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Pemigatinib in Treating Patients With Advanced/Metastatic or Surgically Unresectable Cholangiocarcinoma Including FGFR2 Rearrangement

Primary Purpose

Cholangiocarcinoma

Status
Active
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Pemigatinib
Sponsored by
Innovent Biologics (Suzhou) Co. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cholangiocarcinoma focused on measuring CCA, FGFR2, Pemigatinib

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Men and women, aged 18 or older.
  2. Histologically or cytologically confirmed cholangiocarcinoma which was considered to be advanced/metastatic or surgically unresectable by the investigator through image examination.
  3. Radiographically measurable disease per RECIST v 1.1
  4. Documentation of FGFR2 rearrangement.
  5. Documented disease progression after at least 1 line of prior systemic therapy.
  6. ECOG performance status of 0~1.
  7. Life expectancy ≥12 weeks.

Exclusion Criteria:

  1. Prior receipt of a selective FGFR inhibitor.
  2. History of calcium and phosphate hemostasis disorder or systemic mineral imbalance with ectopic calcification of softy tissues ( exception: skin, kidney, tendons or vessels due to injury, disease, and aging, in the absence of systemic mineral imbalance).
  3. Currently evidence of clinically significant corneal or retinal disorder confirmed by ophthalmologic examination.
  4. Use of any potent CYP3A4 inhibitors or inducers within 14 days or 5 half-lives, whichever is shorter, before the first dose of study drug. Topical ketoconazole will be allowed.

Sites / Locations

  • Zhongshan Hospital Affiliated to Fudan University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Pemigatinib in patients with advanced/metastatic or surgically

Arm Description

Patients with advanced/metastatic or surgically unresectable cholangiocarcinoma

Outcomes

Primary Outcome Measures

Objective response rate per RECIST 1.1

Secondary Outcome Measures

PFS(PFS= first dose to progressive disease or death)
DOR(DOR= time from the date of CR or PR until PD)
DCR(DCR=CR + PR + stable disease)
OS(OS= first dose to death of any cause)

Full Information

First Posted
January 20, 2020
Last Updated
October 3, 2022
Sponsor
Innovent Biologics (Suzhou) Co. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04256980
Brief Title
Pemigatinib in Treating Patients With Advanced/Metastatic or Surgically Unresectable Cholangiocarcinoma Including FGFR2 Rearrangement
Official Title
A Phase 2, Open-Label, Single-Arm, Multicenter Study to Evaluate the Efficacy and Safety of Pemigatinib in Subjects With Advanced/Metastatic or Surgically Unresectable Cholangiocarcinoma Including FGFR2 Rearrangement Who Failed at Least One Previous Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
March 3, 2020 (Actual)
Primary Completion Date
June 27, 2022 (Actual)
Study Completion Date
December 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Innovent Biologics (Suzhou) Co. Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a phase 2 study to investigate the efficacy and safety of Pemigatinib in treating patients with advanced/metastatic or surgically unresectable cholangiocarcinoma with FGFR2 rearrangement who have failed at least 1 previous therapy

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cholangiocarcinoma
Keywords
CCA, FGFR2, Pemigatinib

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
34 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pemigatinib in patients with advanced/metastatic or surgically
Arm Type
Experimental
Arm Description
Patients with advanced/metastatic or surgically unresectable cholangiocarcinoma
Intervention Type
Drug
Intervention Name(s)
Pemigatinib
Intervention Description
Pemigatinib will be self-administered at 9mg Or 13.5mg as a QD oral treatment on a 2-week-on therapy and 1-week-off therapy schedule
Primary Outcome Measure Information:
Title
Objective response rate per RECIST 1.1
Time Frame
Every 6 weeks for the first 2 cycles and every 9 weeks thereafter through end of treatment, up to 24 months
Secondary Outcome Measure Information:
Title
PFS(PFS= first dose to progressive disease or death)
Time Frame
Time from first treatment to the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months
Title
DOR(DOR= time from the date of CR or PR until PD)
Time Frame
Every 6 weeks for the first 2 cycles and every 9 weeks thereafter through end of treatment, up to 24 months
Title
DCR(DCR=CR + PR + stable disease)
Time Frame
Every 6 weeks for the first 2 cycles and every 9 weeks thereafter through end of treatment, up to 24 months
Title
OS(OS= first dose to death of any cause)
Time Frame
Time from first treatment to the date of death from any cause, up to 24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men and women, aged 18 or older. Histologically or cytologically confirmed cholangiocarcinoma which was considered to be advanced/metastatic or surgically unresectable by the investigator through image examination. Radiographically measurable disease per RECIST v 1.1 Documentation of FGFR2 rearrangement. Documented disease progression after at least 1 line of prior systemic therapy. ECOG performance status of 0~1. Life expectancy ≥12 weeks. Exclusion Criteria: Prior receipt of a selective FGFR inhibitor. History of calcium and phosphate hemostasis disorder or systemic mineral imbalance with ectopic calcification of softy tissues ( exception: skin, kidney, tendons or vessels due to injury, disease, and aging, in the absence of systemic mineral imbalance). Currently evidence of clinically significant corneal or retinal disorder confirmed by ophthalmologic examination. Use of any potent CYP3A4 inhibitors or inducers within 14 days or 5 half-lives, whichever is shorter, before the first dose of study drug. Topical ketoconazole will be allowed.
Facility Information:
Facility Name
Zhongshan Hospital Affiliated to Fudan University
City
Shanghai
State/Province
Shanghai
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Pemigatinib in Treating Patients With Advanced/Metastatic or Surgically Unresectable Cholangiocarcinoma Including FGFR2 Rearrangement

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