Trial Outcomes & Findings for Futibatinib and Pembrolizumab for Treatment of Advanced or Metastatic FGF19 Positive BCLC Stage A, B, or C Liver Cancer (NCT NCT04828486)

NCT ID: NCT04828486

Last Updated: 2025-11-18

Results Overview

PFS is defined as the length of time from study registration until disease progression. For the purposes of this study, 6 months is defined as 27 weeks. Percent of patients alive and progression free will be reported, estimated using the method of Kaplan-Meier. Progression will be evaluated in this study using Response Evaluation Criteria in Solid Tumors (RECIST) guidelines (version 1.1).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

14 participants

Primary outcome timeframe

6 months

Results posted on

2025-11-18

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Futibatinib, Pembrolizumab)
Patients receive futibatinib PO QD on days 1-21 for cycles 1-9, and days 1-42 for subsequent cycles and pembrolizumab IV over 30 minutes on day 1. Cycles repeat every 21 days for cycles 1-9 and every 42 days for subsequent cycles for up to 2 years in the absence of disease progression or unacceptable toxicity.\> \> Futibatinib: Given PO\> \> Pembrolizumab: Given IV\> \> Quality-of-Life Assessment: Ancillary studies
Overall Study
STARTED
13
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
13

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Futibatinib, Pembrolizumab)
Patients receive futibatinib PO QD on days 1-21 for cycles 1-9, and days 1-42 for subsequent cycles and pembrolizumab IV over 30 minutes on day 1. Cycles repeat every 21 days for cycles 1-9 and every 42 days for subsequent cycles for up to 2 years in the absence of disease progression or unacceptable toxicity.\> \> Futibatinib: Given PO\> \> Pembrolizumab: Given IV\> \> Quality-of-Life Assessment: Ancillary studies
Overall Study
Adverse Event
2
Overall Study
Death
1
Overall Study
Disease Progression
8
Overall Study
Other Complicating Disease
1
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Futibatinib and Pembrolizumab for Treatment of Advanced or Metastatic FGF19 Positive BCLC Stage A, B, or C Liver Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Futibatinib, Pembrolizumab)
n=13 Participants
Patients receive futibatinib PO QD on days 1-21 for cycles 1-9, and days 1-42 for subsequent cycles and pembrolizumab IV over 30 minutes on day 1. Cycles repeat every 21 days for cycles 1-9 and every 42 days for subsequent cycles for up to 2 years in the absence of disease progression or unacceptable toxicity.\> \> Futibatinib: Given PO\> \> Pembrolizumab: Given IV\> \> Quality-of-Life Assessment: Ancillary studies
Age, Continuous
71.3 years
STANDARD_DEVIATION 7.61 • n=202 Participants
Sex: Female, Male
Female
6 Participants
n=202 Participants
Sex: Female, Male
Male
7 Participants
n=202 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=202 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=202 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=202 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=202 Participants
Race (NIH/OMB)
Asian
0 Participants
n=202 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=202 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=202 Participants
Race (NIH/OMB)
White
13 Participants
n=202 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=202 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=202 Participants
Region of Enrollment
United States
13 participants
n=202 Participants
ECOG Performance Status
0
5 Participants
n=202 Participants
ECOG Performance Status
1
8 Participants
n=202 Participants

PRIMARY outcome

Timeframe: 6 months

PFS is defined as the length of time from study registration until disease progression. For the purposes of this study, 6 months is defined as 27 weeks. Percent of patients alive and progression free will be reported, estimated using the method of Kaplan-Meier. Progression will be evaluated in this study using Response Evaluation Criteria in Solid Tumors (RECIST) guidelines (version 1.1).

