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Not yet recruitingNCT06890182Updated Mar 21, 2025

Firmonertinib Combined With Chemotherapy as Neoadjuvant Therapy for Resectable Stage Ⅱ-ⅢB EGFR Sensitive Mutanted NSCLC

A Phase 2 interventional study of Firmonertinib combined with Carboplatin/Cisplatin and Pemetrexed in Non-small Cell Lung Cancer, sponsored by Tianjin Medical University Cancer Institute and Hospital. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-21.

Sponsored by Tianjin Medical University Cancer Institute and Hospital · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
31
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a phase II study aimed to assess the efficacy and safety of firmonertinib combined with carboplatin/cisplatin and pemetrexed as neoadjuvant therapy in stage II-IIIB resectable NSCLC patients.

Read the detailed description

In this open-label, single-arm, phase 2 study, 31 eligible patients with EGFR mutated stage IIIA-IIIB resectable NSCLC will be recruited to receive firmonertinib for 12 weeks combined with carboplatin/cisplatin and pemetrexed for 4 cycles (21 d/cycle) as neoadjuvant therapy before radical surgery. Radiological and pathological evaluations will be performed before and after the neoadjuvant therapy to assess the efficacy of treatment. Adverse events during neoadjuvant therapy, disease and survival status will also be collected in the study.

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Conditions studied

  • Non-small Cell Lung Cancer
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In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,630 are open to participants now.

This study's planned enrollment of 31 is below the median of 62 across 5,211 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Tianjin Medical University Cancer Institute and Hospital is the lead sponsor of 484 studies on the registry; 286 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  1. Provide informed consent prior to any study specific procedures
  2. at least 18 years of age
  3. Histology or cytology diagnose of non-small cell lung cancer within 60 days
  4. ECOG PS of 0 to 1 at screening with no clinically significant deterioration in the previous 2 weeks
  5. Stage II-IIIB NSCLC that is expected to be resectable, as assessed by the investigator (8 thUICCTNM staging),
  6. According to RECIST 1.1, patients have at least one measureable tumor lesion (The longest axis ≥10mm)
  7. EGFR mutation positive (exon 19 deletions or exon 21 L858R, with or without other EGFR mutations)
  8. Without prior anti-tumor treatment
  9. Withe adequate organ function of hematology, liver and kidney
  10. Using adequate and effective contraception, Male patients should be use condoms; 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:

  1. Dual or multiple primary NSCLC
  2. Any prior anti-tumor treatment
  3. With history of other malignancy except for radical resected tumors without recurrence for 5 years or more
  4. Diseases or clinical states with severe abnormalities of gastrointestinal function that may interfere with the ingestion, transit, or absorption of the study drug.e.g., inability to take medication orally, uncontrolled nausea and vomiting
  5. 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
  6. Laboratory tests indicate insufficient bone marrow reserve or organ reserve
  7. Women with pregnancy or breastfeeding
  8. Patients with known or suspected drug allergies, or other contraindications
  9. Other conditions that, in the opinion of the investigator, make participation in this trial inappropriate
  10. Patients who are currently or previously enrolled in any other anti-tumor clinical study.
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Study design

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

Study arms

  • Experimental
    Firmonertinib combined with Carboplatin/Cisplatin and Pemetrexed

    furmonertinib 80mg/d for 12 weeks and carboplatin AUC5 d1 iv / cisplatin 75mg/m2 d1 iv+ pemetrexed 500mg/m2 d1 iv at 21 day cycles for 4 cycles

    Drug: Firmonertinib combined with Carboplatin/Cisplatin and Pemetrexed

Interventions

  • DrugFirmonertinib combined with Carboplatin/Cisplatin and Pemetrexed

    furmonertinib 80mg/d for 12 weeks and carboplatin AUC5 d1 iv / cisplatin 75mg/m2 d1 iv+ pemetrexed 500mg/m2 d1 iv at 21 day cycles for 4 cycles

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What researchers measure

Primary outcomes

  1. Major pathological response rate (MPR)

    Proportion of resected specimens with ≤10% residual tumor cells assessed by surgical specimen pathology

    Time frame: Approximately 24 weeks following the first dose of study drug

Secondary outcomes

  1. Pathological Complete Response Rate(pCR)

    The proportion of patients with pathological response rate in the resected tumor.

    Time frame: Approximately 24 weeks following the first dose of study drug

  2. Objective Response Rate (ORR)

    According to RECIST 1.1 criteria, after 8 weeks of neoadjuvant therapy CT scans scans assessed the proportion of patients in partial and complete remission.

    Time frame: Approximately 8 weeks following the first dose of study drug

  3. Rate of R0 Resection

    The proportion of patients with R0 resection.

    Time frame: Approximately 16 weeks following the first dose of study drug

  4. Pathological downstaging of lymph node rate

    The proportion of patients with pathological downstaging of lymph node rate

    Time frame: Approximately 16 weeks following the first dose of study drug

  5. Incidence of adverse events (AE)

    The number of patients with adverse events and the severity according to CTCAE v5.0

    Time frame: Approximately 12 weeks following the first dose of study drug

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Study locations

No study locations are listed for this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06890182
Lead sponsor
Tianjin Medical University Cancer Institute and Hospital
Responsible party
Sponsor
First posted
Mar 21, 2025
Start date
Mar 2025 (estimated)
Primary completion
Dec 2026 (estimated)
Completion
Dec 2027 (estimated)
Last update
Mar 21, 2025

Study contacts

Zhansheng Jiang
Contact
18526812877@163.com
13512035574
Zhansheng Jiang
principal investigator · Tianjin Medical University Cancer Institute and Hospital

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 not yet recruiting, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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