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Solid TumorPhase 1/2NCT01752920

Phase 1/2 Study of Derazantinib (ARQ 087) in Adult Subjects With Advanced Solid Tumors With FGFR Genetic Alterations

A Phase 1/2 study testing Derazantinib low dose range, Derazantinib middle dose range and Derazantinib high dose range in people with Solid Tumor, run by Basilea Pharmaceutica at 12 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This was an open-label, Phase 1/2, dose escalation and signal finding study of derazantinib administered to patients with advanced solid tumors (Part 1; Dose Escalation/Food-effect Cohorts) or with advanced solid tumors with FGFR genetic aberrations, including iCCA with FGFR2 gene fusion (Part 2; Expanded Cohort… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumor
What is being tested?
Derazantinib low dose range, Derazantinib middle dose range and Derazantinib high dose range
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
119 participants
Where
12 sitesin 2 countries
Study dates
10 Dec 2012to 28 Aug 2018
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed written informed consent granted
  • Men or women ≥18 years of age
  • Histologically or cytologically confirmed, locally advanced, inoperable, or metastatic solid tumors. Patients eligible for enrollment in the Expanded Cohort must have documented and/or confirmed FGFR genetic aberrations, including iCCA with FGFR2 gene fusion.
  • Failure to respond to standard therapy, or for whom standard therapy does not exist.
  • Evaluable or measurable disease
  • Archival and/or fresh biopsy tissue samples must be available prior to the first dose of the study drug
Show all 18Show fewer
  • Life expectancy ≥ 12 weeks
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
  • Hemoglobin (Hgb) ≥ 9.0 g/dL
  • Absolute neutrophil count (ANC) ≥ 1.5 x 10^9/L
  • Platelet count ≥ 100 x 10^9/L
  • Total bilirubin ≤ 1.5 × upper limit of normal (ULN) (≤ 2 x ULN for patients with cholangiocarcinoma)
  • Aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 3 × ULN (≤ 5 x ULN for patients with liver metastases)
  • Serum creatinine ≤ 1.5 x ULN or creatinine clearance > 60 mL/min/1.73 m^2 for patients with creatinine levels above institutional normal
  • Albumin ≥ 2.8 g/dL
  • INR 0.8 to ULN or ≤ 3 for patients receiving anticoagulant therapy
  • Men or women of child-producing potential must agree to use double-barrier contraceptive measures, oral contraception, or avoid intercourse during the study and for 90 days after the last dose of study drug
  • Women of childbearing potential must have a negative serum pregnancy test during Screening Period and within 48 hours of the first dose of derazantinib.

Who cannot join

  • Anti-cancer therapy, such as chemotherapy, immunotherapy, hormonal, targeted therapy, or investigational agents within four weeks or five times of the drug half life, whichever is longer, of the first dose of derazantinib
  • Major surgery or radiation therapy within four weeks of the first dose of derazantinib
  • Previous treatment with FGFR inhibitors
  • History of allergic reactions attributed to compounds of similar chemical or biological composition as derazantinib
  • Unable or unwilling to swallow the complete daily dose of derazantinib
  • Clinically unstable central nervous system (CNS) metastasis
Show all 16Show fewer
  • History of myocardial infarction (MI) or congestive heart failure defined as Class II to IV per the New York Heart Association classification within 6 months of the first dose of derazantinib (MI occurring >6 months of the first dose of derazantinib will be permitted)
  • Significant GI disorder(s) that could interfere with the absorption, metabolism, or excretion of derazantinib (e.g. Crohn's disease, ulcerative colitis, extensive gastric resection)
  • History and/or current evidence of clinically relevant ectopic mineralization/calcification
  • Previous malignancy within 2 years prior to the first dose of derazantinib, except curatively treated non-melanoma skin cancer, carcinoma in-situ of the breast or cervix, or superficial bladder tumors
  • Known human immunodeficiency virus (HIV) infection
  • Concurrent uncontrolled illness not related to cancer, including but not limited to:
  • Psychiatric illness/substance abuse/social situation that would limit compliance with study requirements.
  • Uncontrolled diabetes mellitus
  • Blood transfusion within 5 days of the blood draw being used to confirm eligibility
  • Pregnant or breastfeeding

Trial locations and contacts

12 sites in 2 countries.

