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RecruitingInterventionalPhase 2

A Phase 2, Open-Label, Single-Arm Study of Lirafugratinib in Patients With Previously Treated, Unresectable, Locally Advanced or Metastatic Solid Tumors (Excluding Cholangiocarcinoma) With FGFR2 Fusion or Rearrangement

NCT ID: NCT07359820Sponsor: Elevar TherapeuticsLast updated: 2026-06-05

Summary

The goal of this clinical trial is to evaluate if lirafugratinib is efficacious and safe to treat adult patients with previously treated, unresectable, locally advanced or metastatic solid tumors (excluding cholangiocarcinoma) harboring FGFR2 fusion or rearrangement. Participants will: * Take lirafugratinib regularly as instructed by their study doctor. * Visit the clinic as instructed for checkups and tests. * Keep a diary recording each time a dose of lirafugratinib is taken.

Arms & interventions

  • DrugLirafugratinib

    Lirafugratinib is an oral inhibitor of FGFR2

Outcome measures

Primary

  • Objective Response Rate (ORR) assessed by Independent Review Committee per RECIST v1.1.

    Time frame: Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months.

Secondary

  • Duration of response (DOR) assessed by Independent Review Committee per RECIST v1.1.

    Time frame: Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months.

  • Number of patients with adverse events and serious adverse events.

    Time frame: Every cycle (4-week cycles) until study discontinuation, approximately 24 months.

  • Number of patients with dose interruptions.

    Time frame: Every 28-day cycle until end of treatment, approximately 24 months.

  • Number of patients with dose reductions.

    Time frame: Every 28-day cycle until end of treatment, approximately 24 months.

  • Number of patients with dose discontinuations.

    Time frame: Every 28-day cycle until end of treatment, approximately 24 months.

  • Objective Response Rate (ORR) as assessed by Investigator per RECIST v1.1.

    Time frame: Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months.

  • Duration of Response (DOR) as assessed by Investigator per RECIST v1.1.

    Time frame: Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months

  • Disease control rate (DCR) as assessed by Investigator and Independent Review Committee per RECIST v1.1.

    Time frame: Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months.

  • Progression-free survival (PFS) as assessed by Investigator and Independent Review Committee per RECIST v1.1.

    Time frame: Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months

  • Overall survival (OS).

    Time frame: Up to approximately 36 months.

  • Time to response (TTR) assessed by Investigator and Independent Review Committee per RECIST v1.1.

    Time frame: Up to approximately 36 months.

  • Time to progression (TTP) assessed by Investigator and Independent Review Committee per RECIST v1.1.

    Time frame: Up to approximately 36 months

  • Pharmacokinetic parameters including maximum plasma drug concentration (Cmax)

    Time frame: [Time Frame: Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle through Cycle 4 (4-week cycles)]

  • Pharmacokinetic parameters including area under the plasma concentration versus time curve (AUC)

    Time frame: Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle through Cycle 4 (4-week cycles)

  • Pharmacokinetic parameters including half-life (t1/2)

    Time frame: Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle through Cycle 4 (4-week cycles)

  • Change from baseline in quality of life as assessed by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30).

    Time frame: Approximately every 4 weeks during treatment, approximately 24 months

  • Time to deterioration (TTD).

    Time frame: Up to approximately 36 months.

  • FGFR2 gene status in plasma circulating tumor deoxyribonucleic acid (ctDNA) and tumor tissue.

    Time frame: Every cycle (4-week cycles) through Cycle 3 and every other cycle thereafter until study discontinuation, approximately 24 months.

  • Pharmacodynamic parameters including changes in fibroblast growth factor 23 (FGF-23).

    Time frame: Approximately every 2 weeks in Cycle 1 (4-week cycle) and every other cycle (4-week cycles) from Cycle 3, approximately 24 months.

  • Pharmacodynamic parameters including changes in carcinoembryonic antigen (CEA)

    Time frame: Approximately every 2 weeks in Cycle 1 (4-week cycle) and every other cycle (4-week cycles) from Cycle 3, approximately 24 months

  • Pharmacodynamic parameters including changes in cancer antigen 19-9 (CA 19-9)

    Time frame: Approximately every 2 weeks in Cycle 1 (4-week cycle) and every other cycle (4-week cycles) from Cycle 3, approximately 24 months

  • Correlation between FGFR2 genotype by central tissue assessment and antitumor response, as measured by Objective Response Rate (ORR).

    Time frame: Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months.

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Unresectable, locally advanced, or metastatic solid tumor (other than CCA). * Documented FGFR2 gene fusion or rearrangement per local testing of blood and/or tumor. * Patient must have measurable disease per RECIST v1.1• Patient has ECOG performance status of 0-1. * Previously (\>30 days) treated with ≥1 line of systemic therapy including chemotherapy (e.g., gemcitabine/cisplatin), immunotherapy, radiation therapy, or other approved therapies. * Subject has not received prior treatment with an FGFRi. Exclusion Criteria: * An uncontrolled comorbidity. * Patient does not have adequate organ function (defined in protocol). * Patient has active infection, including human immunodeficiency virus (HIV), hepatitis B virus (HBV), and/or hepatitis C virus (HCV) (defined in protocol). Patients with well-controlled HBV are eligible (defined in protocol). * QT interval corrected using Fridericia's formula (QTcF) \> 480 msec or history of prolonged QT syndrome, Torsades de pointes or familial history of prolonged QT syndrome. * Clinically significant, uncontrolled cardiovascular disease. * CNS metastases or primary CNS tumor that is associated with progressive neurologic symptoms.

Study locations (7)

Mayo Clinic

Phoenix, Arizona, 85054

Not Yet Recruiting

Mayo Clinic

Jacksonville, Florida, 32224

Not Yet Recruiting

Moffitt Cancer Center

Tampa, Florida, 33612

Recruiting
Moffitt Clinical Trials Information · Contact
Richard Kim, MD · Principal Investigator

University of Chicago Medical Center

Chicago, Illinois, 60637

Not Yet Recruiting

Massachusetts General Hospital

Boston, Massachusetts, 02114

Recruiting
Mass General Hospital · Contact
Andreas Varkaris, MD, PhD · Principal Investigator

Mayo Clinic

Rochester, Minnesota, 55905

Not Yet Recruiting

The University of Texas M.D. Anderson Cancer Center

Houston, Texas, 77030

Recruiting
UT M.D. Anderson Cancer Center Clinical Trial Information · Contact
Jordi Rodon Ahnert, MD, PhD · Principal Investigator