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OncoMatch/Clinical Trials/NCT05379803

High-dose Furmonertinib for First-line Treatment of EGFR Mutated NSCLC With Central Nervous System (CNS) Metastases

Is NCT05379803 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Furmonertinib for non-small cell lung cancer.

Phase 2RecruitingHunan Province Tumor HospitalNCT05379803Data as of May 2026

Treatment: FurmonertinibEGFR mutated NSCLC patiens with CNS metastases have poor prognosis. High-dose furmonertinib (160mg/day) have produced high CNS PFS and ORR in second-line for EGFR T790M mutated NSCLC. Whether EGFR mutated NSCLC with CNS metastases can benefit from first-line treatment of high-dose furmonertinib has not been reported. This study aims to investigate the efficacy and safety of high dose furmonertinib in first-line treatment of EGFR mutated NSCLC patiens.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: EGFR exon 19 deletion

Documented validated results from local testing of either tumor tissue or blood confirming the presence of EGFR 19del or exon 21del L858R mutation. These mutations above may exist alone or together.

Required: EGFR L858R

Documented validated results from local testing of either tumor tissue or blood confirming the presence of EGFR 19del or exon 21del L858R mutation. These mutations above may exist alone or together.

Excluded: EGFR exon 20 insertion

Confirmed EGFR 20 exon insertion mutations at any time after the initial diagnosis [excluded].

Disease stage

Required: Stage IV

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: EGFR tyrosine kinase inhibitor

Any Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKI)

Cannot have received: systemic anti-cancer therapy

Exception: except neoadjuvant or adjuvant therapy before 6 months prior to the first dose investigational treatment

Prior treatment with any systemic anti-cancer therapy for advanced Non-Small Cell Lung Cancer (NSCLC) including chemotherapy, biologic therapy, target therapy, immunotherapy, or any investigational drug, except neoadjuvant or adjuvant therapy before 6 months prior to the first dose investigational treatment.

Lab requirements

Blood counts

Inadequate bone marrow reserve or organ function [excluded]

Kidney function

Inadequate bone marrow reserve or organ function [excluded]

Liver function

Inadequate bone marrow reserve or organ function [excluded]

Cardiac function

QT prolongation or any clinically important abnormalities in rhythm and heart function [excluded]

Inadequate bone marrow reserve or organ function; QT prolongation or any clinically important abnormalities in rhythm and heart function [excluded]

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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