Outcome measures

Outcome measures
Measure
Treatment (Futibatinib, Pembrolizumab)
n=13 Participants
Patients receive futibatinib PO QD on days 1-21 for cycles 1-9, and days 1-42 for subsequent cycles and pembrolizumab IV over 30 minutes on day 1. Cycles repeat every 21 days for cycles 1-9 and every 42 days for subsequent cycles for up to 2 years in the absence of disease progression or unacceptable toxicity. \> \> Futibatinib: Given PO \> \> Pembrolizumab: Given IV \> \> Quality-of-Life Assessment: Ancillary studies
Progression-free Survival (PFS)
23.1 percentage of participants
Interval 8.6 to 62.3

SECONDARY outcome

Timeframe: 3 years

ORR defined as the number of evaluable patients achieving a response \[partial response or complete response per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1\] during treatment. Complete Response (CR): All of the following must be true: a. Disappearance of all target lesions. b. Each target lymph node must have reduction in short axis to \<1.0 cm. c. Normalization of tumor biomarkers. Partial Response (PR): At least a 30% decrease in PBSD (sum of the longest diameter for all target lesions plus the sum of the short axis of all the target lymph nodes at current evaluation) taking as reference the BSD (baseline sum of dimensions).

Outcome measures

Outcome measures
Measure
Treatment (Futibatinib, Pembrolizumab)
n=13 Participants
Patients receive futibatinib PO QD on days 1-21 for cycles 1-9, and days 1-42 for subsequent cycles and pembrolizumab IV over 30 minutes on day 1. Cycles repeat every 21 days for cycles 1-9 and every 42 days for subsequent cycles for up to 2 years in the absence of disease progression or unacceptable toxicity. \> \> Futibatinib: Given PO \> \> Pembrolizumab: Given IV \> \> Quality-of-Life Assessment: Ancillary studies
Overall Response Rate (ORR)
0 Participants

SECONDARY outcome

Timeframe: 4 years

OS is defined as the time from registration to death due to any cause. Median OS time and 95% CI will be reported.

Outcome measures

Outcome measures
Measure
Treatment (Futibatinib, Pembrolizumab)
n=13 Participants
Patients receive futibatinib PO QD on days 1-21 for cycles 1-9, and days 1-42 for subsequent cycles and pembrolizumab IV over 30 minutes on day 1. Cycles repeat every 21 days for cycles 1-9 and every 42 days for subsequent cycles for up to 2 years in the absence of disease progression or unacceptable toxicity. \> \> Futibatinib: Given PO \> \> Pembrolizumab: Given IV \> \> Quality-of-Life Assessment: Ancillary studies
Overall Survival (OS)
55.7 weeks
Interval 47.3 to
Upper CI is not estimable due to a low number of events.

SECONDARY outcome

Timeframe: 4 years

Adverse events will be evaluated per Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 for each patient. Number of participants experiencing one or more grade 3+ adverse events will be reported.

Outcome measures

Outcome measures
Measure
Treatment (Futibatinib, Pembrolizumab)
n=13 Participants
Patients receive futibatinib PO QD on days 1-21 for cycles 1-9, and days 1-42 for subsequent cycles and pembrolizumab IV over 30 minutes on day 1. Cycles repeat every 21 days for cycles 1-9 and every 42 days for subsequent cycles for up to 2 years in the absence of disease progression or unacceptable toxicity. \> \> Futibatinib: Given PO \> \> Pembrolizumab: Given IV \> \> Quality-of-Life Assessment: Ancillary studies
Incidence of Adverse Events
9 Participants

SECONDARY outcome

Timeframe: 3 years

Population: Only patients that completed a baseline assessment and at least one post-baseline assessment were included in analysis

As measured by the global health domain of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30), version 3. Change in score between baseline and first re-staging will be calculated for each individual. Twenty-eight (28) questions are answered on a scale of 1-4 where 1=not at all, 2=a little, 3=quite a bit, and 4= very much. The final two questions are answered on a scale of 1-7 where 1= very poor and 7=excellent. Raw scores were then scored according to EORTC guidelines (Fayers PM, Aaronson NK, Bjordal K, Groenvold M, Curran D, Bottomley A on behalf of the EORTC Quality of Life Group. EORTC QLQ-C30 Scoring Manual (3rd edition). Brussels: EORTC, 2001.), so that scores are 0-100, with a higher score indicating a better quality of life.

