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Phase 1b/2 Study of Rogaratinib (BAY1163877) in Combination With Atezolizumab in Urothelial Carcinoma

Phase 1
Completed
Conditions
Urothelial Carcinoma
Interventions
Registration Number
NCT03473756
Lead Sponsor
Bayer
Brief Summary

FORT-2 is designed to evaluate safety, efficacy, RP2D and PK of rogaratinib in combination with atezolizumab in patients with untreated FGFR-positive urothelial carcinoma. The study originally comprised two separate parts: Phase 1b (Part A) and Phase 2 (Part B). The study parts differ in design, objectives, and treatment.

The primary objectives of this Phase 1b study (Part A) are to determine the safety, tolerability, RP2D and pharmacokinetics of rogaratinib in combination with atezolizumab in these patients.

The primary objective of the Part B is to compare progression-free survival (PFS) according to RECIST v1.1 of rogaratinib in combination with atezolizumab over placebo in combination with atezolizumab in untreated patients with FGFR-positive locally advanced or metastatic urothelial carcinoma.

Of note, patients who participate in Part A are not allowed to participate in Part B.

Part B will be initiated once the data from Part A supports continuation of the study, even if this occurs prior to primary completion of Part A. The sponsor may decide not to continue the study as a whole after completion of Part A if the data do not support further development.

Part B of the study will no longer be conducted.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
37
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Rogaratinib + Atezolizumab in Part ARogaratinib (BAY1163877)Part A: Part A is conducted in patients who are cisplatin-ineligible and have had no prior systemic treatment for locally advanced or metastatic disease. Patients will receive rogaratinib plus atezolizumab combination treatment.
Rogaratinib + Atezolizumab in Part AAtezolizumabPart A: Part A is conducted in patients who are cisplatin-ineligible and have had no prior systemic treatment for locally advanced or metastatic disease. Patients will receive rogaratinib plus atezolizumab combination treatment.
Primary Outcome Measures
NameTimeMethod
Number of Participants With Dose-limiting Toxicities(DLTs)Up to 21 days
Number of Participants With Treatment-emergent Adverse Events (TEAEs)up to 90 days after the last study medication intake, an average of 60 days
Number of Participants With Drug-related TEAEsup to 90 days after the last study medication intake, an average of 60 days
Number of Participants With Treatment-emergent Serious Adverse Events(TESAEs)up to 90 days after the last study medication intake, an average of 60 days
Secondary Outcome Measures
NameTimeMethod
Objective Response Rate(ORR)Up to 5 months

Objective response rate (ORR) was defined as the percentage of patients with complete response (CR) or partial response (PR). Patients for whom best overall tumor response was not CR or PR, as well as patients without any post-baseline tumor assessment were considered non-responders. For all patients, the best overall tumor response was determined locally by investigators using the RECIST (Response Evaluation Criteria In Solid Tumors) criteria. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Maximal Plasma Concentration (Cmax) of RogaratinibAt cycle 1 Day 1
Area Under the Rogaratinib Concentration Versus Time Curve (AUC)At cycle 1 Day 1, 0-t(last)

Trial Locations

Locations (30)

UChicago Medicine Comprehensive Cancer Center - Hyde Park

🇺🇸

Chicago, Illinois, United States

Barbara Ann Karmanos Cancer Institute - Detroit Headquarters

🇺🇸

Detroit, Michigan, United States

Institut Bergonie - Unicancer Nouvelle Aquitaine

🇫🇷

Bordeaux Cedex, France

Azienda Ospedaliero Universitaria di Modena

🇮🇹

Modena, Emilia-Romagna, Italy

University of Arizona Cancer Center

🇺🇸

Tucson, Arizona, United States

Memorial Sloan-Kettering Cancer Center

🇺🇸

New York, New York, United States

Ordensklinikum Linz GmbH Elisabethinen

🇦🇹

Linz, Oberösterreich, Austria

Krankenhaus der Barmherzigen Brüder

🇦🇹

Vienna, Wien, Austria

Uniklinikum Salzburg - Landeskrankenhaus

🇦🇹

Salzburg, Austria

Universitätsklinikum AKH Wien

🇦🇹

Wien, Austria

Centre Oscar Lambret - Lille

🇫🇷

Lille Cedex, France

Institut de Cancérologie de l'Ouest - Saint Herblain

🇫🇷

Saint-Herblain, France

Universitätsklinikum Essen

🇩🇪

Essen, Nordrhein-Westfalen, Germany

Universitätsklinikum Köln

🇩🇪

Köln, Nordrhein-Westfalen, Germany

Universitätsmedizin der Johannes Gutenberg Universität Mainz

🇩🇪

Mainz, Rheinland-Pfalz, Germany

Fondazione IRCCS Istituto Nazionale dei Tumori

🇮🇹

Milano, Lombardia, Italy

Istituto Europeo di Oncologia s.r.l - Sviluppo di nuovi farmaci per Terapie Innovative

🇮🇹

Milano, Lombardia, Italy

Istituto Oncologico Veneto

🇮🇹

Padova, Veneto, Italy

A.O.U.I. Verona

🇮🇹

Verona, Veneto, Italy

National Cancer Center Hospital East

🇯🇵

Kashiwa, Chiba, Japan

National Hospital Organization Shikoku Cancer Center

🇯🇵

Matsuyama, Ehime, Japan

University of Tsukuba Hospital

🇯🇵

Tsukuba, Ibaraki, Japan

Severance Hospital, Yonsei University Health System

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

The Cancer Institute Hospital of JFCR

🇯🇵

Koto-ku, Tokyo, Japan

Ciutat Sanitaria i Universitaria de la Vall d'Hebron

🇪🇸

Barcelona, Spain

Asan Medical Center

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Hospital Clínic i Provincial de Barcelona

🇪🇸

Barcelona, Spain

Hospital General Universitario de Valencia

🇪🇸

Valencia, Spain

Hospital Ramón y Cajal | Oncología

🇪🇸

Madrid, Spain

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