Study to Assess the Effect of Osimertinib (TAGRISSO™ ) on Blood Levels of Fexofenadine in Patients With EGFRm+ NSCLC

Inclusion Criteria:

* Male or female, ≥18 years
* Histological or cytological confirmation diagnosis of NSCLC
* Radiological documentation of disease progression while receiving previous continuous treatment with an EGFR-TKI.
* Confirmation that the tumour harbours an EGFR mutation known to be associated with EGFR-TKI sensitivity
* ECOG performance status 0 to 1, with no deterioration over the previous 2 weeks.
* Patients must have a life expectancy of 12 weeks or longer
* Females should be using adequate contraceptive measures and must have a negative serum pregnancy test prior to start of dosing if of child-bearing potential or must have evidence of non-child bearing potential.
* Male patients should be willing to use barrier contraception ie, condoms until 6 months after the last study drug is taken.
* For inclusion in optional genetic research, patients must provide separate informed consent.

Exclusion Criteria:

* Treatment with any of the following:

  * A 1st or 2nd generation EGFR-TKI within 8 days or approximately 5 half-lives, of the first dose of study treatment
  * Osimertinib in the present study \[ie, dosing with osimertinib previously initiated in this study\] or has previously received a 3rd generation EGFR-TKI \[eg, CO 1686\].
  * Any cytotoxic chemotherapy, investigational agents or other anticancer drugs from a previous treatment regimen or clinical study within 14 days of the first dose of study treatment.
  * Major surgery \[excluding placement of vascular access\] within 4 weeks of the first dose of study treatment.
  * Radiotherapy with a limited field of radiation for palliation within 1 week of the first dose of study treatment
  * Patients currently receiving \[or unable to stop at least 3 weeks prior to first dose of osimertinib\] medications or herbal supplements known to be potent inducers of CYP3A4 or inducers/inhibitors of P-gp.
* Spinal cord compression or brain metastases, unless asymptomatic, stable and not requiring steroids for at least 4 weeks prior to start of study treatment.
* Any of the following cardiac criteria:

  * Mean resting corrected QT interval corrected for heart rate using Fridericia's correction factor \[QTcF\] greater than 470 msec, obtained from 3 ECGs.
  * Any clinically important abnormalities in rhythm, conduction or morphology of resting ECG \[eg, complete left bundle branch block, third degree heart block, second degree heart block, PR interval greater than 250 msec\]
  * Any factors that increase the risk of QTc prolongation or risk of arrhythmic events such as heart failure, hypokalaemia, congenital long QT syndrome, family history of long QT syndrome or unexplained sudden death under 40 years of age or any concomitant medication known to prolong the QT interval
* Past medical history of interstitial lung disease, drug-induced interstitial lung disease, radiation pneumonitis which required steroid treatment, or any evidence of clinically active interstitial lung disease.
* Inadequate bone marrow reserve or organ function as demonstrated by any of the following laboratory values:

  * Absolute neutrophil count \[ANC\] less than 1.5 × 109/L
  * Platelet count less than 100 × 109/L
  * Haemoglobin less than 90 g/L
  * ALT greater than 2.5 times ULN if no demonstrable liver metastases or greater than 5 times ULN in the presence of liver metastases
  * AST greater than 2.5 times ULN if no demonstrable liver metastases or greater than 5 times ULN in the presence of liver metastases
  * Total bilirubin greater than 1.5 times ULN if no liver metastases or greater than 3 times ULN in the presence of liver metastases
  * Creatinine greater than 1.5 times institutional ULN concurrent with creatinine clearance less than 50 mL/min \[measured or calculated by Cockcroft-Gault formula\]
* Patients unable to swallow orally administered medication or with gastrointestinal disorders or significant gastrointestinal resection likely to interfere with the absorption of the study drugs.