Study of Futibatinib in Patients With Advanced Cholangiocarcinoma With FGFR2 Fusion or Rearrangement

PHASE2RECRUITING

This is an open-label, multinational, randomized Phase 2 study confirming the clinical benefit of 20 mg futibatinib and evaluating the safety and efficacy of 16 mg futibatinib in previously treated CCA harboring FGFR2 gene fusions and other rearrangements.

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Study details:

This is an open-label, multinational, randomized Phase 2 study confirming the clinical benefit of 20 mg futibatinib and evaluating the safety and efficacy of 16 mg futibatinib in previously treated CCA harboring FGFR2 gene fusions and other rearrangements. Eligible patients will be randomized on a 1:1 basis to the following study arms:. * Patients will receive futibatinib at an oral dose of 16 mg, administered daily (QD) on every day of a 21-day cycle.

* Patients will receive futibatinib at an oral dose of 20 mg, administered daily (QD) on every day of a 21-day cycle. Patients may continue to receive continuous futibatinib until documentation of progressive disease (PD) per RECIST 1. 1, or until other withdrawal criteria are met, whichever comes first.

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • Histologically or cytologically confirmed, locally advanced, metastatic, or unresectable intrahepatic of extrahepatic Cholangiocarcinoma.
  • Documented evidence of FGFR2 gene fusions or other FGFR2 rearrangement
  • Received at least one prior systemic gemcitabine and platinum-based regimen for CCA
  • Documentation of radiographic disease progression on the most recent prior therapy
  • Measurable disease
  • performance status 0 or 1
  • Adequate organ function
  • Exclusion criteria

  • History or current evidence of calcium and phosphate homeostasis disorder
  • Current evidence of clinically significant retinal disorder
  • Known additional malignancy that is progressing or requires active treatment, with the exception of patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or antitumor assessment of the investigational regimen. Exceptions must be discussed with the Sponsor prior to patient enrollment.
  • Pregnant or lactating female.
  • Known hypersensitivity or severe reaction to futibatinib or its excipients.
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    Eligibility

    Age eligible for study : 18 and older

    Healthy volunteers accepted : No

    Gender eligible for study: All

    Things to know

    Study dates

    Study start: 2023-07-05

    Primary completion: 2025-06-01

    Study completion finish: 2026-06-01

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE2

    trial

    Trial ID

    NCT05727176

    Intervention or treatment

    DRUG: TAS-120

    Conditions

    • Advanced Cholangiocarcinoma
    • FGFR2 Fusions
    • Gene Rearrangement

    Find a site

    Closest Location:

    St Vincent's Hospital Sydney - The Kinghorn Cancer Centre

    Research sites nearby

    Select from list below to view details:

    • St Vincent's Hospital Sydney - The Kinghorn Cancer Centre

      Sydney, New South Wales, Australia

    • Alfred Health, Medical Oncology Unit, Second floor William Buckland Radiotherapy Center

      Melbourne, Victoria, Australia

    • St John of God Subiaco Hospital

      Subiaco, Western Australia, Australia

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    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    How is the study designed?

    Participant Group/ArmIntervention/Treatment
    EXPERIMENTAL: Treatment Arm A
    • TAS-120 (20mg) tablets, oral; 21-day cycle
    DRUG: TAS-120
    • TAS-120 is an oral FGFR inhibitor
    EXPERIMENTAL: Treatment Arm B
    • TAS-120 (16mg) tablets, oral; 21-day cycle
    DRUG: TAS-120
    • TAS-120 is an oral FGFR inhibitor

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    ORR by independent central reviewdefined as the proportion of patients experiencing a best overall response of partial response (PR) or complete response (CR) (per RECIST 1.1), based on ICR12 months after the study completion

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    DoR by independent reviewdefined as time from the first documentation of response to the first documentation of objective tumor progression by ICR (per RECIST 1.1) or death due to any cause, whichever occurs firstup to 12 months after the study completion
    PFS by independent reviewdefined as the time from date of randomization to the date of documentation of disease progression by ICR per RECIST (version 1.1, 2009) or date of death, whichever comes firstup to 12 months after the study completion
    ORR per Investigator assessmentdefined as proportion of patients experiencing a best overall response of partial response (PR) or complete response (CR) (per RECIST v1.1).up to 12 months after the study completion
    DoR per Investigator assessmentdefined as time from the first documentation of response to the first documentation of objective tumor progression or death due to any cause, whichever occurs firstup to 12 months after the study completion
    PFS per Investigator assessmentdefined as the time from date of randomization to the date of disease progression based on Investigator assessment of radiographic images or death, whichever occurs firstup to 12 months after the study completion
    OSdefined as the time from the date of randomization until the date of death due to any cause.up to 12 months after the study completion
    Treatment-emergent adverse events (TEAEs) as assessed by CTCAE v5.0Safety will be assessed based on reported AEs (including SAEs), graded by CTCAE V5.0. including serious adverse events (SAEs) and dose modifications.up to 12 months after the study completion
    Change from Baseline in Quality of life as assessed by EORTC QLQ-C30Change from Baseline in quality of life as assessed by European Organization for Research and Treatment of Cancer Quality-of-life Questionnaire Core 30 (EORTC-QLQ-C30) Scale Scoreup to 12 months after the study completion
    Change from Baseline in Quality of life as assessed by EuroQol-5D (EQ-5D )Change from Baseline in Quality of Life as Assessed by European Quality of Life - 5 Dimensions-3 Levels (EQ-5D-3L) Scale Score.up to 12 months after the study completion

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    References

    Clinical Trials Gov: Study of Futibatinib in Patients With Advanced Cholangiocarcinoma With FGFR2 Fusion or Rearrangement

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