Study of Rogaratinib (BAY1163877) vs Chemotherapy in Patients With FGFR (Fibroblast Growth Factor Receptor)-Positive Locally Advanced or Metastatic Urothelial Carcinoma (FORT-1)
Carcinoma, Transitional Cell
About this trial
This is an interventional treatment trial for Carcinoma, Transitional Cell focused on measuring Urothelial carcinoma
Eligibility Criteria
Inclusion Criteria:
- Existence of archival or fresh biopsy for FGFR testing. Mandatory FGFR testing of patients will be performed prior to start of screening. The timing of the FGFR test is at the discretion of the investigator. Investigators should ensure all patients will be eligible in terms of disease status and lines of treatment.
Documented urothelial carcinoma (transitional cell carcinoma) including urinary bladder, renal pelvis, ureters, urethra meeting all of the following criteria
- Histologically confirmed (Patients with mixed histologies are required to have a dominant transitional cell pattern.)
- Locally advanced (T4, any N; or any T, N 2-3) or metastatic disease (any T, any N and M1). Locally advanced bladder cancer must be unresectable i.e. invading the pelvic or abdominal wall (stage T4b) or presenting with bulky nodal disease (N2-3).
- ECOG (Eastern Cooperative Oncology Group) Performance Status of 0 or 1
- Disease progression during or following treatment with at least one platinum-containing regimen (patients should have been treated for at least 2 cycles). In patients who received prior adjuvant/ neoadjuvant platinum-containing chemotherapy, progression had to occur within 12 months of treatment.
- High FGFR1 or 3 mRNA expression levels in archival or fresh tumor biopsy specimen quantified as outlined in the lab manual
- At least 1 measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST v.1.1) in contrast enhanced (unless contraindicated) CT or MRI
Exclusion Criteria:
Previous or concurrent cancer except
- cervical carcinoma in situ
- treated basal-cell or squamous cell skin carcinoma
- any cancer curatively treated > 3 years before randomization
- curatively treated incidental prostate cancer (T1/T2a)
- Ongoing or previous treatment with anti-FGFR directed therapies (e.g. receptor tyrosine kinase inhibitors including rogaratinib or FGFR-specific antibodies) or with taxanes or vinflunine
- More than two prior lines of systemic anti-cancer therapy for urothelial carcinoma given for advanced unresectable/ metastatic disease
- Ongoing or previous anti-cancer treatment within 4 weeks before randomization.
- Unresolved toxicity higher than National Cancer Institute's Common Terminology Criteria for Adverse Events, version 4.03 (CTCAE v.4.03) Grade 1 attributed to any prior therapy/ procedure excluding alopecia, anemia and/ or hypothyroidism
History or current condition of an uncontrolled cardiovascular disease including any of the following conditions:
- Congestive heart failure (CHF) NYHA (New York Heart Association) > Class 2
- Unstable angina (symptoms of angina at rest) or new-onset angina (within last 3 months before randomization)
- Myocardial infarction (MI) within past 6 months before randomization
- Unstable cardiac arrhythmias requiring anti-arrhythmic therapy. Patients with arrhythmia under control with anti-arrhythmic therapy such as beta-blockers or digoxin are eligible.
- Arterial or venous thrombotic events or embolic events such as cerebrovascular accident (including transient ischemic attacks), deep vein thrombosis or pulmonary embolism within 3 months before randomization
- Current evidence of endocrine alteration of calcium phosphate homeostasis (e.g. parathyroid disorder, history of parathyroidectomy, tumor lysis, tumoral calcinosis, paraneoplastic hypercalcemia)
- Current diagnosis of any retinal detachment, retinal pigment epithelial detachment (RPED), serous retinopathy or retinal vein occlusion
- Any hemorrhage / bleeding event ≥ CTCAE v.4.03 Grade 3 within 4 weeks before randomization
Sites / Locations
- Alaska Clinical Research Center, LLC
- University of Arizona Cancer Center
- University of Southern California
- UC Davis Comprehensive Cancer Center
- Sansum Clinic
- Rocky Mountain Cancer Centers
- UF Cancer Center at Orlando Health
- University of Kansas Medical Center
- Comprehensive Cancer Centers of Nevada
- Compass Oncology
- University of Pittsburgh
- Bon Secours St. Francis Hospital
- Texas Oncology-Denton South
- Houston Methodist Hospital
- Virginia Mason Medical Center
- Summit Cancer Center
- Mid North Coast Cancer Institute
- Northern Cancer Institute
- Macquarie University Hospital
- Riverina Cancer Care Centre
- Sydney Adventist Hospital
- Pindara Private Hospital
- Monash Medical Centre
- Landesklinikum Krems
- Krankenhaus der Barmherzigen Brüder
- Universitätsklinikum AKH Wien
- Klinik Ottakring - Wilhelminenspital
- UZ Gent
- UZ Leuven Gasthuisberg
- Clinique Saint-Pierre
- Princess Margaret Hospital-University Health Network
- Sir Mortimer B. Davis Jewish General Hospital
- Ottawa Hospital-General Campus
- FuJian Medical University Union Hospital
- Sun Yat-sen University Cancer Center
- Hubei Cancer Hospital
- NJ Drum Tower Hospital, the Affil Hos of NJ Univ Med School
- Jiangsu Cancer Hospital
- Liaoning Cancer Hospital and Institute
- Fifth Medical Center, General Hospital of the Chinese People
- First Affiliated Hospital of Guangzhou Medical University
- Fudan University Shanghai Cancer Center
- Huadong Hospital, Affiliated to Fudan University
- Fakultni nemocnice Ostrava
- Fakultni nemocnice Kralovske Vinohrady
- Fakultni Thomayerova Nemocnice
- Bata Hospital
- Aarhus Universitetshospital, Skejby
- Herlev Hospital - Oncology Research Dept.
