Advanced CholangiocarcinomaPhase 3NCT03773302
Phase 3 Study of BGJ398 (Oral Infigratinib) in First Line Cholangiocarcinoma With FGFR2 Gene Fusions/Translocations
A Phase 3 study testing BGJ398, Gemcitabine and Cisplatin in people with Advanced Cholangiocarcinoma and FGFR2 Gene Mutation, run by QED Therapeutics, a BridgeBio company at 116 sites in 15 countries.
Trial summary
Infigratinib is an oral drug which selectively binds to fibroblast growth factor receptor (FGFR) 2 and is being developed to treat participants with FGFR2 mutated cholangiocarcinoma. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Cholangiocarcinoma, FGFR2 Gene Mutation
- What is being tested?
- BGJ398, Gemcitabine and Cisplatin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 48 participants
- Where
- 116 sitesin 15 countries
- Study dates
- 27 Dec 2019to 2 Mar 2023
- Phase
- Phase 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
- Histologically or cytologically confirmed unresectable locally advanced or metastatic cholangiocarcinoma. Participants with gallbladder cancer or ampulla of Vater carcinoma are not eligible
- Have written documentation of local laboratory or central laboratory determination of a known or likely activating FGFR2 fusion/rearrangement from a sample collected before randomization
- Have an archival tumor tissue sample available with sufficient tumor content for FGFR2 fusion/rearrangement molecular testing by the central laboratory. However, if an archival tumor tissue sample is not available, or does not meet requirements for central testing a newly obtained (before randomization) tumor biopsy may be submitted instead. If a prestudy written documentation of FGFR2 fusion/rearrangement in tumor tissue is available from the central laboratory, an additional tumor sample does not need to be submitted.
- Have an Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Are able to swallow and retain oral medication
- Are willingness to avoid pregnancy or father children
Who cannot join
- Received treatment with any systemic anti-cancer therapy for unresectable locally advanced or metastatic cholangiocarcinoma, with following exceptions
- Prior neoadjuvant or adjuvant therapy is permitted if completed > 6 months after the last dose of neoadjuvant or adjuvant therapy.
- One cycle of gemcitabine-based chemotherapy for locally advanced or metastatic cholangiocarcinoma is permitted before randomization
- History of a liver transplant
- Received previously or currently is receiving treatment with a mitogen activated protein kinase kinase (MEK) or selective FGFR inhibitor
- Have impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral infigratinib (such as, ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, small bowel resection).
Show all 21Show fewer
- Current evidence of endocrine alterations of calcium/phosphate homeostasis, e.g., parathyroid disorders, history of parathyroidectomy, tumor lysis, tumoral calcinosis etc.
- History and/or current evidence of extensive tissue calcification including, but not limited to, the soft tissue, kidneys, intestine, myocardium, vascular system and lung with the exception of calcified lymph nodes, minor pulmonary parenchymal calcifications, and asymptomatic coronary calcification
- Current evidence of corneal or retinal disorder/keratopathy
- Receiving and continued treatment or are planning to receive agents or consuming foods that are known moderate or strong inducers or inhibitors of CYP3A4 and medications which increase serum phosphorus and/or calcium concentration
- Clinically significant or uncontrolled cardiac disease
- Recent (≤ 3 months prior to first dose of study drug) transient ischemic attack or stroke
- Severe hearing loss
- Severe neuropathy
- History of another primary malignancy within 3 years except adequately treated in-situ carcinoma of the cervix or non-melanoma skin cancer or other curatively treated malignancy that is not expected to require treatment
- Pregnant or breastfeeding
- Have known microsatellite instability-high (MSI-H) disease and the decision is made by the treating investigator that an alternative, non-study therapy is warranted according to standard of care.
- Have any known hypersensitivity to gemcitabine, cisplatin, calcium-lowering agents, infigratinib, or their excipients
- Have any contraindication to cisplatin or gemcitabine treatment according to local labeling or standard institutional practice.
- Have taken any Chinese herbal medicine or Chinese patent medicine treatments with anticancer activity within 14 days of the first dose of study drug.
- Have received a live vaccine within 30 days before the first dose of study drug or are planning to receive a live vaccine during participation in this study
Trial locations and contacts
116 sites in 15 countries.
