Description:
This is a Phase 1, open-label, first-in-human (FIH) study designed to evaluate the safety,
tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary antineoplastic
activity of fisogatinib (formerly known as BLU- 554) administered orally in patients with
FGF19 IHC+ hepatocellular carcinoma (HCC). The study consists of 3 parts, a dose-escalation
part (Part 1), an expansion part (Part 2) exploring a once daily (qd) dosing schedule at the
recommended Phase 2 dose (RP2D), and a Part 3 expansion of the qd dosing schedule at the RP2D
in TKI naive patients.
Title
- Brief Title: A Phase 1 Study of Fisogatinib (BLU-554) in Patients With Hepatocellular Carcinoma
- Official Title: A Phase 1 Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of BLU-554 in Patients With Hepatocellular Carcinoma
Clinical Trial IDs
- ORG STUDY ID:
BLU-554-1101
- SECONDARY ID:
2015-001662-26
- NCT ID:
NCT02508467
Conditions
- Hepatocellular Carcinoma (HCC)
Interventions
Drug | Synonyms | Arms |
---|
Fisogatinib (BLU-554) | BLU-554 | Fisogatinib (BLU-554) |
Purpose
This is a Phase 1, open-label, first-in-human (FIH) study designed to evaluate the safety,
tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary antineoplastic
activity of fisogatinib (formerly known as BLU- 554) administered orally in patients with
FGF19 IHC+ hepatocellular carcinoma (HCC). The study consists of 3 parts, a dose-escalation
part (Part 1), an expansion part (Part 2) exploring a once daily (qd) dosing schedule at the
recommended Phase 2 dose (RP2D), and a Part 3 expansion of the qd dosing schedule at the RP2D
in TKI naive patients.
Trial Arms
Name | Type | Description | Interventions |
---|
Fisogatinib (BLU-554) | Experimental | Fisogatinib (BLU-554) capsules for oral administration. | |
Eligibility Criteria
Key Inclusion Criteria:
- Confirmed diagnosis of HCC by histological examination or by non-invasive criteria
according to European Association for the Study of the Liver (EASL) or American
Association for the Study of Liver Disease (AASLD) guidelines (Part 1, 2 and 3).
- For Part 1 and 2, the patient has unresectable disease and has been previously treated
with sorafenib, has declined treatment with sorafenib, or does not have access to
sorafenib.
- For Part 3, the patient has not received prior treatment with a TKI.
- Child-Pugh class A with no clinically apparent ascites
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
- For Part 1, willing to provide archived tumor tissue (if available) and willing to
undergo pre- and on-treatment tumor biopsy (if considered safe and medically feasible
by the treating investigator)
- For Part 2 and 3, all patients must have an FGF19 IHC result available. Only FGF19
IHC+ HCC patients will be eligible for Part 3.
Key Exclusion Criteria:
- Central nervous system metastases
- Platelet count <75,000/mL
- Absolute neutrophil count <1000/mL
- Hemoglobin <8 g/dL
- Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >5x the upper limit
of normal (ULN)
- Total bilirubin >2.5 mg/dL
- International normalized ratio (INR) >2.3 or prothrombin time (PT) >6 seconds above
control
- Estimated (Cockroft-Gault formula) or measured creatinine clearance <40 mL/min
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Maximum tolerated dose (MTD) on qd and bid schedules |
Time Frame: | During cycle 1 (28 days) of treatment and will be determined by approximately 24 months after start of the study or earlier |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Maximum plasma concentration of fisogatinib (BLU-554) on qd and bid schedules |
Time Frame: | Every cycle (28 days) up to cycle 4 and at end of treatment (approximately 24 months or earlier if patient terminates from the study) |
Safety Issue: | |
Description: | Blood samples may be taken at pre-dose, and 0.5, 1, 2, 4, 6, 8 and 24 hrs post dose on Cycle 1 Day 1 and Cycle 1 Day 15, Pre-dose of Cycle 2 to 4, Day 1 and end of treatment (EOT) |
Measure: | Time to maximum plasma concentration of fisogatinib (BLU-554) on qd and bid schedules |
Time Frame: | Every cycle (28 days) up to cycle 4 and at end of treatment (approximately 24 months or earlier if patient terminates from the study) |
Safety Issue: | |
Description: | Blood samples may be taken at pre-dose, and 0.5, 1, 2, 4, 6, 8 and 24 hrs post dose on Cycle 1 Day 1 and Cycle 1 Day 15, Pre-dose of Cycle 2 to 4, Day 1 and EOT |
Measure: | Fibroblast growth factor 19 (FGF19) status in tumor tissue |
Time Frame: | Cycle 2 (Day 56) |
Safety Issue: | |
Description: | |
Measure: | Levels of FGF19 in blood and tumor samples |
Time Frame: | Cycle 1 (Day 28) |
Safety Issue: | |
Description: | |
Measure: | Preliminary evidence of fisogatinib (BLU-554) antineoplastic activity |
Time Frame: | Screening, Day 1 of every odd numbered cycle starting with Cycle 3, End of treatment (at approximately 24 months or earlier if patient terminates from the study) and every three months post EOT |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Blueprint Medicines Corporation |
Trial Keywords
- Liver cancer
- FGF19 gene amplification
- FGF19 overexpression
- FGF19 upregulation
- Cyclin D1 (CCND1) gene amplification
- Cyclin D1 (CCND1) copy number gain
- BLU-554
- FGFR4
- Hepatocellular carcinoma
- Liver Disease
- Liver Neoplasms
Last Updated
August 4, 2021