Evidence map›Paper›PMID 37118803›Full record

ArticleBMC medicine2023

Central nervous system efficacy of furmonertinib (AST2818) in patients with EGFR T790M mutated non-small cell lung cancer: a pooled analysis from two phase 2 studies.

Xingsheng Hu, Shucai Zhang, Zhiyong Ma, Jifeng Feng, Lin Wu, Dongqing Lv, Jianying Zhou, Xiaodong Zhang, Li Liu, Qitao Yu and 20 more

2 registry-linked trialsAbstract read
In one paragraph

Article in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03127449 naterminatednot on this map

Multiple-Centered Study of AST2818 in Patients With Advanced Non-small Cell Lung Cancer With EGFR Mutations

TypeinterventionalSponsorAllist Pharmaceuticals, Inc.Ran2017 to 2024Enrolled116ConditionsAdvanced NSCLCArmsAlflutinib
NCT03452592 phase2terminatednot on this map

Multicenter, Randomized and OpenⅡb Clinical Trials to Evaluate the Efficacy and Safety of Alflutinib in Locally Advanced or Metastatic Non-Small Cell Lung Cancer Patients Harbouring T790M Mutation

TypeinterventionalSponsorAllist Pharmaceuticals, Inc.Ran2018 to 2024Enrolled220ConditionsAdvanced NSCLC Patients With T790MArmsAlflutinib
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Trial
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  3. Rezivertinib inCancer communications (London, England) · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Xingsheng HuDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing Key Laboratory of Clinical Study On Anticancer Molecular Targeted Drugs, Beijing, 100021, China.
Shucai ZhangDepartment of Oncology, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Oncology Institute, Beijing, China.
Zhiyong MaDepartment of Medical Oncology, Affiliated Cancer Hospital of Zhengzhou University/Henan Cancer Hospital, Zhengzhou, China.
Jifeng FengDepartment of Oncology, Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research, Nanjing Medical University Affiliated Cancer Hospital, Nanjing, China.
Lin WuThoracic Medicine Department II, Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.
Dongqing LvDepartment of Respiratory Medicine, Taizhou Hospital of Zhejiang Province, Taizhou, China.
Jianying ZhouDepartment of Respiratory Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Xiaodong ZhangDepartment of Medical Oncology, Nantong Cancer Hospital, Nantong, China.
Li LiuDepartment of Thoracic Oncology, Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Qitao YuDepartment of Respiratory Oncology, Guangxi Medical University Affiliated Tumor Hospital, Nanning, China.
Wangjun LiaoDepartment of Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yiping ZhangDepartment of Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, China.
Xiang WangDepartment of Medical Oncology, Xuzhou Central Hospital, Xuzhou, China.
Ying ChengDepartment of Oncology, Jilin Cancer Hospital, Changchun, China.
Hongrui NiuDepartment of Oncology, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
Ziping WangDepartment of Thoracic Medical Oncology, Peking University Cancer Hospital and Institute, Beijing, China.
Dong WangDepartment of Oncology, Army Medical Centre of People's Liberation Army, Chongqing, China.
Cheng HuangDepartment of Oncology, Fujian Cancer Hospital, Fuzhou, China.
Chunling LiuDepartment of Pulmonary Medicine, Cancer Hospital of Xinjiang Medical University, Urumqi, China.
Hui ZhaoDepartment of Respiratory and Critical Care Medicine, The Second Hospital of Anhui University, Hefei, China.
Jian FengDepartment of Respiratory Medicine, Affiliated Hospital of Nantong University, Nantong, China.
Jingzhang LiDepartment of Oncology, Liuzhou People's Hospital, Liuzhou, China.
Kejing YingDepartment of Respiratory Medicine, Sir Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, China.
Nong YangDepartment of Medical Oncology, Lung Cancer and Gastrointestinal Unit, Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.
Shukui QinThe People's Liberation Army Cancer Center, Jinling Hospital, Nanjing, China.
Jie HuShanghai Allist Pharmaceutical Technology Co., Ltd, , Shanghai, China.
Fei LiuShanghai Allist Pharmaceutical Technology Co., Ltd, , Shanghai, China.
Yong JiangShanghai Allist Pharmaceutical Technology Co., Ltd, , Shanghai, China.
Nan GeShanghai Allist Pharmaceutical Technology Co., Ltd, , Shanghai, China.
Yuankai ShiDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing Key Laboratory of Clinical Study On Anticancer Molecular Targeted Drugs, Beijing, 100021, China. syuankaipumc@126.com.ORCID 0000-0002-3342-4964

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFurmonertinib (AST2818) is a brain penetrant pan-epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) targeting both EGFR sensitizing mutations and T790M mutation. We report the pooled central nervous system (CNS) efficacy data of furmonertinib in patients with EGFR T790M mutated non-small cell lung cancer (NSCLC) from two phase 2 studies.

methodsThis was a pooled, post-hoc analysis of two phase 2 studies (NCT03127449 [phase 2a study of furmonertinib], NCT03452592 [phase 2b study of furmonertinib]). In the phase 2a study, patients received furmonertinib 40 mg, 80 mg, 160 mg, or 240 mg orally once daily. In the phase 2b study, all patients received furmonertinib 80 mg orally once daily. CNS efficacy of furmonertinib was analyzed in patients with baseline CNS lesions by an independent review center per Response Evaluation Criteria in Solid Tumors version 1.1.

resultsA total of 132 patients with baseline CNS metastases were included in this analysis. In 52 patients with measurable CNS lesions, CNS objective response rates were zero (0/1), 65% (22/34), 85% (11/13), and 25% (1/4), and CNS disease control rates were zero (0/1), 97% (33/34), 100% (13/13), and 100% (4/4) in the 40 mg, 80 mg, 160 mg, and 240 mg orally once daily group, respectively. In patients with measurable or non-measurable CNS lesions, median CNS progression-free survival was 2.8 months (95% confidence interval [CI] 1.4-8.3), 11.6 months (95% CI 8.3-13.8), 19.3 months (95% CI 5.5-not available [NA]), and not reached (95% CI 2.8 months-NA) in the 40 mg, 80 mg, 160 mg, and 240 mg orally once daily group, respectively.

conclusionsFurmonertinib showed promising CNS efficacy in doses of 80 mg orally once daily or higher in patients with EGFR T790M mutated NSCLC.

trial registrationBoth studies were registered on ClinicalTrial.gov. The phase 2a study was registered with NCT03127449 on April 25, 2017; The phase 2b study was registered with NCT03452592 on March 2, 2018.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsCentral Nervous SystemClinical Trials, Phase II as TopicErbB ReceptorsHumansIndolesMutationProtein Kinase InhibitorsPyridinesPyrimidinesaflutinibEGFR protein, humanErbB ReceptorsIndolesProtein Kinase InhibitorsPyridinesPyrimidinesAST2818CNSEGFRFurmonertinibNSCLC

Identifiers

PMID37118803
PMCPMC10148399

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.