116 sites in 15 countries
United States25 sites
Massachusetts General Hospital
Boston, Massachusetts, 02114
Charleston Oncology
Charleston, South Carolina, 29414
Levine Cancer Institute - Charlotte
Charlotte, North Carolina, 28204
Northwestern Memorial Hospital
Chicago, Illinois, 60611
University of Cincinnati Medical Center
Cincinnati, Ohio, 45267
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43202
Parkland Health and Hospital System
Dallas, Texas, 75343
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Barbara Ann Karmanos Cancer Institute - Lawrence and Idell Weisberg Cancer Treatment Center
Detroit, Michigan, 48201
Frederick Regional Healthcare Systems/James M. Stockman Cancer Institute
Frederick, Maryland, 21702
St. Joseph Heritage Healthcare
Fullerton, California, 92835
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
Cancer and Hematology Centers of Western Michigan
Grand Rapids, Michigan, 49503
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Baylor College of Medicine
Houston, Texas, 77096
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
USC Norris Cancer Center
Los Angeles, California, 90033
University of California Los Angeles
Los Angeles, California, 90095
University Medical Center - New Orleans
New Orleans, Louisiana, 70112
NYU Langone Medical Center
New York, New York, 10016
Memorial Sloan Kettering Cancer Center
New York, New York, 10021
Florida Hospital Medical Group
Orlando, Florida, 32804
UF Health Cancer Center at Orlando Health
Orlando, Florida, 32806
William Beaumont Hospital
Royal Oak, Michigan, 48073
University of Arizona
Tucson, Arizona, 85724
Spain12 sites
Hospital Universitario Germans Trias i Pujol
Badalona, Catalonia, 08916
Instituto Catalan de Oncologio ICO I'Hospitalet
Barcelona, Catalonia, 08907
Hospital Universitario Vall d'Hebrón - PPDS
Barcelona, 08035
Hospital General Universitario Gregorio Maranon
Madrid, 28007
Hospital Universitario Ramon y Cajal
Madrid, 28034
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario La Paz
Madrid, 28046
Hospital Universitario HM Sanchinarro - CIOCC
Madrid, 28050
Complejo Asistencial Universitario de Salamanca - Hospital Clinico
Salamanca, Castille and León, 37007
Hospital Universitario Virgen Macarena
Seville, Andalusia, 41009
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026
Hospital Universitario Miguel Servet
Zaragoza, Aragon, 50009
France10 sites
Hopital Henri Mondor
Créteil, Val-de-Marne, 94000
CHRU Dijon
Dijon, 21000
Centre Georges-Francois Leclerc
Dijon, 21079
Hopital Claude Huriez Rue Michel Polonovski (CHRU) Lille
Lille, 59000
Groupement Hospitalier Edouard Herriot
Lyon, 69437
Hopital Nord Franche-Comte
Montbéliard, 25200
Groupe Hospitalier Archet I Et II
Nice, 06202
Hopital Cochin
Paris, 75014
Hôpital Saint Antoine
Paris, 75571
L'Institut Mutualiste Montsouris
Paris, 75674
Portugal10 sites
Hospital Garcia de Orta
Almada, 2801-951
Centro Hospitalar E Universitário de Coimbra EPE
Coimbra, 3000-075
Instituto Português de Oncologia Francisco Gentil Centro Regional de Oncologia de Coimbra EPE
Coimbra, 3000-075
Instituto Português de Oncologia de Lisboa Francisco Gentil, E.P.E.
Lisbon, 1099-023
Centro Hospitalar Lisboa Norte, E.P.E. - Hospital de Santa Maria
Lisbon, 1649-035
Hospital CUF Descobertas
Lisbon, 1998-018
Hospital Beatriz Angelo
Loures, Lisbon District, 2674-514
Centro Hospitalar do Porto - Hospital de Santo António
Porto, 4099-001
Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe - PPDS
Porto, 4200-072
Centro Hospitalar de São João, E.P.E.
