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Active, not recruitingNCT05430802Updated Sep 25, 2026

Neoadjuvant Furmonertinib and Cisplatin/Pemetrexed as in EGFR Mutated Stage IIA-IIIB Resectable NSCLC (FORESEE)

A Phase 2 interventional study of Furmonertinib+cisplating/pemetrexed in Non-small Cell Lung Cancer, sponsored by Tang-Du Hospital. Active, not recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Tang-Du Hospital · Phase 2, Interventional, and Treatment

Updated Sep 25, 2026Start date movedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

In this single-arm, phase II clinical trial, patients with resectable, EGFR-mutated, stage II-IIIB NSCLC received neoadjuvant therapy with furmonertinib (oral, 80 mg once daily, stopped 1 week preoperatively) in combination with platinum-based doublet chemotherapy every 3 weeks for a total of 3 cycles. Surgery was performed 4-6 weeks after chemotherapy. The primary endpoint was objective response rate (ORR). Secondary endpoints included the pathological complete response (pCR) rate, major pathological response (MPR) rate, TNM downstaging rate, R0 resection rate, EFS, overall survival (OS), drug safety and surgical complications.

02

Conditions studied

  • Non-small Cell Lung Cancer

Keywords

  • furmonertinib
  • AST2818
03

In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.

This study's planned enrollment of 40 is below the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Tang-Du Hospital is the lead sponsor of 164 studies on the registry; 77 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • With written informed consent before any study procedure
  • Histology or cytology diagnose of non-small cell lung cancer within 60 days
  • Stage IIA-IIIB (T3N2M0 only), with resectable lesion(s) by radiology
  • EGFR mutation positive (exon 19 deletions or exon 21 L858R, with or without other EGFR mutations)
  • Without prior anti-tumor treatment
  • With at least one measurable lesions
  • ECOG performance status 0-1
  • Using adequate and effective contraception, women should refrain from breastfeeding and have a negative pregnancy test prior to the first administration of the study drug if within during child-bearing age

Exclusion criteria

Exclusion Criteria:

  • EGFR Exon 20 insertions positive
  • Mixed with small cell cancer, or other mixed types of lung cancer
  • Any prior anti-tumor treatment
  • Major surgery within 4 weeks before enrollment
  • Women with pregnancy or breastfeeding
  • Use of strong CYP3A4 inhibitors within 7 days or strong CYP3A4 inducers within 21 days before enrollment; use of traditional Chinese medicine with anti-tumor effect within 21 days before enrollment
  • With history of other malignancy except for radical resected tumors without recurrence for 5 years or more
  • With severe or uncontrolled systemic disease such as uncontrolled hypertention, diabetes mellitus, chronic heart failure, unstable angina, myocardial infarction within 1 year, active hemorrhage, active HBV/HCV/HIV or other infections requiring infusion treatment
  • Severe gastrointestinal diseases which may affect the intake and absorption of study drug
  • Prolongation of ECG QTc or with relative risk factors
  • History of interstitial lung disease or with relative risk factors
  • Inadequate organ function of hematology, liver and kidney
  • Allergic to study drugs or any component
  • Poor adherence or other situation judged by investigator
  • Patients who had participated other clinical studies of tumors
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    furmonertinib plus platinum-based doublet chemotherapy

    furmonertinib (oral, 80 mg once daily, stopped 1 week preoperatively) in combination with platinum-based doublet chemotherapy every 3 weeks for a total of 3 cycles

    Drug: Furmonertinib+cisplating/pemetrexed

Interventions

  • DrugFurmonertinib+cisplating/pemetrexed

    Furmonertinib 80mg/d for 9 weeks and cisplating75mg/m2 d1 iv + pemetrexed 500mg/m2 d1 iv in 21-day cycles for 3 cycles

06

What researchers measure

Primary outcomes

  1. Objective response rate

    the proportion of patients achieving complete response (CR) or partial response (PR) as assessed by investigators according to RECIST version 1.1

    Time frame: 7 days before surgery

Secondary outcomes

  1. Major pathological response rate

    MPR was defined as the presence of ≤10% residual viable tumor cells in the primary tumor and all lymph nodes from surgical specimens following R0 resection, and the MPR rate was subsequently calculated as the proportion of patients who achieved MPR

    Time frame: 7 days after surgery

  2. Pathological complete response rate

    pCR was defined as the absence of viable tumor cells in the primary tumor and all sampled regional lymph nodes from surgical specimens following R0 resection, and the pCR rate was calculated as the proportion of patients achieving this response

    Time frame: 7 days after surgery

  3. R0 resection rate

    the proportion of patients achieving R0 resection among all patients undergoing tumor resection surgery

    Time frame: 7 days after surgery

  4. the TNM downstaging rate

    defined as the proportion of patients whose post-neoadjuvant therapy TNM stage (prior to surgery) was lower than their baseline TNM stage

    Time frame: 7 days before surgery

  5. Event-free survival

    defined as the time from the date of informed consent to loss of surgical eligibility due to disease progression, postoperative recurrence, or death from any cause

    Time frame: 2 years

  6. Overall survival

    The time from enrolment to death of any reason

    Time frame: Approximately 5 years following the first dose of study drugs

  7. drug safety and surgical complications

    Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 and Number of participants with surgical complications as assessed by Clavien-Dindo

    Time frame: Adverse events (AEs) will be followed up for 30 days, serious adverse events (SAEs) will be followed up until resolution (assessed up to 60 days), and surgical complications will be followed up for 90 days.

07

Study locations

1 site
  • Tangdu Hospital
    Xi'an, Shannxi, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Start date
Feb 24, 2022→Jan 10, 2023
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    Start date Feb 24, 2022→Jan 10, 2023
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05430802
Lead sponsor
Tang-Du Hospital
Responsible party
Sponsor
First posted
Jun 24, 2022
Start date
Jan 10, 2023
Primary completion
Sep 1, 2025
Completion
Dec 1, 2029 (estimated)
Last update
Sep 25, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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