Carcinoma, Transitional CellPhase 2/3FORT-1NCT03410693
Study of Rogaratinib (BAY1163877) vs Chemotherapy in Patients With FGFR (Fibroblast Growth Factor Receptor)-Positive Locally Advanced or Metastatic Urothelial Carcinoma
A Phase 2/3 study testing Rogaratinib (BAY1163877) and Chemotherapy in people with Carcinoma, Transitional Cell, run by Bayer at 161 sites in 29 countries.
Trial summary
This is a randomized, open-label, multicenter Phase 2/3 study to evaluate the efficacy and safety of rogaratinib (BAY 1163877) compared to chemotherapy in patients with FGFR-positive locally advanced or metastatic urothelial carcinoma who have received prior platinum-containing chemotherapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Transitional Cell
- What is being tested?
- Rogaratinib (BAY1163877) and Chemotherapy
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 175 participants
- Where
- 161 sitesin 29 countries
- Study dates
- 31 May 2018to 27 Oct 2020
- Phase
- Phase 2/3
- 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
- Existence of archival or fresh biopsy for FGFR testing. Mandatory FGFR testing of patients will be performed prior to start of screening. The timing of the FGFR test is at the discretion of the investigator. Investigators should ensure all patients will be eligible in terms of disease status and lines of treatment.
- Documented urothelial carcinoma (transitional cell carcinoma) including urinary bladder, renal pelvis, ureters, urethra meeting all of the following criteria
- Histologically confirmed (Patients with mixed histologies are required to have a dominant transitional cell pattern.)
- Locally advanced (T4, any N; or any T, N 2-3) or metastatic disease (any T, any N and M1). Locally advanced bladder cancer must be unresectable i.e. invading the pelvic or abdominal wall (stage T4b) or presenting with bulky nodal disease (N2-3).
- ECOG (Eastern Cooperative Oncology Group) Performance Status of 0 or 1
- Disease progression during or following treatment with at least one platinum-containing regimen (patients should have been treated for at least 2 cycles). In patients who received prior adjuvant/ neoadjuvant platinum-containing chemotherapy, progression had to occur within 12 months of treatment.
- High FGFR1 or 3 mRNA expression levels in archival or fresh tumor biopsy specimen quantified as outlined in the lab manual
- At least 1 measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST v.1.1) in contrast enhanced (unless contraindicated) CT or MRI
Who cannot join
- Previous or concurrent cancer except
- cervical carcinoma in situ
- treated basal-cell or squamous cell skin carcinoma
- any cancer curatively treated > 3 years before randomization
- curatively treated incidental prostate cancer (T1/T2a)
- Ongoing or previous treatment with anti-FGFR directed therapies (e.g. receptor tyrosine kinase inhibitors including rogaratinib or FGFR-specific antibodies) or with taxanes or vinflunine
Show all 18Show fewer
- More than two prior lines of systemic anti-cancer therapy for urothelial carcinoma given for advanced unresectable/ metastatic disease
- Ongoing or previous anti-cancer treatment within 4 weeks before randomization.
- Unresolved toxicity higher than National Cancer Institute's Common Terminology Criteria for Adverse Events, version 4.03 (CTCAE v.4.03) Grade 1 attributed to any prior therapy/ procedure excluding alopecia, anemia and/ or hypothyroidism
- History or current condition of an uncontrolled cardiovascular disease including any of the following conditions:
- Congestive heart failure (CHF) NYHA (New York Heart Association) > Class 2
- Unstable angina (symptoms of angina at rest) or new-onset angina (within last 3 months before randomization)
- Myocardial infarction (MI) within past 6 months before randomization
- Unstable cardiac arrhythmias requiring anti-arrhythmic therapy. Patients with arrhythmia under control with anti-arrhythmic therapy such as beta-blockers or digoxin are eligible.
- Arterial or venous thrombotic events or embolic events such as cerebrovascular accident (including transient ischemic attacks), deep vein thrombosis or pulmonary embolism within 3 months before randomization
- Current evidence of endocrine alteration of calcium phosphate homeostasis (e.g. parathyroid disorder, history of parathyroidectomy, tumor lysis, tumoral calcinosis, paraneoplastic hypercalcemia)
- Current diagnosis of any retinal detachment, retinal pigment epithelial detachment (RPED), serous retinopathy or retinal vein occlusion
- Any hemorrhage / bleeding event ≥ CTCAE v.4.03 Grade 3 within 4 weeks before randomization
Trial locations and contacts
161 sites in 29 countries.
