Hepatocellular Carcinoma (HCC)
Conditions
Keywords
hepatocellular carcinoma, FGFR4, BB102
Brief summary
This is a Phase 2 study to evaluate the efficacy and safety of BB102, a highly selective and potent FGFR4 inhibitor, as monotherapy in subjects with advanced or unresectable FGF19-overexpressing hepatocellular carcinoma. This study has two phase: dose escalation phase and expansion phase.
Interventions
Oral BB102 Tablets in two dosage
Sponsors
Study design
Eligibility
Inclusion criteria
* (1) Age ≥ 18 years old, with no gender restrictions. * (2) Disease progressed after receiving at least one anti-angiogenic and/or immune checkpoint inhibitor (including PD-1, PD-L1, CTLA-4) therapy, or the treatment is not tolerable. * (3) Histologically confirmed primary HCC with FGF19 overexpression, which meets the Barcelona Clinic Liver Cancer (BCLC) staging criteria for patients with stage B suitable for systemic therapy or stage C. * (4) At least one measurable lesion as defined by RECIST v1.1. * (5) Eastern Cooperative Oncology Group (ECOG) score ≤1. * (6) Expected survival ≥ 3 months. * (7) Adequate organ function. * (8) Female subjects of childbearing potential must have a negative pregnancy test prior to the first dose and are required to use effective contraception from signing the ICF until 6 months after the last dose of study treatment. * (9) Fully informed of the study and voluntarily signed the informed consent form (ICF), and willing to follow and have the ability to complete all trial procedures.
Exclusion criteria
* (1) Use of systemic immunosuppressive or systemic cortisol (≥10 mg prednisone or other equivalent hormones) within 2 weeks. * (2) Prior use of selective FGFR4 inhibitor therapy. * (3) Use of Tyrosine kinase inhibitor within 2 weeks. * (4) Use of systemic chemotherapy, radiotherapy (\>30% bone marrow exposure), interventional embolization, ablation therapy and immunotherapycytotoxic chemotherapeutics within 4 weeks. * (5) Use of other clinical investigational drug or therapy that was not marketed within 4 weeks. * (6) The patient is receiving drugs or therapies prohibited in the protocol and cannot discontinue such use at least 7 days. * (7) Pregnant or lactating females. * (8) Presence of clinically significant gastrointestinal disorder that may affect the intake, transport, or absorption of the study drug at screening. * (9) Patient with history of a second primary malignancy other than hepatocellular carcinoma within 5 years. * (10) Presence of clinically symptomatic metastases to the central nervous system or meninges at screening, which, at the investigator's discretion, is not suitable for enrollment. * (11) History of severe neurological or psychiatric disorders, including epilepsy, dementia, moderate to severe depression, etc. * (12) Clinically significant and uncontrolled cardiovascular diseases. * (13) Pulmonary embolism within 6 months. * (14) Presence of uncontrollable infectious disease, congenital immunodeficiency disease,acquired immunodeficiency syndrome, syphilis, active hepatitis B, hepatitis C virus (HCV) infection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Objective response rate (ORR) | From enrollment to the end of treatment assessed up to 12 months | Tumor response measured by radiologic imaging techniques at baseline and throughout the study. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disease control rate (DCR) | From enrollment to the end of treatment assessed up to 12 months | Tumor response measured by radiologic imaging techniques at baseline and throughout the study. |
| Duration of response (DOR) | From enrollment to the end of treatment assessed up to 12 months | Tumor response measured by radiologic imaging techniques at baseline and throughout the study. |
| Progression-free survival (PFS) | From enrollment to the end of treatment assessed up to 12 months | Tumor response measured by radiologic imaging techniques at baseline and throughout the study. |
| Time-To-Progression (TTP) | From enrollment to the end of treatment assessed up to 12 months | Tumor response measured by radiologic imaging techniques at baseline and throughout the study. |
| Number of subjects with adverse events (AEs) and serious adverse events (SAEs) | From enrollment to the end of treatment assessed up to 12 months | AEs and SAEs will be characterized by type, seriousness, relationship to study treatment, severity (as graded by National Cancer Institute Common Terminology Criteria for Adverse Events \[NCI CTCAE\] version 5.0) and timing. |
Countries
China