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FGF19 Overexpression Combination Unified Study in HCC-19

A Prospective, Exploratory Study to Evaluate the Safety and Efficacy of the Combination of ABSK-011 and ABSK043 in Patients With Previously Treated Unresectable or Metastatic Hepatocellular Carcinoma With FGF19 Overexpression

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06978933
Acronym
FOCUS-19
Enrollment
42
Registered
2025-05-18
Start date
2025-04-30
Completion date
2027-12-31
Last updated
2025-05-18

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

Conditions

HCC - Hepatocellular Carcinoma

Brief summary

This study is designed prospectively to investigate the safety and efficacy of ABSK-011 and ABSK043 in patients with previously treated unresectable or metastatic hepatocellular carcinoma (HCC) harboring FGF19 overexpression. ABSK-011, an oral, selective FGFR4 inhibitor which can irreversibly bind to the target. ABSK043, is an orally available, selective and potent inhibitor targeting the interaction of PD-1 and PD-L1, Safety, tolerability, and preliminary efficacy of ABSK-011 or ABSK043 were explored in a phase 1 trial ABSK-011-101 (NCT04906434) and ABSK043-101 (NCT04964375) trial, respectively. This trial focuses on the efficacy of the combination of ABSK-011 and ABSK043 in patients with previously treated unresectable or metastatic HCC harboring FGF19 overexpression.

Detailed description

The patients that meet the Inclusion and Exclusion Criteria will treat with ABSK-011 RP2D and ABSK043 RP2D until the disease progression

Interventions

Drug: ABSK-011 RP2D according to the results of Phase I trial Other Names: • FGFR4 inhibitor Drug: ABSK043 RP2D according to the results of Phase I trial Other Names: • Oral PD-L1 inhibitor

Sponsors

RenJi Hospital
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

1. Patients with HCC confirmed by pathological histology or cytology, or meeting the clinical diagnostic criteria for HCC as the AASLD or Guidelines for the diagnosis and treatment of primary liver cancer (China). 2. Progression of disease confirmed by imaging after receiving at least one line of systemic therapy 3. The central laboratory test report for FGF19 overexpression positive. 4. ECOG performance status of 0 or 1; 5. Adequate organ and marrow function defined by study-specified laboratory tests;

Exclusion criteria

1. Has received prior therapy with FGFR4 or pan-FGFR inhibitors; 2. Hypersensitivity for any constituent of ABSK-011 or ABSK043; 3. Past or current hepatic encephalopathy; patients with known untreated or inadequately controlled central nervous system metastases that have not been effectively managed with treatment 4. have other malignant tumors that are currently in a progressive stage or require effective treatment 5. Has a known history of Human Immunodeficiency Virus (HIV) (HIV 1/2 antibodies)

Design outcomes

Primary

MeasureTime frameDescription
To evaluate the objective response rate of ABSK-011 plus ABSK043 in patients with previously treated unresectable or metastatic HCC harboring FGF19 overexpression10 monthsObjective response rate (ORR): complete response and partial response determined by the investigator according to RECIST v1.1 and to be confirmed

Countries

China

Contacts

Primary ContactHao Feng, Ph.D.,MD
surgeonfeng@live.com+8615000901110

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026