A Phase Ⅱ Study of RC108 in Combination With Furmonertinib for the First-line Treatment of EGFR-Mutated Combined MET-Positive Unresectable Locally Advanced or Recurrent Metastatic NSCLC

NCT ID: NCT06962865

Last Updated: 2025-07-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-30

Study Completion Date

2027-12-31

Brief Summary

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Evaluate the efficacy and safety of RC108 in combination with Furmonertinib against Furmonertinib for treatment of EGFR mutation combined with MET-positive unresectable locally advanced or recurrent metastatic NSCLC

Detailed Description

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Primary objective: Evaluate the efficacy and safety of RC108 in combination with Furmonertinib against Furmonertinib for treatment of EGFR mutation combined with MET-positive unresectable locally advanced or recurrent metastatic NSCLC Secondary objective: Evaluate the pharmacokinetic and immunogenicity characteristics of RC108 in combination with Furmonertinib

Conditions

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Non-Small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1

1L, EGFR-Mutated Combined MET-Positive Unresectable Locally Advanced or Recurrent Metastatic NSCLC

Group Type EXPERIMENTAL

RC108

Intervention Type DRUG

RC108 in Combination With Furmonertinib

Furmonertinib Mesilate Tablets Monotherapy

Intervention Type DRUG

Furmonertinib

Arm 2

1L, EGFR-Mutated Combined MET-Positive Unresectable Locally Advanced or Recurrent Metastatic NSCLC

Group Type ACTIVE_COMPARATOR

Furmonertinib Mesilate Tablets Monotherapy

Intervention Type DRUG

Furmonertinib

Interventions

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RC108

RC108 in Combination With Furmonertinib

Intervention Type DRUG

Furmonertinib Mesilate Tablets Monotherapy

Furmonertinib

Intervention Type DRUG

Other Intervention Names

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RC108 For Injection; Furmonertinib

Eligibility Criteria

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Inclusion Criteria

1. Voluntarily participate in the study and signed the ICF;
2. Male or female, aged 18-75 years;
3. All participants to be enrolled must be diagnosed with histopathologically or cytologically confirmed, unresectable locally advanced (stage IIIB/IIIC )or recurrent metastatic NSCLC (stage IV ) and not amendable to curative surgery or radiation as assessed by investigator;
4. For previously locally advanced or recurrent metastatic disease not treated with systemic antitumor therapy;
5. Carring 1 of 2 common EGFR mutations clearly associated with EGFR-TKI sensitivity (i.e., exon 19 deletion or L858R) and MET positivity;
6. Ability to provide at least 6 sections of tumor tissue specimens for staining and testing;
7. ECOG PS score 0 or 1;
8. At least one measurable lesion according to RECIST v1.1 criteria;
9. Expected survival ≥ 12 weeks;
10. Adequate bone marrow and organ function;
11. Female subjects of childbearing potential or male subjects whose partners are of childbearing potential must agree to use effective contraception from the time of signing the informed consent form until 6 months after the last dose, during which time the female subject is not breastfeeding and the male subject avoids sperm donation.

Exclusion Criteria

1. Subjects with the presence of meningeal metastases, spinal cord compression, or active brain metastases;
2. Received ADC or MET inhibitors;
3. Suffering from refractory nausea and vomiting, chronic gastrointestinal disorders, inability to swallow pharmaceutical preparations, or previous major bowel resection that may prevent adequate absorption, distribution, metabolism, or excretion of oral medications;
4. Subjects with uncontrolled tumor-related pain;
5. Use of an investigational drug or major surgery within 4 weeks before the first dose;
6. Received any live vaccine within 28 days prior to the first dose or plan to be vaccinated during the study;
7. Subjects with uncontrolled or severe cardiovascular disease;
8. Presence of clinically uncontrollable third interstitial effusion;
9. Presence of severe lung disease, including but not limited to active tuberculosis, interstitial lung disease requiring treatment, radiation pneumonitis, etc.
10. Toxicity due to prior antineoplastic therapy has not recovered to National Cancer Institute Commonly Used Criteria Terminology for Generic Adverse Events, Version 5.0, Grade 0-1;
11. Persistent grade ≥2 sensory or motor neuropathy;
12. Active infections requiring systemic IV antibiotic therapy within 7 days before the first dose, allowing routine antimicrobial prophylaxis;
13. Positive test result for Human Immunodeficiency Virus (HIV) or history of Acquired Immune Deficiency Syndrome (AIDS);
14. Active hepatitis B or HCV-positive subjects;
15. Received systemic corticosteroid therapy with \>10 mg/day prednisone or other immunosuppressive medications within 2 weeks before randomization;
16. Other malignant tumor within 5 years before signed the informed consent form;
17. Known hypersensitivity or delayed hypersensitivity to RC108, certain components of Furmonertinib or similar drugs or any contraindication to the drug;
18. Poor compliance and unable to complete the study procedures as assessed by investigator;
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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RemeGen Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yongchang Zhang

