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Non-Small Cell Lung Cancer (NSCLC)Phase 1NCT05364073

Study of Furmonertinib in Patients With Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) With Activating, Including Uncommon, Epidermal Growth Factor Receptor (EGFR) or Human Epidermal Growth Factor Receptor 2 (HER2) Mutations

A Phase 1 study testing Furmonertinib in people with Non-Small Cell Lung Cancer (NSCLC) and Metastatic Non-Small Cell Lung Cancer, run by ArriVent BioPharma, Inc. at 42 sites in 11 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This is a Phase 1b, open-label, multi-center, dose-escalation and dose expansion study designed to evaluate the safety, pharmacokinetics (PK), and preliminary antitumor activity of furmonertinib in patients with advanced or metastatic non-small cell lung cancer (NSCLC) with activating, including uncommon, Epidermal… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Furmonertinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
160 participants
Where
42 sitesin 11 countries
Study dates
30 Jun 2022to 31 Dec 2026
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically or cytologically documented, locally advanced or metastatic Non-Small Cell Lung Cancer (NSCLC) not amenable to curative surgery or radiotherapy.
  • Disease that has progressed after at least one available standard therapy; or for whom standard therapy has proven to be ineffective or intolerable; or for whom a clinical trial of an investigational agent is a recognized standard of care.
  • Documented radiologic disease progression during or after the last systemic anti-cancer therapy before the first dose of furmonertinib.
  • For patients with Epidermal Growth Factor Receptor (EGFR) mutations sensitive to osimertinib, the patient must have received osimertinib prior to study enrollment in regions where osimertinib is approved, including the US.
  • Stage 1 dose escalation and backfill cohorts and Stage 2 Cohorts 1, 2, 3 and 4:
  • -Patients with CNS metastases (including leptomeningeal disease) may be eligible if meeting additional protocol specified criteria.
Show all 22Show fewer
  • Stage 1 Dose Escalation and Backfill Cohorts Inclusion Criteria:
  • Documented validated results from local testing of tumor tissue or blood confirming the presence of an activating, including uncommon, EGFR mutation or HER2 exon 20 insertion mutation performed at a CLIA-or equivalently certified laboratory.
  • Stage 2 Cohort 1 Previously Treated, Locally Advanced or Metastatic NSCLC Patients with EGFR Exon 20 Insertion Mutations Inclusion Criteria
  • Documented validated results from local testing of either tumor tissue or blood confirming the presence of EGFR Exon 20 insertion mutations, performed at a CLIA- or equivalently certified laboratory.
  • The patient must have experienced disease progression or have intolerance to treatment with platinum-based chemotherapy.
  • Stage 2 Cohort 2 Previously treated, Locally Advanced or Metastatic NSCLC Patients with HER2 Exon 20 Insertion Mutations Inclusion Criteria
  • Documented validated results from local testing of either tumor tissue or blood confirming the presence of HER2 Exon 20 insertion mutations, performed at a CLIA- or equivalently certified laboratory.
  • The patient must have experienced disease progression or have intolerance to treatment with platinum-based chemotherapy.
  • In regions in which fam-trastuzumab deruxtecan-nxki is approved and available for adult patients with unresectable or metastatic NSCLC whose tumors have activating HER2 exon 20 mutations, the patient must have received or be considered not appropriate to receive fam-trastuzumab deruxtecan-nxki.
  • Stage 2 Cohort 3 Previously Treated, Locally Advanced or Metastatic NSCLC Patients with EGFR Activating Mutations Mutations, who are not eligible for Cohorts 1 and 4 Inclusion Criteria
  • Documented validated results from local testing of either tumor tissue or blood confirming the presence of an EGFR activating mutation, performed at a CLIA- or equivalently certified laboratory.
  • The patient must have experienced disease progression or have intolerance to treatment with the standard of care EGFR TKI.
  • Patients with CNS metastases may be eligible if meeting additional protocol specified criteria.
  • Stage 2 Cohort 4 Untreated or Previously Treated EGFR TKI-Naïve, Locally Advanced or Metastatic NSCLC Patients with EGFR Uncommon Mutations excluding EGFR Exon 20 insertions Inclusion Criteria
  • Previously untreated in the locally advanced or metastatic setting or have progressed after at least 1 available standard therapy, or for whom standard therapy has proven to be ineffective, intolerable, or considered inappropriate
  • Documented validated results from local testing of either tumor tissue or blood confirming the presence of an EGFR Uncommon mutation, performed at a CLIA- or equivalently certified laboratory a. Representative mutations include, but are not limited to, G719X, S768I, E709X, G779F, L747X, V774M, E709_T710delinsD, R776C/H, G724S, E736K, I740_K745dup, N771G, K757M/R, V769L/M, T854X, T751_I759delinsN