161 sites in 29 countries
Japan23 sites
Akita University Hospital
Akita, 010-8543
Nippon Medical School Hospital
Bunkyo-ku, Tokyo, 113-8603
National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0045
Kyushu University Hospital
Fukuoka, 812-8582
Saitama Medical University International Medical Center
Hidaka, Saitama, 350-1298
Hirosaki University Hospital
Hirosaki, Aomori, 036-8563
Hiroshima City Hiroshima Citizens Hospital
Hiroshima, 730-8518
Kobe City Medical Center General Hospital
Kobe, Hyōgo, 650-0047
The Cancer Institute Hospital of JFCR
Koto-ku, Tokyo, 135-8550
Kumamoto University Hospital
Kumamoto, 860-8556
Gunma University Hospital
Maebashi, Gunma, 371-8511
Iwate Medical University Hospital
Morioka, Iwate, 028-3695
Nagoya University Hospital
Nagoya, Aichi-ken, 466-8560
Niigata University Medical and Dental Hospital
Niigata, 951-8520
Osaka International Cancer Institute
Osaka, 541-8567
Gunma Prefectural Cancer Center
Ōta, Gunma, 373-8550
Sapporo Medical University Hospital
Sapporo, Hokkaido, 060-8543
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648
Kindai University Hospital
Sayama, Osaka, 589-8511
Keio University Hospital
Shinjuku-ku, Tokyo, 160-8582
Toyama University Hospital
Toyama, 930-0194
University of Tsukuba Hospital
Tsukuba, Ibaraki, 305-8576
Yokohama City University Hospital
Yokohama, Kanagawa, 236-0004
United States16 sites
Alaska Clinical Research Center, LLC
Anchorage, Alaska, 99503
Texas Oncology-Denton South
Denton, Texas, 76210
Bon Secours St. Francis Hospital
Greenville, South Carolina, 29607
Houston Methodist Hospital
Houston, Texas, 77030-2707
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169
Rocky Mountain Cancer Centers
Littleton, Colorado, 80120-4413
University of Southern California
Los Angeles, California, 90033
UF Cancer Center at Orlando Health
Orlando, Florida, 32806
University of Pittsburgh
Pittsburgh, Pennsylvania, 15232
UC Davis Comprehensive Cancer Center
Sacramento, California, 95817
Sansum Clinic
Santa Barbara, California, 93105
Virginia Mason Medical Center
Seattle, Washington, 98101
Summit Cancer Center
Spokane, Washington, 99208
Compass Oncology
Tigard, Oregon, 97223
University of Arizona Cancer Center
Tucson, Arizona, 85719
University of Kansas Medical Center
Westwood, Kansas, 66205
Spain12 sites
Institut Català d'Oncologia Badalona
Badalona, Barcelona, 08916
Hospital del Mar
Barcelona, 08003
Ciutat Sanitària i Universitaria de la Vall d'Hebron
Barcelona, 08035
Hospital San Pedro de Alcántara
Cáceres, 10003
Hospital Reina Sofía
Córdoba, 14004
Institut Català d'Oncologia Hospitalet
L'Hospitalet de Llobregat, Barcelona, 08907
Hospital Ramón y Cajal
Madrid, 28034
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Virgen de la Victoria
Málaga, 29010
Hospital Universitari Son Espases
Palma de Mallorca, Illes Baleares, 07120
Instituto Valenciano de Oncología
Valencia, 46009
Hospital General Universitario de Valencia
Valencia, 46014
France11 sites
Hopital Jean Minjoz
Besançon, 25030
Hôpital Saint André - Bordeaux
Bordeaux, 33000
Centre de Lutte Contre le Cancer François Baclesse
Caen, 14076
Centre Jean Perrin
Clermont-Ferrand, 63011
Centre Oscar Lambret - Lille
Lille, 59020
Centre Léon Bérard
Lyon, 69008
