Status:

RECRUITING

Study to Evaluate Efficacy and Safety of Firmonertinib Compared With Investigator's Choice of EGFR Inhibitor as First-Line Treatment in Participants Who Have Locally Advanced or Metastatic NSCLC With EGFR P-Loop and Alpha C-Helix Compressing (PACC) Uncommon Mutations

Lead Sponsor:

ArriVent BioPharma, Inc.

Conditions:

Non-Small-Cell Lung Cancer

Metastatic Non-Small-Cell Lung Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Global, Phase 3, randomized, multicenter, open-label study evaluating the efficacy and safety of firmonertinib at a dose level of 240 mg QD compared to investigator's choice of osimertinib (80 mg QD) ...

Eligibility Criteria

Inclusion

  • 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.

Exclusion

    Key Trial Info

    Start Date :

    December 1 2025

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    December 1 2030

    Estimated Enrollment :

    480 Patients enrolled

    Trial Details

    Trial ID

    NCT07185997

    Start Date

    December 1 2025

    End Date

    December 1 2030

    Last Update

    November 19 2025

    Active Locations (3)

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    Page 1 of 1 (3 locations)

    1

    Laura & Isaac Perlmutter Cancer Center at NYU Langone Health

    New York, New York, United States, 10016

    2

    Texas Oncology

    Dallas, Texas, United States, 75246

    3

    University of Virginia

    Charlottesville, Virginia, United States, 22903

    Study to Evaluate Efficacy and Safety of Firmonertinib Compared With Investigator's Choice of EGFR Inhibitor as First-Line Treatment in Participants Who Have Locally Advanced or Metastatic NSCLC With EGFR P-Loop and Alpha C-Helix Compressing (PACC) Uncommon Mutations | DecenTrialz