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Advanced or Metastatic Solid TumorPhase 2NCT04189445

Futibatinib in Patients With Specific FGFR Aberrations

A Phase 2 study testing Futibatinib in people with Advanced or Metastatic Solid Tumor and Advanced or Metastatic Gastric or Gastroesophageal Cancer, run by Taiho Oncology, Inc. at 61 sites in 15 countries.

Terminated

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

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the efficacy and safety of futibatinib in patients with FGFR aberrations in 3 distinct cohorts. Patients will be enrolled into one of 3 cohorts: patients with advanced, metastatic or locally-advanced solid tumors harboring FGFR1-4 rearrangements (excluding primary brain tumors… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Futibatinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
115 participants
Where
61 sitesin 15 countries
Study dates
5 Aug 2020to 11 Nov 2024
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Known FGFR aberration status and tumor type that meet all of the criteria for 1 of the following cohorts:
  • Cohort A
  • Histologically-confirmed, locally-advanced, advanced, or metastatic solid tumors harboring a FGFR1-4
  • Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
  • Had disease progression/recurrence after standard treatment for their cancer
Show all 14Show fewer
  • Cohort B
  • Histologically-confirmed, locally-advanced, advanced, or metastatic gastric or gastroesophageal junction cancer harboring a FGFR2 amplification.
  • Measurable disease per RECIST 1.1
  • Received at least 2 prior systemic regimens for advanced/metastatic disease
  • Experienced disease progression/recurrence during or after the most recent prior systemic treatment for advanced/metastatic gastric cancer or GEJ cancer
  • Cohort C
  • Confirmed myeloid or lymphoid neoplasms as defined by WHO criteria with a FGFR1 rearrangement
  • Not a candidate for hematological stem cell transplant (HSCT) or relapsed after HSCT and donor lymphocyte infusion, and progressed and not a candidate for other therapies

Who cannot join

  • History and/or current evidence of any of the following disorders:
  • Non-tumor related alteration of the calcium-phosphorus homeostasis that is considered clinically significant in the opinion of the Investigator
  • 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 or corneal disorder confirmed by retinal/corneal examination and considered clinically significant in the opinion of the Investigator.
  • Prior treatment with an FGFR inhibitor
  • Brain metastases that are untreated or clinically or radiologically unstable (that is, have been stable for <1 month)

Trial locations and contacts

61 sites in 15 countries.

