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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02052778
Other study ID # TPU-TAS-120-101
Secondary ID 2013-004810-16
Status Completed
Phase Phase 1/Phase 2
First received
Last updated
Start date July 21, 2014
Est. completion date May 29, 2021

Study information

Verified date February 2024
Source Taiho Oncology, Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is an open-label, nonrandomized, Phase 1/2 study for the fibroblast growth factor receptor (FGFR) inhibitor futibatinib (TAS-120). The purpose of the study is to evaluate the safety, tolerability, pharmacokinetic, pharmacodynamic, and anti-tumor activity of futibatinib in patients with advanced solid tumors with and without genomic FGF/FGFR abnormalities. The study will be conducted in 3 parts: 1. Dose escalation portion to determine the -Maximum Tolerated Dose and/ or Recommended Phase 2 Dose of futibatinib. 2. Phase 1 expansion portion to further evaluate the safety and efficacy of futibatinib in patients with tumors harboring FGF/FGFR aberrations, including patients with cholangiocarcinoma (CCA), primary central nervous system tumors, urothelial carcinoma, breast cancer, gastric cancer. 3. Phase 2 study portion to confirm objective response rate of futibatinib in intrahepatic CCA patients with tumors harboring FGFR2 gene rearrangements (incl fusions).


Recruitment information / eligibility

Status Completed
Enrollment 407
Est. completion date May 29, 2021
Est. primary completion date October 1, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: 1. Provide written informed consent 2. Age = 18 years of age 3. Has histologically or cytologically confirmed, locally advanced or metastatic cancer 4. The following specific criteria for each study portion Phase 1 (Dose Escalation): - Patients with any type of solid tumor - Disease progression following standard therapies or intolerant to prior standard therapies Phase 1 (Dose Expansion) - Have at least one FGF/FGFR aberration - Disease progression following standard therapies or were intolerant to prior standard therapies (including prior FGFR inhibitors). - Have measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) guidelines (version 1.1, 2009) for advanced solid tumors or Response Assessment in Neuro-Oncology criteria (2010) for brain tumors. - Patients with any of the following tumor types - Patients with intrahepatic or extrahepatic CCA harboring FGFR2 gene fusions or other FGFR2 aberrations - Patients with primary CNS tumors - Patients with advanced urothelial carcinoma with FGFR3 fusions or FGFR3 activating mutations - Patients with breast cancer or gastric cancer - Patients with other solid tumor types harboring FGFR gene fusions or activating mutations - Patients with solid tumor types and other FGF/FGFR alterations not listed above Phase 2 - Patients with iCCA and FGFR2 gene rearrangements (incl fusions) - Have been treated with at least one prior systemic gemcitabine and platinum-based chemotherapy - Must have documentation of radiographic progression of disease - No prior FGFR inhibitor - Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) guidelines (version 1.1, 2009) 5. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 6. Adequate organ function. Exclusion Criteria: 1. History and/or current evidence of clinically significant non-tumor related alteration of calcium-phosphorus homeostasis. 2. History and/or current evidence of clinically significant ectopic mineralization/calcification. 3. History and/or current evidence of clinically significant retinal disorder 4. A serious illness or medical condition(s) 5. Pregnant or breast-feeding female

