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GlioblastomaPhase 2FIGHT-209NCT05267106

Study to Evaluate the Efficacy and Safety of Pemigatinib in Participants With Previously Treated Glioblastoma or Other Primary Central Nervous System Tumors Harboring Activating FGFR1-3 Alterations

A Phase 2 study testing Pemigatinib in people with Glioblastoma and Adult-type Diffuse Gliomas, run by Incyte Corporation at 79 sites in 9 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

This is an open-label, monotherapy study of pemigatinib in participants with recurrent glioblastoma (GBM) or other recurrent gliomas, circumscribed astrocytic gliomas, and glioneuronal and neuronal tumors with an activating FGFR1-3 mutation or fusion/rearrangement. Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Glioblastoma, Adult-type Diffuse Gliomas
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
83 participants
Where
79 sitesin 9 countries
Study dates
20 May 2022to 17 Dec 2024
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 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histological, cytological, or molecular confirmation of recurrent GBM or other glioma, circumscribed astrocytic glioma, or glioneuronalor neuronal tumors that has recurred.
  • Radiographically measurable disease.
  • . -Karnofsky performance status ≥ 60.
  • Life expectancy ≥ 12 weeks.
  • Documentation of an actionable FGFR1-3 gene mutation or fusion/rearrangement from tissue : FGFR1-3 fusions or other rearrangements (FGFR1-3 in-frame fusions, any FGFR2 rearrangement, or FGFR1/3 rearrangement with known partner) or a defined FGFR1-3 activating mutation or in-frame deletion. Only participants with FGFR fusions or rearrangements with an intact kinase domain are eligible.
  • MRI-documented objective progression after prior therapy and must have no therapy available that is likely to provide clinical benefit.
  • Most recent archival tumor specimen must be a tumor block or a minimum of 15 unstained slides from biopsy or resection of primary tumor or metastasis.
  • Willingness to avoid pregnancy or fathering children.

Who cannot join

  • Prior receipt of an FGFR inhibitor.
  • Receipt of anticancer medications or investigational drugs for any indication or reason within 28 days before first dose of study drug.
  • Participants may have had treatment for an unlimited number of prior relapses but must not have had prior bevacizumab or other VEGF/VEGFR inhibitors (exception: prior bevacizumab is allowed if it was administered for the treatment of radiation necrosis rather than progressive tumor and was stopped at least 12 weeks prior to MRI showing tumor progression).
  • Concurrent anticancer therapy
  • Candidate for potentially curative surgery.
  • Dexamethasone (or equivalent) > 4 mg daily at the time of study registration
Show all 10Show fewer
  • Current evidence of clinically significant corneal or retinal disorder as confirmed by ophthalmologic examination.
  • Diffuse leptomeningeal disease.
  • Radiation therapy administered within 12 weeks before enrollment/first dose of study drug.
  • Known additional malignancy that is progressing or requires active systemic treatment.

Trial locations and contacts

79 sites in 9 countries.

79 sites in 9 countries

United States32 sites
  • Valkyrie Clinical Trials

    Beverly Hills, California, 90211

  • Tennessee Oncology

    Chattanooga, Tennessee, 37403

  • University of Illinois Hospital & Health Sciences System

    Chicago, Illinois, 60612

  • UC Health At Cincinnati Va Medical Center

    Cincinnati, Ohio, 45229

  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • Baylor University Medical Center

    Dallas, Texas, 75246

  • City of Hope National Medical Center

    Duarte, California, 91010

  • Providence Medical Foundation

    Fullerton, California, 92835

  • East Carolina University

    Greenville, North Carolina, 27834

  • Houston Methodist Hospital

    Houston, Texas, 77030

  • University of Iowa Hospital and Clinics

    Iowa City, Iowa, 52242

  • Baptist Md Anderson Cancer Center

    Jacksonville, Florida, 32207

  • Northwell Health

    Lake Success, New York, 11042

  • Usc Norris Comprehensive Cancer Center

    Los Angeles, California, 90033

  • Miami Cancer Institute

    Miami, Florida, 33176

  • University of Minnesota Health Clinics and Surgery Center

    Minneapolis, Minnesota, 55455

  • Tennessee Oncology

    Nashville, Tennessee, 37203

  • Yale Cancer Center

    New Haven, Connecticut, 06510-3220

  • University Medical Center New Orleans

    New Orleans, Louisiana, 70112

  • Columbia University Irving Medical Center

    New York, New York, 10032

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Orlando Health Cancer Institute Downtown Orlando

