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Open-Label, Dose-Finding Study Evaluating Safety and PK of FPA144 in Patients With Advanced Solid Tumors

A Phase 1 Open-Label, Dose-Finding Study Evaluating Safety and Pharmacokinetics of FPA144 in Patients With Advanced Solid Tumors

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02318329
Enrollment
79
Registered
2014-12-17
Start date
2014-11-30
Completion date
2019-06-30
Last updated
2024-06-04

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

Conditions

Advanced Solid Tumors, Gastric Cancer, Transitional Cell Carcinoma of the Bladder

Keywords

FGFR2b, FGFR2, FGFR, bladder neoplasms, esophageal cancer

Brief summary

This is a three-part, open-label, safety, tolerability, and PK study of FPA144. Patients will be enrolled in Part 1 (A or B, dose escalation) or Part 2 (dose expansion) of the study, but not both.

Detailed description

Part 1A is a dose-escalation study in patients with any locally advanced or metastatic solid tumor or lymphoma for which standard therapies have been exhausted. Part 1B will further assess safety and evaluate PK of FPA144 in gastric cancer patients. Part 2 patients will be enrolled and treated in order to further characterize safety and preliminary efficacy in a selected cancer patient population with the greatest potential for clinical benefit from FPA144 treatment.

Interventions

DRUGFPA144

FPA144 will be administered by IV infusion over approximately 30 minutes every 2 weeks.

Sponsors

Five Prime Therapeutics, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Life expectancy of at least 3 months * ECOG performance status of 0 to 1 • In sexually-active patients, willingness to use 2 effective methods of contraception * Adequate hematological and organ function, confirmed by lab values * Tumor tissue must be available for prospective determination of FGFR2b overexpression * Locally recurrent or metastatic disease that has progressed on or following standard treatment, or is not a candidate for standard treatment * Histologically or cytologically confirmed transitional cell carcinoma of the genitourinary tract * Measurable disease as defined by RECIST version 1.1

Exclusion criteria

* Untreated or symptomatic central nervous system (CNS) metastases * Impaired cardiac function or clinically significant cardiac disease \- Treatment with any anticancer therapy or participation in another therapeutic clinical study with investigational drugs \</=14 days (\</=28 days for patients in Korea) prior to first dose of FPA144 * Ongoing acute adverse effects from prior anticancer or investigational therapy \> NCI CTCAE Grade 1 * Retinal disease or a history of retinal disease or detachment * Corneal defects, corneal ulcerations, keratitis, keratoconus, history of corneal transplant, or other known abnormalities of the cornea * Major surgical procedures are not allowed ≤28 days prior to FPA144 administration * Females who are pregnant or breastfeeding; women of childbearing potential must not be considering getting pregnant during the study \- Presence of any serious or unstable concomitant systemic disorder incompatible with the clinical study * Known allergy or hypersensitivity to components of the FPA144 formulation including polysorbate * History of prior malignancy except: * a) Curatively treated non-melanoma skin cancer or * b) Solid tumor treated curatively more than 5 years previously without evidence of recurrence or * c) History of other malignancy that in the Investigator's opinion would not affect the determination of study treatment effect * Prior treatment with any selective inhibitor (e.g., AZD4547, BGJ398, JNJ-42756493, BAY1179470) of the FGF-FGFR pathway

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Protocol Specified Dose-limiting Toxicities (Part 1 Only).4 weeks on averageNumber of participants with grade 3 and grade 4 adverse events (AE) and clinical laboratory abnormalities defined as dose limiting toxicities (DLTs)
Number of Participants With AEs and Clinical Laboratory Abnormalities (Parts 1B and 2 Only)16 weeks on averageNumber of Participants with AEs and clinical laboratory abnormalities (Parts 1B and 2 only)

