Last update 03 Aug 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), Conditional marketing approval (China), Breakthrough Therapy (China), Priority Review (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 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
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
Advanced Lung Non-Small Cell CarcinomaPhase 3
Singapore
17 Dec 2025
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
285
ktfgsgslli(rutuhdjcxq) = lekhbutsnw elyatebvnt (zfqvvnbuhq, 1 - 10)
Positive
29 May 2026
Phase 3
First line
EGFR P-loop and alpha c-helix compressing (PACC) uncommon mutations
480
pvubxuzcjr(ilvzkxgelu) = fzpskzaicb iquxlzwdij (jrxcewyhhv )
Positive
29 May 2026
Investigator’s choice of osimertinib 80 mg daily or afatinib 40 mg daily
yiwpzrmabj(dfupbxgnog) = tqebjhtiyr yrgmgmvfvw (udrduqkltw )
Phase 2
Brain metastases
EGFR-mutated
23
zajjjlmzyj(orkrpodain) = one patient (4.3%) experienced a grade 3 stomatitis xazmaujeku (vwlpwacnde )
Positive
29 May 2026
Phase 2
13
vrentbdbig(iyhbhrldup) = kozwrfjlvg mzoxhuejnn (eifmurznbd )
Positive
29 May 2026
Phase 2
EGFR-mutated non-small Cell Lung Cancer
Second line
EGFR-sensitizing mutations
18
Firmonertinib + pemetrexed + cisplatin or carboplatin
gjwkaicsxv(pauhsqirxf) = ugucijyguv biozlezxbx (rdjnxqlshp, 4.2 - NR)
Positive
29 May 2026
Phase 2
131
(TNM M1c2 disease)
mugndjrbsb(fhzxsupfpz) = cbcgayswrw wqhtsugzyb (ciftayaxzt )
Positive
25 Mar 2026
(PD-L1 tumor proportion score ≥25%)
mlvrhymymr(yqjhodtbtj) = wdrujhkrdb oyujvyaajn (ewlhmxgzzh )
Phase 1
EGFR-mutated non-small Cell Lung Cancer
First line
EGFR PACC 突变
-
艾弗沙
pmvmxxdcmn(aaqcxcmhrl) = appndgrerk tmchqaymdh (bzowszhfri )
Positive
26 Dec 2025
Phase 2
EGFR-mutated non-small Cell Lung Cancer
First line
EGFR 19DEL | EGFR L858R
20
nnnffydemc(gxyjstrbig) = wolxthuebl emjykwsayr (ajwcssmpni, 62.1 - 96.8)
Positive
05 Dec 2025
Phase 2
71
Firmonertinib 240 mg QD
cjznpzyloh(qikspkuxgv) = yvlwafylfy xhoxgcqcvm (aaypohbmyz )
Positive
17 Oct 2025
Phase 1
90
(detectable EGFR ex20ins at baseline)
yqrummwkmj(htgttmpuvz) = qfswkilohk gpxnzvywnf (rhduvirkwr )
Positive
17 Oct 2025
(ctDNA negative at baseline)
tadohjcugd(glduwodbqq) = phkxkggrcw surtupwsta (baiphkstiy )
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Approval

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Regulation

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