Clinical Trials

Multiple clinical trials in Phase 1 development evaluate the therapeutic and pharmacokinetic profiles of this compound and its parent drug. Sponsored by industry entities including ArriVent BioPharma Inc. and Allist Pharmaceuticals Inc., these studies encompass both completed pharmacokinetic evaluations and active, recruiting trials. The research assesses safety, biotransformation, food effect, and antitumor activity in healthy male volunteers and patients with advanced or metastatic non-small cell lung cancer harboring EGFR exon 20 mutations, HER2 exon 20 mutations, or uncommon EGFR variants such as G719X and S768I.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
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
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

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the AST5902 trimesylate product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

AST5902 trimesylate acts as an irreversible, highly selective epidermal growth factor receptor (EGFR) inhibitor that binds covalently to the kinase domain, suppressing downstream oncogenic signaling cascades and inhibiting tumor cell proliferation. This targeted inhibition of mutant EGFR pathways provides the mechanistic basis for suppressive antitumor activity in non-small cell lung cancer characterized by EGFR and HER2 exon 20 or uncommon mutations.

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.