Outcome measures

Outcome measures
Measure
Treatment (Futibatinib, Pembrolizumab)
n=7 Participants
Patients receive futibatinib PO QD on days 1-21 for cycles 1-9, and days 1-42 for subsequent cycles and pembrolizumab IV over 30 minutes on day 1. Cycles repeat every 21 days for cycles 1-9 and every 42 days for subsequent cycles for up to 2 years in the absence of disease progression or unacceptable toxicity. \> \> Futibatinib: Given PO \> \> Pembrolizumab: Given IV \> \> Quality-of-Life Assessment: Ancillary studies
Change in Quality of Life (QOL)
-10.68 score on a scale
Interval -27.78 to -2.39

Adverse Events

Treatment (Futibatinib, Pembrolizumab)

Serious events: 5 serious events
Other events: 12 other events
Deaths: 8 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Futibatinib, Pembrolizumab)
n=13 participants at risk
Quality-of-Life Assessment: Ancillary studies
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor hemorrhage
7.7%
1/13 • Number of events 1 • 4 years
Renal and urinary disorders
Acute kidney injury
7.7%
1/13 • Number of events 1 • 4 years
Renal and urinary disorders
Renal calculi
7.7%
1/13 • Number of events 1 • 4 years
Renal and urinary disorders
Urinary retention
7.7%
1/13 • Number of events 1 • 4 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
7.7%
1/13 • Number of events 1 • 4 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
7.7%
1/13 • Number of events 1 • 4 years
Gastrointestinal disorders
Nausea
7.7%
1/13 • Number of events 1 • 4 years
Gastrointestinal disorders
Vomiting
7.7%
1/13 • Number of events 1 • 4 years
General disorders
Edema limbs
7.7%
1/13 • Number of events 1 • 4 years
Infections and infestations
Bacteremia
7.7%
1/13 • Number of events 1 • 4 years
Investigations
Creatinine increased
7.7%
1/13 • Number of events 1 • 4 years
Metabolism and nutrition disorders
Hyponatremia
7.7%
1/13 • Number of events 1 • 4 years
Blood and lymphatic system disorders
Anemia
7.7%
1/13 • Number of events 1 • 4 years
Cardiac disorders
Myocarditis
7.7%
1/13 • Number of events 2 • 4 years
Gastrointestinal disorders
Abdominal pain
7.7%
1/13 • Number of events 1 • 4 years