Institut Paoli-Calmettes - Marseille
Marseille, 13273
Cochin - Paris
Paris, 75674
Hôpital d'Instruction des Armées Begin
Saint-Mandé, 94160
Clinique Saint Anne
Strasbourg, 67000
Centre Médico-Chirurgical Foch
Suresnes, 92151
Italy11 sites
IRST Istituto Scientifico Romagnolo per studio e cura tumori
Forlì Cesena, Emilia-Romagna, 47014
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, Lombardy, 20133
IRCCS Istituto Europeo di Oncologia s.r.l. (IEO)
Milan, Lombardy, 20141
ASST Grande Ospedale Metropolitano Niguarda
Milan, Lombardy, 20162
AUSL Modena
Modena, Emilia-Romagna, 41012
A.O.U. di Modena - Policlinico
Modena, Emilia-Romagna, 41124
A.O.U. Pisana
Pisa, Tuscany, 56126
A.O. San Camillo-Forlanini
Rome, Lazio, 00152
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Rome, Lazio, 00168
A.O.U. San Luigi Gonzaga
Turin, Piedmont, 10043
A.O.U.I. Verona
Verona, Veneto, 37134
China10 sites
Fifth Medical Center, General Hospital of the Chinese People
Beijing, 100071
FuJian Medical University Union Hospital
Fuzhou, Fujian, 350001
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, 510060
First Affiliated Hospital of Guangzhou Medical University
Guangzhou
NJ Drum Tower Hospital, the Affil Hos of NJ Univ Med School
Nanjing, Jiangsu, 210008
Jiangsu Cancer Hospital
Nanjing, Jiangsu, 210009
Fudan University Shanghai Cancer Center
Shanghai, 200032
Huadong Hospital, Affiliated to Fudan University
Shanghai, 200040
Liaoning Cancer Hospital and Institute
Shengyang, Liaoning, 110042
Hubei Cancer Hospital
Wuhan, Hubei, 430079
Australia7 sites
Pindara Private Hospital
Benowa, Queensland, 4217
Monash Medical Centre
Clayton, Victoria, 3168
Mid North Coast Cancer Institute
Coffs Harbour, New South Wales, 2450
Northern Cancer Institute
St Leonards, New South Wales, 2065
Macquarie University Hospital
Sydney, New South Wales, 2109
Riverina Cancer Care Centre
Wagga Wagga, New South Wales, 2650
Sydney Adventist Hospital
Wahroonga, New South Wales, 2076
Poland6 sites
Centrum Onkologii im. Prof. Franciszka Lukaszczyka
Bydgoszcz, 85-796
Swietokrzyskie Centrum Onkologii
Kielce, 25-734
Przychodnia Lekarska KOMED
Konin, 62-500
Samodzielny Publiczny Zespol Gruzlicy i Chorob Pluc
Olsztyn, 10-357
Szpital Kliniczny Przemienienia Panskiego
Poznan, 60-569
Uniwersytecki Szpital Kliniczny UM we Wroclawiu
Wroclaw, 50-556
Israel5 sites
Rambam Health Corporation
Haifa, 3109601
Hadassah Hebrew University Hospital Ein Kerem
Jerusalem, 9112001
Meir Medical Center
Kfar Saba, 4428164
Clalit Health Services Rabin Medical Center-Beilinson Campus
Petah Tikva, 4941492
Chaim Sheba Medical Center
Ramat Gan, 5266202
Portugal5 sites
IPO Coimbra
Coimbra, 3000-075
Hospital CUF Infante Santo
Lisbon, 1350-070
CHULN - Hospital Santa Maria
Lisbon, 1649-035
Hospital Beatriz Angelo
Loures, Lisbon District, 2674-514
Centro Hospitalar Universitario do Porto
Porto, 4099-001
Russia5 sites
Krasnoyarsk Regional Clinical Oncology Dispensary
Krasnoyarsk, 660133
Moscow Scient. Res. Institute of Oncology n.a P.A. Hertzen
Moscow, 125284
Volga District Med Center FMBA
Nizhny Novgorod, 603109
Clinical Oncological Dispensary of Omsk Region
Omsk, 644013
Bashkir State Medical University
Ufa, 450008
Taiwan5 sites
Taichung Veterans General Hospital