    Orlando, Florida, 32806

  • University of Pennsylvania Hospital

    Philadelphia, Pennsylvania, 19104

  • University of Pittsburgh Medical Center Health System

    Pittsburgh, Pennsylvania, 15232

  • Stanford Neuroscience Health Center

    Sacramento, California, 94304

  • Huntsman Cancer Institute

    Salt Lake City, Utah, 84112

  • Sharp Memorial Hospital

    San Diego, California, 92123

  • University of California San Francisco

    San Francisco, California, 94143

  • Providence St Joseph Hospital Orange Center For Cancer Prevention and Treatment

    Santa Monica, California, 90404

  • Fred Hutchinson Cancer Research Center

    Seattle, Washington, 98109

  • H. Lee Moffitt Cancer Center and Research Institute Hospital

    Tampa, Florida, 33612

  • Wake Forest Baptist Health

    Winston-Salem, North Carolina, 27157

Other trials in United States

Spain14 sites
  • Hospital Del Mar

    Barcelona, 08003

  • Hospital General Universitario Vall D Hebron

    Barcelona, 08035

  • Hospital Clinic Barcelona Main

    Barcelona, 08036

  • Hospital de La Santa Creu I Sant Pau

    Barcelona, 08041

  • Ico Girona Hospital Universitari de Girona Dr Josep Trueta

    Girona, 17007

  • Ico Institut Catala D Oncologia

    L'Hospitalet de Llobregat, 08908

  • Hospital General Universitario Gregorio Maranon

    Madrid, 28007

  • Hospital Universitario Ramon Y Cajal

    Madrid, 28034

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital Universitario Hm Sanchinarro

    Madrid, 28050

  • Clinica Universidad de Navarra (Cun)

    Pamplona, 31008

  • Hospital General de Catalunya

    Sant Cugat del Vallès, 08190

  • Hospital Universitario Virgen Del Rocio

    Seville, 41013

  • Hospital General Universitario de Valencia

    Valencia, 46014

Other trials in Spain

United Kingdom8 sites
  • Addenbrooke'S Hospital

    Cambridge, CB2 0QQ

  • Velindre Cancer Centre

    Cardiff, CF14 2TL

  • St James'S University Hospital

    Leeds, LS9 7TF

  • Guys Hospital

    London, SE1 9RT

  • The Royal Marsden Nhs Foundation Trust - Sutton

    London, SW3 6JJ

  • The Royal Marsden Nhs Foundation Trust - Chelsea

    London, SW36JJ

  • The Christie Nhs Foundation Trust Uk

    Manchester, M20 4BX

  • The Clatterbridge Cancer Centre

    Metropolitan Borough of Wirral, CH63 4JY

Other trials in United Kingdom

Italy6 sites
  • Ospedale Bellaria

    Bologna, 40139

  • Istituto Di Ricovero E Cura A Carattere Scientifico (Irccs) Ospedale San Raffaele

