Gastric Cancer, Gastroesophageal Junction Adenocarcinoma
Conditions
Keywords
Gastric Cancer, Gastroesophageal Junction Adenocarcinoma, FGFR2
Brief summary
This is a multicenter, open-label, single arm phase II study to evaluate the efficacy and safety of Infigratinib in patients with locally advanced or metastatic GC or GEJ patient with FGFR2 gene amplification, who have failed at least 2 lines of previous standard systemic treatment .
Interventions
DRUGInfigratinib
Infigratinib is a selective ATP-competitive inhibitor of fibroblast growth factor receptor (FGFR) 1-3 that inhibits FGFR downstream signaling and proliferation in human cancer cell lines with FGFR genetic alterations, significantly inhibiting the growth of several types of cancers driven by FGFR amplification, fusion and mutation.
Sponsors
LianBio LLC
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* 18 years and older * Histologically or cytologically confirmed locally advanced or metastatic gastric adenocarcinoma, or gastroesophageal junction adenocarcinoma. * Failed at least 2 lines of prior systemic therapy * Willing to undergo tumor biopsy or provide FFPE samples for central lab testing. * At least one measurable tumor lesion by RECIST v1.1 * Eastern cooperative oncology group (ECOG) performance status of 0 or 1. * Life expectancy ≥3 months. * Willing to participate in this study and sign informed consent form, able to read and understand the study, follow the procedures.
Exclusion criteria
* History of other primary malignancies within 3 years except adequately treated in situ carcinoma of the cervix or non-melanoma carcinoma of the skin or any other curatively treated malignancy that is not expected to require treatment for recurrence during the study. * Previous or current treatment of a mitogen-activated protein kinase (MAPK-MEK) or selective FGFR inhibitor. * Any known hypersensitivity to infigratinib or its excipients. * History and/or current evidence of extensive tissue calcification. * Current evidence of endocrine alterations of calcium/phosphate homeostasis. * Have impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral infigratinib (such as, ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, small bowel resection).14. Laboratory abnormality as defined in protocol. * Considered unsuitable to participate in the study by Investigator
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Progression-free survival (PFS) | Week9/17/25/33 and every 12 weeks after (up to 2 years) | the duration from the first date of treatment to the date of progression or death due to any cause, assessed by INV and IRC |
| Overall survival (OS) | from the first date of Infigratinib treatment until date of death. | from the first date of Infigratinib treatment until date of death. |
| Objective response rate (ORR) | Week9/17/25/33 and every 12 weeks after (up to 2 years) | ORR: the proportion of patients with confirmed complete response (CR) or partial response (PR), assessed by the independent review committee (IRC) according to Response Evaluation Criteria in Solid Tumors (RECIST) version (v)1.1. |
| Duration of response (DoR) | Week9/17/25/33 and every 12 weeks after (up to 2 years) | DoR: the duration from the first evaluation as CR or PR to the first evaluation as progressive disease (PD) or death of any cause, per RECIST v1.1 assessed by investigator (INV) and IRC. |
| Disease control rate (DCR) | Week9/17/25/33 and every 12 weeks after (up to 2 years) | DCR: the proportion of patients whose overall response is confirmed to be CR or PR or stable disease (SD) per RECIST v1.1, assessed by INV and IRC. |
| Investigator evaluated ORR | Week9/17/25/33 and every 12 weeks after (up to 2 years) | the proportion of patients with confirmed CR or PR assessed by INV according to RECIST v1.1 |
Countries
China
Outcome results
None listed