Taichung, 40705
National Cheng Kung University Hospital
Tainan, 704
National Taiwan University Hospital
Taipei, 10002
Taipei Veterans General Hospital
Taipei, 11217
Chang Gung Memorial Hospital at Linkou
Taoyuan, 33305
Austria4 sites
Landesklinikum Krems
Krems, 3500
Krankenhaus der Barmherzigen Brüder
Vienna, 1020
Universitätsklinikum AKH Wien
Vienna, 1090
Klinik Ottakring - Wilhelminenspital
Vienna, 1160
Czechia4 sites
Fakultni nemocnice Ostrava
Ostrava, 708 52
Fakultni nemocnice Kralovske Vinohrady
Prague, 10034
Fakultni Thomayerova Nemocnice
Praha 4 - Krc, 140 59
Bata Hospital
Zlín, 762 75
South Korea4 sites
National Cancer Center
Goyang-si, Gyeonggido, 10408
Severance Hospital, Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Belgium3 sites
UZ Gent
Ghent, 9000
UZ Leuven Gasthuisberg
Leuven, 3000
Clinique Saint-Pierre
Ottignies, 1340
Canada3 sites
Sir Mortimer B. Davis Jewish General Hospital
Montreal, Quebec, H3T 1E2
Ottawa Hospital-General Campus
Ottawa, K1H 8L6
Princess Margaret Hospital-University Health Network
Toronto, Ontario, M5G 2M9
Denmark3 sites
Aarhus Universitetshospital, Skejby
Aarhus N, 8200
Rigshospitalet
Copenhagen, 2100
Herlev Hospital - Oncology Research Dept.
Herlev, 2730
Germany3 sites
Heinrich-Heine-Universität Düsseldorf
Düsseldorf, North Rhine-Westphalia, 40225
Universitätsmedizin der Johannes Gutenberg Universität Mainz
Mainz, Rhineland-Palatinate, 55131
Eberhard-Karls-Universität Tübingen
Tübingen, Baden-Wurttemberg, 72076
Hungary3 sites
MH Egeszsegugyi Kozpont
Budapest, 1062
Orszagos Onkologiai Intezet
Budapest, 1122
Pecsi Tudomanyegyetem Klinikai Kozpont
Pécs, 7624
Slovakia3 sites
Narodny onkologicky ustav
Bratislava, 833 10
UROEXAM, spol. s r.o.
Nitra, 949 01
POKO Poprad s.r.o.
Poprad, 085 01
Switzerland3 sites
Universitätsspital Basel
Basel, Canton of Basel-City, 4031
Kantonsspital Graubünden
Chur, Kanton Graubünden, 7000
Kantonsspital St. Gallen
Sankt Gallen, Canton of St. Gallen, 9007
Netherlands2 sites
Nederlands Kanker Instituut
Amsterdam, 1066 CX
Erasmus Medisch Centrum
Rotterdam, 3075 EA
Singapore2 sites
National University Hospital
Singapore, 119074
National Cancer Center Singapore
Singapore, 169610
Sweden2 sites
Södersjukhuset
Stockholm, 118 83
Karolinska Institutet
Stockholm, 17167
United Kingdom2 sites
Clatterbridge Centre for Oncology
Bebington, Merseyside, CH63 4JY
Royal Marsden Hospital (London)
London, SW3 6JJ
About this study
Official title: A Randomized, Open Label, Multicenter Phase 2/3 Study to Evaluate the Efficacy and Safety of Rogaratinib (BAY1163877) Compared to Chemotherapy in Patients With FGFR-positive Locally Advanced or Metastatic Urothelial Carcinoma Who Have Received Prior Platinum-containing Chemotherapy
This is a randomized, open-label, multicenter Phase 2/3 study to evaluate the efficacy and safety of rogaratinib (BAY 1163877) compared to chemotherapy in patients with FGFR-positive locally advanced or metastatic urothelial carcinoma who have received prior platinum-containing chemotherapy.
The primary objective is to demonstrate the superiority of rogaratinib over chemotherapy in terms of objective response rate (before: overall survivial) of urothelial carcinoma patients with FGFR positive tumors.
