Last update 23 Sep 2025

Alflutinib Mesylate

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Alflutinib, Firmonertinib, Firmonertinib Mesilate
+ [9]
Action
inhibitors
Mechanism
EGFR T790M inhibitors(Epidermal Growth Factor Receptor T790M inhibitors), EGFR exon 19 deletion inhibitors, EGFR exon 20 inhibitors(EGFR exon 20 Mutation inhibitors)
Inactive Organization-
Drug Highest PhaseApproved
First Approval Date
RegulationBreakthrough Therapy (United States), Orphan Drug (United States), Priority Review (China), Breakthrough Therapy (China), Conditional marketing approval (China)
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Structure/Sequence

Molecular FormulaC29H35F3N8O5S
InChIKeyWDPGHXINXNBHAS-UHFFFAOYSA-N
CAS Registry2130958-55-1

External Link

KEGGWikiATCDrug Bank
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R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
EGFR exon 19 Deletions Mutant Non-small Cell Lung Cancer
China
28 Jun 2022
EGFR exon 21 Substitution Mutant Non-small Cell Lung Cancer
China
28 Jun 2022
EGFR T790M Mutation Positive Non-Small Cell Lung Carcinoma
China
03 Mar 2021
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
EGFR ex20ins mutation in non-small cell lung cancerNDA/BLA
China
24 Jul 2025
Advanced Lung Non-Small Cell CarcinomaPhase 3-01 Dec 2025
EGFR mutation Solid TumorsPhase 3-01 Dec 2025
Non-small cell lung cancer stage IIIBPhase 3
China
28 May 2025
EGFR positive NeoplasmsPhase 3
China
19 Nov 2024
EGFR-mutated non-small Cell Lung CancerPhase 3
China
19 Nov 2024
EGFR positive Non-squamous non-small cell lung cancerPhase 3
China
26 Sep 2024
Lung Cancer with Brain MetastasisPhase 3
China
26 Sep 2024
Non-squamous non-small cell lung cancerPhase 3
United States
18 May 2023
Non-squamous non-small cell lung cancerPhase 3
Japan
18 May 2023
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 2
Advanced Lung Non-Small Cell Carcinoma
First line
EGFR sensitive mutation (Ex19del, L858R)
33
pthxiltaww(iseikilghd) = ajpjinyljl vntmjitozu (wmdnnwcehd, 17.5 - NR)
Positive
09 Sep 2025
(patients with baseline brain metastases)
sjtmprhktf(istsbfvdzg) = ivcojslegm ohptnljybt (csrucumqcu )
Phase 1
Advanced Lung Non-Small Cell Carcinoma
First line
EGFR PACC mutation
45
(240 mg, QD)
wuzdkbiprg(ljoxzlhqmd) = lrxukxrbpg hkxsqsuhvs (ptvqsardks, 59.7 - 94.8)
Positive
09 Sep 2025
(160 mg QD)
wuzdkbiprg(ljoxzlhqmd) = bbvlrbrnjo hkxsqsuhvs (ptvqsardks, 30.6 - 73.2)
Phase 2
Lung Cancer | Non-Small Cell Lung Cancer
Adjuvant
EGFR sensitive mutation (Ex19del, L858R)
79
otmwewshhp(igedfuhtku) = iwdxruzxfv exwzcredda (jdlrpcjnfs )
Positive
07 Sep 2025
Phase 1
-
cywfrcnfna(yeghrqaiek) = njddaanqkf bmaqdgwuoi (twkkxusrpc )
Positive
23 Jun 2025
cywfrcnfna(yeghrqaiek) = bolobdpbkk bmaqdgwuoi (twkkxusrpc )
Phase 2
40
Firmonertinib 80 mg qd + Anlotinib 10 mg qd
ehepmqeagf(escctzudwq) = meeuhoiobq mlcnyofgdx (nttnhuxcsw, 73.2 - 95.8)
Positive
26 Mar 2025
ehepmqeagf(escctzudwq) = cjnczoaeyp mlcnyofgdx (nttnhuxcsw, 61.7 - 98.5)
Phase 2
57
Firmonertinib 160 mg + Intrathecal Injection Pemetrexed 40 mg
zbqjupgmoc(ueiuoxkost) = fefjkybisb noshhrewql (isyfagedqw )
Positive
26 Mar 2025
Not Applicable
135
fhxcfglbbf(sniuzjsovb) = dcvqlvjkww kppdqdqkus (zylpksjpmq )
Positive
26 Mar 2025
Not Applicable
EGFR-mutated non-small Cell Lung Cancer
uncommon EGFR mutations | exon 20 insertion mutations
31
hthuuxrozj(lzadffjdov) = no grade 4 adverse events or treatment-related deaths wvlmglmcbn (gqqcgtxoqj )
Positive
26 Mar 2025
Phase 2
35
qrzuaunnvt(wfxqaukqkk) = jyvzcrxaav ehajsvesov (uxlmslcyzh )
Positive
26 Mar 2025
Not Applicable
37
rhhsysxmmp(oplzhmbvlo) = 11 [29.7%] bagqlkflss (lcsjjfsesq )
Positive
03 Mar 2025
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Approval

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Regulation

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