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NCT Number: NCT07010419

A Study to Assess the Efficacy and Safety of Firmonertinib Versus Placebo for Adjuvant Treatment in Participants With Stage IB - IIIB NSCLC With Uncommon Epidermal Growth Factor Receptor (EGFR) Mutations, Following Complete Surgical Resection With or Without Adjuvant Chemotherapy(FIRMOST)

This is a Phase 3, global, double-blind, randomized, controlled multicenter clinical study to assess the efficacy and safety of adjuvant treatment with firmonertinib versus placebo in participants with Stage IB-IIIB NSCLC with uncommon EGFR mutations (exon 20 insertions, PACC and classical-like mutations) after complete surgical resection with or without adjuvant chemotherapy.

About 338 eligible participants will be enrolled and randomized in a 1:1 ratio to receive either firmonertinib 240 mg QD or placebo QD in 21-day treatment cycles. Before randomization, the participant must have undergone complete surgical resection (R0 resection), must have sufficiently recovered from surgery, and must have completed adjuvant chemotherapy (if applicable). The participants will receive firmonertinib or placebo as adjuvant treatment until unacceptable toxicity, withdrawal of informed consent, disease recurrence, initiation of new antitumor treatment, completion of treatment, or other end of treatment reason is met.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Peking University People's Hospital, Beijing, Beijing Municipality, China

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Sign the Informed Consent Form (ICF).
  • Aged ≥ 18 years old. Participants from Japan/Taiwan aged ≥ 20 years old.
  • Histologically confirmed diagnosis of primary non-small cell lung cancer (NSCLC) of predominantly non-squamous histology.
  • Underwent complete surgical resection of primary lung cancer and systematic lymph node dissection (R0 resection).
  • Classified post-operatively as Stage IB, II, IIIA, or IIIB (T3N2M0 only) on the basis of pathologic criteria, with the disease staging following the 9th Edition TNM Staging Classification: Lung Cancer issued by Union for International Cancer Control (UICC) and American Joint Committee on Cancer (AJCC).
  • Documented results of the presence of uncommon EGFR mutations (exon 20 insertion mutations, PACC mutations, and/or classical-like mutations, either as single mutations or as co-mutations), in tumor tissue or blood via a validated NGS or validated PCR assay.

Exclusion criteria

A participant would be excluded from the study if he/she meets any of the following:

  • NSCLC with EGFR Exon 19 deletion or L858R or C797S mutation.
  • Incomplete resection (R1/R2) or segmentectomy or wedge resection only.
  • Prior treatment with any of the following:
  • Prior treatment with any antineoplastic therapy other than standard platinum-based doublet adjuvant chemotherapy.
  • prior treatment with neoadjuvant therapy.
  • Concurrent malignant tumors other than the primary tumor; participants with cancers that can be treated locally and cured may be eligible.
  • Previous ILD (including drug-induced ILD) or active ILD/active radiation pneumonitis.

Treatment and study plan

Firmonertinib

Drug

Firmonertinib: 240 mg, QD, orally

Placebo

Drug

Placebo: 240 mg, QD, orally

Primary outcomes

  1. Disease free survival (DFS)

    Time frame: Up to 3 years

    DFS as assessed by the investigator in Stage II- IIIB. DFS defined as the time from the date of randomization to the first observation of disease recurrence (by pathological diagnosis or imaging) or death caused by any reason, whichever occurs first.

Secondary outcomes

  1. Disease free survival (DFS)

    Time frame: Up to 3 years

    DFS as assessed by the blinded independent central review (BICR) in Stage II-IIIB

  2. Disease free survival (DFS)

    Time frame: Up to 3 years

    DFS as assessed by the investigator in Stage IB-IIIB; DFS as assessed by the BICR in Stage IB-IIIB

  3. Disease free survival rates

    Time frame: Up to 5 years

    2-, 3-, and 5-year DFS rates as assessed by the investigator and BICR in Stage II-IIIB and in Stage IB-IIIB

  4. Overall survival (OS)

    Time frame: Up to 5 years

    OS defined as the time from the date of randomization to the date of death due to any cause, in Stage II-IIIB and in Stage IB-IIIB

  5. Overall survival rates

    Time frame: Up to 5 years

    2-, 3-, and 5-year OS rates in Stage II-IIIB and in Stage IB-IIIB

  6. Adverse event (AE)

    Time frame: Up to 5 years

    Incidence and severity of AEs, with severity as determined according to National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI CTCAE v5.0)

Study contacts

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

Li Zhang, Master

CONTACT

[email protected]

020-87342288

Sponsors and collaborators

Lead sponsor

Allist Pharmaceuticals, Inc.

Industry

Collaborators

  • ArriVent BioPharma, Inc.

Registry information

Official study title

A Global Phase 3, Double-Blind, Randomized, Controlled Multicenter Study to Assess the Efficacy and Safety of Firmonertinib Versus Placebo for Adjuvant Treatment in Participants With Stage IB - IIIB NSCLC With Uncommon Epidermal Growth Factor Receptor (EGFR) Mutations, Following Complete Surgical Resection With or Without Adjuvant Chemotherapy (FIRMOST)

Acronym: FIRMOST

Important dates

Study start
2025
Primary completion
2028
Study completion
2032
First posted
Jun 8, 2025
Registry last updated
Jun 8, 2025

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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