Study Design


Intervention

Drug:
Futibatinib
oral once daily dosing, 21-day cycle

Locations

Country Name City State
Australia Royal Melbourne Hospital Melbourne
Canada Sunnybrook Research Institue Toronto
France Institut Bergonie Bordeaux
France Hospices Civils de Lyon Bron
France Centre Léon Bérard Bât Lyon Cedex
France Pitié-Salpêtrière Hospital Paris
France Rennes, Centre Eugène Marquis Rennes cedex
France Institute Goustave-Roussy-DITEP Villejuif
Germany University Hospital Essen, West German Cancer Center, Department of Medical Oncology Essen
Hong Kong The Chinese University of Hong Kong Sha Tin
Italy Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta Milano
Italy UOC Oncologia Medica 1 I"V - Istituto Oncologico Veneto - IRCCS Padova
Japan Hokkaido University Hospital Hokkaido
Japan Kyoto University Hospital, Department of Clinical Pharmacology and Therapeutics Kyoto
Japan Tohoku University Hospital Miyagi
Japan Osaka International Cancer Institute Osaka
Japan National Cancer Center Hospital Tokyo
Korea, Republic of ASAN Medical Center (Seoul) Seoul
Korea, Republic of Samsung Medical Center (Seoul) Seoul
Korea, Republic of Seoul National University Hospital Seoul
Korea, Republic of Yonsei University, Severance Hospital (Seoul) Seoul
Netherlands University Hospital Jenna Jenna
Spain Hospital Clinic i Provincial de Barcelona, Barcelona
Spain Val D'Hebron University Hospital Barcelona
Spain Centro Integral Oncológico Clara Campal - Hospital Universitario Madrid Sanchinarro Madrid
Spain University Hospital Ramón y Cajal Madrid
Taiwan Cheng Kung University Hospital Tainan
Taiwan National Taiwan University Hospital Taipei
United Kingdom Guy's and St Thomas' NHS Foundation Trust London
United Kingdom Sarah Cannon Research Institute London
United Kingdom University College London Hospital London
United Kingdom The Christie NHS Foundation Trust Manchester
United States New Mexico Cancer Care Alliancer Albuquerque New Mexico
United States Dana Farber Cancer Institution Boston Massachusetts
United States Massachusetts General Hospital Boston Massachusetts
United States Roswell Park Cancer Institute Buffalo New York
United States University of Virginia Cancer Center Charlottesville Virginia
United States Mary Crowley Cancer Research - Medical City Dallas Texas
United States Wayne State Universtity (Karmanos Cancer Institute) Detroit Michigan
United States City of Hope National Medical Center Duarte California
United States The University of Kansas Cancer Center Fairway Kansas
United States Banner MD Anderson Cancer Center Gilbert Arizona
United States Greenville Health System ITOR,Clinical Research Unit Greenville South Carolina
United States The University of Texas MD Anderson Cancer Center Houston Texas
United States University of Wisconsin Clinical Science Center Madison Wisconsin
United States Medical College of Wisconsin Milwaukee Wisconsin
United States Cancer Treatment Centers of America Newnan Georgia
United States Hospital of the University of Pennsylvania Philadelphia Pennsylvania
United States Sidney Kimmel Cancer Center at Jefferson Philadelphia Pennsylvania
United States University of Pittsburgh Medical Center Hillman Cancer Center Pittsburgh Pennsylvania
United States Mayo Clinic (MN) Rochester Minnesota
United States University of Utah, Huntsman Cancer Hospital Salt Lake City Utah
United States UCSF Helen Diller Family Comprehensive Cancer Center. Mission Bay San Francisco California
United States Mayo Clinic (AZ) Scottsdale Arizona
United States Virginia Mason Cancer Center Seattle Washington
United States Spartanburg Medical Center Spartanburg South Carolina
United States The University of Arizona Cancer Center - North Campus Tucson Arizona
United States Cancer Treatment Centers of America Zion, IL Zion Illinois

Sponsors (1)

Lead Sponsor Collaborator
Taiho Oncology, Inc.

