Can a pill keep lung cancer from returning after surgery?
NCT ID NCT07010419
First seen Aug 13, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This trial tests whether taking firmonertinib after surgery can help prevent non-small cell lung cancer from coming back in people with certain uncommon EGFR mutations. Participants who had their tumor completely removed will receive either firmonertinib or a placebo daily. The study aims to see if the drug extends the time before the cancer returns.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- firmonertinib
- What this could lead to
- If it works, this could offer a new way to delay or prevent lung cancer from coming back after surgery.
- What could go wrong
- This is a phase 3 trial, but it's still experimental. It may not work for everyone, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 338 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
May 2025
- Expected to finish
-
Apr 2032
An estimate. End dates often move.
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Sign the Informed Consent Form (ICF). 2. Aged ≥ 18 years old. Participants from Japan/Taiwan aged ≥ 20 years old. 3. Histologically confirmed diagnosis of primary non-small cell lung cancer (NSCLC) of predominantly non-squamous histology. 4. Underwent complete surgical resection of primary lung cancer and systematic lymph node dissection (R0 resection). 5. Classified post-operatively as Stage IB, II, IIIA, or IIIB (T3N2M0 only) on the basis of pathologic criteria, with the disease staging following the 9th Edition TNM Staging Classification: Lung Cancer issued by Union for International Cancer Control (UICC) and American Joint Committee on Cancer (AJCC). 6. Documented results of the presence of uncommon EGFR mutations (exon 20 insertion mutations, PACC mutations, and/or classical-like mutations, either as single mutations or as co-mutations), in tumor tissue or blood via a validated NGS or validated PCR assay. Exclusion Criteria: A participant would be excluded from the study if he/she meets any of the following: 1. NSCLC with EGFR Exon 19 deletion or L858R or C797S mutation. 2. Incomplete resection (R1/R2) or segmentectomy or wedge resection only. 3. Prior treatment with any of the following: 1. Prior treatment with any antineoplastic therapy other than standard platinum-based doublet adjuvant chemotherapy. 2. prior treatment with neoadjuvant therapy. 4. Concurrent malignant tumors other than the primary tumor; participants with cancers that can be treated locally and cured may be eligible. 5. Previous ILD (including drug-induced ILD) or active ILD/active radiation pneumonitis.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Adjuvant treatment are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
2 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
Peking University People's Hospital
RECRUITINGBeijing, Beijing Municipality, 100044, China
-
Sun Yat-sen University Cancer Center
RECRUITINGGuangdong, Guangzhou, 510060, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new targeted drug shrink lung tumors?
- Can a targeted drug delivery system shrink lung tumors?
- Can a new drug combo revive the immune System's attack on resistant cancers?
- Can a cell therapy shrink Hard-to-Treat lung tumors?
- Can a nebulized biologic fight lung cancer from the inside out?
- Can a targeted drug tame HER2-Mutant lung cancer?