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CholangiocarcinomaPhase 2NCT02924376

Efficacy and Safety of Pemigatinib in Subjects With Advanced/Metastatic or Surgically Unresectable Cholangiocarcinoma Who Failed Previous Therapy - (FIGHT-202)

A Phase 2 study testing Pemigatinib in people with Cholangiocarcinoma, run by Incyte Corporation at 120 sites in 12 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is evaluate the efficacy of pemigatinib in subjects with advanced/metastatic or surgically unresectable cholangiocarcinoma with FGFR2 translocation who have failed at least 1 previous treatment. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cholangiocarcinoma
What is being tested?
Pemigatinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
147 participants
Where
120 sitesin 12 countries
Study dates
16 Jan 2017to 1 Feb 2022
Phase
Phase 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

  • Histologically or cytologically confirmed cholangiocarcinoma.
  • Radiographically measurable or evaluable disease per RECIST v1.1.
  • Tumor assessment for FGF/FGFR gene alteration status.
  • Documented disease progression after at least 1 line of prior systemic therapy.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
  • Life expectancy ≥ 12 weeks.

Who cannot join

  • Prior receipt of a selective FGFR inhibitor.
  • History of and/or current evidence of ectopic mineralization/calcification, including but not limited to soft tissue, kidneys, intestine, myocardia, or lung, excepting calcified lymph nodes and asymptomatic arterial or cartilage/tendon calcifications.
  • Current evidence of clinically significant corneal or retinal disorder confirmed by ophthalmologic examination.
  • Use of any potent CYP3A4 inhibitors or inducers within 14 days or 5 half-lives, whichever is shorter, before the first dose of study drug. Topical ketoconazole will be allowed.

Trial locations and contacts

120 sites in 12 countries.

