Phase 2
N=86
FGF401 in HCC and Solid Tumors Characterized by Positive FGFR4 and KLB Expression
Hepatocellular Carcinoma (HCC) · Solid Malignancies
Bottom Line
View on ClinicalTrials.gov: NCT02325739 ↗Enrolled (actual)
86
Serious AEs
41.9%
Results posted
Dec 2020
Primary outcome: Primary: Number of Participants With Dose-limiting Toxicity (DLT): Phase I Only — 10.0; 0; 0; 4.3 Percentage of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- FGF401 (Drug); PDR001 (Biological)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Novartis Pharmaceuticals
- Primary completion
- May 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Dose-limiting Toxicity (DLT): Phase I Only |
10.0; 0; 0; 4.3; 5.6; 42.9 | — |
| PRIMARY Time to Progression (TTP): Group 1 & Group 2 (Phase II Only) |
2.6; 3.9 | — |
| PRIMARY Overall Response Rate (ORR) Based on Local Assessment: Group 3 (Phase II Only) |
— | — |
| SECONDARY Best Overall Response (BOR) by Investigator Assessment: Phase I and Phase II |
0; 0; 0; 1; 0; 0 | — |
| SECONDARY Overall Response Rate (ORR) by Investigator Assessment Phase I and FGF401 Single Agent Phase II Groups 1 & 2 |
0; 16.7; 20.0; 3.8; 0; 14.3 | — |
| SECONDARY Disease Control Rate (DCR) by Local Investigator Assessment Phase I and FGF401 Single Agent Phase II Groups 1, 2 & 3 |
18.2; 33.3; 60.0; 50.0; 47.4; 71.4 | — |
| SECONDARY Time to Progression (TTP) in Participants Dosed With Single Agent FGF401 120 mg (Fasted & Fed) & With Combination FGF401 120 mg + PDR001 300 mg Q3W (Phase I) |
4.1; 2.0; 5.3 | — |
| SECONDARY Overall Survival (OS) in Participants Dosed With Single Agent FGF401 120 mg (Fasted & Fed) and in Participants Dosed With Combination FGF401 120 mg and PDR001 300 mg Q3W (Phase I & II) |
7.0; 4.9; NA; 5.9; 10.9; 6.2 | — |
| SECONDARY Progression-free Survival (PFS) - FGF401 Single Agent Phase II: Group 3 |
1.4 | — |
| SECONDARY Presence and/or Concentration of Anti-PDR001 Antibodies |
100.0; 83.3; 0; 16.7; 0; 20.0 | — |
| SECONDARY Cmax of PDR001 in Combination With FGF401: Phase I |
74.7; 87.7 | — |
| SECONDARY AUClast and AUCtau of PDR001 in Combination of FGF401: Phase I |
795; 978; 760; 967 | — |
| SECONDARY T1/2 of PDR001: Phase I |
— | — |
| SECONDARY Cmax of FGF401: Phase I |
698; 967; 659; 1090; 1050; 1400 | — |
| SECONDARY Cmax of FGF401 in Combination With PDR001: Phase I |
732; 1450 | — |
| SECONDARY AUCinf, AUClast & AUCtau of FGF401: Phase I |
4920; 5090; 5560; 7210; 8520; 8190 | — |
| SECONDARY AUCinf, AUClast & AUCtau of FGF401 in Combination With PDR001: Phase I |
5030; 7540; 4760; 7280; 4770; 7280 | — |
| SECONDARY T1/2 of FGF401: Phase I |
6.27; 4.91; 5.2; 5.47; 5.16; 5 | — |
Summary
Estimate the maximum tolerated dose and/or recommended phase II dose and efficacy of FGF401 as single agent and in combination with PDR001 in patients with hepatocellular carcinoma and as single agent in patients with other solid malignancies based on RECIST 1.1.
Eligibility Criteria
Inclusion Criteria
- ECOG Performance Status ≤ 1
- Presence of at least one measurable lesion according to RECIST v1.1. c-i) FGF401 single agent-Phase I and Phase II, Group 3: Patients with HCC or advanced solid tumors, who have progressed despite standard therapy or are intolerant of standard therapy, or for whom no standard therapy exists. c-ii) FGF401 single agent-Phase II, Groups 1 and 2: HCC patients previously treated with sorafenib for advanced HCC with documented disease progression during or after discontinuation of sorafenib treatment, or intolerance to sorafenib treatment c-iii) FGF401 in combination with PDR001:Advanced HCC patients who have received up to 2 previous lines of systemic treatment and one treatment must have included sorafenib with documented disease progression during or after discontinuation of sorafenib treatment, or intolerance to sorafenib treatment
Exclusion Criteria
- Previous treatment with a selective FGF19-FGFR4 targeted therapy and/or pan-FGFR inhibitor.
- Symptomatic CNS metastases which are neurologically unstable or requiring increasing doses of steroids to control their CNS disease.
- Patient having out of range laboratory values defined as:
- Hematology Hemoglobin ≤ 9 g/dL (SI Units: 90 g/L) Platelet count 3 x ULN Serum creatinine > 1.5 x ULN and/or creatinine clearance ≤ 45 mL/min
- Coagulation: PT > 4 seconds more than ULN or INR > 1.7
- Pregnant or nursing (lactating) women.
Other protocol-defined Inclusion/Exclusion criteria may apply.
Data sourced from ClinicalTrials.gov (NCT02325739). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.