At randomization, patients will have locally advanced or metastatic urothelial carcinoma and have received at least one prior platinum-containing chemotherapy regimen. Only patients with FGFR1 or 3 positive tumors can be randomized into the study. Archival tumor tissue is adequate for testing of FGFR1 and 3 mRNA expressions, which will be determined centrally using an RNA in situ hybridization (RNA-ISH) test. Approximately 42 % of UC patients with locally advanced or metastatic UC are identified as FGFR-positive by the RNA-ISH cut-off applied.
- Conditions
- Carcinoma, Transitional Cell
- Being tested
- Rogaratinib (BAY1163877), Chemotherapy
- Keywords
- Urothelial carcinoma
- Medical subject headings
- Carcinoma, Transitional Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rogaratinib (BAY1163877)Drug
Rogaratinib administered as oral (p.o.) tablets twice daily (b.i.d.) continuously
ChemotherapyDrug
Chemotherapy as taxane (docetaxel or paclitaxel) or vinflunine administered through intravenous (i.v.) infusion every 3 weeks (on day 1 of a 21-day cycle) The choice of the chemotherapy is at the discretion of the investigator, taking into consideration the status of the authorization or treatment guidelines in the given country.
| Study group | Role | What they receive |
|---|---|---|
| Rogaratinib | Experimental | Rogaratinib treatment study arm, comprising
1. Pre-treatment period, including FGFR testing and screening,
2. Treatment period, and
3. Follow-up period, including active follow-up and long-term follow-up. Patients will be considered "on study" during the pre-treatment, treatment and active followup periods. During the long-term follow-up period the patients will be considered "off study". Receives: Drug: Rogaratinib (BAY1163877) |
| Chemotherapy | Active comparator | Chemotherapy treatment study arm, comprising
1. Pre-treatment period, including FGFR testing and screening,
2. Treatment period, and
3. Follow-up period, including active follow-up and long-term follow-up. Patients will be considered "on study" during the pre-treatment, treatment and active followup periods. During the long-term follow-up period the patients will be considered "off study". Receives: Drug: Chemotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective Response Rate (ORR) - Central Assessment
ORR is defined as the percentage of participants with complete response (CR) or partial response (PR). participants for whom overall best response is not CR or PR, as well as participants without any post-baseline tumor assessment will be considered non-responders.
Measured: From start of treatment up to end of active follow-up, approximately 29 months
Secondary outcomes (4)
Disease-control Rate (DCR) - Central Assessment
DCR was defined as the percentage of participants whose overall best response was not a progressive disease (i.e., CR, PR, stable disease [SD] or Non CR/Non PD).
Measured: From start of treatment till end of active follow-up, approximately 29 months
Progression-free Survival (PFS) - Central Assessment
Progression free survival (PFS) was defined as the time (days) from randomization to date of first observed disease progression (radiological or clinical assessment or both) or death due to any cause (if death occurred before progression was documented).
Measured: From start of treatment till end of active follow-up, approximately 29 months
Duration of Response (DOR) - Central Assessment
DOR (for patients with PR and CR only) was defined as the time from the first documented objective response of PR or CR, whichever was noted earlier, to disease progression (including symptomatic deterioration) or death, whichever was earlier
Measured: From start of treatment till end of active follow-up, approximately 29 months
Number of Participants With Treatment Emergent Adverse Events
A treatment-emergent event was defined as any event arising or worsening after the start of study drug administration until 30 days after the last administration of study treatment
Measured: From start of treatment up to 30 days after the last administration of study treatment, approximately 29 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jan 2018
- Study start31 May 2018
- Primary completion27 Oct 2020
- Study completion27 Oct 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Transitional CellStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 175 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03410693
- Sponsor's protocol ID
- 17403
- Other IDs
- 2016-004340-11, 2016
- Acronym
- FORT-1
- Status last verified
- Sep 2022
- First submitted
- 19 Jan 2018
- Last updated
- 28 Sep 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Sternberg CN, Petrylak DP, Bellmunt J, Nishiyama H, Necchi A, Gurney H, Lee JL, van der Heijden MS, Rosenbaum E, Penel N, Pang ST, Li JR, Garcia Del Muro X, Joly F, Papai Z, Bao W, Ellinghaus P, Lu C, Sierecki M, Coppieters S, Nakajima K, Ishida TC, Quinn DI. FORT-1: Phase II/III Study of Rogaratinib Versus Chemotherapy in Patients With Locally Advanced or Metastatic Urothelial Carcinoma Selected Based on FGFR1/3 mRNA Expression. J Clin Oncol. 2023 Jan 20;41(3):629-639. doi: 10.1200/JCO.21.02303. Epub 2022 Oct 14.
