Advanced CholangiocarcinomaPhase 3FOENIX-CCA3NCT04093362
Futibatinib Versus Gemcitabine-Cisplatin Chemotherapy as First-Line Treatment of Patients With Advanced Cholangiocarcinoma Harboring FGFR2 Gene Rearrangements
A Phase 3 study testing Futibatinib, Cisplatin and Gemcitabine in people with Advanced Cholangiocarcinoma and FGFR2 Gene Rearrangements, run by Taiho Oncology, Inc. at 103 sites in 20 countries.
Trial summary
This is an open-label, multinational, parallel 2-arm, randomized Phase 3 study evaluating the efficacy and safety of futibatinib versus gemcitabine-cisplatin chemotherapy as first-line treatment of participants with advanced, metastatic, or recurrent unresectable intrahepatic cholangiocarcinoma (iCCA) harboring FGFR2… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Cholangiocarcinoma, FGFR2 Gene Rearrangements
- What is being tested?
- Futibatinib, Cisplatin and Gemcitabine
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 103 sitesin 20 countries
- Study dates
- 6 Jan 2021to 22 Apr 2024
- 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
- A participant must meet all of the following inclusion criteria to be eligible for enrollment in this study:
- Provide written informed consent.
- Is ≥18 years of age (or meets the country's regulatory definition for legal adult age).
- The participant has histologically confirmed, locally advanced, or metastatic, or recurrent unresectable iCCA harboring FGFR2 gene rearrangements based on testing performed by the designated central laboratory.
- Participant has radiographically measurable disease per RECIST 1.1.
- Participants who have received treatment for locally advanced disease (for example, trans-arterial chemoembolization, selective internal radiation therapy, external beam radiation) must have evidence of radiographic progression with measurable disease outside the previously-treated lesions.
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- Eastern Cooperative Oncology Group performance status (ECOG PS) 0 or 1.
- Adequate organ function as defined by the following criteria:
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3.0 ×upper limit of normal (ULN); if liver function abnormalities are due to underlying liver metastasis, AST and ALT ≤ 5 × ULN.
- Total bilirubin ≤ 1.5 × ULN, or ≤ 3.0 × ULN for participants with Gilbert's syndrome.
- White Blood Count (WBC) ≥ 2000/mm3 (≥ 2.0 × 109/L)
- Absolute neutrophil count (ANC) ≥ 1000/mm3 (ie, ≥ 1.0 × 109/L by International Units [IU])
- Platelet count ≥ 100,000/mm3 (IU: ≥ 100 × 109/L)
- Hemoglobin ≥ 9.0 g/dL
- Phosphorus ≤ 1.5 × ULN
- Creatinine clearance: ≥ 60 mL/min
- Women of child-bearing potential (WOCBP) must have a negative serum pregnancy test within 7 days prior to administration of the first dose of futibatinib. Female participants are not considered to be of child bearing potential if they have a history of hysterectomy or are post menopausal defined as no menses for 12 months without an alternative medical cause. Both males and females of reproductive potential must agree to use effective birth control during the study prior to the first dose and for 6 months after the last dose.
- Willing and able to comply with scheduled visits and study procedures.
Who cannot join
- A participant will be excluded from this study if any of the following criteria are met:
- Participant has received previous systemic anticancer therapy.
- •Participants receiving adjuvant or neoadjuvant treatment and completed ≥6 months prior to randomization are eligible.
- Participant has mixed hepatocellular carcinoma - iCCA disease.
- History and/or current evidence of any of the following disorders:
- Non-tumor related alteration of calcium-phosphorus homeostasis that is clinically significant in the opinion of the Investigator.
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- Ectopic mineralization/calcification, including but not limited to soft tissue, kidneys, intestine, or myocardia and lung, considered clinically significant in the opinion of the Investigator.
- Retinal disorder confirmed by retinal examination and considered clinically significant in the opinion of the ophthalmologist.
- History or current evidence of uncontrolled ventricular arrhythmias
- Fridericia's corrected QT interval (QTcF) > 470 milliseconds (ms) on electrocardiogram (ECG) conducted during Screening.
- Treatment with any of the following within the specified time frame prior to the first dose of study therapy, or failure to recover from side effects of these prior therapies:
- Major surgery within the previous 4 weeks (the surgical incision should be fully healed prior to the first dose of study therapy).
- Radiotherapy (any dose) for extended field within 4 weeks or limited field radiotherapy within 2 weeks, and/or has not recovered from acute impact of radiotherapy.
