NCT07359820招募中2 期
A Phase 2, Open-Label, Single-Arm Study of Lirafugratinib in Patients With Previously Treated, Unresectable, Locally Advanced or Metastatic Solid Tumors (Excluding Cholangiocarcinoma) With FGFR2 Fusion or Rearrangement
Elevar Therapeutics26 个研究点 分布在 5 个国家目标入组 30 人开始时间: 2026年6月4日最近更新:
适应症
干预措施
相关药物
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 发起方
- 入组人数
- 30
- 试验地点
- 26
- 主要终点
- Objective Response Rate (ORR) assessed by Independent Review Committee per RECIST v1.1.
研究概览
简要总结
The goal of this clinical trial is to evaluate if lirafugratinib is efficacious and safe to treat adult patients with previously treated, unresectable, locally advanced or metastatic solid tumors (excluding cholangiocarcinoma) harboring FGFR2 fusion or rearrangement.
Participants will:
- Take lirafugratinib regularly as instructed by their study doctor.
- Visit the clinic as instructed for checkups and tests.
- Keep a diary recording each time a dose of lirafugratinib is taken.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Unresectable, locally advanced, or metastatic solid tumor (other than CCA).
- •Documented FGFR2 gene fusion or rearrangement per local testing of blood and/or tumor.
- •Patient must have measurable disease per RECIST v1.1• Patient has ECOG performance status of 0-
- •Previously (>30 days) treated with ≥1 line of systemic therapy including chemotherapy (e.g., gemcitabine/cisplatin), immunotherapy, radiation therapy, or other approved therapies.
- •Subject has not received prior treatment with an FGFRi.
排除标准
- •An uncontrolled comorbidity.
- •Patient does not have adequate organ function (defined in protocol).
- •Patient has active infection, including human immunodeficiency virus (HIV), hepatitis B virus (HBV), and/or hepatitis C virus (HCV) (defined in protocol). Patients with well-controlled HBV are eligible (defined in protocol).
- •QT interval corrected using Fridericia's formula (QTcF) > 480 msec or history of prolonged QT syndrome, Torsades de pointes or familial history of prolonged QT syndrome.
- •Clinically significant, uncontrolled cardiovascular disease.
- •CNS metastases or primary CNS tumor that is associated with progressive neurologic symptoms.
研究组 & 干预措施
Lirafugratinib
Experimental
Treatment with standard dose of lirafugratinib
干预措施: Lirafugratinib (Drug)
结局指标
主要结局
Objective Response Rate (ORR) assessed by Independent Review Committee per RECIST v1.1.
时间窗: Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months.
次要结局
- Duration of response (DOR) assessed by Independent Review Committee per RECIST v1.1.(Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months.)
- Number of patients with adverse events and serious adverse events.(Every cycle (4-week cycles) until study discontinuation, approximately 24 months.)
- Number of patients with dose interruptions.(Every 28-day cycle until end of treatment, approximately 24 months.)
- Number of patients with dose reductions.(Every 28-day cycle until end of treatment, approximately 24 months.)
- Number of patients with dose discontinuations.(Every 28-day cycle until end of treatment, approximately 24 months.)
- Objective Response Rate (ORR) as assessed by Investigator per RECIST v1.1.(Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months.)
- Duration of Response (DOR) as assessed by Investigator per RECIST v1.1.(Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months)
- Disease control rate (DCR) as assessed by Investigator and Independent Review Committee per RECIST v1.1.(Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months.)
- Progression-free survival (PFS) as assessed by Investigator and Independent Review Committee per RECIST v1.1.(Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months)
- Overall survival (OS).(Up to approximately 36 months.)
- Time to response (TTR) assessed by Investigator and Independent Review Committee per RECIST v1.1.(Up to approximately 36 months.)
- Time to progression (TTP) assessed by Investigator and Independent Review Committee per RECIST v1.1.(Up to approximately 36 months)
- Pharmacokinetic parameters including maximum plasma drug concentration (Cmax)([Time Frame: Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle through Cycle 4 (4-week cycles)])
- Pharmacokinetic parameters including area under the plasma concentration versus time curve (AUC)(Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle through Cycle 4 (4-week cycles))
- Pharmacokinetic parameters including half-life (t1/2)(Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle through Cycle 4 (4-week cycles))
- Correlation between FGFR2 genotype by central tissue assessment and antitumor response, as measured by Objective Response Rate (ORR).(Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months.)
- Change from baseline in quality of life as assessed by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30).(Approximately every 4 weeks during treatment, approximately 24 months)
- Time to deterioration (TTD).(Up to approximately 36 months.)
- FGFR2 gene status in plasma circulating tumor deoxyribonucleic acid (ctDNA) and tumor tissue.(Every cycle (4-week cycles) through Cycle 3 and every other cycle thereafter until study discontinuation, approximately 24 months.)
- Pharmacodynamic parameters including changes in fibroblast growth factor 23 (FGF-23).(Approximately every 2 weeks in Cycle 1 (4-week cycle) and every other cycle (4-week cycles) from Cycle 3, approximately 24 months.)
- Pharmacodynamic parameters including changes in carcinoembryonic antigen (CEA)(Approximately every 2 weeks in Cycle 1 (4-week cycle) and every other cycle (4-week cycles) from Cycle 3, approximately 24 months)
- Pharmacodynamic parameters including changes in cancer antigen 19-9 (CA 19-9)(Approximately every 2 weeks in Cycle 1 (4-week cycle) and every other cycle (4-week cycles) from Cycle 3, approximately 24 months)
研究者
研究点 (26)
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