A Study of Clinical Outcomes in Participants With EGFR Mutated Advanced Non-Small Cell Lung Cancer (NSCLC) in a Real-World Setting
LEPIDOPTERA
Prospective, Multi Country, Observational Study of Clinical Outcomes in EGFR-mutated, Advanced Non-Small Cell Lung Cancer (NSCLC) Patients Treated With Approved Amivantamab-containing Regimens Under Standard Clinical Practice
1 other identifier
observational
380
8 countries
80
Brief Summary
The purpose of this study is to describe the clinical and health-related outcomes of amivantamab-containing regimens for the treatment of common epidermal growth factor receptor (EGFR) mutated non-small cell lung cancer (NSCLC; most common type of lung cancer) in a real-world setting. Metastatic NSCLC is when this disease spreads to other parts of body. NSCLC may occur due to mutations (changes) in many genes including epidermal growth factor receptor (EGFR).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Dec 2025
Longer than P75 for all trials
80 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 14, 2025
CompletedFirst Posted
Study publicly available on registry
November 17, 2025
CompletedStudy Start
First participant enrolled
December 3, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 19, 2030
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 17, 2030
July 31, 2026
July 1, 2026
5 years
November 14, 2025
July 30, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Real-World Time to Treatment Discontinuation (rwTTD)
rwTTD is defined as the time from the date of initiation of the amivantamab-containing regimen to discontinuation of the full amivantamab containing regimen for any reason, including disease progression, treatment toxicity or death.
Up to approximately 60 Months
Secondary Outcomes (10)
Real-World Progression-Free Survival (rwPFS)
Up to approximately 60 Months
Real-World Time to Next Treatment (rwTTNT)
Up to approximately 60 Months
Real-World Overall Survival (rwOS)
Up to approximately 60 Months
Real-World Time to Subsequent Treatment Discontinuation (rwTTD2)
Up to approximately 60 Months
Number of Participants with Adverse Events (AEs) by Severity
Up to approximately 60 Months
- +5 more secondary outcomes
Study Arms (2)
Cohort B: Amivantamab with carboplatin and pemetrexed
Participants with confirmed diagnosis of advanced NSCLC with EGFR exon 19 deletions or exon 21 L858R substitution mutations after failure of prior therapy including an EGFR TKI, who received at least 1 dose of amivantamab in combination with carboplatin and pemetrexed, as per standard clinical practice will be enrolled. No drug will be provided as part of this study. Only data available within routine clinical practice will be collected in this study.
Cohort C: Amivantamab and lazertinib
Participants with confirmed diagnosis of advanced NSCLC with EGFR exon 19 deletions or exon 21 L858R substitution mutations (first-line therapy) who received at least 1 dose of amivantamab in combination with lazertinib as per standard clinical practice will be enrolled. No drug will be provided as part of this study. Only data available within routine clinical practice will be collected in this study.
Eligibility Criteria
The study population will include participants with advanced NSCLC.
You may qualify if:
- Participant has a confirmed diagnosis of common epidermal growth factor receptor (EGFR)-mutated non-small cell lung cancer (NSCLC) (EGFR exon 19 deletions or exon 21 L858R substitution) and is eligible for an amivantamab-containing regimen per the judgment of the treating physician and in alignment with the approved amivantamab indications and recommended prophylactic and reactive medication as described in the local specific summary of product characteristics (SmPC) for amivantamab
- Participants or their legally acceptable representative, where applicable, must sign a participation agreement/Informed consent form (ICF) allowing source data verification in accordance with local requirements
- Participant is being planned to be initiated with an amivantamab-containing regimen for the first time within 4 weeks following the visit for start of data collection
- Decision to administer an amivantamab-containing regimen has been made prior to participant's enrollment in the study and is separate from the physician's decision to include the participant in the current study
You may not qualify if:
- At the time of the initiation of the amivantamab-containing regimen, the participant is receiving an active systemic anticancer treatment for advanced NSCLC that is not included in the locally approved combination regimen with amivantamab (regardless of whether it is part of an interventional study). One cycle of platinum-based chemotherapy (for example, carboplatin-pemetrexed) is permitted prior to the first dose of amivantamab in a 1L while awaiting biopsy results
- Participant has received prior treatment with amivantamab in a clinical trial or for compassionate use
- Participants who are not receiving amivantamab but are being treated with a biosimilar or a non-original biologic agent
- Participants with conditions listed in the contraindications of the SmPC for amivantamab or other agents essential for the applicable amivantamab-containing treatment regimen (lazertinib/ platinum/ pemetrexed)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (80)
