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NCT Number: NCT05987826

Study of Furmonertinib as Neoadjuvant Therapy for Resectable Stage Ⅱ-ⅢB EGFR Sensitive Mutant NSCLC

EGFR-TKI has firmly established itself as a first-line treatment for advanced lung cancer with EGFR-sensitive mutations, and the ADAURA study has added to its indications for use as postoperative adjuvant therapy in early- and mid-stage lung cancer.However, clinical data on neoadjuvant EGFR-TKI therapy are still incomplete. A phase II clinical study, CTONG1103, currently ongoing, comparing the efficacy of the first generational EGFR-TKI erlotinib and gemcitabine combined with cisplatin as neoadjuvant therapy for stage IIIA-N2 EGFR mutation-positive non-small-cell lung cancer, did not yield significantly positive objective remission rate (ORR) results.

Furmonertinib is a third-generation Epidermal Growth Factor Receptor (EGFR) tyrosine kinase inhibitor (TKI) that targets Epidermal Growth Factor Receptor (EGFR) mutations.Furmonertinib demonstrates definite efficacy and favorable safety in first-line EGFR-sensitive mutations and EGFR T790M Mutations in second-line and late-line treatment of advanced NSCLC.The aim of this study was to explore the efficacy and safety of furmonertinib neoadjuvant therapy for resectable stage II-IIIB EGFR-sensitive mutant non-small cell lung cancer efficacy and safety. Patinents are planned to be recruited from five centers in China. Eligible patients will receive furmonertinib neoadjuvant therapy for 8 weeks to evaluate the efficacy and safety of furmonnertinib neoadjuvant.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

180 Fenglin Road

Shanghai, 200032, China

Location status: Recruiting

About this study

Not Provided

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 1)Provide informed consent prior to any study specific procedures
  • 2)at least 18 years of age,not more than 75 years
  • 3)Histology or cytology diagnose of non-small cell lung cancer within 60 days
  • 4)ECOG PS of 0 to 1 at screening with no clinically significant deterioration in the previous 2 weeks
  • 5)Stage II-IIIB NSCLC that is expected to be resectable, as assessed by the investigator (8 thUICCTNM staging), with stage IIIB only including cT3N2M0 patients
  • 6)According to RECIST 1.1, patients have at least one measureable tumor lesion (The longest axis ≥10mm)
  • 7)EGFR mutation positive (exon 19 deletions or exon 21 L858R, with or without other EGFR mutations)
  • 8)Without prior anti-tumor treatment
  • 9) Withe adequate organ function of hematology, liver and kidney
  • 10)Using adequate and effective contraception, Male patients should be use condoms; women should refrain from breastfeeding and have a negative pregnancy test prior to the first administration of the study drug if within during child-bearing age

Exclusion criteria

  • 1)Dual or multiple primary NSCLC
  • 2)Any prior anti-tumor treatment
  • 3)With history of other malignancy except for radical resected tumors without recurrence for 5 years or more
  • 4)History of interstitial lung disease or with relative risk factors
  • 5)Diseases or clinical states with severe abnormalities of gastrointestinal function that may interfere with the ingestion, transit, or absorption of the study drug.e.g., inability to take medication orally, uncontrolled nausea and vomiting
  • 6)Use of strong CYP3A4 inhibitors within 7 days or strong CYP3A4 inducers within 21 days before enrolment; use of traditional Chinese medicine with anti-tumor effect within 21 days before enrolment
  • 7)With severe or uncontrolled systemic disease such as uncontrolled hypertention, diabetes mellitus, chronic heart failure, unstable angina, myocardial infarction within 1 year, active hemorrhage, active HBV/HCV/HIV or other infections requiring infusion treatment
  • 8)Prolongation of ECG QTc or with relative risk factors
  • 9)psychopath and/or mental illness
  • 10)Pre-existing or coexisting bleeding disorders
  • 11)Women with pregnancy or breastfeeding
  • 12)Allergic to study drugs or any component
  • 13)Other conditions that, in the opinion of the investigator, make participation in this trial inappropriate

Treatment and study plan

Furmonertinib

Drug

Furmonertinib 80mg QD oral 8 weeks.

Other names: Furmonertinib(AST2818)

Primary outcomes

  1. objective response rate(ORR)

    Time frame: Approximately 8 weeks following the first dose of study drug

    According to RECIST 1.1 criteria, after 8 weeks of neoadjuvant therapy with furmonertinib CT scans scans assessed the proportion of patients in partial and complete remission.

Secondary outcomes

  1. Main Pathological Response(MPR)

    Time frame: Approximately 12 weeks following the first dose of study drug

    Proportion of resected specimens with ≤10% residual tumor cells assessed by surgical specimen pathology

  2. Pathological Complete Response Rate(pCR)

    Time frame: Approximately 12 weeks following the first dose of study drug

    The proportion of patients with pathological response rate in the resected tumor.

  3. Pathological Nodal Downstaging Rate

    Time frame: Approximately 12 weeks following the first dose of study drug

    Neoadjuvant confirmed by pathologic evaluation of tumors and other tissues removed during surgery Percentage of patients downregulated from lymph node-positive to negative after treatment

  4. Delayed Surgery Rate

    Time frame: Approximately 12 weeks following the first dose of study drug

    Proportion of surgeries performed 2 weeks after the last dose of furmonertinib because of adverse drug reactions and other reasons.

  5. Rate of R0 Resection

    Time frame: Approximately 12 weeks following the first dose of study drug

    The proportion of patients with R0 resection.

  6. Percentage of minimally invasive mid-rotation open chest

    Time frame: Approximately 12 weeks following the first dose of study drug

    Proportion of minimally invasive surgeries converted to open thoracic for various reasons

  7. Incidence of adverse drug events (AE)

    Time frame: Approximately 12 weeks following the first dose of study drug

    Unfavorable clinical events in the course of drug treatment

Study contacts

Contact information is provided by the study sponsor or research team.

Sponsors and collaborators

Lead sponsor

Shanghai Zhongshan Hospital

Other

Collaborators

  • Ningbo No. 1 Hospital
  • Shanghai Minhang Central Hospital
  • Xuhui Central Hospital, Shanghai

Registry information

Official study title

Furmonertinib Mesylate Neoadjuvant Treatment of Resectable Stage Ⅱ-ⅢB Non-small Cell Lung Cancer Patients With Epidermal Growth Factor Receptor(EGFR)Sensitive Mutation:a Prospective,Muliticenter,Open Label,Phase Ⅱ Single-arm Study

Important dates

Study start
2023
Primary completion
2028
Study completion
2029
First posted
Aug 14, 2023
Registry last updated
Aug 24, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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