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Fibroblast Growth Factor (FGFs) / Fibroblast Growth Factor Receptor (FGFRs) Genetic as a second-line therapy for recurrent / progressive gastric cancer with INCB054828 and paclitaxel a study to evaluate the safety and efficacy of combination therapy.

An Open Label, Single-Arm, Multi-center Phase Ib/II Study to Evaluate the Safety and Efficacy of INCB054828 in Combination with Paclitaxel as a Second Line Treatment in Recurrent/Advanced Gastric Cancer with Fibroblast Growth Factors (FGFs)/Fibroblast Growth Factor Receptors (FGFRs) Genetic Aberration.

Status
Active, not recruiting
Phases
Phase 1Phase 2
Study type
Interventional
Source
CRIS
Registry ID
KCT0003844
Enrollment
42
Registered
2019-04-25
Start date
2019-10-16
Completion date
Unknown
Last updated
2025-05-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Drug : 1 phase> - Approximately 3-12 patients will be enrolled. The dose escalation will be three patients registered for each cohort until the first dose-limiting toxicity appears during the four wee

Sponsors

Yonsei University Health System, Severance Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients who agreed in writing to the clinical study consent 2. Histologically or cytologically confirmed advanced gastric adenocarcinoma. Patients must have experienced objective radiological or disease progress with evidence during or after primary therapy with fluoropyrimidine and platinum. 3. FGFs / FGFRs have genetic variation on NGS. 4. Patients whose life expectancy is at least 3 months 5. If the Eastern Cooperative Oncology Group (ECOG) is 0 or 1 6. Measurable or assessable lesion based on RECIST 1.1 scale 7. Must be swallowed, should be able to take oral medication 8. Possible long-term function to receive chemotherapy. 9. Patients receiving anti-HER2 therapy for HER2 negative or HER2-positive primary treatment

Exclusion criteria

Exclusion criteria: 1. When chemotherapy exceeded the first treatment 2. Patients with multiple cancers 3. Severe hypersensitivity reactions to anti-FGFR2 agents either now or in the past 4. Patients with endocrine metabolic syndrome or history of calcium-phosphate homeostasis 5. Patients with ectopic neoplasm or history of soft tissue, kidney, large intestine, heart, or abdomen 6. Corneal lesions such as bullous keratopathy, corneal erosion, corneal erosion, corneal ulcer, corneal inflammation and keratoconjunctivitis were confirmed by ophthalmic examination 7. Patients with metastasis to the brain or meninges. However, patients who do not have symptoms and do not need treatment can register. 8. Clinically significant digestive system problems that can cause abnormalities in taking or absorbing clinical drugs 9. Patients with uncontrollable or significant cardiovascular disease 10. Patients with systemic infections requiring treatment 11. Patients who were exposed to paclitaxel at or before the taxane 12. If you undergo major surgery within 28 days before enrollment for this trial 13. Patients who received radiotherapy for gastric cancer within 28 days prior to enrollment for this trial. However, the investigation of bone turnover was conducted within 14 days before the registration for this trial 14. If you received general chemotherapy within 14 days of enrollment for this trial 15. Patients who are positive for human immunodeficiency virus (HIV-1) antibody test, 16. HBsAg results positive, HBV viral load greater than 2000 IU / ml (104 copies / ml), or HCV antibody test positive 17. Patients who are pregnant, lactating, or are likely to be pregnant 18. Anemia and hair loss are excluded if previous chemotherapy treatment has toxicity that is not recovered below grade 2. 19. Patients who are judged to have lost their ability to cope with dementia or other comorbid conditions 20. Other Patients who the examiner or the examiner deemed inappropriate for the clinical trial.

Design outcomes

Primary

MeasureTime frame
To determine the maximal tolerated dose (MTD) schedule for the combination of INCB054828 and paclitaxel;To determine the recommended Phase 2 dose (RP2D) schedule of INCB054828 and paclitaxel combination.

Secondary

MeasureTime frame
Adeverse event

Countries

Korea, Republic of

Contacts

Public ContactSun young Rha

Yonsei University Health System, Severance Hospital

rha7655@yuhs.ac+82-2-2228-8050

Outcome results

None listed

Source: CRIS (via WHO ICTRP) · Data processed: Feb 4, 2026