- Participants with locoregional therapy, e.g. transarterial chemoembolization (TACE), selective internal radiotherapy (SIRT) or ablation within 4 weeks.
- Any history of liver transplant.
- A serious illness or medical condition(s) including, but not limited to, the following:
- Brain metastases that are untreated or clinically or radiologically unstable (that is, have been stable for <1 month).
- Known acute systemic infection.
- Myocardial infarction, severe/unstable angina, or symptomatic congestive heart failure within the previous 6 months.
- Chronic nausea, vomiting, or diarrhea considered to be clinically significant in the opinion of the Investigator.
- Congenital long QT syndrome, or any known history of torsade de pointes, or family history of unexplained sudden death.
- Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that in the judgment of the Investigator would make the participant inappropriate for entry into this study.
- Participants with a history of another primary malignancy that is currently clinically significant, and has potential for metastases or currently requires active intervention.
- Pregnant or breast-feeding female.
- The participant is unable to take oral medication.
Trial locations and contacts
103 sites in 20 countries.
103 sites in 20 countries
Japan12 sites
Chiba University Hospital
Chiba, Chiba, 260-8677
National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0045
National Hospital Organization Kyushu Cancer Center
Fukuoka, Fukuoka, 811-1395
National Cancer Center Hospital East
Kashiwa-Shi, Chiba, 277-8577
The Cancer Institute Hospital of JFCR
Koto-Ku, Tokyo, 135-8550
Kyorin University Hospital
Mitaka-shi, Tokyo, 181-8611
Nagasaki University Hospital
Nagasaki, Nagasaki, 852-8501
Nagoya University Hospital
Nagoya, Aichi-ken, 466-8560
Osaka city University Hospital
Osaka, Osaka, 545-8586
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648
Osaka University Hospital
Suita-shi, Osaka, 565-0871
Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515
Brazil9 sites
IOP - Instituto de Oncologia do Parana
Curitiba, Paraná, 80520-174
Instituto Nacional de Cancer Jose Alencar Gomes da Silva - INCA
Rio de Janeiro, Rio de Janeiro, 20231-050
Instituto Americas
Rio de Janeiro, Rio de Janeiro, 22775-001
Cepho-Fm Abc
Santo André, São Paulo, 09060-650
Hospital de Base de Sao Jose do Rio Preto
São José do Rio Preto, São Paulo, 15090-000
Instituto do Cancer do Estado de Sao Paulo
São Paulo, São Paulo, 01246-000
Fundacao Antonio Prudente - A.C.Camargo Cancer Center
São Paulo, São Paulo, 01509-010
Hospital Municipal Vila Santa Catarina
São Paulo, São Paulo, 04377-035
Hospital Santa Marcelina HSM
São Paulo, São Paulo, 08270-120
Italy9 sites
Candiolo Cancer Institute - FPO IRCCS
Candiolo
Ospedale Versilia
Lucca, 555041
AOU di Cagliari
Monserrato, 9042
Ospedale Maggiore della Carita di Novara
Novara, 28100
Servizio Sanitario Regionale Emilia-Romagna - Azienda Ospedaliero-Universitaria di Parma Ospedale Maggiore
Parma, 43126
Policlinico Uni. Campus Bio-Medico
Roma, 12800
Azienda Ospedaliera Universitaria Senese Policlinico Le Scotte
Siena, 53100
AOUI Verona - Ospedale Borgo Roma
Verona, 37134
Azienda ULSS 8 Berica
Vicenza, 36100
United States8 sites
New Mexico Cancer Care Alliance
Albuquerque, New Mexico, 87131
University of Virginia Cancer Center
Charlottesville, Virginia, 22908
City of Hope National Medical Center
Duarte, California, 91010
Norton Cancer Institute Audubon Hospital Campus Medical Plaza
Louisville, Kentucky, 40217
Carbone Comprehensive Cancer Center
Madison, Wisconsin, 53792
Medical College of Wisconsin - Froedtert Hospital
Milwaukee, Wisconsin, 53226
Utah Cancer Specialists
Salt Lake City, Utah, 84106
Medical Oncology Associates, PS - Summit Cancer Centers
Spokane, Washington, 99208
France8 sites
Hopitaux Universitaires Paris Nord Val de Seine - Hopital Beaujon