- Rigshospitalet
- Docrates Klinikka
- Hopital Jean Minjoz
- Hôpital Saint André - Bordeaux
- Centre de Lutte Contre le Cancer François Baclesse
- Centre Jean Perrin
- Centre Oscar Lambret - Lille
- Centre Léon Bérard
- Institut Paoli-Calmettes - Marseille
- Cochin - Paris
- Hôpital d'Instruction des Armées Begin
- Clinique Saint Anne
- Centre Médico-Chirurgical Foch
- Eberhard-Karls-Universität Tübingen
- Heinrich-Heine-Universität Düsseldorf
- Universitätsmedizin der Johannes Gutenberg Universität Mainz
- Prince of Wales Hospital Hong Kong
- MH Egeszsegugyi Kozpont
- Orszagos Onkologiai Intezet
- Pecsi Tudomanyegyetem Klinikai Kozpont
- Cork University Hospital
- AMNCH
- Rambam Health Corporation
- Hadassah Hebrew University Hospital Ein Kerem
- Meir Medical Center
- Clalit Health Services Rabin Medical Center-Beilinson Campus
- Chaim Sheba Medical Center
- IRST Istituto Scientifico Romagnolo per studio e cura tumori
- AUSL Modena
- A.O.U. di Modena - Policlinico
- A.O. San Camillo-Forlanini
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS
- Fondazione IRCCS Istituto Nazionale dei Tumori
- IRCCS Istituto Europeo di Oncologia s.r.l. (IEO)
- ASST Grande Ospedale Metropolitano Niguarda
- A.O.U. San Luigi Gonzaga
- A.O.U. Pisana
- A.O.U.I. Verona
- Nagoya University Hospital
- Hirosaki University Hospital
- Gunma University Hospital
- Gunma Prefectural Cancer Center
- Sapporo Medical University Hospital
- Hokkaido University Hospital
- Kobe City Medical Center General Hospital
- University of Tsukuba Hospital
- Iwate Medical University Hospital
- Yokohama City University Hospital
- Kindai University Hospital
- Saitama Medical University International Medical Center
- Nippon Medical School Hospital
- National Cancer Center Hospital
- The Cancer Institute Hospital of JFCR
- Keio University Hospital
- Akita University Hospital
- Kyushu University Hospital
- Hiroshima City Hiroshima Citizens Hospital
- Kumamoto University Hospital
- Niigata University Medical and Dental Hospital
- Osaka International Cancer Institute
- Toyama University Hospital
- National Cancer Center
- Severance Hospital, Yonsei University Health System
- Asan Medical Center
- Samsung Medical Center
- Nederlands Kanker Instituut
- Erasmus Medisch Centrum
- Centrum Onkologii im. Prof. Franciszka Lukaszczyka
- Swietokrzyskie Centrum Onkologii
- Przychodnia Lekarska KOMED
- Samodzielny Publiczny Zespol Gruzlicy i Chorob Pluc
- Szpital Kliniczny Przemienienia Panskiego
- Uniwersytecki Szpital Kliniczny UM we Wroclawiu
- Hospital Beatriz Angelo
- IPO Coimbra
- Hospital CUF Infante Santo
- CHULN - Hospital Santa Maria
- Centro Hospitalar Universitario do Porto
- Krasnoyarsk Regional Clinical Oncology Dispensary
- Moscow Scient. Res. Institute of Oncology n.a P.A. Hertzen
- Volga District Med Center FMBA
- Clinical Oncological Dispensary of Omsk Region
- Bashkir State Medical University
- National University Hospital
- National Cancer Center Singapore
- Narodny onkologicky ustav
- UROEXAM, spol. s r.o.
- POKO Poprad s.r.o.
- Institut Català d'Oncologia Badalona
- Institut Català d'Oncologia Hospitalet
- Hospital Universitari Son Espases
- Hospital del Mar
- Ciutat Sanitària i Universitaria de la Vall d'Hebron
- Hospital San Pedro de Alcántara
- Hospital Reina Sofía
- Hospital Ramón y Cajal
- Hospital Universitario 12 de Octubre
- Hospital Virgen de la Victoria
- Instituto Valenciano de Oncología
- Hospital General Universitario de Valencia
- Södersjukhuset
- Karolinska Institutet
- Universitätsspital Basel
- Kantonsspital Graubünden
- Kantonsspital St. Gallen
- Taichung Veterans General Hospital
- National Cheng Kung University Hospital
- National Taiwan University Hospital
- Taipei Veterans General Hospital
- Chang Gung Memorial Hospital at Linkou
- Clatterbridge Centre for Oncology
- Royal Marsden Hospital (London)
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Rogaratinib
Chemotherapy
Rogaratinib treatment study arm, comprising Pre-treatment period, including FGFR testing and screening, Treatment period, and Follow-up period, including active follow-up and long-term follow-up. Patients will be considered "on study" during the pre-treatment, treatment and active followup periods. During the long-term follow-up period the patients will be considered "off study".
Chemotherapy treatment study arm, comprising Pre-treatment period, including FGFR testing and screening, Treatment period, and Follow-up period, including active follow-up and long-term follow-up. Patients will be considered "on study" during the pre-treatment, treatment and active followup periods. During the long-term follow-up period the patients will be considered "off study".