Porto, 4200-319
China8 sites
Peking University People's Hospital
Beijing, 100033
Beijing Cancer Hospital
Beijing, 100142
Peking University Third Hospital
Beijing, 100191
Hunan Cancer Hospital
Changsha, 410006
Guangzhou First People's Hospital
Guangzhou, 510080
Hubei Cancer Hospital
Hubei, 430079
Liaoning Cancer Hospital & Institute
Shenyang, 110042
The First Affiliated Hospital, Sun Yat-sen University
Zhongshan, 510060
South Korea8 sites
Pusan National University Hospital
Pusan
Seoul National University Bundang Hospital
Seongnam-si
SMG - SNU Boramae Medical Center
Seoul, 07061
Samsung Medical Center
Seoul
Seoul National University Hospital
Seoul
Severance Hospital Yonsei University Health System
Seoul
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul
Ajou University Hospital
Suwon
Taiwan8 sites
National Taiwan University Hospital - YunLin Branch
Huwei, 632
Chang Gung Memorial Hospital - Kaohsiung
Kaohsiung City, 833
China Medical University Hospital
Taichung, 40447
National Cheng Kung University Hospital
Tainan, Tainan, 704
Chi Mei Hospital, Liouying
Tainan, 73657
Taipei Veterans General Hospital
Taipei, 11217
National Taiwan University Hospital
Taipei
Chang Gung Memorial Hospital, Linkou
Taoyuan City, 333
Australia6 sites
Royal Adelaide Hospital
Adelaide, South Australia
Monash Medical Centre
Bentleigh East, Victoria
Chris O'Brien Lifehouse Hospital
Camperdown, New South Wales
Blacktown Hospital
Darlinghurst, New South Wales
Peninsula & South Eastern Haematology and Oncology Group
Frankston, Victoria
St John of God Hospital Subiaco
Subiaco, Western Australia
Italy6 sites
Azienda Socio Sanitaria Territoriale di Cremona (ASST)
Cremona, 26100
Istituto Scientifico Romagnolo Per Lo Studio E La Cura Dei Tumori IRST
Meldola, 47014
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan, 20122
ASST Grande Ospedale Metropolitano Niguarda
Milan, 20162
Istituto Oncologico Veneto - I.R.C.C.S.
Padova, 35128
Policlinico Universitario Campus Biomedico Di Roma
Roma, 00128
Thailand6 sites
Chulalongkorn University
Bangkok, 10330
Ramathibodi Hospital Mahidol University
Bangkok
Maharaj Nakorn Chiang Mai Chiang Mai University
Chiang Mai, 50200
Songklanagarind Hospital, Prince of Songkla University
Hat Yai, Changwat Songkhla, 90110
Srinagarind Hospital
Khon Kaen
Naresuan University
Phitsanulok
United Kingdom5 sites
The Clatterbridge Cancer Centre NHS Foundation Trust
Bebington, Wirral, CH63 4JY
Guys Hospital
London, SE1 9RT
The Christie NHS Foundation Trust - PPDS
Manchester, M20 4BX
Nottingham City Hospital
Nottingham, Nottinghamshire, NG5 1PB
Royal Marsden Hospital
Sutton, Surrey, SM2 5PT
Canada4 sites
Cross Cancer Institute
Edmonton, Alberta
Jewish General Hospital
Montreal, Quebec, H3T 1E2
Ottawa Hospital
Ottawa, Ontario, K1H 8L6
St. Josephs Health Centre
Toronto, Ontario
Germany4 sites
Klinikum Dortmund gGmbH
Dortmund, 44137
University Clinic Heidelberg
Heidelberg, 69120
Klinikum rechts der Isar der Technischen Universität München
München, Bavaria, 81675
Universitätsklinikum Tübingen
Tübingen, Baden-Wurttemberg, 72076
Belgium3 sites
Cliniques Universitaires Saint-Luc
Brussels, Brussels Capital, 1200
Grand Hopital de Charleroi
Charleroi, 6000
Universitair Ziekenhuis Antwerpen
Edegem, 2650
Puerto Rico1 site
Hospital Oncologico, Puerto Rico Medical Center
Rio Piedras, 00935
About this study
Official title: A Phase 3 Multicenter, Open-Label, Randomized, Controlled Study of Oral Infigratinib Versus Gemcitabine With Cisplatin in Subjects With Advanced/Metastatic or Inoperable Cholangiocarcinoma With FGFR2 Gene Fusions/Translocations: The PROOF Trial
Infigratinib is an oral drug which selectively binds to fibroblast growth factor receptor (FGFR) 2 and is being developed to treat participants with FGFR2 mutated cholangiocarcinoma. The purpose of the study is to evaluate the efficacy and safety of the investigational agent oral infigratinib vs standard of care chemotherapy (gemcitabine plus cisplatin) in first-line treatment of participants with unresectable locally advanced or metastatic cholangiocarcinoma with FGFR2 fusion/rearrangement. Subjects will be randomized 2:1 to receive infigratinib or gemcitabine plus cisplatin.