61 sites in 15 countries

United States11 sites
  • University of Maryland

    Baltimore, Maryland, 21201

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215-5400

  • University of Chicago Comprehensive Cancer Center

    Chicago, Illinois, 60637

  • Banner MD Anderson Cancer Center

    Gilbert, Arizona, 85234-2165

  • Houston Methodist Cancer Center

    Houston, Texas, 77030

  • The University of Texas M. D. Anderson Cancer Center

    Houston, Texas, 77030

  • UCLA Medical Center

    Los Angeles, California, 90404

  • Mercy Clinic Oncology and Hematology - Coletta

    Oklahoma City, Oklahoma, 73120

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania, 53705

  • Georgetown University - Lombardi Comprehensive Cancer Center

    Washington D.C., District of Columbia, 20007

  • Henry Ford Hospital

    Woodhaven, Michigan, 48183

Other trials in United States

France8 sites
  • Institut Bergonié

    Bordeaux, Gironde, 33076

  • Centre Georges François Leclerc

    Dijon, Côte-d'Or, 21079

  • Centre Léon Bérard

    Lyon, Rhone, 69008

  • Centre Antoine Lacassagne

    Nice, Alpes Maritimes, 06200

  • Hôpital Saint-Louis

    Paris, Paris, 75475

  • Centre Hospitalier Lyon Sud

    Pierre-Bénite, Rhone, 69495

  • Centre Paul Strauss

    Strasbourg, Bas Rhin, 67000

  • Institut Gustave Roussy

    Villejuif, Val De Marne, 94805

Other trials in France

Spain8 sites
  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034

  • Hospital Universitario HM Madrid Sanchinarro

    Madrid, 28050

  • Clinica Universidad de Navarra

    Pamplona, 31008

  • Hospital Universitario Virgen Macarena

    Seville, 41009

  • Instituto Valenciano de Oncologia IVO

    Valencia, 46009

  • Hospital Clinico Universitario de Valencia

    Valencia, 46010

  • Hospital Universitari i Politecnic La Fe

    Valencia, 46026

Other trials in Spain

Japan6 sites
  • National Cancer Center Hospital

    Chūōku, Tokyo-To, 104-0045

  • National Cancer Center Hospital East

    Kashiwa-shi, Chiba, 277-8577

  • NHO Shikoku Cancer Center

    Matsuyama, Ehime, 791-0280

  • Aichi Cancer Center Hospital

    Nagoya, Aichi-ken, 464-8681

  • Hokkaido University Hospital

    Sapporo, Hokkaido, 060-8648

  • Osaka University Hospital

    Suita-shi, Osaka, 565-0871

Other trials in Japan

Italy5 sites
  • Azienda Ospedaliera Universitaria Careggi

    Florence, 50134

  • Istituto Scientifico Romagnolo Per Lo Studio e La Cura Dei Tumori

    Meldola, Forli - Cesena, 47014

  • IEO Istituto Europeo di Oncologia

    Milan, 20141

  • Ospedale Sacro Cuore Don Calabria

    Negrar, Verona, 37024

  • Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Trento)

    Verona, 37124

Other trials in Italy

South Korea5 sites
  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggi-do, 13620

  • Seoul National University Hospital

    Seoul, 03080

  • Severance Hospital, Yonsei University Health System

    Seoul, 03722

  • Asan Medical Center

    Seoul, 05505

  • Samsung Medical Center

    Seoul, 06351

Other trials in South Korea

Germany3 sites
  • Universitaetsklinikum Koeln

    Cologne, North Rhine-Westphalia, 50924

  • Universitaetsklinikum Freiburg

    Freiburg im Breisgau, Baden-Wurttemberg, 79106

  • Universitaetsklinikum Heidelberg

    Heidelberg, Baden-Wurttemberg, 69120

Other trials in Germany

Portugal3 sites
  • Centro Hospitalar de Lisboa Central, E.P.E. - Hospital de Santo António dos Capuchos

    Lisbon, 1169-050

  • Fundação Champalimaud

    Lisbon, 4099-001

  • Centro Hospitalar do Porto, E.P.E - Hospital de Santo Antonio

    Porto, 4099-001

Other trials in Portugal

Turkey (Türkiye)3 sites
  • Acibadem Adana Hospital

    Adana, 01130

  • Acibadem Maslak Hospital

    Istanbul, 34457

  • Namik Kemal University

    Tekirdağ, 59100

Other trials in Turkey (Türkiye)

Hong Kong2 sites
  • The University of Hong Kong

    Hong Kong

  • Hong Kong United Oncology Centre

    Jordon, 0000

Other trials in Hong Kong

Netherlands2 sites
  • Antoni van Leeuwenhoek

    Amsterdam, 1066 CX

  • Erasmus Medisch Centrum

    Rotterdam, 3015 AA

Other trials in Netherlands

Sweden2 sites
  • Karolinska universitetssjukhuset - Solna

    Solna, 171 64

  • Akademiska Sjukhuset

    Uppsala, 75185

Other trials in Sweden

Belgium1 site
  • Institut Jules Bordet

    Brussels, 1000

Other trials in Belgium

Singapore1 site
  • National University Cancer Institute

    Singapore, 119074

Other trials in Singapore

United Kingdom1 site
  • Sarah Cannon Research Institute UK

    London, Greater London, W1G 6AD

Other trials in United Kingdom

About this study

Official title: A Phase 2 Study of Futibatinib in Patients With Specific FGFR Aberrations

The purpose of this study is to evaluate the efficacy and safety of futibatinib in patients with FGFR aberrations in 3 distinct cohorts. Patients will be enrolled into one of 3 cohorts: patients with advanced, metastatic or locally-advanced solid tumors harboring FGFR1-4 rearrangements (excluding primary brain tumors and intrahepatic cholangiocarcinoma [iCCA]); patients with gastric or gastro-esophageal junction (GEJ) cancer harboring FGFR2 amplification; and patients with myeloid or lymphoid neoplasms with FGFR1 rearrangements.