    Milan, 20132

  • Iov - Istituto Oncologico Veneto Irccs

    Padova, 35128

  • A.S.L. Napoli 1 Centro Ospedale Del Mare

    Ponticelli, 80147

  • Irccs Istituto Clinico Humanitas

    Rozzano, 20089

  • Azienda Ospedaliero Universitaria Citta Della Salute E Della Scienza

    Torino, 10124

Other trials in Italy

Japan6 sites
  • University of Tokyo Hospital

    Bunkyō City, 113-8655

  • National Cancer Center Hospital

    Chūōku, 104-0045

  • Kyushu University Hospital

    Fukuoka, 812-8582

  • Kyoto University Hospital

    Kyoto, 606-8507

  • Nagoya University Hospital

    Nagoya, 466-8560

  • Tohoku University Hospital

    Sendai, 980-8574

Other trials in Japan

France4 sites
  • Chru de Lille Hopital Claude Huriez

    Lille, 59037

  • Chu Hopital de La Timone

    Marseille, 13005

  • Hospital Universitaire Pitie-Salpetriere

    Paris, 75013

  • Universitaire Du Cancer de Toulouse Institut Claudius Regaud Iuct-Oncopole

    Toulouse, 31059

Other trials in France

Germany4 sites
  • Universitatsklinikum Bonn Aoer

    Bonn, 53127

  • Klinikum Der Johann Wolfgang Goethe University

    Frankfurt, 60528

  • Universitaetsklinikum Heidelberg

    Heidelberg, 69120

  • University Hospital Tuebingen

    Tübingen, 72076

Other trials in Germany

Denmark3 sites
  • Aalborg Universitets Hospital

    Aalborg, 09000

  • Rigshospitalet Uni of Hospital of Copenhagen

    Copenhagen, 02100

  • Odense University Hospital

    Odense C, 05000

Other trials in Denmark

Netherlands2 sites
  • Netherlands Cancer Institute Antoni Van Leeuwenhoek Ziekenhuis

    Amsterdam, 1066 CX

  • Erasmus Mc Cancer Institute

    Rotterdam, 3015 GD

Other trials in Netherlands

About this study

Official title: A Phase 2, Open-Label, Single-Arm, Multicenter Study to Evaluate the Efficacy and Safety of Pemigatinib in Participants With Previously Treated Glioblastoma or Other Primary Central Nervous System Tumors Harboring Activating FGFR1-3 Alterations (FIGHT-209)

This is an open-label, monotherapy study of pemigatinib in participants with recurrent glioblastoma (GBM) or other recurrent gliomas, circumscribed astrocytic gliomas, and glioneuronal and neuronal tumors with an activating FGFR1-3 mutation or fusion/rearrangement. This study consists of 2 cohorts, Cohorts A, and B, and will enroll approximately 82 participants into each cohort. Participants will receive pemigatinib 13.5 mg QD on a 2-week on-therapy and 1-week off-therapy schedule as long as they are receiving benefit and have not met any criteria for study withdrawal.

Being tested
Pemigatinib
Keywords
glioblastoma, GBM, adult-type diffuse gliomas, gliomas, oligodendroglioma, FGFR1-3 Alteration, FGFR1-3 fusions, FGFR1-3 rearrangements, Central nervous system tumor, isocitrate dehydrogenase, IDH-mutant astocytoma, IDH-wild-type GBM, glioneuronal, neuronal, circumscribed astrocytic glioma
Medical subject headings
Glioblastoma, Glioma, Oligodendroglioma, Central Nervous System Neoplasms

What participants receive

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

  • PemigatinibDrug

    Also called NCB054828

    13.5mg tablet taken every morning (unless otherwise directed) for 2 weeks and then 1 week off.

Study groups in NCT05267106
Study groupRoleWhat they receive
Cohort A: IDH-wild-type GBMExperimentalParticipants with histopathologically proven, WHO Grade 4, IDH-wild-type GBM OR molecular diagnosis of IDH-wild-type, diffuse astrocytic glioma with molecular features of Grade 4 GBM that are recurrent, harboring FGFR1-3 fusions/or other rearrangements, or with a defined FGFR1-3 mutation or in-frame deletion.
Receives: Drug: Pemigatinib
Cohort B: Other gliomas other than GBMExperimentalParticipants with other histopathologically proven gliomas other than GBM, circumscribed astrocytic gliomas, and glioneuronal and neuronal tumors that are recurrent, harboring FGFR1-3 fusions/or other rearrangements or with a defined FGFR1-3 activating mutation or in-frame deletion
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 Recurrent Glioblastoma Based on Independent Central Review