Countries where clinical trial is conducted

United States,  Australia,  Canada,  France,  Germany,  Hong Kong,  Italy,  Japan,  Korea, Republic of,  Netherlands,  Spain,  Taiwan,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Phase 1: Dose Escalation-Maximum Tolerated Dose (MTD) MTD:Highest dose level at which <33% of participants experience dose-limiting toxicity (DLT) during Cycle1. DLT: >=Grade(G)3: - nonhematologic toxicity, - nausea/vomiting lasting >48hrs(uncontrolled by aggressive antiemetic), - diarrhea lasting >48hrs (unresponsive to antidiarrheal drug); G4 neutropenia lasting >7days; Febrile neutropenia (ANC<1000/mm^3 with body temperature=>38.3°C/sustained temperature >=38°C for >1hr; Thrombocytopenia G4/G3 with bleeding, required blood transfusion; Corneal disorder worsened by 1 grade or more; Increased phosphorus: >=9mg/dL or >=7mg/dL lasting for >=7days or phosphate lowering therapy[PLT] for 7days); Creatinine increase (>1.5×upper limit of normal [ULN]) lasting for >=7 days associated with serum phosphorus >5.5 mg/dL(PLT=7days)/calcium×phosphorus >55 mg/dL(PLT=7days); Hypercalcemia G2 for >7days or G3; Ectopic de novo calcification in soft tissues; >G2 DLT: prevented Cycle 1 completion, inability to start Cycle 2 within 2 weeks of schedule. Cycle 1 (21-day cycle)
Primary Phase 1: Dose Escalation-Recommended Phase 2 Dose (RP2D) of TAS-120 RP2D was MTD or less. MTD: Highest dose level at which <33% of participants experience DLT) during Cycle1. DLT: >=Grade(G)3: - nonhematologic toxicity, - nausea/vomiting lasting >48hrs(uncontrolled by aggressive antiemetic), - diarrhea lasting >48hrs (unresponsive to antidiarrheal drug); G4 neutropenia lasting >7days; Febrile neutropenia (ANC<1000/mm^3 with body temperature=>38.3°C/sustained temperature >=38°C for >1hr; Thrombocytopenia G4/G3 with bleeding, required blood transfusion; Corneal disorder worsened by 1 grade or more; Increased phosphorus: >=9mg/dL or >=7mg/dL lasting for >=7days or phosphate lowering therapy[PLT] for 7days); Creatinine increase (>1.5×upper limit of normal [ULN]) lasting for >=7 days associated with serum phosphorus >5.5 mg/dL(PLT=7days)/calcium×phosphorus >55 mg/dL(PLT=7days); Hypercalcemia G2 for >7days or G3; Ectopic de novo calcification in soft tissues; >G2 DLT: prevented Cycle 1 completion, inability to start Cycle 2 within 2 weeks of schedule. Cycle 1 (21-day cycle)
Primary Phase 1: Dose Expansion: Percentage of Participants With Objective Response Objective response was defined as proportion of participants who had achieved best overall response of partial response (PR) or complete response (CR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. The CR was defined as a disappearance of all target lesions. Any pathological lymph nodes (target or non-target) must had reduction in short axis to <10 millimeters (mm) and PR was defined as at least a 30 percent (%) decrease in the sum of diameters of target lesions. For Cohorts 1 to 6: Objective response was based on Independent Review Committee (IRC) and for pooled Sub-cohort: Objective response was based on investigator review. Up to approximately 50.5 months (through cut-off date 29-May-2021) for Cohorts 1 to 6; up to approximately 27.5 months (through cut-off date 30-Jun-2019) for pooled sub-cohorts
Primary Phase 2: Percentage of Participants With Objective Response Objective response was defined as proportion of participants who had achieved best overall response of PR or CR per RECIST v1.1. CR was defined as a disappearance of all target lesions. Any pathological lymph nodes (target or non-target) must had reduction in short axis to <10 mm and PR was defined as at least a 30% decrease in the sum of diameters of target lesions. The Phase 2 evaluation of objective response was based on central independent CT/MRI image assessment. Up to approximately 37.5 months (through cut-off date 29-May-2021)
Secondary Phase 1: Dose Expansion: Duration of Response (DOR) A DOR was defined as the time (in months) from the first documentation of response (CR or PR) to the first documentation of objective progressive disease (PD) or death due to any cause, whichever occurred first. Participants who started subsequent anticancer therapy without a prior reported progression were censored at the last tumor assessments prior to initiation of the subsequent anticancer therapy. For Cohorts 1 to 6: DOR was based on IRC and for Group 3, 4, 5, 6 and for pooled Sub-cohort: DOR was based on investigator review. Up to approximately 50.5 months (through cut-off date 29-May-2021) for Cohorts 1 to 6; up to approximately 27.5 months (through cut-off date 30-Jun-2019) for pooled sub-cohorts
Secondary Phase 2: Duration of Response (DOR) A DOR was defined as the time (in months) from the first documentation of response (CR or PR) to the first documentation of objective tumor progression or death due to any cause, whichever occurred first. Participants who started subsequent anticancer therapy without a prior reported progression were censored at the last tumor assessments prior to initiation of the subsequent anticancer therapy. Kaplan-Meier method was used for the analysis. Up to approximately 37.5 months (through cut-off date 29-May-2021)
