Quaratusugene Ozeplasmid (Reqorsa) and Osimertinib in Patients With Advanced Lung Cancer Who Progressed on Osimertinib
NCT04486833 · Status: RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 158
Last updated 2026-01-21
Summary
The purpose of this randomized study is to determine the safety and efficacy of quaratusugene ozeplasmid (Reqorsa) added to osimertinib in NSCLC patients with activating EGFR mutations who have progressed while on treatment with osimertinib. Quaratusugene ozeplasmid consists of non-viral lipid nanoparticles that encapsulate a DNA plasmid with the TUSC2 tumor suppressor gene and is the first systemic gene therapy for cancer.
The study is comprised of a Phase 1 dose escalation portion and two Phase 2 portions evaluating safety and efficacy. Enrollment in the Phase 1 dose escalation portion is complete and the recommended Phase 2 dose (RP2D) was determined. Phase 2a has initiated and enrolled patients are treated with quaratusugene ozeplasmid at the RP2D in combination with osimertinib. In Phase 2b, patients will be randomized to receive either quaratusugene ozeplasmid plus osimertinib or platinum-based chemotherapy.
Conditions
- Carcinoma, Non-Small Cell Lung
Interventions
- BIOLOGICAL
-
quaratusugene ozeplasmid
Quaratusugene ozeplasmid is an experimental non-viral immunogene therapy utilizing the TUSC2 gene, designed to target cancer cells by interrupting cell signaling pathways that allow cancer cells to grow, reestablishing pathways that promote cancer cell death and modulating the immune response against cancer cells.
- DRUG
-
Osimertinib is a 3rd generation EGFR tyrosine kinase inhibitor (TKI) oral tablet administered daily, as indicated for treatment of patients with metastatic NSCLC whose tumors have EGFR genetic deletions or mutations.
- DRUG
-
Platinum-Based Chemotherapy
Cisplatin and carboplatin are intravenously administered platinum agents that are combined with other cytotoxic chemotherapy agents such as pemetrexed.
Sponsors & Collaborators
-
Genprex, Inc.
lead INDUSTRY
Principal Investigators
-
Mark S. Berger, MD · Genprex, Inc.
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-09-03
- Primary Completion
- 2028-03-31
- Completion
- 2029-03-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
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
NCT07005102 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Osimertinib Combined With Bevacizumab in Patients With Brain Metastasis Epidermal Growth Factor Receptor (EGFR) Mutation Positive Metastatic Non-Small Cell Lung Cancer
NCT05104281 ·Status: UNKNOWN ·Phase: PHASE3
-
Study of Osimertinib With and Without Ramucirumab in Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)
NCT03909334 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Osimertinib In EGFR Mutant Lung Cancer
NCT03586453 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Osimertinib Alone or With Chemotherapy for EGFR-Mutant Lung Cancers
NCT04410796 ·Status: RECRUITING ·Phase: PHASE2
-
A Study to Evaluate Safety and Efficacy of WSD0922-FU Combo With Osimertinib for NSCLC
NCT07206498 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Osimertinib, Cetuximab, and Tucatinib for the Treatment of EGFR-Mutant Stage IV or Recurrent Non-small Lung Cell Cancer
NCT06067776 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1
-
Local Ablative Therapy for Treatment of Oligoprogressive, EGFR-Mutated, Non-Small Cell Lung Cancer After Treatment With Osimertinib
NCT02759835 ·Status: COMPLETED ·Phase: PHASE2
-
Osimertinib for NSCLC With EGFR Exon 20 Insertion Mutation
NCT03414814 ·Status: COMPLETED ·Phase: PHASE2
-
A Multicountry, Multicentre, Non-interventional, Retrospective Study to Determine Real-world Treatment Patterns and Associated Outcomes After First Line Osimertinib in Patients With Advanced and Metastatic NSCLC EGFRm in the GCC Region
NCT06039683 ·Status: COMPLETED
-
Osimertinib Monotherapy or Combination With Chemotherapy for Advanced NSCLC Concurrent EGFR and TP53 Mutations
NCT04695925 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Prospective Non-Interventional Study Comparing Osimertinib +/- Chemotherapy for EGFR-Mutated NSCLC Patients
NCT06538038 ·Status: RECRUITING
-
MRX-2843 and Osimertinib for the Treatment of Advanced EGFR Mutant Non-small Cell Lung Cancer
NCT04762199 ·Status: RECRUITING ·Phase: PHASE1
-
Osimertinib Combined With Bevacizumab in the Treatment Epidermal Growth Factor Receptor (EGFR) Exon 20 Insertions Metastatic Non-Small Cell Lung Cancer
NCT04974879 ·Status: UNKNOWN ·Phase: PHASE2
-
A Study Osimertinib in Patients With Stage 4 Non-small Cell Lung Cancer With Uncommon EGFR Mutations
NCT03434418 ·Status: COMPLETED ·Phase: PHASE2
-
Regorafenib and Methotrexate in Treating Participants With Recurrent or Metastatic KRAS Mutated Non-Small Cell Lung Cancer
NCT03520842 ·Status: COMPLETED ·Phase: PHASE2
-
Osimertinib With Stereotactic Radiosurgery (SRS) in Brain Metastases From EGFR Positive NSCLC
NCT03535363 ·Status: COMPLETED ·Phase: PHASE1
-
Phase I Study of Repotrectinib and Osimertinib in NSCLC Patients
NCT04772235 ·Status: RECRUITING ·Phase: PHASE1
-
Study of Osimertinib in Patients with a Lung Cancer with Brain or Leptomeningeal Metastases with EGFR Mutation
NCT04233021 ·Status: COMPLETED ·Phase: PHASE2
-
Osimertinib With Chemotherapy as First-line Therapy for EGFR Mutation-positive NSCLC
NCT06376084 ·Status: ACTIVE_NOT_RECRUITING
-
Osimertinib and Bevacizumab as Treatment for EGFR-mutant Lung Cancers
NCT02803203 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Osimertinib and Necitumumab in Treating Patients With EGFR-Mutant Stage IV or Recurrent Non-small Cell Lung Cancer Who Have Progressed on a Previous EGFR Tyrosine Kinase Inhibitor
NCT02496663 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Minnelide and Osimertinib for the Treatment of Advanced EGFR Mutated Non-Small Cell Lung Cancer
NCT05166616 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Osimertinib and Tegavivint as First-Line Therapy for the Treatment of Metastatic EGFR-Mutant Non-small Cell Lung Cancer
NCT04780568 ·Status: RECRUITING ·Phase: PHASE1
-
A Phase 2 Study of Osimertinib in Combination With Selumetinib in EGFR Inhibitor naïve Advanced EGFR Mutant Lung Cancer
NCT03392246 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2