12 sites in 2 countries

United States8 sites
  • Emory University, Winship Cancer Institute

    Atlanta, Georgia, 30322

  • Karmanos Cancer Institute, Detroit

    Detroit, Michigan, 48201

  • Comprehensive Cancer Centers of Nevada

    Las Vegas, Nevada, 89169

  • University of Pennsylvania Hospital

    Philadelphia, Pennsylvania, 19104

  • START - South Texas Accelerated Research Therapeutics, LLC

    San Antonio, Texas, 78229

  • Scottsdale Healthcare Research Institute

    Scottsdale, Arizona, 85258

  • University of Washington

    Seattle, Washington, 98109

  • Montefiore-Einstein Center for Cancer Care

    The Bronx, New York, 10467

Other trials in United States

Italy4 sites
  • Istituto Clinico Humanitas

    Milan, 20089

  • Istituto Nazionale Tumori (National Cancer Institute)

    Milan, 20133

  • Instituto Oncologico Veneto, IRCCS

    Padova, 35128

  • Azienda Ospedaliero-Universitaria Pisana - U.O. Oncologia Medica 2 Univ.

    Pisa, 56126

Other trials in Italy

About this study

Official title: A Phase 1/2 Study of ARQ 087 in Adult Subjects With Advanced Solid Tumors With FGFR Genetic Alterations, Including Intrahepatic Cholangiocarcinoma With FGFR2 Gene Fusion

This was an open-label, Phase 1/2, dose escalation and signal finding study of derazantinib administered to patients with advanced solid tumors (Part 1; Dose Escalation/Food-effect Cohorts) or with advanced solid tumors with FGFR genetic aberrations, including iCCA with FGFR2 gene fusion (Part 2; Expanded Cohort, signal finding).

Conditions
Solid Tumor
Being tested
Derazantinib low dose range, Derazantinib middle dose range, Derazantinib high dose range, Derazantinib at recommended phase 2 dose (RP2D)
Keywords
FGFR, ARQ 087, Targeted therapy, Molecular therapy, Tyrosine kinase inhibitor, TKI, Receptor tyrosine kinase, RTK, Biomarker, Phase 1, Phase I, Solid tumor, Liver Cancer, Hepatobiliary carcinoma, Biliary tract cancer, Cholangiocarcinoma, Intrahepatic cholangiocarcinoma, FGFR inhibitor, Targeted FGFR kinase inhibitor, Pan-FGFR inhibitor
Medical subject headings
Liver Neoplasms, Biliary Tract Neoplasms, Cholangiocarcinoma, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Derazantinib low dose rangeDrug

    Derazantinib was administered orally at dose levels from 25 mg QOD - 200 mg QD on a 28-day schedule.

  • Derazantinib middle dose rangeDrug

    Derazantinib was administered orally at dose levels from 250 mg QD - 325 mg QD on a 28-day schedule.

  • Derazantinib high dose rangeDrug

    Derazantinib was administered orally at dose levels from 400 mg QD - 425 mg QD on a 28-day schedule.

  • Derazantinib at recommended phase 2 dose (RP2D)Drug

    Derazantinib was administered orally at the recommended phase 2 dose of 300 mg QD on a 28-day schedule.

Study groups in NCT01752920
Study groupRoleWhat they receive
Low Dose GroupExperimentalPatients who received derazantinib orally at dose levels from 25 mg every other day (QOD) - 200 mg daily (QD) on a 28-day schedule until documented progression of disease (clinical or radiological), unacceptable toxicity, or another of the discontinuation criteria.
Receives: Drug: Derazantinib low dose range
Middle Dose GroupExperimentalPatients who received derazantinib orally at dose levels from 250 mg QD - 325 mg QD on a 28-day schedule until documented progression of disease (clinical or radiological), unacceptable toxicity, or another of the discontinuation criteria.
Receives: Drug: Derazantinib middle dose range
High Dose GroupExperimentalPatients who received derazantinib orally at dose levels from 400 mg QD - 425 mg QD on a 28-day schedule until documented progression of disease (clinical or radiological), unacceptable toxicity, or another of the discontinuation criteria.
Receives: Drug: Derazantinib high dose range
Expanded Cohort GroupExperimentalPatients who received derazantinib orally at the recommended phase 2 dose of 300 mg QD on a 28-day schedule until documented progression of disease (clinical or radiological), unacceptable toxicity, or another of the discontinuation criteria.
Receives: Drug: Derazantinib at recommended phase 2 dose (RP2D)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Patients With Drug-related Treatment-emergent Adverse Events (TEAEs)