Secondary Phase 1: Dose Expansion: Disease Control Rate (DCR) A DCR was defined as the proportion of participants with objective evidence of CR, PR, or stable disease (SD), except that there was no requirement for a confirmation of an SD, if it is maintained for at least 6 weeks post treatment initiation. CR was defined as the disappearance of all target lesions. Any pathological lymph nodes might had reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameters of the target lesions, taking as a reference the Baseline sum diameters. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taken as a reference the smallest sum diameters while on study. For Cohorts 1 to 6: DCR was based on IRC and for pooled Sub-cohort: DCR was based on investigator review. Up to approximately 50.5 months (through cut-off date 29-May-2021) for Cohorts 1 to 6; up to approximately 27.5 months (through cut-off date 30-Jun-2019) for pooled sub-cohort
Secondary Phase 2: Disease Control Rate (DCR) A DCR was defined as the proportion of participants with objective evidence of CR, PR, or SD, except that there was no requirement for a confirmation of an SD response, if it is maintained for at least 6 weeks post treatment initiation. CR was defined as the disappearance of all target lesions. Any pathological lymph nodes might had reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameters of the target lesions, taking as a reference the Baseline sum diameters. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taken as a reference the smallest sum diameters while on study. DCR was based on IRC. Up to approximately 37.5 months (through cut-off date 29-May-2021)
Secondary Phase 1: Dose Expansion: Progression-free Survival (PFS) A PFS was defined as the time (in months) from the day of the first dose to the date of first documented disease progression or death (due to any cause), whichever occurred first. Participants who died without a reported disease progression were considered to have progressed on the date of their death, participants who did not progress or die were censored on the date of their last tumor assessment, participants who had no on-study assessments and did not die were censored on the first dosing date, and participants who started any subsequent anti-cancer therapy without a prior reported progression were censored at the last tumor assessment prior to initiation of the subsequent anti-cancer therapy. PFS assessment per protocol was by IRC assessment for Cohorts 1 to 6 and for pooled Sub-cohort: PFS was based on investigator review. up to approximately 27.5 months (through cut-off date 30-Jun-2019)
Secondary Phase 2: Progression-free Survival (PFS) A PFS was defined as the time (in months) from the day of the first dose to the date of first objectively documented disease progression or death (any cause), whichever occurred first. Participants who had died without a reported disease progression were considered to have progressed on the date of their death, participants who did not progress or die were censored on the date of their last tumor assessment, participants who had no on-study assessments and did not die were censored on the first dosing date, and participants who started any subsequent anti-cancer therapy without a prior reported progression were censored at the last tumor assessment prior to initiation of the subsequent anti-cancer therapy. PFS was analyzed as using Kaplan-Meier estimate. Up to approximately 37.5 months (through cut-off date 29-May-2021)
Secondary Phase 1: Dose Expansion: Overall Survival (OS) An OS was defined as the time (in months) from the date of the first dose to the death date. In the absence of death confirmation or for participants alive as of the OS cut-off date, survival time was censored at the date of last study follow-up, or the cut-off date, whichever was earlier. up to approximately 27.5 months (through cut-off date 30-Jun-2019)
Secondary Phase 2: Overall Survival (OS) An OS was defined as the time (in months) from the date of the first dose to the death date. In the absence of death confirmation or for participants alive as of the OS cut-off date, survival time was censored at the date of last study follow-up, or the cut-off date, whichever was earlier. Up to approximately 37.5 months (through cut-off date 29-May-2021)
Secondary Phase 2: European Quality of Life-5 Dimensions-3 Level (EQ-5D-3L) Questionnaire: Mobility Scores at Specified Visits EQ-5D-3L was a self-administered standardized questionnaire to assess health outcome. It comprised 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension was rated on 3 levels of function: no problem, some problem and extreme problem. In this outcome measure, data were reported categorically as the number of participants who chose each category. Baseline, Cycle 2, 4, 7, 10, 13, 16, 19, 22, 25, 28, 31, 34, 37, 40 and end of treatment (i.e., Cycle 43 [30 months])
Secondary Phase 2: European Quality of Life-5 Dimensions-3 Level (EQ-5D-3L) Questionnaire: Self-care Scores at Specified Visits EQ-5D-3L was a self-administered standardized questionnaire to assess health outcome. It comprised 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension was rated on 3 levels of function: no problem, some problem and extreme problem. In this outcome measure, data were reported categorically as the number of participants who chose each category. Baseline, Cycle 2, 4, 7, 10, 13, 16, 19, 22, 25, 28, 31, 34, 37, 40 and end of treatment (i.e., Cycle 43 [30 months])
