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HER2-Gastric/Gastroesophageal Junction CancerPhase 2NCT06632262

A Phase 2 Clinical Study of ABSK061 and ABSK043

A Phase 2 study testing ABSK061 + ABSK043 and ABSK061+ABSK043 in combination with CAPOX in people with HER2-Gastric/Gastroesophageal Junction Cancer and Urothelial Carcinoma, run by Abbisko Therapeutics Co, Ltd at 21 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to evaluate the anti-tumor activity of ABSK061 + ABSK043 in terms of overall response rate (ORR) in in Patients with Metastatic/Unresectable Solid Tumors with FGFR2/3 Alterations Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
ABSK061 + ABSK043 and ABSK061+ABSK043 in combination with CAPOX
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
202 participants
Where
21 sitesChina
Study dates
13 Nov 2024to 30 Jun 2030
Phase
Phase 2
Are there results?
Not yet: the study is under way

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

  • Patients must have a measurable target lesion (per RECIST v1.1) (not applicable to expansion cohort 1) where:
  • Dose Escalation: patients with histologically confirmed solid tumors who have progressed after standard of care, are unable to tolerate standard therapy, or have no standard of care currently available:
  • Patients must have the a central laboratory or previous test report confirming FGFR2/3 gene activatingon alterations (including FGFR2/3 activating mutations, fusions/rearrangements, or FGFR2 amplifications) or overexpression in tumor tissue or blood based on central laboratory test or previous test reports.
  • Expansion Phase:
  • Cohort 1 (HER2-gastric/gastroesophageal junction cancer)
  • Histologically or cytologically confirmed metastatic/unresectable gastric/gastroesophageal junction cancer, HER2 test negative
Show all 22Show fewer
  • The patient had FGFR2 amplification or overexpression in tumor tissue confirmed by a central laboratory test or a previous test report (previous test report only applied to FGFR2 amplification)
  • Patients need to provide prior tumor tissue or willingness to undergo biopsy if no prior tumor tissue or insufficient quantity is required
  • No prior (or up to one course of chemotherapy) systemic therapy for advanced gastric/gastroesophageal junction cancer, or disease progression more than 6 months after the end of the last prior adjuvant therapy
  • Patients must have a measurable target lesion or evaluable non-target lesion (per RECIST v1.1)
  • Cohort 2 (urothelial carcinoma)
  • Histologically or cytologically confirmed metastatic/unresectable urothelial carcinoma with other histologic differentiation (including adenoid, squamous, or other types)
  • Patients must have the prespecified a central laboratory or previous test report confirming the presence of a specific FGFR3 mutation or overexpression, FGFR2/3 fusion in tumor tissue or blood based on central laboratory test or previous test reports.
  • No prior (or up to one course of chemotherapy) systemic therapy for advanced urothelial carcinoma, or disease progression more than 12 months after the end of the last prior adjuvant therapy, or disease progression or intolerable toxicity after at least one line of standard of care (per local standard of care or guidelines)
  • Cohort 3 (non-small cell lung cancer)
  • Histologically or cytologically confirmed metastatic/unresectable non-small cell lung cancer (NSCLC)
  • Patients must have the prespecified a central laboratory or previous test report confirming the presence of a specific FGFR2/3 mutation, fusion, or overexpression in tumor tissue or blood based on central laboratory test or previous test reports.
  • Disease progression or intolerable toxicity after at least one prior line of standard of care or targeted therapy for driver mutations (according to local standards of care or guidelines)
  • Cohort 4 (Other Solid Tumors)
  • Histologically or cytologically confirmed metastatic/unresectable other solid tumors
  • Patients must have a central laboratory or previous test report confirmingthe FGFR2/3 gene activationng alterations (including FGFR2/3 activating mutations, fusions/rearrangements, or FGFR2 amplifications) or overexpression in tumor tissue or blood based on central laboratory test or previous test reports.
  • Disease progression or intolerable toxicity after at least one prior line of standard therapy.