Read the detailed description

Study TAS-120-202 is an open-label, multinational, 3-arm Phase 2 study evaluating the efficacy, safety, tolerability, PK, and pharmacodynamics of futibatinib in patients with FGFR aberrations. Eligible patients will be assigned to 1 of 3 treatment cohorts based on diagnosis and FGFR gene aberration status.

Patients will receive futibatinib at an oral dose of 20 mg once a day on a continuous 28-day cycle.

The study will enroll approximately:

  • Cohort A: 60 patients with locally advanced, advanced, or metastatic solid tumor harboring FGFR rearrangements other than primary brain tumor or iCCA;
  • Cohort B: 35 patients with locally-advanced, advanced, or metastatic gastric cancer or gastro-esophageal junction (GEJ) with FGFR2 amplification;
  • Cohort C: 20 patients with myeloid or lymphoid neoplasms (MLN) with FGFR1 rearrangements

Treatment in all cohorts will continue until disease progression, unacceptable toxicity, or any other of the criteria for treatment discontinuation is met. For patients who discontinue treatment for reasons other than disease progression, tumor assessments should be continued until radiologic disease progression is documented or until initiation of subsequent new anticancer therapy (whichever occurs first).

Patients will be followed for survival every 12 weeks (±2 weeks) until survival events (deaths) have been reported for 75% of enrolled patients or the study is terminated early by the Sponsor.

Additional cohorts may be added in the future in case of new emerging efficacy data.

Being tested
Futibatinib
Keywords
Futibatinib, Gastric cancer, Gastro-esophageal junction cancer, Solid tumor, Myeloid neoplasm, Lymphoid neoplasm, FGFR, Amplification, Rearrangement, TAS-120
Medical subject headings
Neoplasm Metastasis, Stomach Neoplasms

What participants receive

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

  • FutibatinibDrug

    Also called TAS-120

    Futibatinib tablets were dosed orally every day on a continuous 28-day cycle

Study groups in NCT04189445
Study groupRoleWhat they receive
Futibatinib (Cohort A)ExperimentalParticipants with advanced or metastatic solid tumors harboring FGFR1-4 rearrangements received futibatinib 20 mg, oral tablets, once a day on a continuous 28-day cycle up to a maximum of 841 days.
Receives: Drug: Futibatinib
Futibatinib (Cohort B)ExperimentalParticipants with advanced or metastatic solid gastric or GEJ cancer harboring FGFR2 amplification received futibatinib 20 mg, oral tablets, once a day on a continuous 28-day cycle up to a maximum of 297 days.
Receives: Drug: Futibatinib
Futibatinib (Cohort C)ExperimentalParticipants with myeloid or lymphoid neoplasm harboring FGFR1 rearrangement were to receive futibatinib 20 mg, oral tablets, once a day on a continuous 28-day cycle until disease progression, unacceptable toxicity or other treatment discontinuation criteria are met.
Receives: Drug: Futibatinib

What is being measured

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

  1. Objective Response Rate (ORR) Based on Independent Central Review (IRC) in Cohorts A and B

    ORR was defined as the percentage of participants experiencing a best overall response of partial response (PR) or complete response (CR) (per Response Evaluation Criteria in Solid Tumors, RECIST version 1.1), based on IRC of radiological images. CR was defined as disappearance of all target lesions. Any pathological lymph node must have reduction in short axis to <10 millimeters (mm). 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. ORR was calculated based on the best overall response recorded from the start of treatment until progressive disease or start of subsequent new anticancer treatment. Percentages were rounded off to the nearest single decimal place.