University Hospital Graz
Graz, 8036, Austria
Klinikum Klagenfurt am Worthersee
Klagenfurt, 9020, Austria
Landeskrankenhaus Hochzirl Natters
Natters, 6161, Austria
UZ Brussel
Brussels, 1090, Belgium
UZ Antwerpen
Edegem, 2650, Belgium
Jessa Ziekenhuis
Hasselt, 3500, Belgium
Az Groeninge
Kortrijk, 8500, Belgium
Chu Helora Hospital La Louviere Site Jolimont
La Louvière, 7100, Belgium
CHU de Liege
Liège, 4000, Belgium
Vitaz
Sint-Niklaas, 9100, Belgium
Fakultni nemocnice Brno
Brno, 625 00, Czechia
Fakultni nemocnice Hradec Kralove
Hradec Králové, 500 05, Czechia
Fakultni nemocnice Olomouc
Olomouc, 77900, Czechia
Fakultni Thomayerova nemocnice
Prague, 140 59, Czechia
MVZ am Klinikum Aschaffenburg Onkologie
Aschaffenburg, 63739, Germany
Evangelisches Klinikum Bethel
Bielefeld, 33611, Germany
Augusta Kliniken Bochum Hattingen
Bochum, 44791, Germany
Klinikum Chemnitz gGmbH
Chemnitz, 09113, Germany
Haematologie u Onkologie Koeln MV Zentrum
Cologne, 50677, Germany
Kliniken der Stadt Köln gGmbH, Krankenhaus Köln-Mehrheim
Cologne, 51109, Germany
Kliniken Essen-Mitte; Evangelische Huyssens-Stiftung
Essen, 45136, Germany
Universitaetsklinikum Essen
Essen, 45147, Germany
Facharztzentrum Eppendorf
Hamburg, 20249, Germany
Onkologie am Raschplatz
Hanover, 30161, Germany
Klinikum Region Hannover Klinikum Siloah
Hanover, 30449, Germany
Lungenklinik Hemer
Hemer, 58675, Germany
Klinikum Konstanz
Konstanz, 78464, Germany
LA Regio Kliniken Klinik Landshut Mitte
Landshut, 84034, Germany
MVZ fur Hamatologie und Onkologie Rhein Kreis GmbH
Neuss, 41462, Germany
Knappschaft Kliniken MVZ Nord GmbH
Recklinghausen, 45659, Germany
Hospital Bethanien Solingen
Solingen, 42699, Germany
MVZ Onkologie Groschek Keller
Stolberg, 52222, Germany
Bundeswehrkrankenhaus Ulm
Ulm, 89081, Germany
Rabin Medical Center
Petah Tikva, 4941492, Israel
Sheba Medical Center
Ramat Gan, 5262000, Israel
Assuta MC
Tel Aviv, 6971028, Israel
Ospedale San Giuseppe Moscati di Avellino
Avellino, 83100, Italy
Oncologia Medica - Irccs - Istituto Tumori Giovanni Paolo II
Bari, 70124, Italy
ASST Papa Giovanni XXIII Bergamo
Bergamo, 24127, Italy
ASST Spedali Civili Brescia
Brescia, 25123, Italy
Istituto di Candiolo, IRCCS
Candiolo, 10060, Italy
PO G.Rodolico, AOU Policlinico-Vittorio Emanuele Catania
Catania, 95123, Italy
Azienda Ospedaliera Pugliese Ciaccio Catanzaro
Catanzaro, 88100, Italy
Ospedale Policlinico San Martino IRCCS
Genova, 16132, Italy
Azienda Ospedaliera ''Vito Fazzi''
Lecce, 73100, Italy
San Raffaele Hospital
Milan, 20132, Italy
Istituto Dei Tumori Di Milano
Milan, 20133, Italy
European Institute of Oncology
Milan, 20141, Italy
ASST Grande Ospedale Metropolitano Niguarda
Milan, 20162, Italy
San Gerardo Hospital
Monza, 20900, Italy
Fondazione G Pascale Istituto Nazionale Tumori IRCCS
Naples, 80131, Italy
Azienda Ospedaliero Universitaria Maggiore della Carita di Novara
Novara, 28100, Italy
ASL Gallura - Ospedale Giovanni Paolo II
Olbia, 07026, Italy
Aou San Luigi Gonzaga
Orbassano, 10043, Italy
Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone
Palermo, 90127, Italy
A.O.R Villa Sofia Cervello
Palermo, 90146, Italy
Azienda Ospedaliero-Universitaria Di Parma
Parma, 43126, Italy
Fondazione Policlinico Universitario A Gemelli IRCCS
Roma, 00168, Italy
Campus Bio Medico di Roma
Roma, 128, Italy
Istituto Nazionale Tumori Regina Elena
Rome, 00144, Italy
Azienda Ospedaliero Universitaria di Sassari
Sassari, 07100, Italy
Ospedali Riuniti Di Ancona
Torrette-Ancona, 60126, Italy
Azienda Sanitaria Territoriale Pesaro Urbino
Urbino, 61121, Italy
Hosp Reina Sofia
Córdoba, 14004, Spain
Hosp. de Jerez de La Frontera
Jerez de la Frontera, 11407, Spain
Hosp. Univ. Lucus Augusti
Lugo, 27003, Spain
Hosp Regional Univ de Malaga
Málaga, 29011, Spain
Complexo Hosp. Univ. de Ourense
Ourense, 32005, Spain
Hosp. Univ. Son Espases
Palma de Mallorca, 07120, Spain
Hosp. Clinico Univ. de Santiago
Santiago de Compostela, 15706, Spain
Hospital Universitario Virgen Rocio
Seville, 41013, Spain
Hosp. Clinico Univ. de Valladolid
Valladolid, 47003, Spain
Royal United Hospital
Bath, BA1 3NG, United Kingdom
Velindre Hospital
Cardiff, CF14 2TL, United Kingdom
Eastbourne District General Hospital
Eastbourne, BN21 2UD, United Kingdom
Royal Surrey County Hospital NHS Trust
Guildford, GU2 7XX, United Kingdom
New Cross Hospital
Heath Town, WV10 0QP, United Kingdom
Royal Marsden Hospital
London, SW3 6JJ, United Kingdom
The Christie NHS Foundation Trust Christie Hospital
Manchester, M20 4BX, United Kingdom
Royal Marsden Hospital (Sutton)
Sutton, SM2 5PT, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Janssen Research & Development, LLC Clinical Trial
Janssen Research & Development, LLC
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 14, 2025
First Posted
November 17, 2025
Study Start
December 3, 2025
Primary Completion (Estimated)
November 19, 2030
Study Completion (Estimated)
December 17, 2030
Last Updated
July 31, 2026
Record last verified: 2026-07
Data Sharing
- IPD Sharing
- Will share
The data sharing policy of Johnson \& Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu