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Trial Title: High-dose Furmonertinib in the Treatment in Patients With Advanced, Metastatic NSCLC With Progressed After First- or Second-line Treatment With Osimertinib

NCT ID: NCT06394674

Condition: Non-Small Cell Lung Cancer

Conditions: Official terms:
Carcinoma, Non-Small-Cell Lung
Aflutinib

Conditions: Keywords:
furmonertinib

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Furmonertinib
Description: Drug: Furmonertinib
Arm group label: Group A: Furmonertinib 160mg QD
Arm group label: Group B: Furmonertinib 240mg QD

Other name: AST2818

Summary: This is a prospective, randomised, uncontrolled phase II clinical trial planned to include 84 subjects with metastatic lung adenocarcinoma that had progressed after first- or second-line treatment with Osmertinib, who were randomly assigned to trial group 1 and trial group 2, and were given Furmonertinib 160 mg and 240 mg once/day, orally, respectively, with efficacy evaluated every 6 weeks until disease progression, intolerable toxic side effects, or Subjects voluntarily withdrew informed consent.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Histologically or cytologically confirmed metastatic lung adenocarcinoma - Progression of imaging-confirmed extracranial lesions after first- or second-line treatment with Osimertinib - Previous genetic testing for a definite EGFR-sensitive mutation and imaging-confirmed extracranial lesion progression after first-line treatment with Osimertinib; or previous genetic testing for a definite T790M mutation and imaging-confirmed extracranial lesion progression after second-line treatment with Osimertinib. - Pre-existing clinical benefit after treatment with Osimertinib, including CR, PR, SD (duration >6 months); - Patients with at least 1 measurable lesion according to the criteria for evaluating the efficacy of solid tumors (RECIST 1.1) - Normal functioning of major organs - Pre-menopausal women of childbearing potential with a negative serum or urine pregnancy test within 7 days prior to the first dose of the drug - Subjects volunteered and signed a written informed consent form. Exclusion Criteria: - Previous chemotherapy or immunotherapy - Patients with non-lung adenocarcinoma, including squamous lung cancer or mixed histological types - Progression of imaging-confirmed extracranial lesions after prior Osimertinib treatment with accessible treatment options after genetic testing - Patients with symptomatic brain metastases, meningeal metastases or spinal cord compression - Any unrecovered CTCAE > grade 1 toxicity reaction following prior Osimertinib treatment at the start of study drug therapy - Other malignant tumors within 5 years or history of other malignant tumours; except effectively controlled basal cell carcinoma of the skin, carcinoma in situ of the uterine cervix, ductal carcinoma in situ of the breast, papillary carcinoma of the thyroid, superficial bladder tumors, etc. - History of interstitial pneumonia with previous diagnosis - Other circumstances that, in the judgement of the investigator, make them unsuitable for inclusion in the study

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Changhai Hospital

Address:
City: Shanghai
Country: China

Status: Recruiting

Contact:
Last name: Yuchao Dong

Phone: 021-31166666
Email: dongyc1020@aliyun.com

Start date: May 1, 2024

Completion date: September 2026

Lead sponsor:
Agency: Changhai Hospital
Agency class: Other

Collaborator:
Agency: The General Hospital of Eastern Theater Command
Agency class: Other

Collaborator:
Agency: Shanghai Chest Hospital
Agency class: Other

Collaborator:
Agency: Fujian Provincial Hospital
Agency class: Other

Collaborator:
Agency: Shanghai Changzheng Hospital
Agency class: Other

Collaborator:
Agency: First Affiliated Hospital Bengbu Medical College
Agency class: Other

Collaborator:
Agency: The First People's Hospital of Changzhou
Agency class: Other

Collaborator:
Agency: Second Affiliated Hospital of Wannan Medical College
Agency class: Other

Source: Changhai Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06394674

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