Who cannot join

  • Previous treatment with an FGFR pathway inhibitor or a multi-kinase inhibitor designed to inhibit FGFR (consultation with the sponsor is recommended)
  • Active or medical history of autoimmune diseases, including but not limited to myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosis associated with antiphospholipid syndrome, Wegener's granulomatosis, Sjögren's syndrome, Guillain-Barré syndrome, multiple sclerosis, vasculitis, or glomerulonephritis. (Patients with type 1 diabetes mellitus, hypothyroidism requiring hormone replacement therapy only, skin diseases that do not require systemic treatment (e.g., vitiligo, psoriasis, or alopecia) are allowed.Uncertain autoimmune-related status should be discussed with the sponsor).
  • The patient had clinically symptomatic lung disease (e.g. interstitial pneumonia, pulmonary fibrosis, severe radiation pneumonitis, etc.) requiring systemic corticosteroid therapy within 6 months prior to enrollment.
  • Known other malignancies that are in progression or require active treatment (except cured skin cancer, carcinoma in situ of the cervix, basal cell carcinoma, focal prostate cancer with a Gleason score of 6, focal prostate cancer with a Gleason score of 3 + 4 and treated for more than 6 months at screening).
  • Time from the end of other prior anti-tumor therapy to the first dose of study drug: major surgery (palliative treatment for local lesions is allowed), in vitro and in vivo radiotherapy (> 30% bone marrow exposure) is less than 4 weeks; received immunotherapy or other antibody study drugs within 4 weeks prior to the start of study treatment; received chemotherapy (within 6 weeks of the start of study treatment with nitrosourea or mitomycin chemotherapy), endocrine therapy, and small molecule targeted therapy within 2 weeks or 5 half-lives, whichever is shorter.
  • Patients who have not recovered to ≤ Grade 1 (CTCAE v5.0) from toxicities caused by prior chemotherapy, radiotherapy, and other anti-tumor therapies, including immunotherapy (except for alopecia as permitted by eligibility criteria or alopecia, vitiligo, stable hypothyroidism controlled by hormone replacement therapy, ≤ Grade 2 hearing loss, or ≤ Grade 2 peripheral neurotoxicity).
  • History of ≥ Grade 3 immune-related adverse events with prior therapy.
  • (Expansion Cohort 3 (non-small cell lung cancer)) Patients were previously identified with driver mutations (according to local diagnostic and therapeutic criteria or guidelines such as EGFR mutation, ALK rearrangement positive, KRAS G12C mutation positive, NTRK1/2/3 gene fusion positive, RET fusion positive, MET exon 14 skipping mutation, BRAF V600E mutation positive, ROS1 rearrangement positive) and did not receive targeted therapy.

Trial locations and contacts

21 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Yuan Lu, Doctor contact

+86(21)68910052

clinical@abbisko.cn

21 sites in 1 country

China21 sites, 21 recruiting
  • Hunan Central Hospital

    Changsha, Hunan, 410000

    Yun Jiang, 0731-88651669, hnszlyy_gcp@163.com

    Zhenyang Liu, Doctor

    Not yet recruiting
  • Changzhi People's Hospital

    Changzhi

    Na Si, +8615235503549, wana86211306@126.com

    Jun Zhao, Doctor

    Not yet recruiting
  • West China Hospital, Sichuan University

    Chengdu

    Ying Qian, 028-85422707, huaxigcp@163.com

    Guowei Che, Doctor

    Not yet recruiting
  • Guizhou Provincial People'S Hospital

    Guiyang, Guizhou, 550000

    Jie Luo, 86851-85607982, 1654377211@qq.com

    Shisheng Tan, Doctor

    Not yet recruiting
  • The Affiliated Hospital of Guizhou Medical University

    Guiyang, Guizhou, 550000

    Peng Du, +86(851)86752817, 19044055@qq.com

    Jing Wang, Doctor

    Not yet recruiting
  • The First Hospital of China Medical University

    Hangzhou

    Yuqing Zhang, +8615140139773, cmu_lawyer@163.com

    Funan Liu, Doctor

    Not yet recruiting
  • Zhejiang Provincial People'S Hospital

    Hangzhou

    Ying Wang, 0571-85893646, nancywangying@163.com

    Yiping Mu, Doctor

    Not yet recruiting
  • Harbin Medical University Cancer Hospital

    Harbin, Heilongjiang, 150000

    Jinlu Wang, 0451-86298192, sylcyj609@163.com

    Yanqiao Zhang, Doctor

    Not yet recruiting
  • Cancer Hospital of Shandong First Medical University

    Jinan, Shandong, 250000

    Yuanyuan Lv, 0531-67626063, ywb234@126.com

    Yan Zhang, Doctor

    Not yet recruiting
  • Jiangxi Cance Hospital

    Nanchang, Jiangxi, 330000

    Yuan Gao, 0791-88331395, jxzljgb@126.com

    Bo Yi, Doctor

    Not yet recruiting
  • ZhongShan Hospital Fudan University

    Shanghai, Shanghai Municipality, 200000

    YiJu Gao, 8621-31587861, lcsyjg@zs-hospital.sh.cn

    Tianshu Liu, Doctor

    Recruiting
  • Liaoning Cancer Hospital and Institute

    Shenyang, Liaoning, 110000

    Yi Wang, 024-81916651, 564066425@qq.com

    Yan Zhao, Doctor

    Not yet recruiting
  • The Fourth Hospital of Hebei Medical University

    Shijiazhuang, Heibei, 050000

    Mingxia Wang, 0311-66696233, office_hb4th@126.com

    Qun Zhao, Doctor

    Not yet recruiting
  • Tianjin Medical University Cancer Institute and Hospital

    Tianjin

    Yu Zheng, +8613820049201, gcpcenter@tjmuch.com

    Hongli Li, Doctor

    Not yet recruiting
  • Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science & Technology

