Clinical Trials

Multiple clinical trials across early to late phases evaluate the selective kinase inhibitor furmonertinib mesylate in non-small cell lung cancer harboring diverse EGFR and HER2 alterations or central nervous system metastases, alongside pharmacology studies in healthy volunteers. Sponsored by academic medical centers and industry partners including Allist Pharmaceuticals and ArriVent BioPharma, these studies encompass recruiting, active not recruiting, completed, and terminated statuses. Collectively, these investigations aim to establish the drug's therapeutic efficacy, safety profile, and pharmacokinetics in target populations.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07229599 RECRUITING
Advanced Lung Cancer
Minghui Pharmaceutical (Hangzhou) Ltd
2025-05-09 PHASE1; PHASE2
NCT06970639 RECRUITING
NSCLC Patients With Brain Metastasis
Allist Pharmaceuticals, Inc.
2024-09-26 PHASE3
NCT07622186 RECRUITING
Non-Small Cell Lung Cancer
Sichuan Kelun-Biotech Biopharmaceutical Co., Ltd.
2026-07-15 PHASE2
NCT07304739 RECRUITING
Non Small Cell Lung Cancer
Tianjin Medical University Cancer Institute and Hospital
2025-12-22 PHASE2
NCT06969781 NOT_YET_RECRUITING
Lung Cancer (NSCLC)
Shanghai Chest Hospital
2025-05
NCT07348965 RECRUITING
NSCLC (Advanced Non-small Cell Lung Cancer); Leptomeningeal Metastasis; Furmonertinib; EGFR Activating Mutation
Guangzhou University of Traditional Chinese Medicine
2026-03-01
NCT05987826 RECRUITING
Non-Small Cell Lung Cancer
Shanghai Zhongshan Hospital
2023-09-19 PHASE2
NCT06868732 RECRUITING
Advanced Non-small Cell Lung Cancer
Jiangsu Alphamab Biopharmaceuticals Co., Ltd
2025-04-02 PHASE1
NCT06728865 RECRUITING
Non-small Cell Lung Cancer (NSCLC); EGFR Mutation-Positive Lung Cancer; Brain Metastases; Leptomeningeal Metastases; Intracranial Tumor Progression
Li-kun Chen
2024-09-04 PHASE2
NCT07517640 NOT_YET_RECRUITING
Non-small Cell Lung Cancer
Shanghai Pulmonary Hospital, Shanghai, China
2026-04-01 PHASE2
NCT06452433 NOT_YET_RECRUITING
Non-small Cell Lung Cancer
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
2024-06-01 PHASE2
NCT07655622 RECRUITING
Non-Small-Cell Lung Cancer
Second Affiliated Hospital of Nanchang University
2026-07-03 PHASE1; PHASE2
NCT07482605 NOT_YET_RECRUITING
Lung Cancer (NSCLC); Malignant Pleural Effusions (Mpe)- Pleurodesis
Jiangmen Central Hospital
2026-07-01 PHASE2
NCT06945705 RECRUITING
NSCLC
Henan Cancer Hospital
2025-04-02 PHASE2
NCT07087223 RECRUITING
Non Small Cell Lung Cancer NSCLC
Peking University Cancer Hospital & Institute
2025-04-08 PHASE1; PHASE2
NCT06674343 RECRUITING
Advanced or Metastatic Non-small Cell Lung Cancer
Peking Union Medical College Hospital
2024-07-15 PHASE3
NCT06319950 NOT_YET_RECRUITING
Lung Cancer, Nonsmall Cell
Taizhou Hospital
2024-04-01 PHASE2
NCT06192849 RECRUITING
Non Small Cell Lung Cancer; EGFR Exon 20 Insertion Mutation
Juan LI, MD
2023-12-31 PHASE2
NCT06652048 RECRUITING
Non-Small Cell Lung Cancer
Jialei Wang
2024-10-01 PHASE2
NCT04853342 RECRUITING
Non-small Cell Lung Carcinoma
Allist Pharmaceuticals, Inc.
2021-06-07 PHASE3
NCT07169994 RECRUITING
Advanced Solid Tumors; Breast Cancer; Non Small Cell Lung Cancer
MediLink Therapeutics (Suzhou) Co., Ltd.
2025-09-02 PHASE1; PHASE2
NCT05994131 RECRUITING
NSCLC
InxMed (Shanghai) Co., Ltd.
