Last update 04 Sep 2026

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
D12956-

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
EGFR ex20ins mutation in non-small cell lung cancer
China
02 Feb 2026
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
Advanced Lung Non-Small Cell CarcinomaPhase 3
United States
17 Dec 2025
Advanced Lung Non-Small Cell CarcinomaPhase 3
China
17 Dec 2025
Advanced Lung Non-Small Cell CarcinomaPhase 3
Japan
17 Dec 2025
Advanced Lung Non-Small Cell CarcinomaPhase 3
Australia
17 Dec 2025
Advanced Lung Non-Small Cell CarcinomaPhase 3
Canada
17 Dec 2025
Advanced Lung Non-Small Cell CarcinomaPhase 3
France
17 Dec 2025
Advanced Lung Non-Small Cell CarcinomaPhase 3
Greece
17 Dec 2025
Advanced Lung Non-Small Cell CarcinomaPhase 3
Hong Kong
17 Dec 2025
Advanced Lung Non-Small Cell CarcinomaPhase 3
Italy
17 Dec 2025
Advanced Lung Non-Small Cell CarcinomaPhase 3
Malaysia
17 Dec 2025
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
Non-Small Cell Lung Cancer
Adjuvant
EGFR uncommon mutations
30
(NSCLC with EGFR uncommon mutations)
uwkgdcmrro(vxlsprxsqv) = The most common adverse events were hyperuricemia(23.3%), mouth ulcer (16.7%) and rash (16.7%). naaooqkprr (emaormaera )
Positive
12 Sep 2026
Not Applicable
95
obzkexprin(rrhkxhinpy) = pdkjrztngr sxhqokenvk (llnbfzmykr )
Positive
12 Sep 2026
Not Applicable
20
Firmonertinib plus chemotherapy
wxszccynrg(vigiqqlpri) = Common AEs included leukopenia (20.0%), rash (15.0%), proteinuria (15.0%), anemia (10.0%), and diarrhea (5.0%), with no unexpected perioperative safety events. ezotjbbdas (svctbbuvyg )
Positive
12 Sep 2026
Phase 2
EGFR Mutation Lung Cancer
Adjuvant | Neoadjuvant
EGFR sensitizing mutations (19Del or L858R)
14
nlbbulanzs(hixcjlwddh) = xaclmmhdhv qpxkimjiyz (gwraouxbpb )
Positive
12 Sep 2026
Phase 3
First line
EGFR PACC mutations
480
rsfiycaehu(vkrhfpdzln) = wecbsbzgye iwjuqdqvmb (vaircqvqfs )
Positive
12 Sep 2026
Not Applicable
40
lbluuyvjds(deowydeaas) = njqtyumvtx jnzokruoul (vqpfbwtvqv )
Positive
12 Sep 2026
Phase 2
Non-Small Cell Lung Cancer
First line
EGFR classic mutations
25
Firmonertinib (160 mg) + Pemetrexed + Platinum-based Chemotherapy
efcdsubefp(lzogsvwprl) = Treatment-related adverse events (TRAEs) of grade ≥3 occurred in 36 % of pts, with the most common adverse events were anemia and leukopenia, which were more strongly associated with chemotherapy mmavdvchnu (vvdiycmhau )
Positive
12 Sep 2026
Phase 2
46
Furmonertinib + Bevacizumab + Pemetrexed
grjnciqsjm(nydacvyola) = hzsgwrerjz cshjkmmotv (xtppzkxxmy, 8.52 - 12.02)
Positive
12 Sep 2026
Phase 2
40
(EGFR-mutant NSCLC with CNS metastases)
uigmdoeiup(gudcpvitkc) = zwvaicwuex homffbbwjf (mvxuydowap )
Positive
01 Jul 2026
Phase 2
13
xuahqetdvs(xliqvcowjf) = ujrocjgxkj ayquyejmmj (iqphigabza )
Positive
29 May 2026
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Clinical Trial

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Approval

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Regulation

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