- Conditions
- Advanced Cholangiocarcinoma, FGFR2 Gene Mutation
- Being tested
- BGJ398, Gemcitabine, Cisplatin
- Keywords
- cholangiocarcinoma, unresectable cholangiocarcinoma, metastatic cholangiocarcinoma, fibroblast growth factor receptor inhibitor, FGFR2, FGFR2 gene fusions/translocations, BGJ398
- Medical subject headings
- Cholangiocarcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BGJ398Drug
Also called Infigratinib
Infigratinib (BGJ398) 125 mg orally daily, 3 weeks on, 1 week off.
GemcitabineDrug
Gemcitabine 1000 mg/m2 IV D1 and D8 for a 21-day cycle. Participants who experience disease progression while receiving gemcitabine + cisplatin will be allowed to cross over and receive infigratinib.
CisplatinDrug
Cisplatin 25 mg/m2 IV D1 and D8 for a 21-day cycle. Participants who experience disease progression while receiving gemcitabine + cisplatin will be allowed to cross over and receive infigratinib.
| Study group | Role | What they receive |
|---|---|---|
| Infigratinib (BGJ398) 125 mg | Experimental | Infigratinib (BGJ398) 125 mg orally daily, 3 weeks on, 1 week off. Receives: Drug: BGJ398 |
| Gemcitabine + Cisplatin | Active comparator | Participants who experience disease progression while receiving gemcitabine + cisplatin will be allowed to cross over and receive infigratinib if certain criteria are met. Receives: Drug: Gemcitabine; Drug: Cisplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (Central Imaging Assessment)
Defined as the time from randomization until date of disease progression by blinded independent central imaging assessment (Response Evaluation Criteria in Solid Tumors [RECIST] v. 1.1) or death, whichever occurs first.
Measured: From the time of randomization to end of treatment due to confirmed disease progression or death. Note: PFS is an event driven endpoint. Subjects without confirmed disease progression at the end of study were censored at their last valid tumor assessment.
Secondary outcomes (8)
Overall Survival (OS) in Participants Treated With Infigratinib Versus Gemcitabine With Cisplatin
OS by investigator assessment, defined as time from date of randomization until death due to any cause
Measured: From the time of randomization to time of death. Note: OS is an event driven endpoint. Subjects who had not died (no record of death) or were lost to follow-up were censored at the date of last known to be alive.
Investigator Assessed Progression Free Survival in Participants Treated With Infigratinib Compared to Gemcitabine and Cisplatin
Defined as the time from randomization until date of disease progression by site investigator (RECIST v1.1) or death, whichever occurs first.
Measured: From the time of randomization to end of treatment due to confirmed disease progression or death. Note: PFS is an event driven endpoint. Subjects without confirmed disease progression at the end of study were censored at their last valid tumor assessment.
Overall Response Rate (ORR) Determined by Blinded Independent Central (BICR) and Investigator Assessment
ORR is defined as the proportion of subjects with a best overall response (BOR) of either confirmed partial response (PR) or confirmed complete response (CR) as assessed by BICR and the investigator according to RECIST v1.1 among patients with measurable disease at baseline
Measured: From the time of randomization to end of study treatment (an average of approx.6.5 months [max: 23 months] for the infigratinib arm and approx. 4 months [max: 11-13 months] for the gemcitabine + cisplatin arm up to the time of termination of the study).
Best Overall Response (BOR) Determined by Blinded Independent Central Assessment and the Investigator.
BOR was defined as the best response a subject ever achieved after study treatment prior to crossover and any subsequent anticancer therapy, complete response (CR) and partial response (PR) were claimed only if the criteria for each were met at a subsequent time point at least 4 weeks apart. In the case of stable disease (SD), measurements must have met the SD criteria at least once post-baseline no less than 6 weeks from the randomization date.