2023-07-13 PHASE1; PHASE2
NCT05445310 UNKNOWN
Non-small Cell Lung Cancer
Peking Union Medical College Hospital
2022-08-06 PHASE2
NCT07193160 NOT_YET_RECRUITING
NSCLC (Non-small Cell Lung Cancer)
Fudan University
2025-11-01 PHASE2
NCT06962865 RECRUITING
Non-Small Cell Lung Cancer
RemeGen Co., Ltd.
2025-06-30 PHASE2
NCT07365410 NOT_YET_RECRUITING
Non-small Cell Lung Cancer (NSCLC); Brain Metastases; Furmonertinib; EGFR Mutation
Tianjin Medical University Cancer Institute and Hospital
2026-01 PHASE2
NCT06812871 COMPLETED
Non-small Cell Lung Cancer Metastatic
Sun Yat-sen University
2024-01-01 PHASE2
NCT06483672 NOT_YET_RECRUITING
Adenocarcinoma of Lung Metastatic to Brain
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
2024-07 PHASE2
NCT05465343 COMPLETED
Furmonertinib; EGFR-mutation; NSCLC; Brain Metastases
Peking Union Medical College
2022-07-11 PHASE2
NCT06585644 NOT_YET_RECRUITING
Lung Cancer (NSCLC)
Shanghai Pulmonary Hospital, Shanghai, China
2024-10-01 PHASE2
NCT05430802 ACTIVE_NOT_RECRUITING
Non-small Cell Lung Cancer
Tang-Du Hospital
2022-02-24 PHASE2
NCT05821933 UNKNOWN
NSCLC
RemeGen Co., Ltd.
2023-09-07 PHASE1; PHASE2
NCT06537297 NOT_YET_RECRUITING
Non-small Cell Lung Cancer
Hunan Province Tumor Hospital
2024-09-30 PHASE2
NCT05607550 ACTIVE_NOT_RECRUITING
Metastatic Non-Small Cell Lung Cancer; Advanced Non-Small Cell Lung Cancer; EGFR Exon 20 Mutations
ArriVent BioPharma, Inc.
2023-06-01 PHASE3
NCT06339242 UNKNOWN
NSCLC
Jiangsu Province Nanjing Brain Hospital
2024-01-01 PHASE2
NCT06185400 NOT_YET_RECRUITING
Non Small Cell Lung Cancer; ERBB2 Mutation-Related Tumors; ERBB2 Gene Duplication; Disitamab Vedotin
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
2024-02-01 PHASE2
NCT05466149 ACTIVE_NOT_RECRUITING
NSCLC
Allist Pharmaceuticals, Inc.
2022-09-27 PHASE2
NCT05364073 ACTIVE_NOT_RECRUITING
Non-Small Cell Lung Cancer (NSCLC); Metastatic Non-Small Cell Lung Cancer; Advanced Non-Small Cell Lung Cancer; HER2 Exon 20 Mutations; EGFR Exon 20 Mutations; EGFR Uncommon Mutations, Including G719X and S768I
ArriVent BioPharma, Inc.
2022-06-30 PHASE1
NCT06394674 RECRUITING
Non-Small Cell Lung Cancer
Changhai Hospital
2024-05-01 PHASE2
NCT05813522 UNKNOWN
Non Small Cell Lung Cancer
First Affiliated Hospital of Zhejiang University
2022-04-15 PHASE2
NCT06643000 RECRUITING
Non-small Cell Lung Cancer; Leptomeningeal Metastasis; EGFR Gene Mutation
Henan Cancer Hospital
2024-12-20
NCT05334277 RECRUITING
Non-small Cell Lung Cancer
Sun Yat-sen University
2022-05-06 PHASE2
NCT05379803 RECRUITING
Non-Small Cell Lung Cancer
Hunan Province Tumor Hospital
2022-05-01 PHASE2
NCT04858958 COMPLETED
NSCLC
Allist Pharmaceuticals, Inc.