Secondary

MeasureTime frameDescription
Pharmacokinetic (PK) Profile of FPA144: Maximum Serum Concentration16 weeks on averageSampling following the first dose in Part 1, pre and post-dose at selected cycles, and at the end of treatment for both Part 1 and Part 2. • Summary of area under serum concentration-time curve, maximum serum concentration,
Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.116 weeks on averagePer Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT or MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
Duration of Response Per RECIST 1.1 (Part 2 Only)16 weeks on averageDuration of complete or partial response with 95% confidence intervals in gastric cancer population.
Pharmacokinetic (PK) Profile of FPA144: Area Under Serum Concentration-time Curve16 weeks on averageSampling following the first dose in Part 1, pre and post-dose at selected cycles, and at the end of treatment for both Part 1 and Part 2. • Summary of area under serum concentration-time curve, maximum serum concentration,

Countries

South Korea, Taiwan, United States

Participant flow

Participants by arm

ArmCount
Part 1A: FPA144 Dose Escalation Solid Tumors 0.3 mg/kg
3 + 3 dose escalation cohort with 0.3 mg/kg FPA144 IV every 2 weeks in 28 day cycles.
3
Part 1A: FPA144 Dose Escalation Solid Tumors 1 mg/kg
3 + 3 dose escalation cohort with 1.0 mg/kg FPA144 IV every 2 weeks in 28 day cycles.
4
Part 1A: FPA144 Dose Escalation Solid Tumors 3 mg/kg
3 + 3 dose escalation cohort with 3.0 mg/kg FPA144 IV every 2 weeks in 28 day cycles..
3
Part 1A: FPA144 Dose Escalation Solid Tumors 6 mg/kg
3 + 3 dose escalation cohort with 6.0 mg/kg FPA144 IV every 2 weeks in 28 day cycles.
3
Part 1A: FPA144 Dose Escalation Solid Tumors 10 mg/kg
3 + 3 dose escalation cohort with 10 mg/kg FPA144 IV every 2 weeks in 28 day cycles.
3
Part 1A: FPA144 Dose Escalation Solid Tumors 15 mg/kg
3 + 3 dose escalation cohort with 15 mg/kg FPA144 IV every 2 weeks in 28 day cycles.
3
Part 1B: FPA144 Dose Escalation Gastric Cancer 3 mg/kg
3 + 3 dose escalation cohort with expansion enrolling patients with gastric cancer. Tumors tested retrospectively for FGFR2 gene-amplified or FGFR2b protein-overexpressed. Expansion patients enrolled at dose levels cleared in Part 1A. Patients administered FPA144 3.0 mg/kg IV every 2 weeks in 28 day cycles.
1
Part 1B: FPA144 Dose Escalation Gastric 6 mg/kg
3 + 3 dose escalation cohort with expansion enrolling patients with gastric cancer. Tumors tested retrospectively for FGFR2 gene-amplified or FGFR2b protein-overexpressed. Expansion patients enrolled at dose levels cleared in Part 1A. Patients administered FPA144 10 mg/kg IV every 2 weeks in 28 day cycles.
1
Part 1B: FPA144 Dose Escalation Gastric 10 mg/kg
3 + 3 dose escalation cohort with expansion enrolling patients with gastric cancer. Tumors tested retrospectively for FGFR2 gene-amplified or FGFR2b protein-overexpressed. Expansion patients enrolled at dose levels cleared in Part 1A. Patients administered FPA144 15 mg/kg IV every 2 weeks in 28 day cycles.
6
Part 2: FPA144 Dose Expansion Gastric or Other Solid Tumors
Gastric and bladder cancer patients with tumors with FGFR2b overexpression administered FPA144 15mg/kg IV every 2 weeks in 28 day cycles. Dose established from prior dose escalation evaluation in parts 1A and 1B.
52
Total79

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009
Overall StudyDeath0000000005
Overall StudyLost to Follow-up0000000001
Overall StudyOther1110000011
Overall StudyProgressive Disease23233311539
Overall StudyWithdrawal by Subject0000000006