Measured: From the time of randomization to end of study treatment (an average of approx.6.5 months [max: 23 months] for the infigratinib arm and approx. 4 months [max: 11-13 months] for the gemcitabine + cisplatin arm up to the time of termination of the study).
Duration of Response (DOR) Determined by Blinded Independent Central Assessment and the Investigator.
DOR is defined as the time from initiation of confirmed partial response (PR) or confirmed complete response (CR) to the time of confirmed progressive disease (PD) or death. If subjects do not reach PD or death before crossover, the DOR is censored at the last valid tumor assessment before crossover.
Measured: From the time of randomization to end of study treatment (an average of approx.6.5 months [max: 23 months] for the infigratinib arm and approx. 4 months [max: 11-13 months] for the gemcitabine + cisplatin arm up to the time of termination of the study).
Disease Control Rate (DCR=PR+CR+SD) Determined by Blinded Independent Central Assessment and the Investigator.
DCR is defined as the proportion of subjects with a best overall response (BOR) of either confirmed partial response (PR), confirmed complete response (CR) or stable disease (SD) or non-CR/non-PD before crossover.
Measured: From the time of randomization to end of study treatment (an average of approx.6.5 months [max: 23 months] for the infigratinib arm and approx. 4 months [max: 11-13 months] for the gemcitabine + cisplatin arm up to the time of termination of the study).
Number of Participants With Adverse Events (AEs)
Safety analyses were performed for subjects in the safety analysis population for each group. Unless otherwise specified, summaries were provided only for the on-treatment safety assessments, which are the assessments occurring or taken during the on-treatment period
Measured: From baseline to last dose date of study treatment + 30 days (an average of 7.5 months for the infigratinib arm and 5 months for the gemcitabine + cisplatin arm).
Number of Participants With Serious Adverse Events (SAEs)
Safety analyses were performed for subjects in the safety analysis population for each group. Unless otherwise specified, summaries were provided only for the on-treatment safety assessments, which are the assessments occurring or taken during the on-treatment period
Measured: From baseline to last dose date of study treatment + 30 days (an average of 7.5 months for the infigratinib arm and 5 months for the gemcitabine + cisplatin arm).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Dec 2018
- Study start27 Dec 2019
- Primary completion2 Mar 2023
- Study completion2 Mar 2023
Why it stopped: The sponsor has decided to close the study due to the discontinuation of infigratinib development in oncology within the sponsor's territory. The discontinuation of the study was not due to safety issues.
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 (1)Papers the sponsor has linked to this study.
- Other trials for Advanced CholangiocarcinomaStudies of the same condition, open and under way.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Multicenter, Open Label, 2:1 Randomized, Controlled Phase 3
- Masking
- None (open label)
- Enrolment
- 48 participants (actual)
Sponsor and investigators
- Lead sponsor
- QED Therapeutics, a BridgeBio company
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Helsinn Healthcare SA
- Responsible party
- Sponsor
- Investigators
- Clinical Development, Study director, QED Therapeutics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03773302
- Sponsor's protocol ID
- QBGJ398-301
- Other IDs
- 2018-004004-19, 2018
- Status last verified
- Apr 2024
- First submitted
- 10 Dec 2018
- Last updated
- 8 May 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Makawita S, K Abou-Alfa G, Roychowdhury S, Sadeghi S, Borbath I, Goyal L, Cohn A, Lamarca A, Oh DY, Macarulla T, T Shroff R, Howland M, Li A, Cho T, Pande A, Javle M. Infigratinib in patients with advanced cholangiocarcinoma with FGFR2 gene fusions/translocations: the PROOF 301 trial. Future Oncol. 2020 Oct;16(30):2375-2384. doi: 10.2217/fon-2020-0299. Epub 2020 Jun 25.
