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Zipalertinib (CLN-081)

EGFR exon 20 insertion-mutated non-small-cell lung cancer

Also known as TAS6417
Manufacturer
Taiho Oncology
Regulatory submission
NDA submitted February 2026
Launch
Not announced
Last updated
75 sources

Clinical evidence

REZILIENT1

24 evidence topics · 15 sources

Objective
Location and study date
Study design
Eligibility criteria
Treatment
Study outcomes
Rationale for using RECIST v1.1 objective response rate as the primary endpoint
Statistical analysis description
Number of participants (Planned and analyzed)
Pivotal analysis populations
Description of analysis sets
Results
Participant disposition
Baseline characteristics
Pivotal safety population: baseline characteristics
CharacteristicValue
Median age, years (range)“65 (31–86)”
Female participants, n (%)“157 (64)”
Efficacy results
Pivotal overall efficacy population: response outcomes
EndpointValue
Confirmed ORR, overall efficacy population“35%”
Median DOR, months“8.8”
Health-related quality of life and patient-reported outcomes

No evidence found.

Safety results
Pivotal safety population: grade ≥3 treatment-related adverse events, n (%)
Study limitations
Summary

The trial is open-label. Its pivotal efficacy population included 176 participants with approximately 8 months of minimum follow-up, whereas 244 participants formed the safety population. Prior-treatment cohorts and the later 84-participant amivantamab cohort have different eligibility histories and follow-up cutoffs. Their response estimates should not be treated as randomized comparisons or as interchangeable analyses. The phase 1/2a results are an earlier analysis of the same development program.