120 sites in 12 countries

United States49 sites
  • Study site

    Anchorage, Alaska

  • Study site

    Ann Arbor, Michigan

  • Study site

    Arlington, Texas

  • Study site

    Aurora, Colorado

  • Study site

    Baltimore, Maryland

  • Study site

    Billings, Montana

  • Study site

    Charlotte, North Carolina

  • Study site

    Chicago, Illinois

  • Study site

    Cincinnati, Ohio

  • Study site

    Cleveland, Ohio

  • Study site

    Dallas, Texas

  • Study site

    Denver, Colorado

  • Study site

    Detroit, Michigan

  • Study site

    Evanston, Illinois

  • Study site

    Fairfax, Virginia

  • Study site

    Fort Wayne, Indiana

  • Study site

    Gainesville, Florida

  • Study site

    Goldsboro, North Carolina

  • Study site

    Grapevine, Texas

  • Study site

    Louisville, Kentucky

  • Study site

    Madison, Wisconsin

  • Study site

    Miami Beach, Florida

  • Study site

    Morristown, New Jersey

  • Study site

    New Haven, Connecticut

  • Study site

    New York, New York

  • Study site

    Newark, Delaware

  • Study site

    Omaha, Nebraska

  • Study site

    Orange, California

  • Study site

    Philadelphia, Pennsylvania

  • Study site

    Phoenix, Arizona

  • Study site

    Pittsburgh, Pennsylvania

  • Study site

    Portland, Oregon

  • Study site

    Rochester, Minnesota

  • Study site

    Rochester, New York

  • Study site

    Salt Lake City, Utah

  • Study site

    San Antonio, Texas

  • Study site

    San Francisco, California

  • Study site

    Seattle, Washington

  • Study site

    Sioux City, Iowa

  • Study site

    Sioux Falls, South Dakota

  • Study site

    St Louis, Missouri

  • Study site

    Tempe, Arizona

  • Study site

    The Woodlands, Texas

  • Study site

    Tucson, Arizona

  • Study site

    Tyler, Texas

  • Study site

    Waco, Texas

  • Study site

    Washington D.C., District of Columbia

  • Study site

    Westwood, Kansas

  • Study site

    Woodbury, Minnesota

Other trials in United States

Italy14 sites
  • Study site

    Bari, Castellana Grotte

  • Study site

    Bergamo

  • Study site

    Bologna

  • Study site

    Candiolo

  • Study site

    Catania

  • Study site

    Faenza

  • Study site

    Lecce

  • Study site

    Meldola

  • Study site

    Milan

  • Study site

    Naples

  • Study site

    Rimini

  • Study site

    San Giovanni Rotondo, Foggia

  • Study site

    Siena

  • Study site

    Verona

Other trials in Italy

Japan11 sites
  • Study site

    Chiba, Chiba

  • Study site

    Fukuoka, Fukuoka

  • Study site

    Kitaadachi, Saitama

  • Study site

    Kōtoku, Tokyo-To

  • Study site

    Kyoto, Kyoto

  • Study site

    Nagoya, Aichi-ken

  • Study site

    Osaka, Osaka

  • Study site

    Osakasayama-shi, Osaka

  • Study site

    Shinjuku-ku, Tokyo-To

  • Study site

    Sunto, Shizuoka

  • Study site

    Yokohama, Kanagawa

Other trials in Japan

United Kingdom9 sites
  • Study site

    Aberdeen, Grampian Region

  • Study site

    Bournemouth, Dorset

  • Study site

    Cambridge, Cambridgeshire

  • Study site

    Cardiff

  • Study site

    Glasgow

  • Study site

    London, Greater London

  • Study site

    Manchester

  • Study site

    Metropolitan Borough of Wirral

  • Study site

    Sheffield

Other trials in United Kingdom

Germany8 sites
  • Study site

    Berlin

  • Study site

    Bonn

  • Study site

    Dresden

  • Study site

    Hanover

  • Study site

    Homburg

  • Study site

    Leipzig

  • Study site

    Mainz

  • Study site

    Tübingen

Other trials in Germany

France6 sites
  • Study site

    Avignon

  • Study site

    Clichy

  • Study site

    Montpellier, Herault

  • Study site

    Paris

  • Study site

    Toulouse

  • Study site

    Villejuif, Herault

Other trials in France

Thailand5 sites
  • Study site

    Bangkok, Patumwan

  • Study site

    Bangkoknoi

  • Study site

    Chiang Mai, Muang

  • Study site

    Khon Kaen, Muang

  • Study site

    Udon Thani, Muang

Other trials in Thailand

Belgium4 sites
  • Study site

    Brussels

  • Study site

    Ghent

  • Study site

    Kortrijk

  • Study site

    Leuven

Other trials in Belgium

Israel4 sites
  • Study site

    Jerusalem

  • Study site

    Petah Tikva

  • Study site

    Ramat Gan

  • Study site

    Tel Aviv

Other trials in Israel

Spain4 sites
  • Study site

    Barcelona

  • Study site

    Girona

  • Study site

    Madrid

  • Study site

    Pamplona, Navarre

Other trials in Spain

South Korea3 sites
  • Study site

    Goyang-si

  • Study site

    Seongnam-si

  • Study site

    Seoul

Other trials in South Korea

Taiwan3 sites
  • Study site

    Taichung

  • Study site

    Tainan

  • Study site

    Taipei

Other trials in Taiwan

About this study

Official title: A Phase 2, Open-Label, Single-Arm, Multicenter Study to Evaluate the Efficacy and Safety of Pemigatinib in Subjects With Advanced/Metastatic or Surgically Unresectable Cholangiocarcinoma Including FGFR2 Translocations Who Failed Previous Therapy - (FIGHT-202)

The purpose of this study is evaluate the efficacy of pemigatinib in subjects with advanced/metastatic or surgically unresectable cholangiocarcinoma with FGFR2 translocation who have failed at least 1 previous treatment.

Being tested
Pemigatinib
Keywords
Cholangiocarcinoma, fibroblast growth factor (FGF), fibroblast growth factor receptor (FGFR), FGF/FGFR alterations
Medical subject headings
Cholangiocarcinoma, Acrocephalosyndactylia

What participants receive

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

  • PemigatinibDrug

    Also called INCB054828

    Pemigatinibonce a day by mouth for 2 consecutive weeks and 1 week off therapy

Study groups in NCT02924376
Study groupRoleWhat they receive
Cohort A PemigatinibExperimentalPemigatinib in subjects with FGFR2 translocation with a documented fusion partner in central laboratory report
Receives: Drug: Pemigatinib
Cohort B PemigatinibExperimentalPemigatinibin subjects with other FGF/FGFR alterations
Receives: Drug: Pemigatinib
Cohort C PemigatinibExperimentalPemigatinib in subjects negative for FGF/FGFR alteration
Receives: Drug: Pemigatinib

What is being measured

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

  1. Objective Response Rate (ORR) in Participants With FGFR2 Rearrangements or Fusions

    ORR was defined as the percentage of participants with a best overall response of complete response (CR) or partial response (PR) at any post-Baseline visit prior to first progressive disease (PD), per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 (v1.1). CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 millimeters (mm). PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. ORR was based on central genomics laboratory results. Response was based on review of scans by an independent centralized radiological review committee.

    Measured: up to 1527 days

Secondary outcomes (12)
  1. ORR in Participants FGF/FGFR Alterations Other Than FGFR2 Rearrangements or Fusions

    ORR was defined as the percentage of participants with a best overall response of CR or PR at any post-Baseline visit prior to first PD, per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. ORR was based on central genomics laboratory results. Response was based on review of scans by an independent centralized radiological review committee.

    Measured: up to 424 days

  2. ORR in All Participants With FGF/FGFR Alterations

    ORR was defined as the percentage of participants with a best overall response of CR or PR at any post-Baseline visit prior to first PD, per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. ORR was based on central genomics laboratory results. Response was based on review of scans by an independent centralized radiological review committee.

    Measured: up to 1527 days

  3. ORR in Participants Negative for FGF/FGFR Alterations

    ORR was defined as the percentage of participants with a best overall response of CR or PR at any post-Baseline visit prior to first PD, per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. ORR was based on central genomics laboratory results. Response was based on review of scans by an independent centralized radiological review committee.

