NCT05607550

Brief Summary

Global, Phase 3, randomized, multicenter, open-label study evaluating the efficacy and safety of furmonertinib (firmonertinib) at 2 dose levels (160 mg once daily \[QD\] and 240 mg QD) compared to platinum-based chemotherapy in previously untreated patients with locally advanced or metastatic non-squamous Non-Small Cell Lung Cancer (NSCLC) with Epidermal Growth Factor Receptor (EGFR) exon 20 insertion mutations. A target of approximately 375 patients will be randomized in a 1:1:1 ratio to treatment with furmonertinib 240 mg QD, furmonertinib 160 mg QD, or platinum-based chemotherapy.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
398

participants targeted

Target at P50-P75 for phase_3

Timeline
21mo left

Started Jun 2023

Longer than P75 for phase_3

Geographic Reach
19 countries

208 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress62%
Jun 2023Feb 2028

First Submitted

Initial submission to the registry

October 31, 2022

Completed
7 days until next milestone

First Posted

Study publicly available on registry

November 7, 2022

Completed
7 months until next milestone

Study Start

First participant enrolled

June 1, 2023

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 15, 2025

Completed
2.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 15, 2028

Expected
Last Updated

June 22, 2025

Status Verified

June 1, 2025

Enrollment Period

2.2 years

First QC Date

October 31, 2022

Last Update Submit

June 18, 2025

Conditions

Keywords

Non-Small Cell Lung Cancer (NSCLC)Exon 20FurmonertinibFirmonertinibAST2818FURMO-004Drug-Therapy

Outcome Measures

Primary Outcomes (1)

  • Progression Free Survival (PFS) determined by blinded independent central review (BICR)

    Up to 32 months after first dose

Secondary Outcomes (15)

  • Overall Survival (OS)

    Up to 62 months after first dose

  • PFS determined by investigator assessment

    Up to 36 months after first dose

  • Overall response rate (ORR)

    Up to 36 months after first dose

  • Duration of response (DOR)

    Up to 36 months after first dose

  • Time to second Progression Free Survival (PFS2)

    Up to 36 months after first dose

  • +10 more secondary outcomes

Study Arms (3)

furmonertinib 240 mg

EXPERIMENTAL
Drug: furmonertinib 240 mg oral, daily

furmonertinib 160 mg

EXPERIMENTAL
Drug: furmonertinib 160 mg oral, daily

platinum-based chemotherapy

ACTIVE COMPARATOR

carboplatin or cisplatin based on investigator's choice + pemetrexed intravenously

Drug: platinum-based chemotherapy

Interventions

furmonertinib tablet

Also known as: AST2818
furmonertinib 240 mg

furmonertinib tablet

Also known as: AST2818
furmonertinib 160 mg

(carboplatin or cisplatin based on investigator's choice) + pemetrexed intravenously (IV)

platinum-based chemotherapy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically documented, locally advanced or metastatic non-squamous Non-Small Cell Lung Cancer (NSCLC) not amenable to curative surgery or radiotherapy.
  • Documented results of the presence of an Epidermal Growth Factor Receptor (EGFR) exon 20 insertion mutation in tumor tissue or blood from local or central testing.
  • No prior systemic anticancer therapy regimens received for locally advanced or metastatic Non-Small Cell Lung Cancer (NSCLC) including prior treatment with any Epidermal Growth Factor Receptor (EGFR)-targeting agents (e.g., previous (EGFR) TKIs, monoclonal antibodies, or bispecific antibodies).
  • Patients who have received prior neo-adjuvant and/or adjuvant chemotherapy, immunotherapy, or chemo radiotherapy for non-metastatic disease (excluding EGFR-TKIs) must have experienced a treatment free interval of at least 12 months.
  • Patients with a history of treated CNS metastases or new asymptomatic CNS metastases are eligible.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (208)