Clichy, 92110
Centre Georges-Francois Leclerc
Dijon, 21000
Centre Hospitalier Universitaire de Grenoble
La Tronche, 38700
Centre Leon Berard
Lyon, 69008
CHRU Besancon
Montbéliard, 25 200
CHU Reims
Reims, 51092
Institut de Cancerologie Strasbourg Europe ICAENS
Strasbourg, 67033
CHU de TOURS - Hopital Trousseau
Tours, 37044
South Korea8 sites
Dong-A University Hospital
Busan, 49201
Kyungpook National University Hospital
Daegu, 41944
Chonnam National University Hwasun Hospital
Hwasun, Jeollanam-do, 58128
Seoul National University Hospital
Jungni I Gu, Seoul, 3080
CHA Bundang Medical Center
Seongnam, 13496
Asan Medical Center
Seoul, Seoul, 5505
Yonsei University Health System - Severance Hospital
Seoul, 3722
Samsung Medical Center
Seoul, 6351
Spain8 sites
Onkologikoa
Donostia / San Sebastian, Gipuzkoa, 20014
Hospital Universitario Virgen de la Arrixaca HUVA
El Palmar, Murcia, 30120
Hospital General Universitario Gregorio Maranon
Madrid, 28007
Clinica Universidad de Navarra
Madrid, 28022
MD Anderson Cancer Center
Madrid, 28033
Hospital Universitario Ramon y Cajal
Madrid, 28034
Hospital Universitario 12 de Octubre
Madrid, 28043
Clinica Universidad de Navarra
Pamplona
Taiwan6 sites
Chang Gung Memorial Hospital CGMH - Kaohsiung Branch
Kaohsiung City, 83301
Chang Gung Memorial Hospital, Linkou
Taichung, 40447
National Cheng Kung University Hospital NCKUH
Tainan, 704
Chi Mei Medical Center CMMC - Yongkang branch
Tainan, 710
National Taiwan University Hospital
Taipei, 10002
Taipei Veterans General Hospital
Taipei, 11217
Thailand5 sites
Chulabhorn Hospital, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy
Bangkok, 10210
Rajavithi hospital
Bangkok, 10400
Maharaj Nakorn Chiang Mai Hospital, Faculty of Medicine, Chiang Mai University
Chiang Mai, 50200
Songklanagarind Hospital, Faculty of Medicine, Prince of Songkla University
Hat Yai, Changwat Songkhla, 90110
Khon Kaen University KKU - Faculty of Medicine-Srinagarind Hospital
Khon Kaen, Muang, 40002
Belgium4 sites
UZ Antwerpen
Edegem, Antwerpen, 2650
CHC MontLégia
Liège, Liege, 4000
Algemeen Ziekenhuis AZ Sint-Maarten
Mechelen, Antwerpen, 2800
AZ Delta Roeselare
Roeselare, Flanders, 8800
Peru4 sites
Hospital Goyeneche
Arequipa, 04001
Hospital Daniel Alcides Carrion
Bellavista, Provincia Constitucional del Callao, 07016
Hospital Nacional Arzobispo Loayza
Lima, 15082
Instituto Nacional de Enfermedades Neoplasicas (INEN)
Surquillo, Lima region, 15038
Australia3 sites
Flinders Medical Centre
Bedford Park, South Australia, 5042
Peter MacCallum Cancer Centre
Melbourne, Victoria, 3002
Newcastle Private Hospital
Newcastle, New South Wales, 2305
Germany3 sites
Charite - Universitaetsmedizin Berlin
Berlin, 13353
Universitaetsmedizin Mainz
Mainz, 55131
Technische Universitaet Muenchen - Klinikum rechts der Isar
München, Muenchen
Mexico3 sites
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
Mexico City, MX, 14080
Hospital Universitario Jose Eleuterio Gonzalez
Monterrey, Nuevo León, 64460
Centro de Estudios y Prevencion del Cancer (CEPREC)
Tuxtla Gutiérrez, Chiapas, 29038
Portugal3 sites
Fundacao Champalimaud
Lisbon, 1400-038
CUF Porto Hospital
Porto, 4100-180
Instituto Portugues de Oncologia do Porto
Porto, 4200-072
United Kingdom3 sites
University Hospitals Bristol NHS Foundation Trust
Bristol, BS2 8ED
University College London Hospital NHS Foundation Trust
London, NW1 2PG
Royal Free London NHS Foundation Trust
London, NW3 2QG
Argentina2 sites
Fundacion Favaloro para la Docencia e Investigacion Medica
Buenos Aires, Buenos Aires F.D., C1093
Hospital de Gastroenterologia Dr. C. Bonorino Udaondo
Buenos Aires, Buenos Aires F.D., CP1264
Hong Kong2 sites
The University of Hong Kong, Queen Mary Hospital
Hong Kong, 2255-4249
The Chinese University of Hong Kong Prince of Wales Hospital
Shatin
Poland2 sites
Centrum Medyczne HCP Sp. z o.o.
