutch - Public 1
Subject information and informed consent form (for publication) L1 M25-287 BE Addendum ICF - English - Public 1
Subject information and informed consent form (for publication) L1 M25-287 BE Addendum ICF - French - Public 1
Subject information and informed consent form (for publication) L1 M25-287 BE Main ICF - Dose Escalation - English -Public 3
Subject information and informed consent form (for publication) L1 M25-287 BE Main ICF - Dose Escalation - French -Public 3
Subject information and informed consent form (for publication) L1 M25-287 BE Main ICF - Dose Escalation -Dutch -Public 3
Subject information and informed consent form (for publication) L1 M25-287 BE Main ICF - Dose Optimization-Expansion - Dutch -Public 3
Subject information and informed consent form (for publication) L1 M25-287 BE Main ICF - Dose Optimization-Expansion - English - Public 3
Subject information and informed consent form (for publication) L1 M25-287 BE Main ICF - Dose Optimization-Expansion - French -Public 3
Subject information and informed consent form (for publication) L1 M25-287 BE Optional ICF - Dose Escalation - Dutch - Public 3
Subject information and informed consent form (for publication) L1 M25-287 BE Optional ICF - Dose Escalation - English - public 3
Subject information and informed consent form (for publication) L1 M25-287 BE Optional ICF - Dose Escalation - French- public 3
Subject information and informed consent form (for publication) L1 M25-287 BE Optional ICF - Dose Optimization-Expansion - Dutch - public 3
Subject information and informed consent form (for publication) L1 M25-287 BE Optional ICF - Dose Optimization-Expansion- English - Public 3
Subject information and informed consent form (for publication) L1 M25-287 BE Optional ICF - Optimization-Expansion- French - public 3
Subject information and informed consent form (for publication) L1 M25-287 BE Preg Part ICF - Dose Escalation - Dutch - Public 2
Subject information and informed consent form (for publication) L1 M25-287 BE Preg Part ICF - Dose Escalation - English - Public 2
Subject information and informed consent form (for publication) L1 M25-287 BE Preg Part ICF - Dose Escalation - French - Public 2
Subject information and informed consent form (for publication) L1 M25-287 BE Preg Part ICF - Dose Optimization-Expansion - Dutch - Public 2
Subject information and informed consent form (for publication) L1 M25-287 BE Preg Part ICF - Optimization-Expansion - English - Public 2
Subject information and informed consent form (for publication) L1 M25-287 BE Preg Part ICF - Optimization-Expansion - French - Public 2
Subject information and informed consent form (for publication) L1 M25-287 IT Dose Escalation Combined ICF_Public 2.0
Subject information and informed consent form (for publication) L1 M25-287 IT Dose Expansion Combined ICF_Public 2.0
Subject information and informed consent form (for publication) L1 M25-287 IT Pregnat Authorization for data release form_Public 2.0
Subject information and informed consent form (for publication) L1 M25-287 PT Addendum ICF Imagiologic Disease Progression _Public 1
Subject information and informed consent form (for publication) L1 M25-287 PT Combined Main and Optional Escalation ICF Public 6.0
Subject information and informed consent form (for publication) L1 M25-287 PT Combined Main and Optional optimization expansion ICF_Public 7.0
Subject information and informed consent form (for publication) L1 M25-287 PT Pregnancy ICF Public 5.0
Subject information and informed consent form (for publication) L1_M25-287 ES Continued Treatment following disease progression ICF_Public 1.0
Subject information and informed consent form (for publication) L1_M25-287 ES Main ICF - Dose escalation_Public 2.0
Subject information and informed consent form (for publication) L1_M25-287 ES Main ICF - Dose expansion-Dose optimization_Public 2.0
Subject information and informed consent form (for publication) L1_M25-287 ES Optional ICF_Public 2.0
Subject information and informed consent form (for publication) L1_M25-287 ES Pregnant Partner ICF_Public 1.0
Summary of Product Characteristics (SmPC) (for publication) E1_spc_osimertinib 1
Summary of Product Characteristics (SmPC) (for publication) E2_spc-carboplatin 1.0
Summary of Product Characteristics (SmPC) (for publication) E2_spc-cisplatin 1.0
Summary of Product Characteristics (SmPC) (for publication) E2_spc-pemetrexed 1.0
Synopsis of the protocol (for publication) D1_m25287-euctr-synopsis-DE-BE 1.0
Synopsis of the protocol (for publication) D1_m25287-euctr-synopsis-EN-EN 1.0
Synopsis of the protocol (for publication) D1_m25287-euctr-synopsis-ES-ES 1.0
Synopsis of the protocol (for publication) D1_m25287-euctr-synopsis-FR-BE 1.0
Synopsis of the protocol (for publication) D1_m25287-euctr-synopsis-IT-IT 1.0
Synopsis of the protocol (for publication) D1_m25287-euctr-synopsis-NL-BE 1.0
Synopsis of the protocol (for publication) D1_m25287-euctr-synopsis-PT-PT 1.0

Application history

6 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-04-29 Portugal Acceptable
2025-08-25
2025-08-25
2 SUBSTANTIAL MODIFICATION SM-1 2025-09-12 Acceptable 2025-11-24
3 SUBSTANTIAL MODIFICATION SM-3 2025-09-19 Acceptable 2025-10-27
4 SUBSTANTIAL MODIFICATION SM-2 2025-09-26 Acceptable 2025-11-04
5 SUBSTANTIAL MODIFICATION SM-4 2025-12-19 Portugal Acceptable
2026-03-09
2026-03-11
6 SUBSTANTIAL MODIFICATION SM-5 2026-03-27 Portugal Acceptable 2026-04-14