Arrivent Investigative Site

Daphne, Alabama, 36526, United States

Location

Arrivent Investigative Site

Yuma, Arizona, 85364, United States

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Arrivent Investigative Site

Fayetteville, Arkansas, 72703, United States

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Arrivent Investigative Site

Beverly Hills, California, 90212, United States

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Arrivent Investigative Site

Fullerton, California, 92835, United States

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Arrivent Investigative Site

Long Beach, California, 90806, United States

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Arrivent Investigative Site

Los Alamitos, California, 90720, United States

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Arrivent Investigative Site

Napa, California, 94558, United States

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Arrivent Investigative Site

Orange, California, 90868, United States

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Arrivent Investigative Site

Orange, California, 92868, United States

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Arrivent Investigative site

Sacramento, California, 95817, United States

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Arrivent Investigative Site

San Diego, California, 92123, United States

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Arrivent Investigative Site

Santa Barbara, California, 93105, United States

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Arrivent Investigative Site

Santa Monica, California, 90404, United States

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Arrivent Investigative Site

Santa Rosa, California, 95403, United States

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Arrivent Investigative Site

Whittier, California, 90602, United States

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Arrivent Investigative Site

Hartford, Connecticut, 06102, United States

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Arrivent Investigative Site

Norwich, Connecticut, 06360, United States

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Arrivent Investigative Site

Fort Myers, Florida, 33901, United States

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Arrivent Investigative Site

St. Petersburg, Florida, 33705, United States

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Arrivent Investigative Site

The Villages, Florida, 32159, United States

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Arrivent Investigative Site

Peoria, Illinois, 61615, United States

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Arrivent Investigative Site

Rolling Meadows, Illinois, 60008, United States

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Arrivent Investigative Site

Fort Wayne, Indiana, 46804, United States

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Arrivent Investigative Site

Indianapolis, Indiana, 46250, United States

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Arrivent Investigative Site

South Bend, Indiana, 46601, United States

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Arrivent Investigative Site

Bethesda, Maryland, 20817, United States

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Arrivent Investigative Site

Frederick, Maryland, 21702, United States

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Arrivent Investigative Site

Rockville, Maryland, 20850, United States

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Arrivent Investigative Site

Fairhaven, Massachusetts, 02719, United States

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Arrivent Investigative Site

Lansing, Michigan, 48912, United States

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Arrivent Investigative Site

Bolivar, Missouri, 65613, United States

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Arrivent Investigative Site

Kansas City, Missouri, 64111, United States

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Arrivent Investigative Site

Saint Joseph, Missouri, 64507, United States

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Arrivent Investigative Site

St Louis, Missouri, 63110, United States

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Arrivent Investigative Site

Omaha, Nebraska, 68114, United States

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Arrivent Investigative Site

Belleville, New Jersey, 07109, United States

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Arrivent Investigative Site

Englewood, New Jersey, 07631, United States

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Arrivent Investigative Site

Florham Park, New Jersey, 07932, United States

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Arrivent Investigative Site

The Bronx, New York, 10461, United States

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Arrivent Investigative Site

Goldsboro, North Carolina, 27534, United States

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ArriVent Investigative Site

Pinehurst, North Carolina, 28374, United States

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Arrivent Investigative Site

Canton, Ohio, 44708, United States

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Arrivent Investigative Site

Cincinnati, Ohio, 45220, United States

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ArriVent Investigative Site

Cincinnati, Ohio, 45242, United States

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Arrivent Investigative Site

Cleveland, Ohio, 44195, United States

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Arrivent Investigative Site

Columbus, Ohio, 43214, United States

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Arrivent Investigative Site