Baseline characteristics

CharacteristicPart 1A: FPA144 Dose Escalation Solid Tumors 0.3 mg/kgPart 1A: FPA144 Dose Escalation Solid Tumors 1 mg/kgPart 1A: FPA144 Dose Escalation Solid Tumors 3 mg/kgPart 1A: FPA144 Dose Escalation Solid Tumors 6 mg/kgPart 1A: FPA144 Dose Escalation Solid Tumors 10 mg/kgPart 1A: FPA144 Dose Escalation Solid Tumors 15 mg/kgPart 1B: FPA144 Dose Escalation Gastric Cancer 3 mg/kgPart 1B: FPA144 Dose Escalation Gastric 6 mg/kgPart 1B: FPA144 Dose Escalation Gastric 10 mg/kgPart 2: FPA144 Dose Expansion Gastric or Other Solid TumorsTotal
Age, Customized74 years64.5 years63 years62 years64 years59 years54 years39 years52 years57 years59 years
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants5 Participants39 Participants46 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
3 Participants4 Participants3 Participants3 Participants3 Participants3 Participants0 Participants0 Participants1 Participants11 Participants31 Participants
Region of Enrollment
South Korea
0 participants0 participants0 participants0 participants0 participants0 participants1 participants1 participants5 participants33 participants40 participants
Region of Enrollment
Taiwan
0 participants0 participants0 participants0 participants0 participants0 participants0 participants0 participants0 participants5 participants5 participants
Region of Enrollment
United States
3 participants4 participants3 participants3 participants3 participants3 participants0 participants0 participants1 participants14 participants34 participants
Sex: Female, Male
Female
1 Participants2 Participants0 Participants1 Participants2 Participants2 Participants1 Participants0 Participants3 Participants21 Participants33 Participants
Sex: Female, Male
Male
2 Participants2 Participants3 Participants2 Participants1 Participants1 Participants0 Participants1 Participants3 Participants31 Participants46 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
deaths
Total, all-cause mortality
0 / 30 / 40 / 30 / 30 / 30 / 30 / 10 / 10 / 65 / 52
other
Total, other adverse events
3 / 34 / 43 / 33 / 32 / 33 / 31 / 11 / 16 / 648 / 52
serious
Total, serious adverse events
1 / 30 / 42 / 30 / 30 / 31 / 30 / 10 / 12 / 617 / 52

Outcome results

Primary

Number of Participants With AEs and Clinical Laboratory Abnormalities (Parts 1B and 2 Only)

Number of Participants with AEs and clinical laboratory abnormalities (Parts 1B and 2 only)

Time frame: 16 weeks on average

Population: All patients who received FPA144

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1A: FPA144 Dose Escalation Solid Tumors 0.3 mg/kgNumber of Participants With AEs and Clinical Laboratory Abnormalities (Parts 1B and 2 Only)1 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 1 mg/kgNumber of Participants With AEs and Clinical Laboratory Abnormalities (Parts 1B and 2 Only)1 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 3 mg/kgNumber of Participants With AEs and Clinical Laboratory Abnormalities (Parts 1B and 2 Only)6 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 6 mg/kgNumber of Participants With AEs and Clinical Laboratory Abnormalities (Parts 1B and 2 Only)48 Participants
Primary

Number of Participants With Protocol Specified Dose-limiting Toxicities (Part 1 Only).

Number of participants with grade 3 and grade 4 adverse events (AE) and clinical laboratory abnormalities defined as dose limiting toxicities (DLTs)

