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

Last updated: April 30, 2025
Sponsor: ArriVent BioPharma, Inc.
Overall Status: Active - Not Recruiting

Phase

1

Condition

N/A

Treatment

Furmonertinib

Clinical Study ID

NCT05364073
FURMO-002
  • Ages > 18
  • All Genders

Study 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 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).

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Histologically or cytologically documented, locally advanced or metastatic Non-SmallCell Lung Cancer (NSCLC) not amenable to curative surgery or radiotherapy.

  • Disease that has progressed after at least one available standard therapy; or forwhom standard therapy has proven to be ineffective or intolerable; or for whom aclinical trial of an investigational agent is a recognized standard of care.

  • Documented radiologic disease progression during or after the last systemicanti-cancer therapy before the first dose of furmonertinib.

  • For patients with Epidermal Growth Factor Receptor (EGFR) mutations sensitive toosimertinib, the patient must have received osimertinib prior to study enrollment inregions 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.

Stage 1 Dose Escalation and Backfill Cohorts Inclusion Criteria:

  • Documented validated results from local testing of tumor tissue or blood confirmingthe presence of an activating, including uncommon, EGFR mutation or HER2 exon 20insertion 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 bloodconfirming the presence of EGFR Exon 20 insertion mutations, performed at a CLIA- orequivalently certified laboratory.

  • The patient must have experienced disease progression or have intolerance totreatment 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 bloodconfirming the presence of HER2 Exon 20 insertion mutations, performed at a CLIA- orequivalently certified laboratory.

  • The patient must have experienced disease progression or have intolerance totreatment with platinum-based chemotherapy.

  • In regions in which fam-trastuzumab deruxtecan-nxki is approved and available foradult patients with unresectable or metastatic NSCLC whose tumors have activatingHER2 exon 20 mutations, the patient must have received or be considered notappropriate 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 bloodconfirming the presence of an EGFR activating mutation, performed at a CLIA- orequivalently certified laboratory.

  • The patient must have experienced disease progression or have intolerance totreatment with the standard of care EGFR TKI.

  • Patients with CNS metastases may be eligible if meeting additional protocolspecified 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 haveprogressed after at least 1 available standard therapy, or for whom standard therapyhas proven to be ineffective, intolerable, or considered inappropriate

  • Documented validated results from local testing of either tumor tissue or bloodconfirming the presence of an EGFR Uncommon mutation, performed at a CLIA- orequivalently certified laboratory a. Representative mutations include, but are notlimited to, G719X, S768I, E709X, G779F, L747X, V774M, E709_T710delinsD, R776C/H,G724S, E736K, I740_K745dup, N771G, K757M/R, V769L/M, T854X, T751_I759delinsN

Exclusion

Key Exclusion Criteria:

  • Treatment with chemotherapy, targeted therapy, biologic therapy or aninvestigational agent as anti-cancer therapy within 3 or 3 elimination weeks or fivehalf-lives prior to initiation of furmonertinib, whichever is shorter, or endocrinetherapy within 2 weeks prior to initiation of furmonertinib.

  • Radiation therapy as cancer therapy within 4 weeks prior to initiation offurmonertinib.

  • Palliative radiation to bone metastases within 2 weeks prior to initiation offurmonertinib.

  • AE from prior anticancer therapy that have not resolved to Grade ≤ 1 except foralopecia 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 ofcompletion of above therapies.

Study Design

Total Participants: 170
Treatment Group(s): 1
Primary Treatment: Furmonertinib
Phase: 1
Study Start date:
June 30, 2022
Estimated Completion Date:
September 30, 2025