    ORR was defined as the percentage of participants who achieved a best overall response of complete response (CR) or partial response (PR) based on Response Assessment in Neuro-Oncology (RANO) as determined by an independent centralized radiological review committee. CR requires all of the following: disappearance of all enhancing measurable/nonmeasurable disease sustained for ≥4 weeks; no new lesions; stable/improved nonenhancing lesions; off corticosteroids/on physiologic replacement doses only and stable/improved clinically. PR requires all of the following: ≥50% decrease, compared with baseline, in the sum of products of perpendicular diameters of all measurable enhancing lesions sustained for ≥4 weeks; no progression of nonmeasurable disease; no new lesions; stable or improved nonenhancing lesions on same/lower dose of corticosteroids compared with baseline scan; on a corticosteroid dose not greater than the dose at time of baseline scan and stable/improved clinically.

    Measured: up to 651 days

Secondary outcomes (10)
  1. ORR in Participants With Recurrent Non-glioblastoma Central Nervous System Tumors Based on Independent Central Review

    ORR was defined as the percentage of participants who achieved a best overall response of CR or PR based on RANO as determined by an independent centralized radiological review committee. CR requires all of the following: disappearance of all enhancing measurable/nonmeasurable disease sustained for ≥4 weeks; no new lesions; stable/improved nonenhancing lesions; off corticosteroids/on physiologic replacement doses only and stable/improved clinically. PR requires all of the following: ≥50% decrease, compared with baseline, in the sum of products of perpendicular diameters of all measurable enhancing lesions sustained for ≥4 weeks; no progression of nonmeasurable disease; no new lesions; stable or improved nonenhancing lesions on same/lower dose of corticosteroids compared with baseline scan; on a corticosteroid dose not greater than the dose at time of baseline scan and stable/improved clinically.

    Measured: up to 784 days

  2. Duration of Confirmed Response Based on Independent Central Review

    Duration of response was defined as the time from the first assessment of confirmed CR or PR until progressive disease (PD) (according to RANO and assessed by an independent centralized radiological review committee) or death (whichever occurred first). Progression was defined by any of the following: ≥25% increase in the sum of the products of perpendicular diameters of enhancing lesions (compared with baseline if no decrease) on stable or increasing doses of corticosteroids; a significant increase in T2/FLAIR nonenhancing lesions on stable or increasing doses of corticosteroids compared with baseline scan or best response after initiation of therapy, not due to comorbid events; the appearance of any new lesions; clear progression of nonmeasurable lesions; or definite clinical deterioration not attributable to other causes apart from the tumor, or to decrease in corticosteroid dose.

    Measured: up to 784 days

  3. Duration of Unconfirmed Response Based on Independent Central Review

    Duration of response was defined as the time from the first assessment of unconfirmed CR or PR until progressive disease (PD) (according to RANO and assessed by an independent centralized radiological review committee) or death (whichever occurred first). Progression was defined by any of the following: ≥25% increase in the sum of the products of perpendicular diameters of enhancing lesions (compared with baseline if no decrease) on stable or increasing doses of corticosteroids; a significant increase in T2/FLAIR nonenhancing lesions on stable or increasing doses of corticosteroids compared with baseline scan or best response after initiation of therapy, not due to comorbid events; the appearance of any new lesions; clear progression of nonmeasurable lesions; or definite clinical deterioration not attributable to other causes apart from the tumor, or to decrease in corticosteroid dose.

    Measured: up to 784 days

  4. ORR as Determined by Investigator Assessment

    ORR was defined as the percentage of participants who achieved an unconfirmed best overall response of CR or PR based on RANO as determined by investigator assessment. CR requires all of the following: disappearance of all enhancing measurable/nonmeasurable disease sustained for ≥4 weeks; no new lesions; stable/improved nonenhancing lesions; off corticosteroids/on physiologic replacement doses only and stable/improved clinically. PR requires all of the following: ≥50% decrease, compared with baseline, in the sum of products of perpendicular diameters of all measurable enhancing lesions sustained for ≥4 weeks; no progression of nonmeasurable disease; no new lesions; stable or improved nonenhancing lesions on same/lower dose of corticosteroids compared with baseline scan; on a corticosteroid dose not greater than the dose at time of baseline scan and stable/improved clinically.