Oklahoma City, Oklahoma, 73102, United States

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Arrivent Investigative Site

Tulsa, Oklahoma, 74146, United States

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Arrivent Investigative Site

Salem, Oregon, 97301, United States

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Arrivent Investigative Site

Gettysburg, Pennsylvania, 17325, United States

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ArriVent Investigative Site

Langhorne, Pennsylvania, 19047, United States

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Arrivent Investigative Site

York, Pennsylvania, 17403, United States

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Arrivent Investigative Site

Greenville, South Carolina, 29607, United States

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Arrivent Investigative Site

Sioux Falls, South Dakota, 57117, United States

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Arrivent Investigative Site

Memphis, Tennessee, 38120, United States

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ArriVent Investigative Site

Nashville, Tennessee, 37203, United States

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Arrivent Investigative Site

Abilene, Texas, 79606, United States

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ArriVent Investigative Site

Austin, Texas, 78745, United States

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Arrivent Investigative Site

Houston, Texas, 77030, United States

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Arrivent Investigative Site

Plano, Texas, 75093, United States

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Arrivent Investigative Site

Ogden, Utah, 84405, United States

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Arrivent Investigative Site

Salt Lake City, Utah, 84106, United States

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ArriVent Investigative Site

Fairfax, Virginia, 22031, United States

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Arrivent Investigative Site

Fredericksburg, Virginia, 22408, United States

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Arrivent Investigative Site

Bellingham, Washington, 98225, United States

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Arrivent Investigative Site

Spokane Valley, Washington, 99216, United States

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Arrivent Investigative Site

Tacoma, Washington, 98405, United States

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Arrivent Investigative Site

Appleton, Wisconsin, 54911, United States

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ArriVent Investigative Site

Heidelberg, Victoria, 3084, Australia

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Arrivent Investigative Site

Blacktown, 2148, Australia

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Arrivent Investigative Site

St Leonards, NSW 2065, Australia

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Arrivent Investigative Site

Woolloongabba, 4102, Australia

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ArriVent Investigative Site

Salvador, Estado de Bahia, 40170-110, Brazil

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ArriVent Investigative Site

Belo Horizonte, Minas Gerais, 30130-090, Brazil

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ArriVent Investigative Site

Rio de Janeiro, Rio de Janeiro, 20231-050, Brazil

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ArriVent Investigative Site

Rio de Janeiro, Rio de Janeiro, 22281-100, Brazil

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ArriVent Investigative Site

Pelotas, Rio Grande do Sul, 96020-080, Brazil

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ArriVent Investigative Site

Porto Alegre, Rio Grande, 90035-903, Brazil

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ArriVent Investigative Site

Blumenau, SC Cep, 89015-200, Brazil

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ArriVent Investigative Site

São José do Rio Preto, São Paulo, 15090-000, Brazil

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ArriVent Investigative Site

São Paulo, São Paulo, 01321-001, Brazil

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ArriVent Investigative Site

Liberdade, São Paulo/SP, 01509-010, Brazil

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ArriVent Investigative Site

Taubaté, Taubate SP, 12030-200, Brazil

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ArriVent Investigative Site

Porto Alegre, 91350-200, Brazil

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ArriVent Investigative Site

Edmonton, Alberta, T6G 1Z2, Canada

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ArriVent Investigative Site

Toronto, Ontario, M5G 1Z5, Canada

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Allist Investigative Site

Beijing, Beijing Municipality, 101149, China

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Allist Investigative Site

Meizhou, Guangdong, 514000, China

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Allist Investigative Site

Xuhui, Hai City, 200030, China

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Allist Investigative Site

Hangzhou, Hangzhou, 310018, China

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Allist Investigative Site

Cangzhou, Hebei, 061011, China

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Allist Investigative Site

Shushan, Hefei, 230022, China

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Allist Investigative Site

Zhengzhou, Henan, 450052, China

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Allist Investigative Site

Changchun, Jilin, 130000, China

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Allist Investigative Site