Poznan, Greater Poland Voivodeship, 61-485
Szpital Kliniczny Przemienienia Pańskiego UM im. Karola Marcinkowskiego w Poznaniu
Poznan, Woj. Wielkopolskie, 60-569
About this study
Official title: A Phase 3, Open-Label, Randomized Study of Futibatinib Versus Gemcitabine-Cisplatin Chemotherapy as First-Line Treatment of Patients With Advanced Cholangiocarcinoma Harboring FGFR2 Gene Rearrangements FOENIX-CCA3
This is an open-label, multinational, parallel 2-arm, randomized Phase 3 study evaluating the efficacy and safety of futibatinib versus gemcitabine-cisplatin chemotherapy as first-line treatment of participants with advanced, metastatic, or recurrent unresectable intrahepatic cholangiocarcinoma (iCCA) harboring FGFR2 gene rearrangements
Read the detailed description
Study TAS-120-301 is an open-label, multinational, parallel 2-arm, randomized Phase 3 study evaluating the efficacy and safety of futibatinib versus gemcitabine-cisplatin chemotherapy as first-line treatment of participants with advanced, metastatic, or recurrent unresectable iCCA harboring FGFR2 gene rearrangements. Eligible participants will be randomized on a 1:1 basis to the following study arms:
- Experimental Arm: Participants will receive futibatinib at an oral dose of 20 mg, administered daily (QD) on every day of a 21-day cycle.
- Control Arm: On Days 1 and 8 of a 21-day cycle, participants will receive:
- Cisplatin 25 mg/m2 in 1000 mL 0.9% saline by intravenous (IV) infusion over 1 hour, followed by 500 millilliteres (mL) 0.9 percent (%) saline over 30 minutes; and
- Gemcitabine 1000 mg/m2 in 250-500 mL 0.9% saline by IV infusion over 30 minutes, beginning after completion of the cisplatin and saline infusions.
Participants in the Experimental Arm may continue to receive continuous futibatinib until documentation of progressive disease (PD) per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v 1.1), or until other withdrawal criteria are met, whichever comes first. However, treatment may continue following PD per RECIST 1.1 if the participants is clinically stable and is considered by the Investigator to be deriving continued clinical benefit from futibatinib.
Participants in the Control Arm may receive gemcitabine-cisplatin chemotherapy for up to 8 cycles or until PD or other withdrawal criteria are met, whichever comes first. Participants who discontinue gemcitabine-cisplatin due to documented disease progression (by ICR) may receive treatment with futibatinib ("crossover"), if medically appropriate in the opinion of the Investigator and if criteria for futibatinib treatment are met.
- Being tested
- Futibatinib, Cisplatin, Gemcitabine
- Keywords
- Futibatinib, Advanced Cholangiocarcinoma, FGFR2, Fusion, Rearrangement, TAS-120
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FutibatinibDrug
Also called TAS-120
Oral tablets
CisplatinDrug
IV infusion
GemcitabineDrug
IV infusion
| Study group | Role | What they receive |
|---|---|---|
| Futibatinib | Experimental | Participants received futibatinib at an oral dose of 20 milligrams (mg), administered once daily (QD) on every day of a 21-day cycle up to disease progression. Receives: Drug: Futibatinib |
| Cisplatin/Gemcitabine | Active comparator | Participants received cisplatin 25 milligrams per square meter (mg/m^2) IV infusion followed by gemcitabine 1000 mg/m^2 IV infusion on Days 1 and 8 of each 21-day cycle up to 8 cycles. Receives: Drug: Cisplatin; Drug: Gemcitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS)
PFS was defined as the time from date of randomization to the date of documentation of disease progression by independent central review (ICR), or date of death, whichever occurs first. Response assessments were made based on Response Evaluation Criteria in Solid Tumors (RECIST) guidelines (version 1.1, 2009)
Measured: Up to approximately 28 months
Secondary outcomes (5)
Objective Response Rate (ORR)
ORR was defined as the proportion of participants experiencing a best overall response of partial response (PR) or complete response (CR) as per RECIST 1.1, based on ICR. PR was defined as at least a 30% decrease in the sum of diameters of the target lesions, taking as a reference the baseline sum diameters and persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits. CR was defined as disappearance of all target lesions. Any pathological lymph node must have reduction in short axis to less than (<)10 millimeters (mm) and disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10-mm short axis)
Measured: Up to approximately 28 months
Disease Control Rate (DCR)
DCR was defined as the proportion of participants experiencing a best overall response of stable disease (SD), PR or CR as per RECIST 1.1, based on central assessment of radiologic images. PR was defined as at least a 30% decrease in the sum of diameters of the target lesions, taking as a reference the baseline sum diameters and persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits. CR was defined as disappearance of all target lesions. Any pathological lymph node must have reduction in short axis to <10 mm and disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (<10-mm short axis).
