NCT06551896
Not yet recruiting
Phase 2
Pemigatinib and Immune Checkpoint Inhibitor Treated FGFR1/2/3 Alteration Advanced Solid Tumor: a Single Arm, Multiple Center, Phase II Study (Pigeon Study)
ConditionsUrothelial CarcinomaBreast NeoplasmsLung CancerGastric CancerSoft Tissue SarcomaOther Carcinoma
InterventionsPemigatinib
DrugsPemigatinib
Overview
- Phase
- Phase 2
- Intervention
- Pemigatinib
- Conditions
- Urothelial Carcinoma
- Sponsor
- Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
- Enrollment
- 30
- Primary Endpoint
- Objective response rate (ORR)
- Status
- Not yet recruiting
- Last Updated
- last year
Overview
Brief Summary
This prospective phase Il study is aim to evaluate the efficacy and safety of FGFR inhibitor combined with immune checkpoint inhibitors in FGFR1/2/3 variant advanced solid tumors.
Investigators
qintao
associate chief physician
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 18 years;
- •Histologically or cytologically confirmed unresectable advanced solid tumors with failure or intolerance to standard treatments;
- •At least one measurable lesion per RECIST v1.1 criteria;
- •Gene testing confirms FGFR1/2/3 variants, including but not limited to mutations, fusions/rearrangements in solid tumors;
- •Patients have not previously used specific small molecule multi-target inhibitors of the FGFR pathway, as assessed by investigators, and have been treated with immune checkpoint inhibitors;
- •ECOG performance status of 0-1;
- •Expected survival time \> 3 months;
- •Laboratory criteria:
- •Absolute neutrophil count (ANC) ≥ 1.5 x 10⁹/L in the past 14 days without granulocyte colony-stimulating factor;
- •Platelets ≥ 100 x 10⁹/L without transfusion in the past 14 days;
Exclusion Criteria
- •Diagnosis of other malignancies within 3 years before the first dose, except for certain treated skin carcinomas and in-situ carcinomas;
- •Previous treatment with selective FGFR inhibitors;
- •Receipt of other investigational drugs within 21 days or antitumor drugs within 14 days before the first dose;
- •Unresolved toxicity from prior treatments unless ≤ Grade 1 or related to alopecia or fatigue;
- •Known symptomatic CNS metastasis or carcinomatous meningitis. Stable patients post-treatment with no evidence of progression may be eligible if steroid-free for at least 14 days;
- •History of allogeneic organ or hematopoietic stem cell transplantation;
- •Abnormal laboratory parameters:
- •Serum phosphate \> 1.5 x ULN;
- •Elevated serum calcium or albumin-adjusted calcium outside the reference range;
- •Known HIV infection or positive HIV test;
Arms & Interventions
Pemigatinib combined with immune checkpoint inhibitor
Pemigatinib 13.5mg,two weeks on and one week off, and with immune checkpoint inhibitor selected by investigator.
Intervention: Pemigatinib
Outcomes
Primary Outcomes
Objective response rate (ORR)
Time Frame: every 8 weeks during treatment
the proportion of patients with tumor shrinkage with CR and PR over 4 weeks.
Secondary Outcomes
- Disease control rate(DCR)(every 8 weeks during during treatment)
- Progression-free survival (PFS)(every 8 weeks during treatment)
- Overall survival(OS)(every 8 weeks during treatment)
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