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Phase 1/2 Study of Derazantinib (ARQ 087) in Adult Subjects With Advanced Solid Tumors With FGFR Genetic Alterations

NCT01752920

Description:

This is an open-label, Phase 1/2, dose escalation and signal finding study of derazantinib administered to subjects with advanced solid tumors with FGFR genetic alterations, including intrahepatic cholangiocarcinoma (iCCA) with FGFR2 gene fusion. The study is designed to explore the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of derazantinib and to define a RP2D of derazantinib.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Completed

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Phase 1/2 Study of Derazantinib (ARQ 087) in Adult Subjects With Advanced Solid Tumors With FGFR Genetic Alterations
  • Official Title: A Phase 1/2 Study of Derazantinib in Adult Subjects With Advanced Solid Tumors With FGFR Genetic Alterations, Including Intrahepatic Cholangiocarcinoma With FGFR2 Gene Fusion

Clinical Trial IDs

  • ORG STUDY ID: ARQ 087-101
  • NCT ID: NCT01752920

Conditions

  • Solid Tumor

Interventions

DrugSynonymsArms
Derazantinibderazantinib

Purpose

This is an open-label, Phase 1/2, dose escalation and signal finding study of derazantinib administered to subjects with advanced solid tumors with FGFR genetic alterations, including intrahepatic cholangiocarcinoma (iCCA) with FGFR2 gene fusion. The study is designed to explore the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of derazantinib and to define a RP2D of derazantinib.

Trial Arms

NameTypeDescriptionInterventions
derazantinibExperimentalSubjects will receive derazantinib orally at dose levels specified for their respective dose cohorts on a 28-day schedule. Subjects will receive treatment with derazantinib until progression of disease (clinical or radiological), unacceptable toxicity, or another of the discontinuation criteria is documented.
  • Derazantinib

Eligibility Criteria

        Inclusion Criteria:

          1. Signed written informed consent granted

          2. Men or women ≥18 years of age

          3. Histologically or cytologically confirmed, locally advanced, inoperable, or metastatic
             solid tumors. Subjects eligible for enrollment in the Expanded Cohort must have
             documented and/or confirmed FGFR genetic alterations, including iCCA with FGFR2 gene
             fusion.

          4. Failure to respond to standard therapy, or for whom standard therapy does not exist.

          5. Evaluable or measurable disease

          6. Archival and/or fresh biopsy tissue samples must be available prior to the first dose
             of the study drug

          7. Life expectancy ≥ 12 weeks

          8. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2

          9. Hemoglobin (Hgb) ≥ 9.0 g/dL

         10. Absolute neutrophil count (ANC) ≥ 1.5 x 10^9/L

         11. Platelet count ≥ 100 x 10^9/L

         12. Total bilirubin ≤ 1.5 × upper limit of normal (ULN) (≤ 2 x ULN for subjects with
             cholangiocarcinoma)

         13. Aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 3 × ULN (≤ 5 x ULN for
             subjects with liver metastases)

         14. Serum creatinine ≤ 1.5 x ULN or creatinine clearance > 60 mL/min/1.73 m^2 for subjects
             with creatinine levels above institutional normal

         15. Albumin ≥ 2.8 g/dL

         16. INR 0.8 to ULN or ≤ 3 for subjects receiving anticoagulant therapy

         17. Men or women of child-producing potential must agree to use double-barrier
             contraceptive measures, oral contraception, or avoid intercourse during the study and
             for 90 days after the last dose of study drug

         18. Women of childbearing potential must have a negative serum pregnancy test during
             Screening Period and within 48 hours of the first dose of derazantinib.

        Exclusion Criteria:

          1. Anti-cancer therapy, such as chemotherapy, immunotherapy, hormonal, targeted therapy,
             or investigational agents within four weeks or five times of the drug half life,
             whichever is longer, of the first dose of derazantinib

          2. Major surgery or radiation therapy within four weeks of the first dose of derazantinib

          3. Previous treatment with FGFR inhibitors

          4. History of allergic reactions attributed to compounds of similar chemical or
             biological composition as derazantinib

          5. Unable or unwilling to swallow the complete daily dose of derazantinib

          6. Clinically unstable central nervous system (CNS) metastasis

          7. History of myocardial infarction (MI) or congestive heart failure defined as Class II
             to IV per the New York Heart Association classification within 6 months of the first
             dose of derazantinib (MI occurring >6 months of the first dose of derazantinib will be
             permitted)