Connect with a study center

  • ArriVent Investigative Site

    Blacktown, New South Wales 2148
    Australia

    Site Not Available

  • ArriVent Investigative Site

    St Leonards, New South Wales 2065
    Australia

    Site Not Available

  • ArriVent Investigative Site

    Heidelberg, Victoria 3084
    Australia

    Site Not Available

  • Arrivent Investigative Site

    Edmonton, T6G 1Z2
    Canada

    Site Not Available

  • Arrivent Investigative Site

    Toronto, M5G 2M9
    Canada

    Site Not Available

  • Allist Investigative Site

    Hefei, Anhui 230001
    China

    Site Not Available

  • Allist Investigative Site

    Beijing, Beijing 101119
    China

    Site Not Available

  • Allist Investigative Site

    Chaoyang, Beijing 100021
    China

    Site Not Available

  • Allist Investigative Site

    Haidan, Beijing 100142
    China

    Site Not Available

  • Allist Investigative Site

    Chongqing, Chongqing 400030
    China

    Site Not Available

  • Allist Investigative Site

    Guiyang, Guizhou 550004
    China

    Site Not Available

  • Allist Investigative Site

    Harbin, Heilongjiang 150081
    China

    Site Not Available

  • Allist Investigative Site

    Zhengzhou, Henan 450052
    China

    Site Not Available

  • Allist Investigative Site

    Wuhan, Hubei 430022
    China

    Site Not Available

  • Allist Investigative Site

    XuZhou, Jiangsu 221000
    China

    Site Not Available

  • Allist Investigative Site

    Nanchang, Jianxi 330008
    China

    Site Not Available

  • Allist Investigative Site

    Changchun, Jilin 130012
    China

    Site Not Available

  • Allist Investigative Site

    Jinan, Shandong 250117
    China

    Site Not Available

  • Allist Investigative Site

    Shanghai, Shanghai 200030
    China

    Site Not Available

  • Allist Investigative Site

    Taiyuan, Shanxi 030013
    China

    Site Not Available

  • ArriVent Investigative Site

    Lyon, 69373
    France

    Site Not Available

  • Arrivent Investigative Site

    Toulouse, 31059
    France

    Site Not Available

  • Arrivent Investigative Site

    Villejuif, 94800
    France

    Site Not Available

  • ArriVent Investigative Site

    Medolla, 47014
    Italy

    Site Not Available

  • Arrivent Investigative Site

    Milano, 20141
    Italy

    Site Not Available

  • ArriVent Investigative Site

    Chiba-Shi, Chiba 260-0013
    Japan

    Site Not Available

  • Arrivent Investigative Site

    Ōsaka-sayama, Osaka 589-8511
    Japan

    Site Not Available

  • Arrivent Investigative Site

    Chuo, Tokyo 104-0045
    Japan

    Site Not Available

  • Arrivent Investigative Site

    Koto-Ku, Tokyo 135-8550
    Japan

    Site Not Available

  • Arrivent Investigative Site

    Osaka, 589-8511
    Japan

    Site Not Available

  • Arrivent Investigative Site

    Tokyo, 104-0045
    Japan

    Site Not Available

  • Arrivent Investigative Site

    Gwangju, 61469
    Korea, Republic of

    Site Not Available

  • Arrivent Investigative Site

    Seoul, 2447
    Korea, Republic of

    Site Not Available

  • Arrivent Investigative Site

    Ciudad de mexico, 14080
    Mexico

    Site Not Available

  • Arrivent Investigative Site

    Amsterdam, Noord-Holland 1066 CX
    Netherlands

    Site Not Available

  • ArriVent Investigative Site

    Barcelona, 08035
    Spain

    Site Not Available

  • ArriVent Investigative Site

    Madrid, 28033
    Spain

    Site Not Available

  • ArriVent Investigative Site

    Valencia, 46026
    Spain

    Site Not Available

  • ArriVent Investigative Site

    London, NW12PG
    United Kingdom

    Site Not Available

  • ArriVent Investigative Site

    Prescott, Arizona 86301
    United States

    Site Not Available

  • ArriVent Investigative Site

    Glendale, California 91204
    United States

    Site Not Available

  • ArriVent Investigative Site

    Sacramento, California 95817
    United States

    Site Not Available

  • ArriVent Investigative Site

    Whittier, California 90603
    United States

    Site Not Available

  • ArriVent Investigative Site

    Celebration, Florida 34747
    United States

    Site Not Available

  • ArriVent Investigative Site

    Orlando, Florida 32804
    United States

    Site Not Available

  • Arrivent Investigative Site

    Orlando, Florida 32804
    United States

    Site Not Available

  • ArriVent Investigative Site

    Westwood, Kansas 66205
    United States

    Site Not Available

  • Arrivent Investigative Site

    Westwood, Kansas 66205
    United States

    Site Not Available

  • ArriVent Investigative Site

    Detroit, Michigan 48202
    United States

    Site Not Available

  • ArriVent Investigative Site

    Houston, Texas 77030
    United States

    Site Not Available

  • ArriVent Investigative Site

    Fairfax, Virginia 22031
    United States

    Site Not Available

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