Official Title
A Global, Phase 3, Randomized, Multicenter, Open-Label Study to Evaluate the Efficacy and Safety of Firmonertinib Compared With Investigator's Choice of Osimertinib or Afatinib as First-Line Treatment in Participants Who Have Locally Advanced or Metastatic Non-Small-Cell Lung Cancer With Epidermal Growth Factor Receptor P-Loop and Alpha C-Helix Compressing (PACC) Uncommon Mutations (ALPACCA)
Brief Summary

Global, Phase 3, randomized, multicenter, open-label study evaluating the efficacy andsafety of firmonertinib at a dose level of 240 mg QD compared to investigator's choice ofosimertinib (80 mg QD) or afatinib (40 mg QD) in participants who have locally advancedor metastatic NSCLC with EGFR PACC mutations, and who have not received any prior therapyfor advanced disease. Participants will be randomized in a 1:1 ratio to treatment withfirmonertinib or osimertinib or afatinib and will take the assigned dose daily.

Detailed Description

Not Provided

Recruiting
Non-small-cell Lung Cancer
Metastatic Non-Small-Cell Lung Cancer
Advanced Non-Small-Cell Lung Cancer
EGFR P-Loop and Alpha C-Helix Compressing
EGFR PACC
EGFR Uncommon Mutations

Drug: Firmonertinib

240 mg oral, daily firmonertinib tablet
Other Name: AST2818

Drug: EGFR-TKI inhibitor based on investigator's choice

osimertinib 80 mg oral, daily tablet OR afatinib 40 mg oral, daily tablet

Eligibility Criteria

Key Eligibility Criteria:

- Histologically or cytologically documented, locally advanced or metastatic 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)
PACC mutation in tumor tissue or blood from local 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 must have
experienced a treatment free interval of at least 12 months.

- Patients with asymptomatic CNS metastases are eligible.

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years ~ Maximum: N/A
Countries
United States
Locations

University of Virginia
Charlottesville 4752031, Virginia 6254928, United States

Contacts

Vanessa Esquibel
619-540-3451
FURMO006CT@arrivent.com

Morgan Lam, Study Director
ArriVent BioPharm

ArriVent BioPharma, Inc.
NCT Number
Keywords
Non-Small Cell Lung Cancer (NSCLC)
PACC
Firmonertinib
Furmonertinib
AST2818
FURMO-006
Drug-Therapy
Metastatic Non-Small Cell Lung Cancer
Advanced Non-Small Cell Lung Cancer
NSCLC
Osimertinib
Afatinib
metastatic NSCLC first-line treatment
Carcinoma NSCLC
Respiratory tract neoplasms
Bronchial Neoplasms
Protein Kinase Inhibitors
tyrosine kinase inhibitor (TKI)
Alflutinib
Lung neoplasms
EGFR
EGFR kinase domain mutations
EGFR activating mutation
EGFR mutation of unknown significance
Non-classical EGFR mutation
EGFR uncommon mutations
EGFR atypical mutations
G719X
S768I
E709X
E709_T710delinsD
G779F
L747X
V774M
L747P/S
R776C/H
G724S
E736K
I740_K745dup
N771G
K757M/R
V769L/M
MeSH Terms
Carcinoma, Non-Small-Cell Lung
Respiratory Tract Neoplasms
Bronchial Neoplasms
Lung Neoplasms
Aflutinib