Role: STUDY_DIRECTOR

Hunan Cancer Hospital

Locations

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Beijing Chest Hospital,Capital Medical Unniversity

Beijing, , China

Site Status RECRUITING

The Fifth Medical Center of Chinese People's Liberation Army General Hospital

Beijing, , China

Site Status RECRUITING

Binzhou Medical University Hospital

Binzhou, , China

Site Status RECRUITING

Jilin Cancer Hospital

Changchun, , China

Site Status RECRUITING

The Second Xiangya Hospital Of Central South University

Changsha, , China

Site Status RECRUITING

Changzhou Cancer Hospital

Changzhou, , China

Site Status RECRUITING

Sichuan Cancer Hospital

Chengdu, , China

Site Status RECRUITING

West China hospitial of SiChuan University

Chengdu, , China

Site Status RECRUITING

Chongqing University Cancer Hospitai

Chongqing, , China

Site Status RECRUITING

Fujian Cancer Hospital

Fuzhou, , China

Site Status RECRUITING

Ganzhou cancer Hospitial

Ganzhou, , China

Site Status RECRUITING

Affiliated Cancer Hospital of Guangzhou Medical University

Guangzhou, , China

Site Status RECRUITING

The First Affiliated Hospital of Wenzhou Medical University

Guilin, , China

Site Status RECRUITING

The Second Affiliated Hospital of Guilin Medical University

Guilin, , China

Site Status RECRUITING

Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University

Hangzhou, , China

Site Status RECRUITING

Harbin Medical University Cancer Hospital

Harbin, , China

Site Status RECRUITING

Anhui Provincial cancer hospital

Hefei, , China

Site Status RECRUITING

The First hospitial of Anhui Medicine University

Hefei, , China

Site Status RECRUITING

Jinan Central Hospital

Jinan, , China

Site Status RECRUITING

Shandong Cancer Hospital

Jinan, , China

Site Status RECRUITING

The First hospitial of Lanzhou University

Lanzhou, , China

Site Status RECRUITING

Linyi People's Hospital

Linyi, , China

Site Status RECRUITING

THE FIRST HOSPITAI OF CHINA MEDICAL UNIVERSITY,No. 155, Nanjing North Street, Heping District, Shenyang City, Liaoning Province

Shenyang, , China

Site Status RECRUITING

The Fourth Hospital of Hebei Medical University

Shijiazhuang, , China

Site Status RECRUITING

Shanxi Cancer Hospital

Taiyuan, , China

Site Status RECRUITING

Taizhou hospitial of Zhejiang province

Taizhou, , China

Site Status RECRUITING

Tianjin Chest Hospital

Tianjin, , China

Site Status RECRUITING

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, , China

Site Status RECRUITING

Xiangyang Central Hospital

Xiangyang, , China

Site Status RECRUITING

The Second People's Hospital of Yibin City

Yibin, , China

Site Status RECRUITING

Yiyang Central Hospital

Yiyang, , China

Site Status RECRUITING

Yueyang Central Hospital

Yueyang, , China

Site Status RECRUITING

Yunnan Cancer Hospital

Yunnan, , China

Site Status RECRUITING

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Heping Liu

Role: CONTACT

+86-010-65384976

Facility Contacts

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Yiruo Zhang

Role: primary

Meili sun

Role: primary

Xiangjiao Meng

Role: primary

Xiaoming Hou

Role: primary

Guixiang Weng

Role: primary

Dongqing Lv

Role: primary

Ruiguang Zhang

Role: primary

Tienan Yi

Role: primary

Jie Chen

Role: primary

Bing Zhang

Role: primary

Jie Weng

Role: primary

Fangling Ning

Role: primary

fang Ma

Role: primary

Tong Zhou

Role: primary

yang Wei

Role: primary

Panwen Tian

Role: primary

jing Zhang

Role: primary

Shoujun Guo

Role: primary

Bihui Li

Role: primary

yan Yu

Role: primary

Changlu Hu

Role: primary

Other Identifiers

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RC108-C006

Identifier Type: -

Identifier Source: org_study_id

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