Study of Tinengotinib VS. Physician's Choice a Treatment of Subjects With FGFR-altered in Cholangiocarcinoma

Phase 3

Recruiting

• Conditions: Cholangiocarcinoma
• Interventions: Drug: Tinengotinib 10 mg; Drug: Physician's Choice; Drug: Tinengotinib 8 mg

• Registration Number: NCT05948475
• Lead Sponsor: TransThera Sciences (Nanjing), Inc.

Brief Summary

This study is a Phase III, Randomized, Controlled, Global Multicenter Study to Evaluate the Efficacy and Safety of Oral Tinengotinib versus Physician's Choice in Subjects with Fibroblast Growth Factor Receptor (FGFR)-altered, Chemotherapy- and FGFR Inhibitor-Refractory/Relapsed Cholangiocarcinoma

Detailed Description

Approximately 200 subjects will be enrolled. Eligible subjects will be randomized in a 2:2:1 ratio to receive tinengotinib 8 mg QD, tinengotinib 10 mg QD or Physician's Choice in Part A; and eligible subjects will be randomized in a 2:1 ratio to receive the recommended Part B dose or selected dose or Physician's Choice in Part B.

Study Timeline

• Study First Submitted: 2023-06-29
• Study First Submitted QC: 2023-07-07
• Study First Posted: 2023-07-17
• Study Start: 2023-12-20
• Status Verified: 2024-05
• Last Update Submitted: 2024-06-21
• Last Update Posted: 2024-06-24
• Primary Completion: 2026-05
• Study Completion: 2026-08

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

1. ≥ 18 years of age at the time of signing the informed consent form (ICF).
2. Histologically or cytologically confirmed CCA/adenocarcinoma of biliary origin with radiological evidence of unresectable or metastatic disease.
3. Documentation of FGFR2 fusion/rearrangement gene status
4. Subjects must have received at least one line of prior chemotherapy and exactly one FDA approved FGFR inhibitor.

Exclusion Criteria

1. Prior receipt of two or more FGFR inhibitors, either approved or investigational drugs.
2. Subjects with known brain or central nervous system (CNS) metastases that have radiologically or clinically progressed in the 28 days prior to initiation of therapy. Subjects with asymptomatic brain/CNS metastases or treated brain/CNS metastases that have been clinically stable for 14 days on steroids without escalation of steroids are eligible for enrollment.
3. Subjects with a known concurrent malignancy that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin, carcinoma in situ of the cervix, or other noninvasive or indolent malignancy, including those that have previously undergone potentially curative therapy.
4. Subjects who have received prior systemic therapy or investigational study drug ≤ 5 half-lives or 14 days, whichever is shorter, prior to starting the study drug or who have not recovered (grade ≤ 1 or at pretreatment baseline except tolerable grade 2 alopecia, fatigue/asthenia, and neuropathy due to trauma) from adverse events (AEs) of prior therapy.
5. Concurrent anticancer therapy including chemo-, immune-, or radiotherapy. Hormone therapy may be allowed with Sponsor approval.
6. Subjects who have received wide field radiotherapy ≤ 4 weeks or limited field radiation for palliation ≤ 2 weeks prior to starting the study drug or who have not recovered from AEs of prior therapy.
7. Subjects with uncontrolled hypertension (defined as blood pressure of ≥ 150 mm Hg systolic and/or ≥ 90 mm Hg diastolic despite adequate treatment with antihypertensive medications at screening)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Tinengotinib 10 mg QD	Tinengotinib 10 mg	Tinengotinib will be administered in 28-day cycles.
Physician's Choice	Physician's Choice	Physician's Choice treatments include FOLFOX or FOLFIRI
Tinengotinib 8 mg QD	Tinengotinib 8 mg	Tinengotinib will be administered in 28-day cycles.

Primary Outcome Measures

Name	Time	Method
Part A: Incidence, duration, and severity of adverse events (AEs)	Up to 30 days from study discontinuation	As assessed per Common Terminology Criteria for Adverse Events (CTCAE) v5.0 (or the most current version).
Part B: PFS by BICR	From first study drug administration until the date of first documented progression assessed by BICR or date of death from any cause, whichever came first, assessed up to 24 months	Progression-free survival (PFS) by BICR: PFS is defined as the time from date of randomization to the date of first documented disease progression as assessed by BICR per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or date of death due to any cause, whichever is earlier.

Secondary Outcome Measures

Name	Time	Method
Part B: Objective Response Rate (ORR) by BICR and by Investigator:	Through study completion, an average of 9 months.	The proportion of subjects who achieved a complete response (CR) or a partial response (PR) based on RECIST version 1.1.
Part B: Duration of Response (DOR) by BICR and by Investigator	Through study completion, an average of 9 months.	Duration of response for CR or PR based on RECIST version 1.1.
Part A: ORR by Investigator	Through study completion, an average of 9 months.	ORR:objective response rate (ORR), the proportion of subjects who achieved a complete response (CR) or a partial response (PR) based on RECIST version 1.1.
Part B:Overall Survival (OS)	From first study drug administration until the date of death from any cause, assessed up to 24 months.	OS is defined as the time from date of randomization to date of death of any cause.
Part B: PFS by Investigators per RECIST v1.1.	From first study drug administration until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months.	PFS is defined as the time from date of randomization to the date of first documented disease progression as assessed by BICR per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Part A: DOR by Investigator	Through study completion, an average of 9 months.	Duration of response for CR or PR based on RECIST version 1.1.

Trial Locations

Locations (86)

UCLA Medical Center; 🇺🇸 Santa Monica, California, United States

Stanford Cancer Center; 🇺🇸 Stanford, California, United States

The University of Kansas Cancer Center; 🇺🇸 Westwood, California, United States

Mount Sinai Comprehensive Cancer Center; 🇺🇸 Miami Beach, Florida, United States

The University of Chicago Hospitals; 🇺🇸 Chicago, Illinois, United States

UMass Memorial Medical Center; 🇺🇸 Worcester, Massachusetts, United States

University of Michigan; 🇺🇸 Ann Arbor, Michigan, United States

Henry Ford; 🇺🇸 Detroit, Michigan, United States

University of Minnesota- Masonic Cancer Center, M Health Fairview; 🇺🇸 Minneapolis, Minnesota, United States

Roswell Park Comprehensive Cancer Center; 🇺🇸 Buffalo, New York, United States

Scroll for more (76 remaining)