    Adverse events were graded for severity according to the NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. CTCAE is classifying AEs and their associated severity from Grade 1 (Mild AE), Grade 2 (Moderate AE), Grade 3 (Severe or medically significant but not immediately life-threatening), Grade 4 (Life-threatening consequences) to Grade 5 (Death related to AE)

    Measured: Adverse events were collected and reported from the time of receiving first dose of derazantinib to the end of study assessment and follow-up period (30-day post-treatment)

Secondary outcomes (3)
  1. Proportion of Patients With an Objective Tumor Response Per RECIST 1.1

    The number of patients with an objective tumor response, which included those with either a complete response (CR) or a partial response (PR) based on RECIST v1.1 guidelines which defines criteria for the radiological assessment in tumor response.

    The objective response rate (ORR) was defined as the proportion of patients with a CR or PR.

    Measured: Assessments were performed at Baseline, and every 8 weeks during continuous drug administration until the End of Treatment visit (7 [+3] days after the last dose of derazantinib) or as otherwise clinically indicated.

  2. Proportion of Patients With Disease Control Per RECIST 1.1

    The number of patients with tumor disease control, which included those with either a complete or partial tumor response, or a stable disease (SD) based on RECIST v1.1 guidelines which defines criteria for the radiological assessment in tumor response. The disease control rate (DCR) was defined as the proportion of patients with CR, PR or SD.

    Measured: Assessments were performed at Baseline, and every 8 weeks during continuous drug administration until the End of Treatment visit (7 [+3] days after the last dose of derazantinib) or as otherwise clinically indicated.

  3. Progression-free Survival (PFS)

    PFS was calculated as the time from the date of first dose until documented radiographic disease progression or death from any cause, whichever occurred first. Disease progression is measured according to a specified radiologic increase in tumor size.

    Measured: Assessments were performed at Baseline, and every 8 weeks during continuous drug administration until the End of Treatment visit (7 [+3] days after the last dose of derazantinib) or as otherwise clinically indicated.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Dec 2012 (estimated)
  2. Study start10 Dec 2012
  3. Primary completion28 Aug 2018
  4. Study completion28 Aug 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
119 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01752920
Sponsor's protocol ID
ARQ 087-101
Status last verified
May 2023
First submitted
14 Dec 2012
Last updated
5 Jun 2023
Data monitoring committee
No
FDA-regulated drug
Yes

Publications

  • Papadopoulos KP, El-Rayes BF, Tolcher AW, Patnaik A, Rasco DW, Harvey RD, LoRusso PM, Sachdev JC, Abbadessa G, Savage RE, Hall T, Schwartz B, Wang Y, Kazakin J, Shaib WL. A Phase 1 study of ARQ 087, an oral pan-FGFR inhibitor in patients with advanced solid tumours. Br J Cancer. 2017 Nov 21;117(11):1592-1599. doi: 10.1038/bjc.2017.330. Epub 2017 Oct 3.

    PubMed 28972963
  • Mazzaferro V, El-Rayes BF, Droz Dit Busset M, Cotsoglou C, Harris WP, Damjanov N, Masi G, Rimassa L, Personeni N, Braiteh F, Zagonel V, Papadopoulos KP, Hall T, Wang Y, Schwartz B, Kazakin J, Bhoori S, de Braud F, Shaib WL. Derazantinib (ARQ 087) in advanced or inoperable FGFR2 gene fusion-positive intrahepatic cholangiocarcinoma. Br J Cancer. 2019 Jan;120(2):165-171. doi: 10.1038/s41416-018-0334-0. Epub 2018 Nov 13.

    PubMed 30420614
  • Hall TG, Yu Y, Eathiraj S, Wang Y, Savage RE, Lapierre JM, Schwartz B, Abbadessa G. Preclinical Activity of ARQ 087, a Novel Inhibitor Targeting FGFR Dysregulation. PLoS One. 2016 Sep 14;11(9):e0162594. doi: 10.1371/journal.pone.0162594. eCollection 2016.

    PubMed 27627808

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Derazantinib low dose range, Derazantinib middle dose range and Derazantinib high dose range in people with Solid Tumor, run by Basilea Pharmaceutica at 12 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 18 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United States, Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Oct 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Patients With Drug-related Treatment-emergent Adverse Events (TEAEs) (time frame: Adverse events were collected and reported from the time of receiving first dose of derazantinib to the end of study assessment and follow-up period (30-day post-treatment)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01752920, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Jun 2023.

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