2020-08-10 PHASE1
NCT05165355 UNKNOWN
NSCLC; EGF-R Positive Non-Small Cell Lung Cancer
Tongji University
2021-12-28 PHASE2
NCT05847764 UNKNOWN
Non Small Cell Lung Cancer; ERBB2 Mutation-Related Tumors; RC48; Disitamab Vedotin
Sun Yat-sen University
2023-05 PHASE2
NCT04970693 UNKNOWN
Non-small Cell Lung Cancer; Oligoprogressive
Sun Yat-sen University
2021-06-01 PHASE2
NCT05209256 UNKNOWN
NSCLC
The First Affiliated Hospital of Henan University of Science and Technology
2022-03-01 PHASE2; PHASE3
NCT05548348 UNKNOWN
Non-small Cell Lung Cancer; EGFR G719X; EGFR L861Q; EGFR S768I
Chongqing University Cancer Hospital
2022-09-26 PHASE2
NCT05255406 UNKNOWN
Non-Small-Cell Lung Cancer
Fudan University
2021-12-09 PHASE2
NCT04895930 UNKNOWN
Non-Small-Cell Lung Cancer
Shanghai Chest Hospital
2021-10-12 PHASE2
NCT05503667 RECRUITING
Lung Adenocarcinoma Stage III; Lung Adenocarcinoma Stage IV; EGFR Gene Mutation
Shanghai Pulmonary Hospital, Shanghai, China
2022-02-01 PHASE2
NCT04671303 COMPLETED
Lung Cancer
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
2021-01-01 PHASE2
NCT04965831 UNKNOWN
Lung Adenocarcinoma
Tianjin Medical University Cancer Institute and Hospital
2021-08-01 PHASE2
NCT05079022 UNKNOWN
Adenocarcinoma of Lung
Peking University People's Hospital
2021-10 PHASE1; PHASE2
NCT04982900 UNKNOWN
Multiple Primary Lung Cancers
Ruijin Hospital
2021-10-01 PHASE2
NCT05364073 Recruiting
Non-Small Cell Lung Cancer (NSCLC)|Metastatic Non-Small Cell Lung Cancer|Advanced Non-Small Cell Lung Cancer|HER2 Exon 20 Mutations|EGFR Exon 20 Mutations|EGFR Uncommon Mutations Including G719X and S768I
ArriVent BioPharma Inc.
2022-06-30 Phase 1
NCT04958967 WITHDRAWN
NSCLC
Allist Pharmaceuticals, Inc.
2021-10-01 PHASE1
NCT03787992 ACTIVE_NOT_RECRUITING
Locally Advanced or Metastatic EGFR Sensitising Mutation Positive Non-small Cell Lung Cancer
Allist Pharmaceuticals, Inc.
2019-05-30 PHASE3
NCT03127449 TERMINATED
Advanced NSCLC
Allist Pharmaceuticals, Inc.
2017-06-01
NCT03452592 TERMINATED
Advanced NSCLC Patients With T790M
Allist Pharmaceuticals, Inc.
2018-04-30 PHASE2
NCT02973763 TERMINATED
NSCLC
Allist Pharmaceuticals, Inc.
2016-12-30 PHASE1
NCT03941340 COMPLETED
Healthy Male Volunteers
Allist Pharmaceuticals, Inc.
2019-04-08 PHASE1
NCT03926182 COMPLETED
Healthy Male Volunteers
Allist Pharmaceuticals, Inc.
2019-02-19 PHASE1
NCT03941340 Completed
Healthy Male Volunteers
Allist Pharmaceuticals Inc.
2019-04-08 Phase 1
NCT03926182 Completed
Healthy Male Volunteers
Allist Pharmaceuticals Inc.
2019-02-19 Phase 1
NCT03452592 Unknown status
Advanced NSCLC Patients With T790M
Allist Pharmaceuticals Inc.
2018-04-30 Phase 2
NCT03127449 Unknown status
Advanced NSCLC
Allist Pharmaceuticals Inc.
2017-06-01 Not Applicable

(data from https://clinicaltrials.gov, updated on 2025-11-17)

Check the Furmonertinib Mesylate (AST2818, Alflutinib) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Furmonertinib mesylate binds selectively to the adenosine triphosphate-binding pocket of epidermal growth factor receptor (EGFR), potently inhibiting both EGFR-sensitizing mutations and the T790M resistance mutation to block downstream oncogenic signal transduction and arrest malignant cell proliferation. This targeted enzymatic inhibition induces apoptosis in mutant kinase-driven tumor cells, thereby suppressing tumor growth and mitigating progression in patients with advanced or metastatic EGFR-mutated non-small cell lung cancer.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.