PubMed 36240478Grunewald S, Politz O, Bender S, Heroult M, Lustig K, Thuss U, Kneip C, Kopitz C, Zopf D, Collin MP, Boemer U, Ince S, Ellinghaus P, Mumberg D, Hess-Stumpp H, Ziegelbauer K. Rogaratinib: A potent and selective pan-FGFR inhibitor with broad antitumor activity in FGFR-overexpressing preclinical cancer models. Int J Cancer. 2019 Sep 1;145(5):1346-1357. doi: 10.1002/ijc.32224. Epub 2019 Mar 13.
PubMed 30807645
Study at a glance
From the registry record, last updated by the sponsor on 28 Sep 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Open Label, Multicenter Phase 2/3 Study to Evaluate the Efficacy and Safety of Rogaratinib (BAY1163877) Compared to Chemotherapy in Patients With FGFR-positive Locally Advanced or Metastatic Urothelial Carcinoma Who Have Received Prior Platinum-containing Chemotherapy
- ClinicalTrials.gov ID
- NCT03410693
- Acronym / sponsor ID
- FORT-1 / 17403
- Conditions
- Carcinoma, Transitional Cell
- Keywords
- Urothelial carcinoma
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 175 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- 31 May 2018 (actual)
- Primary completion
- 27 Oct 2020 (actual)
- Study completion
- 27 Oct 2020 (actual)
- First posted
- 25 Jan 2018 (actual)
- Results
- Posted 29 Dec 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized, open-label, multicenter Phase 2/3 study to evaluate the efficacy and safety of rogaratinib (BAY 1163877) compared to chemotherapy in patients with FGFR-positive locally advanced or metastatic urothelial carcinoma who have received prior platinum-containing chemotherapy.
The primary objective is to demonstrate the superiority of rogaratinib over chemotherapy in terms of objective response rate (before: overall survivial) of urothelial carcinoma patients with FGFR positive tumors.
At randomization, patients will have locally advanced or metastatic urothelial carcinoma and have received at least one prior platinum-containing chemotherapy regimen. Only patients with FGFR1 or 3 positive tumors can be randomized into the study. Archival tumor tissue is adequate for testing of FGFR1 and 3 mRNA expressions, which will be determined centrally using an RNA in situ hybridization (RNA-ISH) test. Approximately 42 % of UC patients with locally advanced or metastatic UC are identified as FGFR-positive by the RNA-ISH cut-off applied.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Rogaratinib | Experimental | Drug: Rogaratinib (BAY1163877)Rogaratinib treatment study arm, comprising 1. Pre-treatment period, including FGFR testing and screening, 2. Treatment period, and 3. Follow-up period, including active follow-up and long-term follow-up. Patients will be considered "on study" during the pre-treatment, treatment and active followup periods. During the long-term follow-up period the patients will be considered "off study". |
| Chemotherapy | Active comparator | Drug: ChemotherapyChemotherapy treatment study arm, comprising 1. Pre-treatment period, including FGFR testing and screening, 2. Treatment period, and 3. Follow-up period, including active follow-up and long-term follow-up. Patients will be considered "on study" during the pre-treatment, treatment and active followup periods. During the long-term follow-up period the patients will be considered "off study". |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Existence of archival or fresh biopsy for FGFR testing. Mandatory FGFR testing of patients will be performed prior to start of screening. The timing of the FGFR test is at the discretion of the investigator. Investigators should ensure all patients will be eligible in terms of disease status and lines of treatment.
- Documented urothelial carcinoma (transitional cell carcinoma) including urinary bladder, renal pelvis, ureters, urethra meeting all of the following criteria
- ECOG (Eastern Cooperative Oncology Group) Performance Status of 0 or 1
- Disease progression during or following treatment with at least one platinum-containing regimen (patients should have been treated for at least 2 cycles). In patients who received prior adjuvant/ neoadjuvant platinum-containing chemotherapy, progression had to occur within 12 months of treatment.