Who cannot join

  • Treatment with chemotherapy, targeted therapy, biologic therapy or an investigational agent as anti-cancer therapy within 3 or 3 elimination weeks or five half-lives prior to initiation of furmonertinib, whichever is shorter, or endocrine therapy within 2 weeks prior to initiation of furmonertinib.
  • Radiation therapy as cancer therapy within 4 weeks prior to initiation of furmonertinib.
  • Palliative radiation to bone metastases within 2 weeks prior to initiation of furmonertinib.
  • AE from prior anticancer therapy that have not resolved to Grade ≤ 1 except for alopecia or Grade ≤ 2 peripheral neuropathy.
  • Stage 2 Cohort 4 Untreated or Previously Treated EGFR TKI-Naïve, Locally Advanced or Metastatic NSCLC Patients with EGFR Uncommon Mutations Exclusion Criteria
  • Prior treatment with any EGFR TKIs
  • Progression during neoadjuvant or adjuvant therapy (e.g., chemotherapy, radiotherapy, immunotherapy or investigational agents) or within 12 months of completion of above therapies.

Trial locations and contacts

42 sites in 11 countries.

42 sites in 11 countries

China14 sites
  • Allist Investigative Site

    Beijing, Beijing Municipality, 101119

  • Allist Investigative Site

    Changchun, Jilin, 130012

  • Allist Investigative Site

    Chaoyang, Beijing Municipality, 100021

  • Allist Investigative Site

    Chongqing, Chongqing Municipality, 400030

  • Allist Investigative Site

    Harbin, Heilongjiang, 150081

  • Allist Investigative Site

    Hefei, Anhui, 230001

  • Allist Investigative Site

    Jinan, Shandong, 250021

  • Allist Investigative Site

    Jinan, Shandong, 250117

  • Allist Investigative Site

    Nanchang, Jianxi, 330008

  • Allist Investigative Site

    Taiyuan, Shanxi, 030013

  • Allist Investigative Site

    Wuhan, Hubei, 430022

  • Allist Investigative Site

    Xuzhou, Jiangsu, 221000

  • Allist Investigative Site

    Zhengzhou, Henan, 450003

  • Allist Investigative Site

    Zhengzhou, Henan, 450052

Other trials in China

United States7 sites
  • ArriVent Investigative Site

    Celebration, Florida, 34747

  • ArriVent Investigative Site

    Detroit, Michigan, 48202

  • ArriVent Investigative Site

    Fairfax, Virginia, 22031

  • ArriVent Investigative Site

    Houston, Texas, 77030

  • ArriVent Investigative Site

    Prescott, Arizona, 86301

  • ArriVent Investigative Site

    Sacramento, California, 95817

  • ArriVent Investigative Site

    Whittier, California, 90603

Other trials in United States

Japan4 sites
  • ArriVent Investigative Site

    Chiba, Chiba, 260-0013

  • Arrivent Investigative Site

    Chūō, Tokyo, 104-0045

  • Arrivent Investigative Site

    Koto-Ku, Tokyo, 135-8550

  • Arrivent Investigative Site

    Ōsaka-sayama, Osaka, 589-8511

Other trials in Japan

Spain4 sites