Weihai, Lingang Economic and Technological Development Zo, 264200, China

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Allist Investigative Site

Nanning, Nanning, 530000, China

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Allist Investigative Site

Yangpu, Shanghai Municipality, 201321, China

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Allist Investigative Site

Xi’an, Shanxi, 710061, China

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Allist Investigative Site

Taiyuan, Taiyuan, 030013, China

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Allist Investigative Site

Kunming, Yunnan, 650100, China

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Allist Investigative Site

Zhejiang, Zhejiang, 310022, China

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Allist Investigative Site

Anyang, 455001, China

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Allist Investigative Site

Changchun, 130000, China

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Allist Investigative Site

Changsha, 410008, China

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Allist Investigative Site

Changsha, 410031, China

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Allist Investigative Site

Chengdu, 610041, China

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Allist Investigative Site

Chenzhou, 423099, China

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Allist Investigative Site

Chongqing, 400030, China

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Allist Investigative Site

Guangzhou, 510062, China

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Allist Investigative Site

Guangzhou, 510285, China

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Allist Investigative Site

Harbin, 150081, China

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Allist Investigative Site

Hefei, 230088, China

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Allist Investigative Site

Huai'an, 223300, China

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Allist Investigative Site

Huizhou, 516000, China

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Allist Investigative Site

Jinan, 250013, China

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Allist Investigative Site

Jinan, 250117, China

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Allist Investigative Site

Jining, 272000, China

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Allist Investigative Site

Lanzhou, 730030, China

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Allist Investigative Site

Lishui, 323020, China

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Allist Investigative Site

Luoyang, 471000, China

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Allist Investigative Site

Nanchang, 330006, China

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Allist Investigative Site

Nanchang, 330046, China

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Allist Investigative Site

Nanjing, 210009, China

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Allist Investigative Site

Ningbo, 315040, China

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Allist Investigative Site

Shanghai, 200434, China

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Allist Investigative Site

Shantou, 515031, China

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Allist Investigative Site

Shenyang, 110042, China

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Allist Investigative Site

Shenzhen, 518001, China

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Allist Investigative Site

Taiyuan, 030000, China

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Allist Investigative Site

Tianjin, 300061, China

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Allist Investigative Site

Weihui, 453000, China

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Allist Investigative Site

Wuhan, 430023, China

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Allist Investigative Site

Xiamen, 361000, China

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Allist Investigative Site

Xianyang, 441138, China

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Allist Investigative Site

Xinxiang, 453000, China

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Allist Investigative Site

Xuzhou, 221009, China

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Allist Investigative Site

Zhengzhou, 450003, China

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Arrivent Investigative Site

Caen, 14000, France

Location

Arrivent Investigative Site

Lyon, 69003, France

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Arrivent Investigative Site

Lyon, 69008, France

Location

Arrivent Investigative Site

Marseille, 13915, France

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Arrivent Investigative Site

Toulouse, 31059, France

Location

Arrivent Investigative Site

Villejuif, 94800, France

Location

ArriVent Investigative Site

Beersheba, 8410101, Israel

Location

ArriVent Investigative Site

Haifa, 3109601, Israel

Location

ArriVent Investigative Site

Jerusalem, 9103102, Israel

Location

ArriVent Investigative Site

Rozzano, Milan, 20089, Italy

Location

ArriVent Investigative Site

Aviano, PN, 33081, Italy

Location

ArriVent Investigative Site

Roma, Rome, 00144, Italy

Location

ArriVent Investigative Site

Bari, 70124, Italy

Location

Arrivent Investigative Site

Meldola, 47014, Italy

Location

ArriVent Investigative Site

Milan, 20141, Italy

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ArriVent Investigative Site

Kurume, Fukuoka, 830-0011, Japan

Location

Arrivent Investigative Site

Akashi, 673-8558, Japan

Location

Arrivent Investigative Site

Hirakata, 573-1191, Japan

Location

Arrivent Investigative Site