          8. Significant GI disorder(s) that could interfere with the absorption, metabolism, or
             excretion of derazantinib (e.g. Crohn's disease, ulcerative colitis, extensive gastric
             resection)

          9. History and/or current evidence of clinically relevant ectopic
             mineralization/calcification

         10. Previous malignancy within 2 years prior to the first dose of derazantinib, except
             curatively treated non-melanoma skin cancer, carcinoma in-situ of the breast or
             cervix, or superficial bladder tumors

         11. Known human immunodeficiency virus (HIV) infection

         12. Concurrent uncontrolled illness not related to cancer, including but not limited to:

               -  Psychiatric illness/substance abuse/social situation that would limit compliance
                  with study requirements.

               -  Uncontrolled diabetes mellitus

         13. Blood transfusion within 5 days of the blood draw being used to confirm eligibility

         14. Pregnant or breastfeeding
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Adverse events graded by CTCAE v4.03 as a measure of the safety and tolerability profile of derazantinib
Time Frame:Assessed at each scheduled visit up to treatment discontinuation + 30 days with an estimated treatment duration of 4 to 24 weeks
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Characterize the pharmacokinetic (PK) profile of derazantinib
Time Frame:Part 1: t=Days 1, 2, 3, and 4. Cohort 5+: t=Days 1, 2, 8, 15, 22, and 23 of Cycle 1; and t=Days 1 and 15 of subsequent cycles
Safety Issue:
Description:Single dose PK parameters include the peak plasma concentration (Cmax), area under the plasma concentration vs. time curve (AUC), and half-life of derazantinib
Measure:Assess pharmacodynamic (PD) activity of derazantinib
Time Frame:Part 1 t=Days 1, 2, 3, and 4. For Cohort 5+: t=Days 1, 8, 15, 22 of Cycle 1; and t=Days 1 of Cycles 2-5. For Part 2: t=Day 1 of Cycle 1-6
Safety Issue:
Description:PD parameters include changes of phosphate, glucose, and FGF 19, 21, and/or 23
Measure:Evaluate dose limiting toxicity (DLT) graded per CTCAE v4.03 to determine the recommended Phase 2 dosing (RP2D) regimen
Time Frame:Up to treatment discontinuation + 30 days with an estimated treatment duration of 4 to 24 weeks
Safety Issue:
Description:
Measure:Evaluate further the RP2D of derazantinib in subjects with FGFR genetic alterations, including subjects with iCCA with FGFR2 gene fusion (Part 2; Expanded Cohort, signal finding)
Time Frame:Up to treatment discontinuation + 30 days with an estimated treatment duration of 4 to 24 weeks
Safety Issue:
Description:
Measure:Evaluate tumor response assessed by RECIST v1.1 after treatment with derazantinib
Time Frame:Baseline and every 8 weeks or as otherwise clinically indicated
Safety Issue:
Description:

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Basilea Pharmaceutica

Trial Keywords

  • FGFR
  • ARQ 087
  • Targeted therapy
  • Molecular therapy
  • Tyrosine kinase inhibitor
  • TKI
  • Receptor tyrosine kinase
  • RTK
  • Biomarker
  • Phase 1
  • Phase I
  • Solid tumor
  • Liver Cancer
  • Hepatobiliary carcinoma
  • Biliary tract cancer
  • Cholangiocarcinoma
  • Intrahepatic cholangiocarcinoma
  • FGFR inhibitor
  • Targeted FGFR kinase inhibitor
  • Pan-FGFR inhibitor
  • Selective FGFR inhibitor
  • FGFR pathway
  • FGFR signaling
  • Fibroblast growth factor
  • FGFR1
  • FGFR2
  • FGFR3
  • FGFR4
  • FGF
  • FGF19
  • FGF21
  • FGF23
  • FGFR mutation
  • FGFR gene fusion
  • FGFR gene translocation
  • FGFR genetic aberration
  • FGFR2 fusion
  • FGFR2 translocation
  • Phase 1 Clinical Trial
  • Phase I Clinical Trial
  • Clinical oncology
  • Tumor
  • Tumour
  • derazantinib

Last Updated

October 31, 2019