    Wuhan

    Chang Shu, 027-83663940, tongjigcp@163.com

    Xianglin Yuan, Doctor

    Not yet recruiting
  • First Hospital of Shanxi Medical University

    Xi'an

    Yilai Song, 0351-4639072, lzgwyy@sina.com

    Yusheng Wang, Doctor

    Not yet recruiting
  • Shanxi Cancer hospital (Shanxi Cancer institute)

    Xi'an

    Guozhong Wang, 0351-4651590, 15234165176@163.com

    Wenhui Yang, Doctor

    Not yet recruiting
  • First Affiliated Hospital of Xiamen University

    Xiamen

    Mingxia Fan, 0592-2137232, xdfygcp@sina.com

    Feng Ye, Doctor

    Not yet recruiting
  • Xiangyang Central Hospital

    Xiangyang, Sichuang, 610000

    Xiaomu Wang, 0710-2811523, xyszxyygcp@163.com

    Tienan Yi, Doctor

    Not yet recruiting
  • The Affiliated Hospital of Xuzhou Medical University

    Xuzhou

    Haijing Jiang, 0516-85802369, xyfy2369@163.com

    Jun Song, Doctor

    Not yet recruiting
  • Henan Cancer Hospital

    Zhengzhou, Henan, 450000

    Baoxia He, 0371-65587610, hnszlyylixiang@163.com

    Jufeng Wang, Doctor

    Not yet recruiting

Other trials in China

About this study

Official title: An Open-label Phase 2, Multicenter, Open-Label Clinical Study to Evaluate the Safety and Efficacy of ABSK061 and ABSK043 with or Without Chemotherapy in Patients with Metastatic/Unresectable Solid Tumors with FGFR2/3 Alterations

The purpose of this study is to evaluate the anti-tumor activity of ABSK061 + ABSK043 in terms of overall response rate (ORR) in in Patients with Metastatic/Unresectable Solid Tumors with FGFR2/3 Alterations

Read the detailed description

ABSK061 is a selective and potent pan FGFR 2/3 inhibitor with demonstrated clinical activity in participants with a variety of FGFR inhibitors in a variety of solid tumors.

ABSK043 is a small molecule PD-L1 inhibitor with good oral bioavailability, high selectivity and high activity, and is currently being developed for the treatment of multiple cancers and potential non-oncology indications.

This study targets the underlying altered biology of FGFR-driven tumors irrespective of solid tumor histology subtype. The study consists of screening phase, treatment phase and the post treatment follow-up phase (from the end of treatment visit until the participant has died, withdraws consent, is lost to follow-up, or the end of study, whichever comes first). End of study is considered of the last visit of the last patient in this trial or the procedures shown in the schedule, or 12 months after the first dose of the last enrolled patient, whichever occurs first.

Being tested
ABSK061 + ABSK043, ABSK061+ABSK043 in combination with CAPOX
Medical subject headings
Carcinoma, Transitional Cell, Carcinoma, Non-Small-Cell Lung

What participants receive

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

  • ABSK061 + ABSK043Drug

    Participants with fibroblast growth factor receptor (FGFR) mutations and FGFR gene fusions will receive a dose of ABSK061 + ABSK043 oral capsule until disease progression, intolerable toxicity, withdrawal of consent, decision by the investigator to discontinue treatment, or end of data collection timepoint if there is clinical benefit in the opinion of the investigator, has been achieved.

  • ABSK061+ABSK043 in combination with CAPOXDrug

    Participants with HER2-Gastric/Gastroesophageal Junction Cancer and fibroblast growth factor receptor 2( FGFR2 ) amplification and overexpression will receive a dose of ABSK061 + ABSK043 oral capsule in combination with CAPOX until disease progression, intolerable toxicity, withdrawal of consent, decision by the investigator to discontinue treatment, or end of data collection timepoint if there is clinical benefit in the opinion of the investigator, has been achieved.