PubMed 32580579
Study at a glance
From the registry record, last updated by the sponsor on 8 May 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Multicenter, Open-Label, Randomized, Controlled Study of Oral Infigratinib Versus Gemcitabine With Cisplatin in Subjects With Advanced/Metastatic or Inoperable Cholangiocarcinoma With FGFR2 Gene Fusions/Translocations: The PROOF Trial
- ClinicalTrials.gov ID
- NCT03773302
- Acronym / sponsor ID
- QBGJ398-301
- Conditions
- Advanced Cholangiocarcinoma, FGFR2 Gene Mutation
- Keywords
- cholangiocarcinoma, unresectable cholangiocarcinoma, metastatic cholangiocarcinoma, fibroblast growth factor receptor inhibitor, FGFR2, FGFR2 gene fusions/translocations, BGJ398
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The sponsor has decided to close the study due to the discontinuation of infigratinib development in oncology within the sponsor's territory. The discontinuation of the study was not due to safety issues.
- Enrolment
- 48 participants (actual)
- Lead sponsor
- QED Therapeutics, a BridgeBio companyIndustry (pharma, biotech, devices)
- Collaborators
- Helsinn Healthcare SA
- Study start
- 27 Dec 2019 (actual)
- Primary completion
- 2 Mar 2023 (actual)
- Study completion
- 2 Mar 2023 (actual)
- First posted
- 12 Dec 2018 (actual)
- Results
- Posted 8 May 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Infigratinib is an oral drug which selectively binds to fibroblast growth factor receptor (FGFR) 2 and is being developed to treat participants with FGFR2 mutated cholangiocarcinoma. The purpose of the study is to evaluate the efficacy and safety of the investigational agent oral infigratinib vs standard of care chemotherapy (gemcitabine plus cisplatin) in first-line treatment of participants with unresectable locally advanced or metastatic cholangiocarcinoma with FGFR2 fusion/rearrangement. Subjects will be randomized 2:1 to receive infigratinib or gemcitabine plus cisplatin.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Multicenter, Open Label, 2:1 Randomized, Controlled Phase 3
| Arm | Type | Receives |
|---|---|---|
| Infigratinib (BGJ398) 125 mg | Experimental | Drug: BGJ398Infigratinib (BGJ398) 125 mg orally daily, 3 weeks on, 1 week off. |
| Gemcitabine + Cisplatin | Active comparator | Drug: Gemcitabine, Drug: CisplatinParticipants who experience disease progression while receiving gemcitabine + cisplatin will be allowed to cross over and receive infigratinib if certain criteria are met. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Histologically or cytologically confirmed unresectable locally advanced or metastatic cholangiocarcinoma. Participants with gallbladder cancer or ampulla of Vater carcinoma are not eligible
- Have written documentation of local laboratory or central laboratory determination of a known or likely activating FGFR2 fusion/rearrangement from a sample collected before randomization
- Have an archival tumor tissue sample available with sufficient tumor content for FGFR2 fusion/rearrangement molecular testing by the central laboratory. However, if an archival tumor tissue sample is not available, or does not meet requirements for central testing a newly obtained (before randomization) tumor biopsy may be submitted instead. If a prestudy written documentation of FGFR2 fusion/rearrangement in tumor tissue is available from the central laboratory, an additional tumor sample does not need to be submitted.
- Have an Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Are able to swallow and retain oral medication
Key exclusion criteria (21 listed)
- Received treatment with any systemic anti-cancer therapy for unresectable locally advanced or metastatic cholangiocarcinoma, with following exceptions
- History of a liver transplant
- Received previously or currently is receiving treatment with a mitogen activated protein kinase kinase (MEK) or selective FGFR inhibitor
- Have impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral infigratinib (such as, ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, small bowel resection).
- Current evidence of endocrine alterations of calcium/phosphate homeostasis, e.g., parathyroid disorders, history of parathyroidectomy, tumor lysis, tumoral calcinosis etc.
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 |
|---|---|---|
| BGJ398Also: InfigratinibInfigratinib (BGJ398) 125 mg orally daily, 3 weeks on, 1 week off. | Drug | Infigratinib (BGJ398) 125 mg |
| GemcitabineGemcitabine 1000 mg/m2 IV D1 and D8 for a 21-day cycle. Participants who experience disease progression while receiving gemcitabine + cisplatin will be allowed to cross over and receive infigratinib. | Drug | Gemcitabine + Cisplatin |
| CisplatinCisplatin 25 mg/m2 IV D1 and D8 for a 21-day cycle. Participants who experience disease progression while receiving gemcitabine + cisplatin will be allowed to cross over and receive infigratinib. | Drug | Gemcitabine + Cisplatin |
Primary outcome
Progression-free Survival (Central Imaging Assessment)
Time frame: From the time of randomization to end of treatment due to confirmed disease progression or death. Note: PFS is an event driven endpoint. Subjects without confirmed disease progression at the end of study were censored at their last valid tumor assessment.
