Intrahepatic Cholangiocarcinoma
Conditions
Brief summary
This is a single-arm, open-label, multi-center Phase II clinical trial intended to observe and evaluate the efficacy and safety of famitinib malate in treating iCCA(Intrahepatic Cholangiocarcinoma ) patients with FGFR2 genetic aberrations who failed first-line therapy.
Interventions
po
Sponsors
Study design
Eligibility
Inclusion criteria
1. Voluntary participation and written informed consent; 2. Aged 18-75 years (inclusive), males and females; 3. Those with histopathologically diagnosed iCCA, who had previously undergone but failed first-line systematic chemotherapy; 4. FGFR2 fusion/rearrangement confirmed by tests conducted in designated central laboratory; 5. At least one measurable lesion that has not been treated locally; 6. ECOG score of 0-1; 7. Expected survival ≥ 12 weeks;
Exclusion criteria
1. Presence of multiple factors affecting oral medications; 2. Wounds unhealed over a long period of time, or fractures not completely healed; 3. Known or suspected allergy to investigational drug or any drug related to this trial. 4. Known cases of CNS(Central Nervous System) metastasis; 5. Uncontrolled cardiac diseases or symptoms; 6. Patients with congenital or acquired immunodeficiency (such as HIV positive), or a history of organ transplants; 7. Patients previously treated with FGFR inhibitors (such as erdafitinib)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Objective response rate per RECIST 1.1 | up to 24 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| DCR | At pre-defined intervals from initial dose up to 24 months | Disease Control Rate |
| PFS | At pre-defined intervals from initial dose up to 24 months | Progression-Free-Survival |
| DOR | At pre-defined intervals from initial dose up to 24 months | Duration of Response |
| Adverse events (AE) and serious adverse event (SAE) | At pre-defined intervals from initial dose up to 24 months | Including incidence, grade (according to CTCAE V5.0 criteria), severity, duration, and causality with investigational drug |
| Plasma concentrations of famitinib and its N-desethyl metabolite | At pre-defined intervals from initial dose up to 24 months | — |
| OS | At pre-defined intervals from initial dose up to 24 months | Overall survival |