  • ArriVent Investigative Site

    Barcelona, 08035

  • ArriVent Investigative Site

    Madrid, 28033

  • ArriVent Investigative Site

    Madrid, 28050

  • ArriVent Investigative Site

    Valencia, 46026

Other trials in Spain

Australia3 sites
  • ArriVent Investigative Site

    Blacktown, New South Wales, 2148

  • ArriVent Investigative Site

    Heidelberg, Victoria, 3084

  • ArriVent Investigative Site

    St Leonards, New South Wales, 2065

Other trials in Australia

France3 sites
  • ArriVent Investigative Site

    Lyon, 69373

  • Arrivent Investigative Site

    Toulouse, 31059

  • Arrivent Investigative Site

    Villejuif, 94800

Other trials in France

Canada2 sites
  • Arrivent Investigative Site

    Edmonton, T6G 1Z2

  • Arrivent Investigative Site

    Toronto, M5G 2M9

Other trials in Canada

South Korea2 sites
  • Arrivent Investigative Site

    Gwangju, 61469

  • Arrivent Investigative Site

    Seoul, 2447

Other trials in South Korea

Italy1 site
  • ArriVent Investigative Site

    Medolla, 47014

Other trials in Italy

Netherlands1 site
  • Arrivent Investigative Site

    Amsterdam, North Holland, 1066 CX

Other trials in Netherlands

United Kingdom1 site
  • ArriVent Investigative Site

    London, NW12PG

Other trials in United Kingdom

About this study

Official title: A Phase 1b Dose Escalation and Dose Expansion Study Evaluating the Safety, Pharmacokinetics, and Antitumor Activity of Furmonertinib in Patients With Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) With Activating Epidermal Growth Factor Receptor (EGFR) or Human Epidermal Growth Factor Receptor 2 (HER2) Mutations

This is a Phase 1b, open-label, multi-center, dose-escalation and dose expansion study designed to evaluate the safety, pharmacokinetics (PK), and preliminary antitumor activity of furmonertinib in patients with advanced or metastatic non-small cell lung cancer (NSCLC) with activating, including uncommon, Epidermal Growth Factor Receptor (EGFR) or Human Epidermal Growth Factor Receptor 2 (HER2) mutations. Patients will be enrolled into one of 2 stages: Stage 1 (Dose Escalation and Backfill Cohorts) and Stage 2 (Dose Expansion).

Being tested
Furmonertinib
Keywords
Non-small cell lung cancer (NSCLC), Metastatic Non-Small Cell Lung Cancer, Advanced Non-Small Cell Lung Cancer, EGFR, HER2, Exon 20 Insertion Mutations, HER2 kinase domain mutations, Epidermal Growth Factor Receptor (EGFR) kinase domain mutations, Exon 20, Epidermal Growth Factor Receptor (EGFR) Exon 20 Insertion Mutations, HER2 Exon 20 Insertion Mutations, Tyrosine Kinase Inhibitor (TKI), Human Epidermal Growth Factor Receptor 2 (HER2), Epidermal Growth Factor Receptor (EGFR), EGFR uncommon mutations, EGFR atypical mutations, EGFR rare mutations, V774M, G719X, S768I
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FurmonertinibDrug

