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Phase 2 N=316 Treatment

A Study of Erdafitinib in Participants With Advanced Solid Tumors and Fibroblast Growth Factor Receptor (FGFR) Gene Alterations

Advanced Solid Tumor

Enrolled (actual)
316
Serious AEs
42.7%
Results posted
Feb 2025
Primary outcome: Primary: Broad Panel and Pediatric Cohorts: Objective Response Rate (ORR) Based on Response Assessment in Neuro-Oncology (RANO) as Assessed by Independent Review Committee (IRC) — 29.5; 66.7 Percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Erdafitinib (Drug)
Age
Pediatric, Adult, Older Adult · 6+ yrs
Sex
All
Sponsor
Janssen Research & Development, LLC
Primary completion
Dec 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Broad Panel and Pediatric Cohorts: Objective Response Rate (ORR) Based on Response Assessment in Neuro-Oncology (RANO) as Assessed by Independent Review Committee (IRC)
29.5; 66.7
PRIMARY
Core Panel Cohort: Objective Response Rate (ORR) Based on Response Assessment in Neuro-Oncology (RANO) as Assessed by Independent Review Committee (IRC)
26.6
SECONDARY
Objective Response Rate (ORR) as Assessed by Investigators Assessment
SECONDARY
Duration of Responses (DOR)
SECONDARY
Disease Control Rate (DCR)
SECONDARY
Clinical Benefit Rate (CBR)
SECONDARY
Progression-free Survival (PFS)
SECONDARY
Overall Survival (OS)
SECONDARY
Number of Participants With Adverse Events (AEs)
SECONDARY
Number of Participants With Adverse Events (AEs) by Severity
SECONDARY
Pediatric Cohort: Plasma Concentration of Erdafitinib
SECONDARY
Change From Baseline in European Organization for Research and Treatment of Cancer Quality-of-life Questionnaire Core 30 (EORTC-QLQ-C30) for Participants >=18 Years
SECONDARY
Change From Baseline in Pediatric Functional Assessment Of Cancer Therapy-Brain (Peds FACT-Br)
SECONDARY
Change From Baseline in Patient Global Impression of Symptom Severity (PGIS)
SECONDARY
Change From Baseline in Patient Global Impression of Change (PGIC)
SECONDARY
Change From Baseline in European Quality of Life -5 Dimensions-5 Levels (EQ-5D-5L)

Summary

The purpose of this study is to evaluate the efficacy of erdafitinib in terms of overall response rate (ORR) in adult and pediatric participants with advanced solid tumors with fibroblast growth factor receptor (FGFR) alterations (mutations or gene fusions). It will also evaluate ORR in pediatric participants with advanced solid tumors and FGFR alterations.

Eligibility Criteria

Inclusion Criteria

  • Histologic demonstration of an unresectable, locally advanced, or metastatic solid tumor malignancy with an fibroblast growth factor receptor (FGFR) mutation or FGFR gene fusion
  • Measurable disease
  • Participant must have received at least one prior line of systemic therapy in the advanced, unresectable, or metastatic setting; or is a child or adolescent participant with a newly-diagnosed solid tumor and no acceptable standard therapies
  • Documented progression of disease, defined as any progression that requires a change in treatment, prior to full study screening

Exclusion Criteria

  • Has had prior chemotherapy, targeted therapy, or treatment with an investigational anticancer agent within 15 days or less than or equal to (<=) 5 half-lives of the agent (whichever is longer) and up to a maximum of 30 days before the first dose of erdafitinib
  • The presence of FGFR gatekeeper and resistance mutations
  • Histologic demonstration of urothelial carcinoma
  • Hematologic malignancy (i.e., myeloid and lymphoid neoplasms
  • For non-small cell lung cancer participants only: pathogenic somatic mutations or gene fusions in the following genes: EGFR, ALK, ROS1, NTRK, BRAF V600E and KRAS
  • Active malignancies other than for disease requiring therapy
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04083976). 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.

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