Measured: Up to approximately 28 months
Overall Survival (OS)
OS was defined as the time from the date of randomization until the date of death due to any cause.
Measured: Up to approximately 28 months
Progression-Free Survival (PFS) Per Investigator Assessment
PFS per investigator assessment is defined as the time from date of randomization to the date of disease progression based on investigator assessment of radiographic images or death, whichever occurs first.
Measured: Up to approximately 28 months
Number of Participants With Treatment-emergent Adverse Events (TEAEs), and Serious Adverse Events (SAEs)
An adverse event (AE) was defined as any untoward medical condition in clinical investigation participant administered drug; it does not necessarily have to have causal relationship with this treatment. A TEAE was defined as an AE that started or worsened at the time of or after first dose of study drug administration and within 30 days after last dose of study drug and does not necessarily have a causal relationship to use of the study drug. TEAEs were assessed by Common Terminology Criteria for Adverse Events Version 5.0 (CTCAE v5.0). SAE was any untoward medical occurrence that at any dose: results in death, is life-threatening, required in participant hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is congenital anomaly/birth defect, important medical event. TEAEs included any clinically significant changes in clinical laboratory tests, vital signs, ophthalmological exams, and 12-lead electrocardiogram (ECG).
Measured: Up to approximately 28 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Sep 2019
- Study start6 Jan 2021
- Primary completion22 Apr 2024
- Study completion22 Apr 2024
Why it stopped: Due to Poor Recruitment
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.
- Other trials for Advanced CholangiocarcinomaStudies of the same condition, open and under way.
- More trials run by Taiho Oncology, Inc.The 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- Taiho Oncology, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04093362
- Sponsor's protocol ID
- TAS-120-301
- Other IDs
- 2019-004630-42, 2019
- Acronym
- FOENIX-CCA3
- Status last verified
- Feb 2025
- First submitted
- 16 Sep 2019
- Last updated
- 7 Feb 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Open-Label, Randomized Study of Futibatinib Versus Gemcitabine-Cisplatin Chemotherapy as First-Line Treatment of Patients With Advanced Cholangiocarcinoma Harboring FGFR2 Gene Rearrangements FOENIX-CCA3
- ClinicalTrials.gov ID
- NCT04093362
- Acronym / sponsor ID
- FOENIX-CCA3 / TAS-120-301
- Keywords
- Futibatinib, Advanced Cholangiocarcinoma, FGFR2, Fusion, Rearrangement, TAS-120
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Due to Poor Recruitment
- Enrolment
- 10 participants (actual)
- Lead sponsor
- Taiho Oncology, Inc.Industry (pharma, biotech, devices)
- Study start
- 6 Jan 2021 (actual)
- Primary completion
- 22 Apr 2024 (actual)
- Study completion
- 22 Apr 2024 (actual)
- First posted
- 18 Sep 2019 (actual)
- Results
- Posted 7 Feb 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an open-label, multinational, parallel 2-arm, randomized Phase 3 study evaluating the efficacy and safety of futibatinib versus gemcitabine-cisplatin chemotherapy as first-line treatment of participants with advanced, metastatic, or recurrent unresectable intrahepatic cholangiocarcinoma (iCCA) harboring FGFR2 gene rearrangements
Detailed description
Study TAS-120-301 is an open-label, multinational, parallel 2-arm, randomized Phase 3 study evaluating the efficacy and safety of futibatinib versus gemcitabine-cisplatin chemotherapy as first-line treatment of participants with advanced, metastatic, or recurrent unresectable iCCA harboring FGFR2 gene rearrangements. Eligible participants will be randomized on a 1:1 basis to the following study arms:
- Experimental Arm: Participants will receive futibatinib at an oral dose of 20 mg, administered daily (QD) on every day of a 21-day cycle.