    Measured: At the end of every 2 cycles until disease progression (Up to 31 months)

  2. Complete Response (CR) Rate in Cohort C

    CR rate was defined as the percentage of participants who achieved a CR (per response criteria for myeloid or lymphoid neoplasm) based on investigator assessment of imaging, peripheral blood, and bone marrow. CR was defined as disappearance of all target lesions. Any pathological lymph node must have reduction in short axis to <10 mm.

    Measured: At the end of every 2 cycles until disease progression (Up to 31 months)

Secondary outcomes (16)
  1. ORR Based on Investigator Assessment in Cohorts A and B

    ORR was defined as the percentage of participants experiencing a best overall response of PR or CR (per RECIST 1.1), based on investigator assessment. CR was defined as disappearance of all target lesions. Any pathological lymph node must have reduction in short axis to <10 mm. 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. ORR was calculated based on the best overall response recorded from the start of treatment until progressive disease or start of subsequent new anticancer treatment. Percentages were rounded off to the nearest single decimal place.

    Measured: At the end of every 2 cycles until disease progression (Up to 31 months)

  2. Duration of Response (DOR) Based on IRC in Cohorts A, B and C

    DOR was defined as the time from the first documentation of response (CR or PR in based on IRC) to the first documentation of objective tumor progression or death due to any cause, whichever occurs first. CR was defined as disappearance of all target lesions. Any pathological lymph node must have reduction in short axis to <10 mm. 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. DOR was estimated using the Kaplan-Meier method.

    Measured: At the end of every 2 cycles until disease progression (Up to 31 months)

  3. DOR Based on Investigator Assessment in Cohorts A, B and C

    DOR was defined as the time from the first documentation of response (CR or PR in based on Investigator Assessment) to the first documentation of objective tumor progression or death due to any cause, whichever occurs first. CR was defined as disappearance of all target lesions. Any pathological lymph node must have reduction in short axis to <10 mm. 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. DOR was estimated using the Kaplan-Meier method.

    Measured: At the end of every 2 cycles until disease progression (Up to 31 months)

  4. Progression- Free Survival (PFS) Based on IRC in Cohorts A, B and C

    PFS was defined as the time from first dose of the study therapy to the date of death (any cause) or disease progression (based on IRC), whichever occurs first. The PFS was analyzed using a Kaplan-Meier method, with PFS time being censored on the date of the last disease assessment. The 95% CI for median PFS was provided using the Kaplan-Meier procedure.

    Measured: At the end of every 2 cycles until disease progression (Up to 31 months)

  5. PFS Based on Investigator Review in Cohorts A, B and C

    PFS was defined as the time from first dose of the study therapy to the date of death (any cause) or disease progression (based on Investigator Review), whichever occurs first. The PFS was analyzed using a Kaplan-Meier method, with PFS time being censored on the date of the last disease assessment. The 95% CI for median PFS was provided using the Kaplan-Meier procedure.

    Measured: At the end of every 2 cycles until disease progression (Up to 31 months)

  6. Overall Survival (OS) in Cohorts A, B and C

    OS was defined as the time from the date of first dose to the death date. Participants without a documented death date were censored on the last date they were known to be alive. The OS was presented using a Kaplan-Meier estimate. The 95% CI for median OS was provided using the Kaplan-Meier procedure.

    Measured: Up to 31 months

  7. Disease Control Rate (DCR) Based on IRC in Cohort A and B

    DCR was defined as the percentage of participants experiencing a best overall response of stable disease (SD), PR, or CR (per RECIST 1.1), based on IRC. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), referencing the smallest sum diameters while on study. PD was defined as at least a 20% increase in the sum of target lesion diameters from the smallest on study (including baseline), with an absolute increase of ≥ 5 mm, or the appearance of new lesions. CR was defined as disappearance of all target lesions. Any pathological lymph node must have reduction in short axis to <10 mm. 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. Percentages were rounded off to the nearest single decimal place.

