Positive Phase 1b data propels firmonertinib toward pivotal NSCLC trial
Rhea-AI Filing Summary
ArriVent BioPharma (Nasdaq: AVBP) furnished an 8-K to disclose positive interim results from its global Phase 1b FURTHER study evaluating first-line firmonertinib monotherapy in patients with EGFR P-loop and α-C-helix compressing (PACC) mutant non-small cell lung cancer (NSCLC).
At the 240 mg dose, investigators observed a median progression-free survival (mPFS) of 16.0 months and a median duration of response of 14.6 months (cut-off 3 Mar 2025). Tumor shrinkage of ≥30%—the study’s threshold for overall response—occurred in 68.2% of first-line patients at 240 mg versus 43.5% at 160 mg. Among patients presenting with brain metastases, 41% achieved a confirmed response and 53% recorded ≥30% tumor reduction, underscoring central-nervous-system activity.
Safety remained favorable: no Grade 4 or 5 treatment-related adverse events (TRAEs) and no treatment discontinuations; the most common TRAEs were diarrhea, elevated hepatic enzymes, rash, stomatitis and dry skin.
Based on these data, AVBP will launch ALPACCA (FURMO-006), a randomized global Phase 3 trial using the 240 mg dose, with first-patient-in targeted for the second half of 2025. The press release detailing the findings is furnished as Exhibit 99.1; information under Item 7.01 is not deemed “filed” for Exchange Act purposes.
Positive
- Interim Phase 1b data show 16.0-month median PFS and 68.2% tumor shrinkage at the 240 mg dose, indicating strong efficacy signals
- No Grade 4/5 treatment-related adverse events and zero discontinuations, highlighting a favorable safety profile
- Company to commence global Phase 3 ALPACCA trial in 2H 2025, advancing firmonertinib toward potential registration
Negative
- Results are interim Phase 1b findings and must be confirmed in the upcoming Phase 3 study before regulatory submission
Insights
TL;DR: Robust early efficacy & clean safety de-risk Phase 3 launch
The filing presents clinically meaningful signals—a 16-month mPFS and high tumor-shrinkage rates—that compare favorably with historical first-line NSCLC benchmarks. The absence of Grade 4/5 TRAEs and zero discontinuations strengthens firmonertinib’s therapeutic window. Selection of the higher 240 mg dose for pivotal development suggests a clear dose-response relationship. With Phase 3 enrollment slated for 2H 2025, the asset’s path to registrational data is now defined, materially improving program visibility and valuation. Near-term catalysts will revolve around Phase 3 initiation timing and potential regulatory interactions.
TL;DR: Encouraging but still interim; confirmation risk persists
While efficacy and tolerability are promising, the dataset remains early-stage and comes from a limited patient population typical of Phase 1b trials. Reliance on surrogate endpoints such as mPFS and RECIST responses must withstand Phase 3 scrutiny, and the heterogeneous PACC mutation subset could complicate enrollment and outcome interpretation. Nevertheless, clear CNS activity and dose-dependent responses reduce pharmacologic risk, justifying a cautiously optimistic stance ahead of pivotal enrollment.