Secondary Phase 2: European Quality of Life-5 Dimensions-3 Level (EQ-5D-3L) Questionnaire: Usual Activities Scores at Specified Visits EQ-5D-3L was a self-administered standardized questionnaire to assess health outcome. It comprised 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension was rated on 3 levels of function: no problem, some problem and extreme problem. In this outcome measure, data were reported categorically as the number of participants who chose each category. Baseline, Cycle 2, 4, 7, 10, 13, 16, 19, 22, 25, 28, 31, 34, 37, 40 and end of treatment (i.e., Cycle 43 [30 months])
Secondary Phase 2: European Quality of Life-5 Dimensions-3 Level (EQ-5D-3L) Questionnaire: Pain/Discomfort Scores at Specified Visits EQ-5D-3L was a self-administered standardized questionnaire to assess health outcome. It comprised 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension was rated on 3 levels of function: no problem, some problem and extreme problem. In this outcome measure, data were reported categorically as the number of participants who chose each category. Baseline, Cycle 2, 4, 7, 10, 13, 16, 19, 22, 25, 28, 31, 34, 37, 40 and end of treatment (i.e., Cycle 43 [30 months])
Secondary Phase 2: European Quality of Life-5 Dimensions-3 Level (EQ-5D-3L) Questionnaire: Anxiety/Depression Scores at Specified Visits EQ-5D-3L was a self-administered standardized questionnaire to assess health outcome. It comprised 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension was rated on 3 levels of function: no problem, some problem and extreme problem. In this outcome measure, data were reported categorically as the number of participants who chose each category. Baseline, Cycle 2, 4, 7, 10, 13, 16, 19, 22, 25, 28, 31, 34, 37, 40 and end of treatment (i.e., Cycle 43 [30 months])
Secondary Phase 2: Change From Baseline in EQ-5D-3L Visual Analogue Scale (VAS) at Specified Visits EQ-5D-3L was a self-administered standardized questionnaire to assess health outcome. It comprised 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. A vertical VAS allows the participants to indicate their health state that day, and ranged from 0 (worst imaginable) to 100 (best imaginable), with higher scores indicating better health state. Baseline, Cycle 2, 4, 7, 10, 13, 16, 19, 22, 25, 28, 31, 34, 37, 40 and end of treatment (i.e., Cycle 43 [30 months])
Secondary Phase 2:Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) Global Health Status Score at Specified Timepoints EORTC QLQ-C30 is a cancer-specific instrument that contains 30 questions for evaluation of new chemotherapy & assessment of participant reported outcome. EORTC QLQ-C30 included global health status/quality of life (GHS/QOL), functional scales (physical, role, cognitive, emotional, social), symptom scales (fatigue, pain, nausea/vomiting), and 6 single items (dyspnea, appetite loss, insomnia, constipation, diarrhea, financial difficulties). Most questions from QLQ-C30 are 4-point scale (1/Not at All to 4/Very Much), except Items 29-30, which comprise GHS scale & are 7-point scale (1/Very Poor to 7/Excellent). GHS total score is calculated as ([{Q29+Q30}/2]-1)/6*100. Answers are converted into grading scale, with values between 0 (worse outcome) to100 (best outcome). High score represents a favorable outcome with best quality of life for participant. Baseline, Cycle 2, 4, 7, 10, 13, 16, 19, 22, 25, 28, 31, 34, 37, 40 and end of treatment (i.e., Cycle 43 [30 months])
Secondary Phase 1: Dose Expansion: Number of Participants With Any Adverse Events (AEs) and Any Serious AEs (SAEs) An AE was defined as any untoward medical condition that occurred in a participant from the time the informed consent form (ICF) was signed and does not necessarily had a causal relationship with the use of the product. An SAE was an AE that falls into one or more of the following categories: a. resulted in death, b. was life threatening, c. required inpatient hospitalization or prolongation of existing hospitalization, d. resulted in persistent or significant disability or incapacity, e. was a congenital anomaly/birth defect, f. other important medical event. From the first dose up to approximately 50.5 months (through cut-off date 29-May-2021)
Secondary Phase 2: Number of Participants With Any Adverse Events (AEs) and Any Serious Adverse Events (SAEs) An AE was defined as any untoward medical condition that occurs in a participant from the time the informed consent form (ICF) was signed and does not necessarily had a causal relationship with the use of the product. An SAE was an AE that falls into one or more of the following categories: a. resulted in death, b. was life threatening, c. required inpatient hospitalization or prolongation of existing hospitalization, d. resulted in persistent or significant disability or incapacity, e. was a congenital anomaly/birth defect, f. other important medical event. From the first dose up to approximately 37.5 months (through cut-off date 29-May-2021)
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