    Also called AST2818

    Furmonertinib tablet

  • FurmonertinibDrug

    Also called AST2818

    Furmonertinib tablet

  • FurmonertinibDrug

    Also called AST2818

    Furmonertinib tablet

  • FurmonertinibDrug

    Also called AST2818

    Furmonertinib tablet

  • FurmonertinibDrug

    Also called AST2818

    Furmonertinib tablet

Study groups in NCT05364073
Study groupRoleWhat they receive
Stage 1 Dose Escalation and BackfillExperimentalExperimental: Previously treated patients with advanced or metastatic NSCLC with activating EGFR or HER2 mutations
Receives: Drug: Furmonertinib
Stage 2 Expansion Cohort 1ExperimentalPreviously Treated NSCLC Patients with EGFR Exon 20 Insertion Mutations
Receives: Drug: Furmonertinib
Stage 2 Expansion Cohort 2ExperimentalPreviously treated NSCLC Patients with HER2 Exon 20 Insertion Mutations
Receives: Drug: Furmonertinib
Stage 2 Expansion Cohort 3ExperimentalPreviously treated NSCLC Patients with EGFR Activating Mutations, who are not eligible for Cohorts 1 and 4
Receives: Drug: Furmonertinib
Stage 2 Expansion Cohort 4ExperimentalUntreated or Previously treated EGFR TKI Naïve NSCLC Patients with EGFR Uncommon Mutations, excluding EGFR exon 20 insertion mutations
Receives: Drug: Furmonertinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Stage 1: Number of incidence and severity of adverse events (AEs) as a measure of safety and tolerability of Furmonertinib

    Measured: Up to 36 months after first dose

  2. Stage 2: Overall Response Rate (ORR)

    Measured: Up to 36 months after first dose

Secondary outcomes (21)
  1. Stage 1: Overall Response Rate

    Measured: Up to 36 months after first dose

  2. Stage 1: Duration of Response (DOR)

    Measured: Up to 36 months after first dose

  3. Stage 1: Disease Control Rate

    Measured: Up to 36 months after first dose

  4. Stage 1: Progression Free Survival

    Measured: Up to 36 months after first dose

  5. Stage 1: Depth of Response

    Measured: Up to 36 months after first dose

  6. Stage 1: Overall survival

    Measured: Up to 36 months after first dose

  7. Stage 1: Central Nervous System ORR

    Measured: Up to 36 months after first dose

  8. Stage 1: Central Nervous System DOR

    Measured: Up to 36 months after first dose

  9. Stage 1: Plasma concentrations of furmonertinib and its major metabolite (AST5902)

    Measured: Up to 36 months after first dose

  10. Stage 1, Cohort 1, Backfill only: Plasma concentrations of furmonertinib and its major metabolite (AST5902)

    Measured: Up to 36 months after first dose

  11. Stage 1, Cohort 1, Backfill only: Plasma concentrations of midazolam and its metabolite (1-OH-midazolam)

    Measured: Up to 36 months after first dose

  12. Stage 2, all cohorts: Duration of Response

    Measured: Up to 36 months after first dose

  13. Stage 2, all cohorts: Disease Control Rate

    Measured: Up to 36 months after first dose

  14. Stage 2, all cohorts: Progression Free Survival

    Measured: Up to 36 months after first dose

  15. Stage 2, all cohorts: Depth of Response

    Measured: Up to 36 months after first dose

  16. Stage 2, all cohorts: Overall survival

    Measured: Up to 36 months after first dose

  17. Stage 2, all cohorts: Central Nervous System ORR

    Measured: Up to 36 months after first dose

  18. Stage 2, all cohorts: Central Nervous System DOR

    Measured: Up to 36 months after first dose

  19. Stage 2, Cohort 4 only: Overall Response Rate

    Measured: Up to 36 months after first dose

  20. Stage 2, all cohorts: Number of incidence and severity of AEs as a measure of safety and tolerability of Furmonertinib

    Measured: Up to 36 months after first dose

  21. Stage 2, all cohorts: Plasma concentrations of furmonertinib and its major metabolite (AST5902)

    Measured: Up to 36 months after first dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 May 2022
  2. Study start30 Jun 2022
  3. Primary completion3 Jun 2025
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
160 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05364073
Sponsor's protocol ID
FURMO-002
Status last verified
Mar 2026
First submitted
6 Apr 2022
Last updated
13 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Furmonertinib in people with Non-Small Cell Lung Cancer (NSCLC) and Metastatic Non-Small Cell Lung Cancer, run by ArriVent BioPharma, Inc. at 42 sites in 11 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 22 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 13 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in China, United States, Japan, Spain, Australia and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Stage 1: Number of incidence and severity of adverse events (AEs) as a measure of safety and tolerability of Furmonertinib (time frame: Up to 36 months after first dose). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Mar 2026.

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