- High FGFR1 or 3 mRNA expression levels in archival or fresh tumor biopsy specimen quantified as outlined in the lab manual
Key exclusion criteria (18 listed)
- Previous or concurrent cancer except
- Ongoing or previous treatment with anti-FGFR directed therapies (e.g. receptor tyrosine kinase inhibitors including rogaratinib or FGFR-specific antibodies) or with taxanes or vinflunine
- More than two prior lines of systemic anti-cancer therapy for urothelial carcinoma given for advanced unresectable/ metastatic disease
- Ongoing or previous anti-cancer treatment within 4 weeks before randomization.
- Unresolved toxicity higher than National Cancer Institute's Common Terminology Criteria for Adverse Events, version 4.03 (CTCAE v.4.03) Grade 1 attributed to any prior therapy/ procedure excluding alopecia, anemia and/ or hypothyroidism
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rogaratinib (BAY1163877)Rogaratinib administered as oral (p.o.) tablets twice daily (b.i.d.) continuously | Drug | Rogaratinib |
| ChemotherapyChemotherapy as taxane (docetaxel or paclitaxel) or vinflunine administered through intravenous (i.v.) infusion every 3 weeks (on day 1 of a 21-day cycle) The choice of the chemotherapy is at the discretion of the investigator, taking into consideration the status of the authorization or treatment guidelines in the given country. | Drug | Chemotherapy |
Primary outcome
Objective Response Rate (ORR) - Central Assessment
Time frame: From start of treatment up to end of active follow-up, approximately 29 months
ORR is defined as the percentage of participants with complete response (CR) or partial response (PR). participants for whom overall best response is not CR or PR, as well as participants without any post-baseline tumor assessment will be considered non-responders.
4 secondary outcomes
Disease-control Rate (DCR) - Central Assessment
Time frame: From start of treatment till end of active follow-up, approximately 29 months
Progression-free Survival (PFS) - Central Assessment
Time frame: From start of treatment till end of active follow-up, approximately 29 months
Duration of Response (DOR) - Central Assessment
Time frame: From start of treatment till end of active follow-up, approximately 29 months
Number of Participants With Treatment Emergent Adverse Events
Time frame: From start of treatment up to 30 days after the last administration of study treatment, approximately 29 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Sep 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36240478Sternberg CN, Petrylak DP, Bellmunt J, Nishiyama H, Necchi A, Gurney H, Lee JL, van der Heijden MS, Rosenbaum E, Penel N, Pang ST, Li JR, Garcia Del Muro X, Joly F, Papai Z, Bao W, Ellinghaus P, Lu C, Sierecki M, Coppieters S, Nakajima K, Ishida TC, Quinn DI. FORT-1: Phase II/III Study of Rogaratinib Versus Chemotherapy in Patients With Locally Advanced or Metastatic Urothelial Carcinoma Selected Based on FGFR1/3 mRNA Expression. J Clin Oncol. 2023 Jan 20;41(3):629-639. doi: 10.1200/JCO.21.02303. Epub 2022 Oct 14.
- Derived from this study: PubMed 30807645Grunewald S, Politz O, Bender S, Heroult M, Lustig K, Thuss U, Kneip C, Kopitz C, Zopf D, Collin MP, Boemer U, Ince S, Ellinghaus P, Mumberg D, Hess-Stumpp H, Ziegelbauer K. Rogaratinib: A potent and selective pan-FGFR inhibitor with broad antitumor activity in FGFR-overexpressing preclinical cancer models. Int J Cancer. 2019 Sep 1;145(5):1346-1357. doi: 10.1002/ijc.32224. Epub 2019 Mar 13.
- Click here to find information about studies related to Bayer Healthcare products conducted in Europe.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
161 sites in 29 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Rogaratinib (BAY1163877) and Chemotherapy in people with Carcinoma, Transitional Cell, run by Bayer at 161 sites in 29 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 18 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 28 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 161 sites in Japan, United States, Spain, France, Italy and 24 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 combined 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.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 29 Dec 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?
Objective Response Rate (ORR) - Central Assessment (time frame: From start of treatment up to end of active follow-up, approximately 29 months). 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 NCT03410693, which also lists 2 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 28 Sep 2022.