    Measured: At the end of every 2 cycles until disease progression (Up to 31 months)

  8. DCR Based on Investigator Review in Cohort A and B

    DCR was defined as the percentage of participants experiencing a best overall response of SD, PR, or CR (per RECIST 1.1), based on IRC. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, referencing the smallest sum diameters while on study. PD was defined as at least a 20% increase in the sum of target lesion diameters from the smallest on study (including baseline), with an absolute increase of ≥ 5 mm, or the appearance of new lesions. CR was defined as disappearance of all target lesions. Any pathological lymph node must have reduction in short axis to <10 mm. 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. Percentages were rounded off to the nearest single decimal place.

    Measured: At the end of every 2 cycles until disease progression (Up to 31 months)

  9. CR+ Complete Response With Incomplete Hematological Recovery (CRi) Rate in Cohort C

    CR+CRi rate was defined as the percentage of participants who achieved a CR or CRi.

    Measured: Up to 31 months

  10. Duration of CR in Cohort C

    Duration of CR was defined as the time from the first documentation of CR to the first documentation of recurrence or death due to any cause, whichever occurs first.

    Measured: Up to 31 months

  11. Duration of CR+CRi in Cohort C

    Duration of CR+CRi was defined as the time from the first documentation of CR or CRi to the first documentation of disease relapse or death due to any cause, whichever occurs first.

    Measured: Up to 31 months

  12. Complete Cytogenetic Response (CCyR) Rate in Cohort C

    CCyR rate was defined as the percentage of participants who achieved a CCyR.

    Measured: Up to 31 months

  13. Partial Cytogenetic Response (PCyR) Rate in Cohort C

    PCyR rate was defined as the percentage of participants who achieved a PCyR.

    Measured: Up to 31 months

  14. Relapse-free Survival (RFS) in Cohort C

    RFS was defined as the time from first documentation of CR to the date of death (any cause) or disease relapse or death due to any cause, whichever occurs first.

    Measured: Up to 31 months

  15. Event-free Survival (EFS) in Cohort C

    EFS was defined as the time from first dose of study therapy to treatment failure, disease relapse after CR, or participant death due to any cause, whichever occurs first.

    Measured: Up to 31 months

  16. Number of Participants With Treatment Emergent Adverse Events (TEAEs) - Cohort A, B and C

    An adverse event (AE) is defined as any untoward medical occurrence in a clinical study participant and does not necessarily have a causal relationship with the study drug. A treatment-emergent AE (TEAE) is defined as an AE that is starting or worsening at the time of or after the first dose of study drug administration and within 30 days after the last dose of study drug, and does not necessarily have a causal relationship to the use of the study drug.

    Measured: From the first dose of study drug up to 30 days after the last dose (Up to 31 months)

Timeline

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

  1. First posted6 Dec 2019
  2. Study start5 Aug 2020
  3. Primary completion11 Nov 2024
  4. Study completion11 Nov 2024

Why it stopped: Sponsor made a strategic decision to terminate the study considering enrollment challenges for some of the cohorts in the trial.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
The study consists of independent 3 cohorts (Cohorts A, B and C) and there is no difference in the treatment regimen between the cohorts
Masking
None (open label)
Enrolment
115 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04189445
Sponsor's protocol ID
TAS-120-202
Other IDs
2019-004084-49, 2019
Status last verified
Sep 2025
First submitted
3 Dec 2019
Last updated
8 Oct 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Futibatinib in people with Advanced or Metastatic Solid Tumor and Advanced or Metastatic Gastric or Gastroesophageal Cancer, run by Taiho Oncology, Inc. at 61 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 14 inclusion and 6 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 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 61 sites in United States, France, Spain, Japan, Italy 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Oct 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Objective Response Rate (ORR) Based on Independent Central Review (IRC) in Cohorts A and B (time frame: At the end of every 2 cycles until disease progression (Up to 31 months)). The study lists 2 primary outcomes in all. 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 8 Oct 2025.

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