Other adverse events

Other adverse events
Measure
Treatment (Futibatinib, Pembrolizumab)
n=13 participants at risk
Quality-of-Life Assessment: Ancillary studies
Musculoskeletal and connective tissue disorders
Pain in extremity
7.7%
1/13 • Number of events 1 • 4 years
Nervous system disorders
Dizziness
7.7%
1/13 • Number of events 1 • 4 years
Nervous system disorders
Memory impairment
7.7%
1/13 • Number of events 2 • 4 years
Nervous system disorders
Peripheral sensory neuropathy
15.4%
2/13 • Number of events 2 • 4 years
Psychiatric disorders
Confusion
7.7%
1/13 • Number of events 2 • 4 years
Renal and urinary disorders
Chronic kidney disease
7.7%
1/13 • Number of events 1 • 4 years
Skin and subcutaneous tissue disorders
Alopecia
15.4%
2/13 • Number of events 2 • 4 years
Skin and subcutaneous tissue disorders
Dry skin
7.7%
1/13 • Number of events 1 • 4 years
Skin and subcutaneous tissue disorders
Nail changes
23.1%
3/13 • Number of events 3 • 4 years
Skin and subcutaneous tissue disorders
Nail loss
7.7%
1/13 • Number of events 1 • 4 years
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrm
7.7%
1/13 • Number of events 2 • 4 years
Skin and subcutaneous tissue disorders
Pruritus
7.7%
1/13 • Number of events 1 • 4 years
Skin and subcutaneous tissue disorders
Rash maculo-papular
38.5%
5/13 • Number of events 8 • 4 years
Vascular disorders
Hypertension
15.4%
2/13 • Number of events 8 • 4 years
Vascular disorders
Hypotension
7.7%
1/13 • Number of events 1 • 4 years
Musculoskeletal and connective tissue disorders
Joint range of motion decreased
7.7%
1/13 • Number of events 1 • 4 years
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
7.7%
1/13 • Number of events 2 • 4 years
Musculoskeletal and connective tissue disorders
Myalgia
7.7%
1/13 • Number of events 1 • 4 years
Blood and lymphatic system disorders
Anemia
7.7%
1/13 • Number of events 7 • 4 years
Cardiac disorders
Sinus bradycardia
7.7%
1/13 • Number of events 1 • 4 years
Eye disorders
Blurred vision
15.4%
2/13 • Number of events 2 • 4 years
Eye disorders
Dry eye
38.5%
5/13 • Number of events 6 • 4 years
Eye disorders
Eye pain
7.7%
1/13 • Number of events 2 • 4 years
Gastrointestinal disorders
Abdominal pain
23.1%
3/13 • Number of events 3 • 4 years
Gastrointestinal disorders
Constipation
15.4%
2/13 • Number of events 2 • 4 years
Gastrointestinal disorders
Diarrhea
53.8%
7/13 • Number of events 17 • 4 years
Gastrointestinal disorders
Dry mouth
7.7%
1/13 • Number of events 1 • 4 years
Gastrointestinal disorders
Gastrointestinal disorders - Oth spec
7.7%
1/13 • Number of events 1 • 4 years
Gastrointestinal disorders
Mucositis oral
38.5%
5/13 • Number of events 5 • 4 years
Gastrointestinal disorders
Nausea
7.7%
1/13 • Number of events 1 • 4 years
General disorders
Edema limbs
15.4%
2/13 • Number of events 2 • 4 years
General disorders
Fatigue
46.2%
6/13 • Number of events 10 • 4 years
Investigations
Alanine aminotransferase increased
38.5%
5/13 • Number of events 9 • 4 years
Investigations
Alkaline phosphatase increased
15.4%
2/13 • Number of events 4 • 4 years
Investigations
Aspartate aminotransferase increased
53.8%
7/13 • Number of events 15 • 4 years
Investigations
Blood bilirubin increased
15.4%
2/13 • Number of events 4 • 4 years
Investigations
Creatinine increased
15.4%
2/13 • Number of events 3 • 4 years
Investigations
Lymphocyte count decreased
23.1%
3/13 • Number of events 4 • 4 years
Investigations
Platelet count decreased
15.4%
2/13 • Number of events 2 • 4 years
Metabolism and nutrition disorders
Anorexia
7.7%
1/13 • Number of events 1 • 4 years
Metabolism and nutrition disorders
Blood bicarbonate decreased
7.7%
1/13 • Number of events 1 • 4 years
Metabolism and nutrition disorders
Hypercalcemia
7.7%
1/13 • Number of events 1 • 4 years
Metabolism and nutrition disorders
Hyperglycemia
15.4%
2/13 • Number of events 2 • 4 years
Metabolism and nutrition disorders
Hyperphosphatemia
76.9%
10/13 • Number of events 22 • 4 years
Metabolism and nutrition disorders
Hypokalemia
7.7%
1/13 • Number of events 1 • 4 years
Metabolism and nutrition disorders
Hyponatremia
30.8%
4/13 • Number of events 4 • 4 years
Metabolism and nutrition disorders
Hypophosphatemia
15.4%
2/13 • Number of events 2 • 4 years
Musculoskeletal and connective tissue disorders
Arthralgia
7.7%
1/13 • Number of events 1 • 4 years
Musculoskeletal and connective tissue disorders
Arthritis
7.7%
1/13 • Number of events 1 • 4 years

Additional Information

Nguyen H Tran MD MPH

Mayo Clinic

Phone: 507-284-2511

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place