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OncoMatch/Clinical Trials/NCT07655622

Vebreltinib Plus Furmonertinib in Patients With EGFR-mutated Advanced Non-small Cell Lung Cancer and High PD-L1 Expression

Is NCT07655622 recruiting? Yes, currently enrolling (Jul 2026). This Phase 1/2 trial studies multiple treatments including Vebreltinib and Furmonertinib 80mg for non-small-cell lung cancer.

Phase 1/2RecruitingSecond Affiliated Hospital of Nanchang UniversityNCT07655622Data as of Jul 2026Location: China

Treatment: Vebreltinib · Furmonertinib 80mgThis is a single-arm, exploratory phase Ib/II study with a seamless design to evaluate the safety and efficacy of Vebreltinib combined with furmonertinib as first-line treatment in patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) harboring EGFR-sensitive mutations (exon 19 deletion or L858R) and PD-L1 TPS ≥50%. In the phase Ib part, 12-16 patients will be enrolled to compare the safety and early efficacy of Vebreltinib 100mg BID versus 150mg BID in combination with furmonertinib 80mg QD, and to determine the recommended phase II dose (RP2D). In the phase II part, 37 patients (including evaluable patients from the RP2D cohort in phase Ib) will receive treatment at the RP2D. The primary endpoint is investigator-assessed median progression-free survival (PFS). Secondary endpoints include objective response rate (ORR), disease control rate (DCR), overall survival (OS), and safety. Exploratory endpoints will analyze the correlation between baseline MET abnormalities and treatment efficacy.

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Vebreltinib

Other

Furmonertinib 80mg

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: EGFR exon 19 deletion

EGFR-sensitive mutations (exon 19 deletion or exon 21 L858R point mutation)

Required: EGFR l858r

EGFR-sensitive mutations (exon 19 deletion or exon 21 L858R point mutation)

Required: PD-L1 (CD274) overexpression (TPS ≥50%)

Central laboratory-confirmed PD-L1 Tumor Proportion Score (TPS) ≥50%

Excluded: ALK fusion

Presence of ALK fusion positive

Excluded: ROS1 fusion

Presence of ...ROS1 fusion positive

Disease stage

Required: Stage IIIB, IIIC, IV

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≤ 75

Prior therapy

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

Cannot have received: EGFR tyrosine kinase inhibitor

Prior treatment with any EGFR-TKI

Cannot have received: MET inhibitor

Prior treatment with any ...MET-TKI

Lab requirements

Blood counts

Kidney function

Liver function

Cardiac function

QTcF >470ms (average of three ECGs) at screening; NYHA functional class ≥3 or LVEF <50%

Adequate organ function; Cardiac dysfunction: QTcF >470ms (average of three ECGs) at screening; NYHA functional class ≥3 or LVEF <50%

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

Frequently asked questions

Is NCT07655622 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Does this trial require EGFR?

Yes, EGFR exon 19 deletion is a required biomarker for enrollment.

Does this trial require EGFR?

Yes, EGFR l858r is a required biomarker for enrollment.

Does this trial require CD274?

Yes, CD274 overexpression is a required biomarker for enrollment.

Are patients with ALK alterations eligible?

No. ALK fusion is an exclusion criterion.

Are patients with ROS1 alterations eligible?

No. ROS1 fusion is an exclusion criterion.

What disease stage is eligible?

Stage IIIB or IIIC or IV is required.

Is there an age limit?

Yes. Patients must be 75 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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