- Control Arm: On Days 1 and 8 of a 21-day cycle, participants will receive:
- Cisplatin 25 mg/m2 in 1000 mL 0.9% saline by intravenous (IV) infusion over 1 hour, followed by 500 millilliteres (mL) 0.9 percent (%) saline over 30 minutes; and
- Gemcitabine 1000 mg/m2 in 250-500 mL 0.9% saline by IV infusion over 30 minutes, beginning after completion of the cisplatin and saline infusions.
Participants in the Experimental Arm may continue to receive continuous futibatinib until documentation of progressive disease (PD) per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v 1.1), or until other withdrawal criteria are met, whichever comes first. However, treatment may continue following PD per RECIST 1.1 if the participants is clinically stable and is considered by the Investigator to be deriving continued clinical benefit from futibatinib.
Participants in the Control Arm may receive gemcitabine-cisplatin chemotherapy for up to 8 cycles or until PD or other withdrawal criteria are met, whichever comes first. Participants who discontinue gemcitabine-cisplatin due to documented disease progression (by ICR) may receive treatment with futibatinib ("crossover"), if medically appropriate in the opinion of the Investigator and if criteria for futibatinib treatment are met.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Futibatinib | Experimental | Drug: FutibatinibParticipants received futibatinib at an oral dose of 20 milligrams (mg), administered once daily (QD) on every day of a 21-day cycle up to disease progression. |
| Cisplatin/Gemcitabine | Active comparator | Drug: Cisplatin, Drug: GemcitabineParticipants received cisplatin 25 milligrams per square meter (mg/m^2) IV infusion followed by gemcitabine 1000 mg/m^2 IV infusion on Days 1 and 8 of each 21-day cycle up to 8 cycles. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- A participant must meet all of the following inclusion criteria to be eligible for enrollment in this study:
- Provide written informed consent.
- Is ≥18 years of age (or meets the country's regulatory definition for legal adult age).
- The participant has histologically confirmed, locally advanced, or metastatic, or recurrent unresectable iCCA harboring FGFR2 gene rearrangements based on testing performed by the designated central laboratory.
- Participant has radiographically measurable disease per RECIST 1.1.
Key exclusion criteria (25 listed)
- Participant has received previous systemic anticancer therapy.
- •Participants receiving adjuvant or neoadjuvant treatment and completed ≥6 months prior to randomization are eligible.
- Participant has mixed hepatocellular carcinoma - iCCA disease.
- History and/or current evidence of any of the following disorders:
- History or current evidence of uncontrolled ventricular arrhythmias
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 |
|---|---|---|
| FutibatinibAlso: TAS-120Oral tablets | Drug | Futibatinib |
| CisplatinIV infusion | Drug | Cisplatin/Gemcitabine |
| GemcitabineIV infusion | Drug | Cisplatin/Gemcitabine |
Primary outcome
Progression-free Survival (PFS)
Time frame: Up to approximately 28 months
PFS was defined as the time from date of randomization to the date of documentation of disease progression by independent central review (ICR), or date of death, whichever occurs first. Response assessments were made based on Response Evaluation Criteria in Solid Tumors (RECIST) guidelines (version 1.1, 2009)
5 secondary outcomes
Objective Response Rate (ORR)
Time frame: Up to approximately 28 months
Disease Control Rate (DCR)
Time frame: Up to approximately 28 months
Overall Survival (OS)
Time frame: Up to approximately 28 months
Progression-Free Survival (PFS) Per Investigator Assessment
Time frame: Up to approximately 28 months
Number of Participants With Treatment-emergent Adverse Events (TEAEs), and Serious Adverse Events (SAEs)
Time frame: Up to approximately 28 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Feb 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- 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.
The record lists no contact. Use the official record to reach the sponsor.
103 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Futibatinib, Cisplatin and Gemcitabine in people with Advanced Cholangiocarcinoma and FGFR2 Gene Rearrangements, run by Taiho Oncology, Inc. at 103 sites in 20 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 18 inclusion and 25 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 7 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 103 sites in Japan, Brazil, Italy, United States, France and 15 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 7 Feb 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?
Progression-free Survival (PFS) (time frame: Up to approximately 28 months). 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 7 Feb 2025.