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OncoMatch/Clinical Trials/NCT07304739

Furmonertinib Combined With Intrathecal Chemotherapy and Stereotactic Radiotherapy (SRT) for EGFR-Mutated NSCLC Patients With Brain Parenchymal and Leptomeningeal Metastases

Is NCT07304739 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Furmonertinib and Intrathecal chemotherapy for non small cell lung cancer.

Phase 2RecruitingTianjin Medical University Cancer Institute and HospitalNCT07304739Data as of May 2026

Treatment: Furmonertinib · Intrathecal chemotherapyA Single-Arm Clinical Study of Furmonertinib (160mg) Combined with Intrathecal Chemotherapy (ITC) and Stereotactic Radiotherapy (SRT) as First-Line Treatment in EGFR Classic Mutation-Positive NSCLC Patients with Brain Parenchymal and Leptomeningeal Metastases

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Extracted eligibility criteria

Cancer type

Small Cell Lung Cancer

Biomarker criteria

Required: EGFR exon 19 deletion

one of the following EGFR mutations :19Del or L858R

Required: EGFR L858R

one of the following EGFR mutations :19Del or L858R

Excluded: ALK driver gene

Patients with other driver genes: ALK, ROS1, RET, BRAF, NTRK, MET, KRAS, etc.. But TP53, RB1, BRAC are not included

Excluded: ROS1 driver gene

Patients with other driver genes: ALK, ROS1, RET, BRAF, NTRK, MET, KRAS, etc.. But TP53, RB1, BRAC are not included

Excluded: RET driver gene

Patients with other driver genes: ALK, ROS1, RET, BRAF, NTRK, MET, KRAS, etc.. But TP53, RB1, BRAC are not included

Excluded: BRAF driver gene

Patients with other driver genes: ALK, ROS1, RET, BRAF, NTRK, MET, KRAS, etc.. But TP53, RB1, BRAC are not included

Excluded: NTRK1 driver gene

Patients with other driver genes: ALK, ROS1, RET, BRAF, NTRK, MET, KRAS, etc.. But TP53, RB1, BRAC are not included

Excluded: NTRK2 driver gene

Patients with other driver genes: ALK, ROS1, RET, BRAF, NTRK, MET, KRAS, etc.. But TP53, RB1, BRAC are not included

Excluded: NTRK3 driver gene

Patients with other driver genes: ALK, ROS1, RET, BRAF, NTRK, MET, KRAS, etc.. But TP53, RB1, BRAC are not included

Excluded: MET driver gene

Patients with other driver genes: ALK, ROS1, RET, BRAF, NTRK, MET, KRAS, etc.. But TP53, RB1, BRAC are not included

Excluded: KRAS driver gene

Patients with other driver genes: ALK, ROS1, RET, BRAF, NTRK, MET, KRAS, etc.. But TP53, RB1, BRAC are not included

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

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

Cannot have received: systemic anti-tumor treatment

The patient has not received any systemic anti-tumor treatment in the locally advanced (the researcher judged that it was not suitable for surgery or radiotherapy) or metastatic NSCLC

Cannot have received: antitumor drugs

Treatment with other antitumor drugs within 14 days prior to the first dose

Cannot have received: strong CYP3A4 inhibitors

Use of strong CYP3A4 inhibitors within 7 days or strong CYP3A4 inducers within 21 days prior to the first dose

Cannot have received: Chinese herbal medicines or preparations with anti-tumor indications or those adjunctive to cancer therapy

Use of Chinese herbal medicines or preparations with anti-tumor indications or those adjunctive to cancer therapy within 2 weeks prior to the first dose or expected during the trial period

Cannot have received: investigational drug or device

Participation in an investigational drug or device clinical trial within 4 weeks or at least 5 half-lives (whichever is longer) prior to the first dose

Lab requirements

Blood counts

ANC ≥1.5×10^9/L; PLT ≥100×10^9/L; HGB ≥90g/L

Kidney function

CrCL ≥50 ml/min (Cockcroft-Gault)

Liver function

TBIL ≤1.5x ULN, AST and ALT ≤2.5x ULN (≤3x ULN TBIL and ≤5x ULN AST/ALT if liver metastasis)

Cardiac function

QTc ≤ 470 msec; no clinically significant prolonged QT interval or arrhythmias

Laboratory tests indicated that the subjects had adequate organ functions, including: 1) ANC ≥1.5×109/L; PLT ≥100×109/L; HGB ≥90g/L; 2) TBIL ≤1.5 times the upper limit of the normal value, AST and ALT ≤2.5 times the upper limit of the normal value (for those with liver metastasis, total bilirubin ≤ 3 times the upper limit of the normal value, AST and ALT≤ 5 times the upper limit of the normal value are allowed); 3) CrCL ≥50 ml/min (calculated according to the Cockcroft-Gault formula); Resting QT interval (QTc) > 470 msec as measured by clinical ECG screening; Clinically significant prolonged QT interval or other arrhythmias or clinical conditions that may increase the risk of QT prolongation

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

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