    Measured: up to 143 days

  4. Progression-free Survival (PFS)

    PFS was defined as the length of time from the first dose of study drug (Day 1) to the earlier of death or disease progression by RECIST v1.1, as assessed by the independent centralized radiological review committee.

    Measured: up to 50.17 months

  5. Duration of Response (DOR)

    DOR was defined as the time from the first overall response contributing to an objective response (CR or PR) as assessed by an independent centralized radiological review committee to the earlier of death or first overall response of PD occurring after the first overall response contributing to the objective response. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 millimeters (mm). PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion.

    Measured: up to 47.11 months

  6. Disease Control Rate (DCR)

    DCR was defined as the proportion of participants with an overall response of CR, PR, or stable disease (SD), per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. SD: no change in target lesions to qualify for CR, PR, or PD.

    Measured: up to 1527 days

  7. Overall Survival

    Overall survival was defined as the length of time from the first dose of study drug (Day 1) until the date of death due to any cause.

    Measured: up to 51.32 months

  8. Number of Participants With Any Treatment-emergent Adverse Event (TEAE)

    An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurred after a participant provided informed consent. Abnormal laboratory values or test results occurring after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). A TEAE was defined as any adverse event either reported for the first time or the worsening of a pre-existing event after the first dose of study drug and within 30 days of the last dose of study drug.

    Measured: up to 1584 days

  9. First-order Absorption Rate Constant (ka) of Pemigatinib

    First-order absorption rate constant is defined as the rate at which a drug enters into the system.

    Measured: Predose; 1-2 hours post-dose; 4-12 hours post-dose

  10. CL/F of Pemigatinib

    CL/F is defined as apparent oral clearance.

    Measured: Predose; 1-2 hours post-dose; 4-12 hours post-dose

  11. Vc/F of Pemigatinib

    Vc/F is defined as the apparent volume of distribution for the central compartment of pemigatinib.

    Measured: Predose; 1-2 hours post-dose; 4-12 hours post-dose

  12. Vp/F of Pemigatinib

    Vp/F is defined as the apparent volume of distribution for the tissue (peripheral) compartment.

    Measured: Predose; 1-2 hours post-dose; 4-12 hours post-dose

Timeline

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

  1. First posted5 Oct 2016 (estimated)
  2. Study start16 Jan 2017
  3. Primary completion1 Feb 2022
  4. Study completion1 Feb 2022

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 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
147 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02924376
Sponsor's protocol ID
INCB 54828-202
Other IDs
2016-002422-36, 2016
Status last verified
Aug 2025
First submitted
4 Oct 2016
Last updated
14 Aug 2025
Data monitoring committee
No
FDA-regulated drug
Yes
Individual data sharing
Yes: Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency
Expanded access
Available

Publications

  • Patel TH, Marcus L, Horiba MN, Donoghue M, Chatterjee S, Mishra-Kalyani PS, Schuck RN, Li Y, Zhang X, Fourie Zirkelbach J, Charlab R, Liu J, Yang Y, Lemery SJ, Pazdur R, Theoret MR, Fashoyin-Aje LA. FDA Approval Summary: Pemigatinib for Previously Treated, Unresectable Locally Advanced or Metastatic Cholangiocarcinoma with FGFR2 Fusion or Other Rearrangement. Clin Cancer Res. 2023 Mar 1;29(5):838-842. doi: 10.1158/1078-0432.CCR-22-2036.

    PubMed 36206041
  • Bibeau K, Feliz L, Lihou CF, Ren H, Abou-Alfa GK. Progression-Free Survival in Patients With Cholangiocarcinoma With or Without FGF/FGFR Alterations: A FIGHT-202 Post Hoc Analysis of Prior Systemic Therapy Response. JCO Precis Oncol. 2022 Apr;6:e2100414. doi: 10.1200/PO.21.00414.

    PubMed 35544727
  • Abou-Alfa GK, Sahai V, Hollebecque A, Vaccaro G, Melisi D, Al-Rajabi R, Paulson AS, Borad MJ, Gallinson D, Murphy AG, Oh DY, Dotan E, Catenacci DV, Van Cutsem E, Ji T, Lihou CF, Zhen H, Feliz L, Vogel A. Pemigatinib for previously treated, locally advanced or metastatic cholangiocarcinoma: a multicentre, open-label, phase 2 study. Lancet Oncol. 2020 May;21(5):671-684. doi: 10.1016/S1470-2045(20)30109-1. Epub 2020 Mar 20.

    PubMed 32203698

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Pemigatinib in people with Cholangiocarcinoma, run by Incyte Corporation at 120 sites in 12 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 6 inclusion and 4 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 14 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 120 sites in United States, Italy, Japan, United Kingdom, Germany and 7 more countries. 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 phase mean?

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 23 Feb 2023). 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?

Objective Response Rate (ORR) in Participants With FGFR2 Rearrangements or Fusions (time frame: up to 1527 days). 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 NCT02924376, 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 14 Aug 2025.

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