Study groups in NCT06632262
Study groupRoleWhat they receive
Cohort 1ExperimentalHER2-Gastric/Gastroesophageal Junction Cancer
Receives: Drug: ABSK061+ABSK043 in combination with CAPOX
Cohort 2ExperimentalUrothelial carcinoma
Receives: Drug: ABSK061 + ABSK043
Cohort 3ExperimentalNon-small cell lung cancer
Receives: Drug: ABSK061 + ABSK043
Cohort 4ExperimentalOther solid tumors
Receives: Drug: ABSK061 + ABSK043

What is being measured

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

  1. Incidence of Dose limited toxicity (DLT)

    Number of Participants With Adverse Event (AE), Serious Adverse Event, (SAE) and Laboratory Abnormalities Defined as Dose Limiting Toxicities (DLT)

    Measured: At the end of Cycle 1 (each cycle is 28 days)

  2. To assess the tolerability of ABSK061 + ABSK043 in combination with CAPOX in patients with first-line gastric/gastroesophageal junction cancer

    Number of Participants With Adverse Event (AE), Serious Adverse Event, (SAE) and Laboratory Abnormalities Defined as Dose Limiting Toxicities (DLT)

    Measured: At the end of Cycle 1 (each cycle is 21 days)

  3. To assess the anti-tumor activity of ABSK061 + ABSK043 in combination with CAPOX as the primary endpoint of Progression-free survival (PFS) in first-line treatment of patients with metastatic/unresectable HER2-gastric/gastroesophageal junction cancer

    PFS, as assessed by the investigator per RECIST v1.1

    Measured: up to 5 years

  4. To assess the anti-tumor activity of ABSK061 + ABSK043 in patients with metastatic/unresectable urothelial cancer with FGFR2/3 activating alteration or FGFR3 overexpression, with Objective response rate (ORR) as the primary endpoint

    Objective response rate (ORR): complete response and partial response determined by the investigator according to RECIST v1.1 and to be confirmed

    Measured: up to 5 years

  5. To assess the anti-tumor activity of ABSK061 + ABSK043 in patients with non-small cell lung cancer withFGFR2/3 activating alteration or overexpression as the primary endpoint

    PFS, as assessed by the investigator per RECIST v1.1

    Measured: up to 5 years

  6. To assess the anti-tumor activity of ABSK061 + ABSK043 in patients with metastatic/unresectable other advanced solid tumors with FGFR2/3 activatingon alteration or overexpression as the primary endpoint

    Objective response rate (ORR): complete response and partial response determined by the investigator according to RECIST v1.1 and to be confirmed

    Measured: up to 5 years

Secondary outcomes (8)
  1. Overall Response Rate as Assessed by Investigator

    Objective response rate (ORR): complete response and partial response determined by the investigator according to RECIST v1.1 and to be confirmed

    Measured: Up to 5 years

  2. Duration of Response (DOR)

    DOR is the duration from the date of initial documentation of a response to the date of first documented evidence of progressive disease (or relapse for participants who experience CR during the study), or death, whichever comes first.

    Measured: Up to 5 years

  3. Disease Control Rate (DCR)

    DCR is defined as the percentage of participants with CR, PR or stable disease (SD).DCR is defined as the percentage of participants with CR, PR or stable disease (SD).

    Measured: up to 5 years

  4. Progression Free Survival (PFS)

    PFS is the duration from the date of the first dose of study drug until the date of first documented evidence of progressive disease (or relapse for participants who experience CR during the study) or death, whichever comes first.

    Measured: up to 5 years

  5. Overall Survival (OS)

    OS will be measured from the date of first dose of study drug to the date of the participant\'s death.

    Measured: up to 5 years

  6. Maximum observed concentration(Cmax)

    To assess the PK profile of ABSK061 and ABSK043 after dosing of ABSK061 + ABSK043

    Measured: From date of enrollment #Day1# until the date of end of treatment visit, assessed up to 12 months

  7. Area under the concentration-time curve(AUC)

    To assess the PK profile of ABSK061 and ABSK043 after dosing of ABSK061 + ABSK043

    Measured: From date of enrollment #Day1# until the date of end of treatment visit, assessed up to 12 months

  8. Time to maximum observed concentration(Tmax)

    To assess the PK profile of ABSK061 and ABSK043 after dosing of ABSK061 + ABSK043

    Measured: From date of enrollment #Day1# until the date of end of treatment visit, assessed up to 12 months

Timeline

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

  1. First posted9 Oct 2024
  2. Study start13 Nov 2024
  3. Primary completion30 Nov 2029 (estimated)
  4. Study completion30 Jun 2030 (estimated)

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
Masking
None (open label)
Enrolment
202 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06632262
Sponsor's protocol ID
ABSK061-201
Status last verified
Nov 2024
First submitted
1 Oct 2024
Last updated
19 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ABSK061 + ABSK043 and ABSK061+ABSK043 in combination with CAPOX in people with HER2-Gastric/Gastroesophageal Junction Cancer and Urothelial Carcinoma, run by Abbisko Therapeutics Co, Ltd at 21 sites in China.

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 22 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 19 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in China. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Yuan Lu, Doctor (+86(21)68910052, clinical@abbisko.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of Dose limited toxicity (DLT) (time frame: At the end of Cycle 1 (each cycle is 28 days)). The study lists 6 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 19 Nov 2024.

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