    Measured: up to 784 days

  5. 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 it was considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug. A TEAE was defined as an AE reported for the first time or the worsening of a pre-existing event after the first dose of pemigatinib and within 30 days of the last dose of pemigatinib.

    Measured: up to 814 days

  6. Number of Participants With Any ≥Grade 3 TEAE

    An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug related. A TEAE was defined as an AE reported for the first time or the worsening of a pre-existing event after the first dose of pemigatinib and within 30 days of the last dose of pemigatinib. The severity of AEs was assessed using Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 Grades 1 through 5. Grade 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; treatment not indicated. Grade 2: moderate; minimal, local, or noninvasive treatment indicated; limiting age-appropriate activities of daily living. Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living. Grade 4: life-threatening consequences; urgent treatment indicated. Grade 5: fatal.

    Measured: up to 814 days

  7. Number of Participants With TEAEs Leading to Discontinuation of Pemigatinib, Pemigatinib Dose Interruption, and Pemigatinib Dose Reduction

    An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug. A TEAE was defined as an AE reported for the first time or the worsening of a pre-existing event after the first dose of pemigatinib and within 30 days of the last dose of pemigatinib.

    Measured: up to 814 days

  8. Disease Control Rate (DCR) Based on Independent Central Review

    DCR was defined as the percentage of participants who achieved a best overall response of CR, PR, or stable disease (SD) based on RANO as determined by an independent centralized radiological review committee. In the case of SD, measurements must have met the SD criteria after the date of the first dose at a minimum interval of 42 days. SD occurred if the participant didn't qualify for CR, PR, or PD and required the following: stable nonenhancing (T2/FLAIR) lesions on same or lower dose of corticosteroids compared with baseline scan and clinically stable status.

    Measured: up to 784 days

  9. Progression-free Survival (PFS) Based on Independent Central Review

    PFS was defined as the time from the first dose until progressive disease (according to RANO and assessed by an independent centralized radiological review committee) or death (whichever occurred first). Progression was defined by any of the following: ≥25% increase in the sum of the products of perpendicular diameters of enhancing lesions (compared with baseline if no decrease) on stable or increasing doses of corticosteroids; a significant increase in T2/FLAIR nonenhancing lesions on stable or increasing doses of corticosteroids compared with baseline scan or best response after initiation of therapy, not due to comorbid events; the appearance of any new lesions; clear progression of nonmeasurable lesions; or definite clinical deterioration not attributable to other causes apart from the tumor, or to decrease in corticosteroid dose.

    Measured: up to 784 days

  10. Overall Survival

    Overall survival was defined as the time from the first dose of study drug to death due to any cause.

    Measured: up to 784 days

Timeline

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

  1. First posted4 Mar 2022
  2. Study start20 May 2022
  3. Primary completion17 Dec 2024
  4. Study completion17 Dec 2024

Why it stopped: Recruitment ceased after a pre-planned futility interim analysis indicated a low probability to confer a clinically meaningful improvement in objective response when compared to currently available therapies. There were no safety related concerns.

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
Model description
This study consists of 2 cohorts and participants will receive pemigatinib 13.5 mg QD on a 2-week on-therapy and 1-week off-therapy schedule.
Masking
None (open label)
Enrolment
83 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05267106
Sponsor's protocol ID
INCB 54828-209
Other IDs
2021-004740-24
Acronym
FIGHT-209
Status last verified
Nov 2025
First submitted
15 Feb 2022
Last updated
30 Dec 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
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

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Pemigatinib in people with Glioblastoma and Adult-type Diffuse Gliomas, run by Incyte Corporation at 79 sites in 9 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 8 inclusion and 10 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: stopped early, as of the sponsor's last update on 30 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 79 sites in United States, Spain, United Kingdom, Italy, Japan and 4 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 30 Dec 2025). 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 Recurrent Glioblastoma Based on Independent Central Review (time frame: up to 651 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 30 Dec 2025.

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