Time frame: 4 weeks on average

Population: All patients who received FPA144

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1A: FPA144 Dose Escalation Solid Tumors 0.3 mg/kgNumber of Participants With Protocol Specified Dose-limiting Toxicities (Part 1 Only).0 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 1 mg/kgNumber of Participants With Protocol Specified Dose-limiting Toxicities (Part 1 Only).0 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 3 mg/kgNumber of Participants With Protocol Specified Dose-limiting Toxicities (Part 1 Only).0 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 6 mg/kgNumber of Participants With Protocol Specified Dose-limiting Toxicities (Part 1 Only).0 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 10 mg/kgNumber of Participants With Protocol Specified Dose-limiting Toxicities (Part 1 Only).0 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 15 mg/kgNumber of Participants With Protocol Specified Dose-limiting Toxicities (Part 1 Only).0 Participants
Part 1B: FPA144 Dose Escalation Gastric Cancer 3mg/kgNumber of Participants With Protocol Specified Dose-limiting Toxicities (Part 1 Only).0 Participants
Part 1B: FPA144 Dose Escalation Gastric Cancer 6 mg/kgNumber of Participants With Protocol Specified Dose-limiting Toxicities (Part 1 Only).0 Participants
Part 1B: FPA144 Dose Escalation Gastric Cancer 10 mg/kgNumber of Participants With Protocol Specified Dose-limiting Toxicities (Part 1 Only).0 Participants
Secondary

Duration of Response Per RECIST 1.1 (Part 2 Only)

Duration of complete or partial response with 95% confidence intervals in gastric cancer population.

Time frame: 16 weeks on average

Population: Gastric cancer patients with various levels of FGFR2b overexpression treated with FPA144 who had an objective response.

ArmMeasureValue (MEDIAN)
Part 1A: FPA144 Dose Escalation Solid Tumors 0.3 mg/kgDuration of Response Per RECIST 1.1 (Part 2 Only)14.1 Weeks
Secondary

Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT or MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Time frame: 16 weeks on average

Population: Patients with various levels of FGFR2b overexpression in tumor samples treated with bemarituzumab who had baseline and post baseline scans performed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1A: FPA144 Dose Escalation Solid Tumors 0.3 mg/kgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.10 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 1 mg/kgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.10 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 3 mg/kgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.10 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 6 mg/kgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.10 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 10 mg/kgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.10 Participants
Part 1A: FPA144 Dose Escalation Solid Tumors 15 mg/kgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.10 Participants
Part 1B: FPA144 Dose Escalation Gastric Cancer 3mg/kgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.10 Participants
Part 1B: FPA144 Dose Escalation Gastric Cancer 6 mg/kgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.11 Participants
Part 1B: FPA144 Dose Escalation Gastric Cancer 10 mg/kgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.11 Participants
Part 2: FPA144 Dose Expansion Gastric or Other Solid TumorsObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.14 Participants
Secondary

Pharmacokinetic (PK) Profile of FPA144: Area Under Serum Concentration-time Curve

Sampling following the first dose in Part 1, pre and post-dose at selected cycles, and at the end of treatment for both Part 1 and Part 2. • Summary of area under serum concentration-time curve, maximum serum concentration,

Time frame: 16 weeks on average

Population: All patients in the PK Full Analysis Population who have sufficient PK samples for the calculation of at least one PK parameter on at least one Study Day. Dose normalized PK parameters were reported so that patients at 0.3 mg/kg were excluded from mean value for part 1a because it is in the non-linear dose range.

