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Firmonertinib

Phase 3

NSCLC | Small molecule | Oncology |ArriVent BioPharma, Inc.|Last Updated: Sep 1, 2026

Target and mechanism

Molecular targetEGFR
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment338

FDA Designations

BREAKTHROUGH_THERAPYORPHAN_DRUG

Clinical trial landscape

Firmonertinib · 2 trials · 8 indications

Phase 3 2
NCT07185997Study to Evaluate Efficacy and Safety of Firmonertinib Compared With Investigator's Choice of EGFR Inhibitor as First-Line Treatment in Participants Who Have Locally Advanced or Metastatic NSCLC With EGFR P-Loop and Alpha C-Helix Compressing (PACC) Uncommon MutationsNon-Small-Cell Lung Cancer
RECRUITING480 Analytics
NCT07010419A Study to Assess the Efficacy and Safety of Firmonertinib Versus Placebo for Adjuvant Treatment in Participants With Stage IB - IIIB NSCLC With Uncommon Epidermal Growth Factor Receptor (EGFR) Mutations, Following Complete Surgical Resection With or Without Adjuvant Chemotherapy(FIRMOST)NSCLC
RECRUITING338 Analytics
PHASE3RECRUITING
Study to Evaluate Efficacy and Safety of Firmonertinib Compared With Investigator's Choice of EGFR Inhibitor as First-Line Treatment in Participants Who Have Locally Advanced or Metastatic NSCLC With EGFR P-Loop and Alpha C-Helix Compressing (PACC) Uncommon Mutations
Non-Small-Cell Lung CancerUnlock trial analytics
PHASE3RECRUITING
A Study to Assess the Efficacy and Safety of Firmonertinib Versus Placebo for Adjuvant Treatment in Participants With Stage IB - IIIB NSCLC With Uncommon Epidermal Growth Factor Receptor (EGFR) Mutations, Following Complete Surgical Resection With or Without Adjuvant Chemotherapy(FIRMOST)
NSCLCUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS) determined by blinded independent central review (BICR)
Until progression or death, assessed up to approximately 4 years

PFS is defined as the time from randomization to the first occurrence of disease progression as determined by BICR using RECIST v1.1, or death from any cause, whichever occurs first.

Confirmed overall response rate (ORR) as determined by BICR
Until progression or death, assessed up to approximately 3 years

Confirmed ORR is defined as the percentage of participants with a confirmed CR or PR based on BICR assessment relative to the total number of participants.

Disease free survival (DFS)
Up to 3 years

DFS as assessed by the investigator in Stage II- IIIB. DFS defined as the time from the date of randomization to the first observation of disease recurrence (by pathological diagnosis or imaging) or death caused by any reason, whichever occurs first.

Secondary Endpoints

Overall survival (OS)
Until death, assessed up to approximately 5 years
Investigator-assessed PFS
Until progression or death, assessed up to approximately 4 years
Investigator-assessed confirmed ORR
Until progression or death, assessed up to approximately 3 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Firmonertinib 240 mgEXPERIMENTAL -
EGFR-TKI inhibitor osimertinib or afatinib based on investigator's choiceACTIVE_COMPARATOR -
FirmonertinibEXPERIMENTALFirmonertinib: 240 mg, QD, orally
PlaceboPLACEBO_COMPARATORPlacebo: 240 mg, QD, orally

Interventions

NameTypeDescription
FirmonertinibDRUG240 mg oral, daily firmonertinib tablet
EGFR-TKI inhibitor based on investigator's choiceDRUGosimertinib 80 mg oral, daily tablet OR afatinib 40 mg oral, daily tablet
PlaceboDRUGPlacebo: 240 mg, QD, orally
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites118

Key Eligibility Criteria: * Histologically or cytologically documented, locally advanced or metastatic Non-Small Cell Lung Cancer (NSCLC) not amenable to curative surgery or radiotherapy. * Documented results of the presence of an Epidermal Growth Factor Receptor (EGFR) PACC mutation in tumor tissu...

Countries:United StatesAustraliaCanadaChinaFranceGreeceHong KongItalyJapanMalaysiaSingaporeSouth KoreaSpainTaiwanThailandTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)

LOWSep 1, 2026NCT07185997lastUpdatePostDate: changed
LOWSep 1, 2026NCT07185997lastUpdatePostDate: changed
LOWAug 14, 2026NCT07010419lastUpdatePostDate: changed
LOWAug 14, 2026NCT07010419lastUpdatePostDate: changed
LOWAug 14, 2026NCT07010419lastUpdatePostDate: changed
LOWAug 3, 2026NCT07185997lastUpdatePostDate: changed
LOWJul 2, 2026NCT07185997lastUpdatePostDate: changed
LOWJul 2, 2026NCT07185997lastUpdatePostDate: changed
LOWJul 2, 2026NCT07185997lastUpdatePostDate: changed

Frequently asked questions about Firmonertinib

What is Firmonertinib used for?

Firmonertinib is an investigational small molecule being studied for the treatment of non-small-cell lung cancer (NSCLC). It is being evaluated in Phase 3 clinical trials for adjuvant treatment of stage IB-IIIB NSCLC with uncommon EGFR mutations following complete surgical resection, and as first-line treatment for locally advanced or metastatic NSCLC with EGFR P-loop and alpha C-helix compressing (PACC) uncommon mutations.

What does Firmonertinib target?

Firmonertinib targets the epidermal growth factor receptor (EGFR), acting as an inhibitor. It is being studied in patients with NSCLC who harbor uncommon EGFR mutations, including P-loop and alpha C-helix compressing (PACC) mutations, which are distinct from the more common EGFR mutations like exon 19 deletions and L858R.

Who makes Firmonertinib?

Firmonertinib is being developed by ArriVent BioPharma, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol AVBP. The company is advancing the drug through Phase 3 clinical trials for the treatment of non-small-cell lung cancer.

What phase is Firmonertinib in?

Firmonertinib is currently in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The drug has received Breakthrough Therapy and Orphan Drug designations from the FDA, reflecting its potential in treating NSCLC with uncommon EGFR mutations.

What clinical trials is Firmonertinib in?

Firmonertinib is being studied in two Phase 3 trials. NCT07010419 (FIRMOST) evaluates the drug versus placebo as adjuvant treatment in stage IB-IIIB NSCLC with uncommon EGFR mutations after surgery. NCT07185997 compares Firmonertinib to investigator's choice of EGFR inhibitor as first-line treatment in advanced or metastatic NSCLC with EGFR PACC mutations.

Is Firmonertinib the same as other EGFR inhibitors?

Firmonertinib is a distinct EGFR inhibitor being developed by ArriVent BioPharma. It is designed to target uncommon EGFR mutations, including PACC mutations, which may not respond well to earlier-generation EGFR inhibitors. Its unique profile is being tested in head-to-head trials against other EGFR inhibitors in the first-line setting.