Defined as the time from randomization until date of disease progression by blinded independent central imaging assessment (Response Evaluation Criteria in Solid Tumors [RECIST] v. 1.1) or death, whichever occurs first.
8 secondary outcomes
Overall Survival (OS) in Participants Treated With Infigratinib Versus Gemcitabine With Cisplatin
Time frame: From the time of randomization to time of death. Note: OS is an event driven endpoint. Subjects who had not died (no record of death) or were lost to follow-up were censored at the date of last known to be alive.
Investigator Assessed Progression Free Survival in Participants Treated With Infigratinib Compared to Gemcitabine and Cisplatin
Time frame: From the time of randomization to end of treatment due to confirmed disease progression or death. Note: PFS is an event driven endpoint. Subjects without confirmed disease progression at the end of study were censored at their last valid tumor assessment.
Overall Response Rate (ORR) Determined by Blinded Independent Central (BICR) and Investigator Assessment
Time frame: From the time of randomization to end of study treatment (an average of approx.6.5 months [max: 23 months] for the infigratinib arm and approx. 4 months [max: 11-13 months] for the gemcitabine + cisplatin arm up to the time of termination of the study).
Best Overall Response (BOR) Determined by Blinded Independent Central Assessment and the Investigator.
Time frame: From the time of randomization to end of study treatment (an average of approx.6.5 months [max: 23 months] for the infigratinib arm and approx. 4 months [max: 11-13 months] for the gemcitabine + cisplatin arm up to the time of termination of the study).
Duration of Response (DOR) Determined by Blinded Independent Central Assessment and the Investigator.
Time frame: From the time of randomization to end of study treatment (an average of approx.6.5 months [max: 23 months] for the infigratinib arm and approx. 4 months [max: 11-13 months] for the gemcitabine + cisplatin arm up to the time of termination of the study).
Disease Control Rate (DCR=PR+CR+SD) Determined by Blinded Independent Central Assessment and the Investigator.
Time frame: From the time of randomization to end of study treatment (an average of approx.6.5 months [max: 23 months] for the infigratinib arm and approx. 4 months [max: 11-13 months] for the gemcitabine + cisplatin arm up to the time of termination of the study).
Number of Participants With Adverse Events (AEs)
Time frame: From baseline to last dose date of study treatment + 30 days (an average of 7.5 months for the infigratinib arm and 5 months for the gemcitabine + cisplatin arm).
Number of Participants With Serious Adverse Events (SAEs)
Time frame: From baseline to last dose date of study treatment + 30 days (an average of 7.5 months for the infigratinib arm and 5 months for the gemcitabine + cisplatin arm).
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 May 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32580579Makawita S, K Abou-Alfa G, Roychowdhury S, Sadeghi S, Borbath I, Goyal L, Cohn A, Lamarca A, Oh DY, Macarulla T, T Shroff R, Howland M, Li A, Cho T, Pande A, Javle M. Infigratinib in patients with advanced cholangiocarcinoma with FGFR2 gene fusions/translocations: the PROOF 301 trial. Future Oncol. 2020 Oct;16(30):2375-2384. doi: 10.2217/fon-2020-0299. Epub 2020 Jun 25.
- Individual participant dataSharing planned: No
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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.
Clinical Development study director
QED Therapeutics
116 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing BGJ398, Gemcitabine and Cisplatin in people with Advanced Cholangiocarcinoma and FGFR2 Gene Mutation, run by QED Therapeutics, a BridgeBio company at 116 sites in 15 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 21 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 8 May 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 116 sites in United States, Spain, France, Portugal, China and 10 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 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 8 May 2024). 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?
Progression-free Survival (Central Imaging Assessment) (time frame: From the time of randomization to end of treatment due to confirmed disease progression or death. Note: PFS is an event driven endpoint. Subjects without confirmed disease progression at the end of study were censored at their last valid tumor assessment.). 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 NCT03773302, which also lists 1 linked publication.
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 8 May 2024.