ArmMeasureValue (MEAN)Dispersion
Part 1A: FPA144 Dose Escalation Solid Tumors 1 mg/kgPharmacokinetic (PK) Profile of FPA144: Area Under Serum Concentration-time Curve1.288 ug*day/mlStandard Deviation 0.5159
Part 1A: FPA144 Dose Escalation Solid Tumors 3 mg/kgPharmacokinetic (PK) Profile of FPA144: Area Under Serum Concentration-time Curve1.547 ug*day/mlStandard Deviation 0.2902
Part 1A: FPA144 Dose Escalation Solid Tumors 6 mg/kgPharmacokinetic (PK) Profile of FPA144: Area Under Serum Concentration-time Curve1.427 ug*day/mlStandard Deviation 0.2367
Part 1A: FPA144 Dose Escalation Solid Tumors 10 mg/kgPharmacokinetic (PK) Profile of FPA144: Area Under Serum Concentration-time Curve1.863 ug*day/mlStandard Deviation 0.4119
Part 1A: FPA144 Dose Escalation Solid Tumors 15 mg/kgPharmacokinetic (PK) Profile of FPA144: Area Under Serum Concentration-time Curve1.697 ug*day/mlStandard Deviation 0.1464
Part 1B: FPA144 Dose Escalation Gastric Cancer 3mg/kgPharmacokinetic (PK) Profile of FPA144: Area Under Serum Concentration-time Curve2.69 ug*day/mlStandard Deviation 0
Part 1B: FPA144 Dose Escalation Gastric Cancer 6 mg/kgPharmacokinetic (PK) Profile of FPA144: Area Under Serum Concentration-time Curve1.59 ug*day/mlStandard Deviation 0
Part 1B: FPA144 Dose Escalation Gastric Cancer 10 mg/kgPharmacokinetic (PK) Profile of FPA144: Area Under Serum Concentration-time Curve1.648 ug*day/mlStandard Deviation 0.4055
Part 2: FPA144 Dose Expansion Gastric or Other Solid TumorsPharmacokinetic (PK) Profile of FPA144: Area Under Serum Concentration-time Curve1.867 ug*day/mlStandard Deviation 0.4495
Secondary

Pharmacokinetic (PK) Profile of FPA144: Maximum Serum Concentration

Sampling following the first dose in Part 1, pre and post-dose at selected cycles, and at the end of treatment for both Part 1 and Part 2. • Summary of area under serum concentration-time curve, maximum serum concentration,

Time frame: 16 weeks on average

Population: All patients in the PK Full Analysis Population who have sufficient PK samples for the calculation of at least one PK parameter on at least one Study Day. Dose normalized PK parameters were reported so that patients at 0.3 mg/kg were excluded from mean value for part 1a because it is in the non-linear dose range.

ArmMeasureValue (MEAN)Dispersion
Part 1A: FPA144 Dose Escalation Solid Tumors 1 mg/kgPharmacokinetic (PK) Profile of FPA144: Maximum Serum Concentration0.2483 ug/mlStandard Deviation 0.08763
Part 1A: FPA144 Dose Escalation Solid Tumors 3 mg/kgPharmacokinetic (PK) Profile of FPA144: Maximum Serum Concentration0.3117 ug/mlStandard Deviation 0.06536
Part 1A: FPA144 Dose Escalation Solid Tumors 6 mg/kgPharmacokinetic (PK) Profile of FPA144: Maximum Serum Concentration0.2873 ug/mlStandard Deviation 0.02793
Part 1A: FPA144 Dose Escalation Solid Tumors 10 mg/kgPharmacokinetic (PK) Profile of FPA144: Maximum Serum Concentration0.4097 ug/mlStandard Deviation 0.03208
Part 1A: FPA144 Dose Escalation Solid Tumors 15 mg/kgPharmacokinetic (PK) Profile of FPA144: Maximum Serum Concentration0.3847 ug/mlStandard Deviation 0.14931
Part 1B: FPA144 Dose Escalation Gastric Cancer 3mg/kgPharmacokinetic (PK) Profile of FPA144: Maximum Serum Concentration0.4900 ug/mlStandard Deviation 0
Part 1B: FPA144 Dose Escalation Gastric Cancer 6 mg/kgPharmacokinetic (PK) Profile of FPA144: Maximum Serum Concentration0.232 ug/mlStandard Deviation 0
Part 1B: FPA144 Dose Escalation Gastric Cancer 10 mg/kgPharmacokinetic (PK) Profile of FPA144: Maximum Serum Concentration0.2990 ug/mlStandard Deviation 0.0669
Part 2: FPA144 Dose Expansion Gastric or Other Solid TumorsPharmacokinetic (PK) Profile of FPA144: Maximum Serum Concentration0.3145 ug/mlStandard Deviation 0.06981

Source: ClinicalTrials.gov · Data processed: Mar 2, 2026