Kashiwa, 277-8577, Japan

Location

Arrivent Investigative Site

Nagoya, 460-0001, Japan

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Arrivent Investigative Site

Ōsaka-sayama, 589-8511, Japan

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Arrivent Investigative Site

Sapporo, 003-0804, Japan

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Arrivent Investigative Site

Sendai, 980-0873, Japan

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Arrivent Investigative Site

Shizuoka, 4118777, Japan

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Arrivent Investigative Site

Tokyo, 113-8431, Japan

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ArriVent Investigative Site

Tokyo, 113-8677, Japan

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Arrivent Investigative Site

Ube, 755-0241, Japan

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Arrivent Investigative Site

Yokohama, 241-8515, Japan

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ArriVent Investigative Site

George Town, Pulau Pinang, 10990, Malaysia

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Arrivent Investigative Site

Cheras, 56000, Malaysia

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Arrivent Investigative Site

Kota Bharu, 15586, Malaysia

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Arrivent Investigative Site

Kuala Lumpur, 50586, Malaysia

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Arrivent Investigative Site

Kuching, 93586, Malaysia

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ArriVent Investigative Site

Tuxtla Gutiérrez, Chiapas, 29038, Mexico

Location

ArriVent Investigative Site

Mexico City, Mexico City, 14080, Mexico

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Arrivent Investigative Site

Amsterdam, 1066 CX, Netherlands

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Arrivent Investigative Site

Harderwijk, 3844DG, Netherlands

Location

Arrivent Investigative Site

Cebu, 6000, Philippines

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Arrivent Investigative Site

Davao City, 8000, Philippines

Location

ArriVent Investigative Site

Manila, 1000, Philippines

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Arrivent Investigative Site

Pasig, 1600, Philippines

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ArriVent Investigative Site

Singapore, 119074, Singapore

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Arrivent Investigative Site

Singapore, 169610, Singapore

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ArriVent Investigative Site

Jungni I Gu, Seoul, 03181, South Korea

Location

Arrivent Investigative Site

Busan, 49241, South Korea

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Arrivent Investigative Site

Hwasun, 58128, South Korea

Location

Arrivent Investigative Site

Seoul, 2447, South Korea

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Arrivent Investigative Site

Seoul, 3722, South Korea

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Arrivent Investigative Site

Seoul, 5505, South Korea

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Arrivent Investigative Site

Seoul, 6351, South Korea

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ArriVent Investigative Site

Málaga, Malaga, 29011, Spain

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Arrivent Investigative Site

A Coruña, 15006, Spain

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Arrivent Investigative Site

Barcelona, 08035, Spain

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ArriVent Investigative Site

Madrid, 28020, Spain

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Arrivent Investigative Site

Valencia, 46026, Spain

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Arrivent Investigative Site

Chang-hua, 50006, Taiwan

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Arrivent Investigative Site

Kaohsiung City, 807, Taiwan

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ArriVent Investigative Site

Kaohsiung City, 82445, Taiwan

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ArriVent Investigative Site

Taichung, 407219, Taiwan

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Arrivent Investigative Site

Tainan, 704, Taiwan

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Arrivent Investigative Site

Taipei, 10048, Taiwan

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Arrivent Investigative Site

Bangkok, 10210, Thailand

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Arrivent Investigative Site

Bangkok, 10330, Thailand

Location

Arrivent Investigative Site

Bangkok, 10400, Thailand

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Arrivent Investigative Site

Hat Yai, 90110, Thailand

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ArriVent Investigative Site

Guildford, Surrey, GU2 7XX, United Kingdom

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Arrivent Investigative Site

Bebington, Wirral, CH63 4JY, United Kingdom

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ArriVent Investigative Site

London, SW3 6JJ, United Kingdom

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ArriVent Investigative Site

Manchester, M20 4BX, United Kingdom

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ArriVent Investigative Site

Sutton, SM2 5PT, United Kingdom

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

aflutinibPlatinum Compounds

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Inorganic Chemicals

Study Officials

  • Morgan Lam

    ArriVent BioPharm

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 31, 2022

First Posted

November 7, 2022

Study Start

June 1, 2023

Primary Completion

August 15, 2025

Study Completion (Estimated)

February 15, 2028

Last Updated

June 22, 2025

Record last verified: 2025-06

Locations