Study to Evaluate the Efficacy and Safety of Pemigatinib in Participants With Previously Treated Glioblastoma or Other Primary Central Nervous System Tumors Harboring Activating FGFR1-3 Alterations

NCT ID: NCT05267106

Last Updated: 2025-12-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

83 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-20

Study Completion Date

2024-12-17

Brief Summary

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This is an open-label, monotherapy study of pemigatinib in participants with recurrent glioblastoma (GBM) or other recurrent gliomas, circumscribed astrocytic gliomas, and glioneuronal and neuronal tumors with an activating FGFR1-3 mutation or fusion/rearrangement. This study consists of 2 cohorts, Cohorts A, and B, and will enroll approximately 82 participants into each cohort. Participants will receive pemigatinib 13.5 mg QD on a 2-week on-therapy and 1-week off-therapy schedule as long as they are receiving benefit and have not met any criteria for study withdrawal.

Detailed Description

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Conditions

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Glioblastoma Adult-type Diffuse Gliomas

Keywords

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glioblastoma GBM adult-type diffuse gliomas gliomas oligodendroglioma FGFR1-3 Alteration FGFR1-3 fusions FGFR1-3 rearrangements Central nervous system tumor isocitrate dehydrogenase IDH-mutant astocytoma IDH-wild-type GBM glioneuronal neuronal circumscribed astrocytic glioma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

This study consists of 2 cohorts and participants will receive pemigatinib 13.5 mg QD on a 2-week on-therapy and 1-week off-therapy schedule.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort A: IDH-wild-type GBM

Participants with histopathologically proven, WHO Grade 4, IDH-wild-type GBM OR molecular diagnosis of IDH-wild-type, diffuse astrocytic glioma with molecular features of Grade 4 GBM that are recurrent, harboring FGFR1-3 fusions/or other rearrangements, or with a defined FGFR1-3 mutation or in-frame deletion.

Group Type EXPERIMENTAL

Pemigatinib

Intervention Type DRUG

13.5mg tablet taken every morning (unless otherwise directed) for 2 weeks and then 1 week off.

Cohort B: Other gliomas other than GBM

Participants with other histopathologically proven gliomas other than GBM, circumscribed astrocytic gliomas, and glioneuronal and neuronal tumors that are recurrent, harboring FGFR1-3 fusions/or other rearrangements or with a defined FGFR1-3 activating mutation or in-frame deletion

Group Type EXPERIMENTAL

Pemigatinib

Intervention Type DRUG

13.5mg tablet taken every morning (unless otherwise directed) for 2 weeks and then 1 week off.

Interventions

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Pemigatinib

13.5mg tablet taken every morning (unless otherwise directed) for 2 weeks and then 1 week off.

Intervention Type DRUG

Other Intervention Names

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NCB054828

Eligibility Criteria

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Inclusion Criteria

* Histological, cytological, or molecular confirmation of recurrent GBM or other glioma, circumscribed astrocytic glioma, or glioneuronalor neuronal tumors that has recurred.
* Radiographically measurable disease.

. -Karnofsky performance status ≥ 60.
* Life expectancy ≥ 12 weeks.
* Documentation of an actionable FGFR1-3 gene mutation or fusion/rearrangement from tissue : FGFR1-3 fusions or other rearrangements (FGFR1-3 in-frame fusions, any FGFR2 rearrangement, or FGFR1/3 rearrangement with known partner) or a defined FGFR1-3 activating mutation or in-frame deletion. Only participants with FGFR fusions or rearrangements with an intact kinase domain are eligible.
* MRI-documented objective progression after prior therapy and must have no therapy available that is likely to provide clinical benefit.
* Most recent archival tumor specimen must be a tumor block or a minimum of 15 unstained slides from biopsy or resection of primary tumor or metastasis.
* Willingness to avoid pregnancy or fathering children.

Exclusion Criteria

* Prior receipt of an FGFR inhibitor.
* Receipt of anticancer medications or investigational drugs for any indication or reason within 28 days before first dose of study drug.
* Participants may have had treatment for an unlimited number of prior relapses but must not have had prior bevacizumab or other VEGF/VEGFR inhibitors (exception: prior bevacizumab is allowed if it was administered for the treatment of radiation necrosis rather than progressive tumor and was stopped at least 12 weeks prior to MRI showing tumor progression).
* Concurrent anticancer therapy
* Candidate for potentially curative surgery.
* Dexamethasone (or equivalent) \> 4 mg daily at the time of study registration
* Current evidence of clinically significant corneal or retinal disorder as confirmed by ophthalmologic examination.
* Diffuse leptomeningeal disease.
* Radiation therapy administered within 12 weeks before enrollment/first dose of study drug.
* Known additional malignancy that is progressing or requires active systemic treatment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Incyte Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Victoria Ebiana, MD

Role: STUDY_DIRECTOR

Incyte Corporation

Locations

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Valkyrie Clinical Trials

Beverly Hills, California, United States

Site Status

City of Hope National Medical Center

Duarte, California, United States

Site Status

Providence Medical Foundation

Fullerton, California, United States

Site Status

Usc Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Stanford Neuroscience Health Center

Sacramento, California, United States

Site Status

Sharp Memorial Hospital

San Diego, California, United States

Site Status

University of California San Francisco

San Francisco, California, United States

Site Status

Providence St Joseph Hospital Orange Center For Cancer Prevention and Treatment

Santa Monica, California, United States

Site Status

Yale Cancer Center

New Haven, Connecticut, United States

Site Status

Baptist Md Anderson Cancer Center

Jacksonville, Florida, United States

Site Status

Miami Cancer Institute

Miami, Florida, United States

Site Status

Orlando Health Cancer Institute Downtown Orlando

Orlando, Florida, United States

Site Status

H. Lee Moffitt Cancer Center and Research Institute Hospital

Tampa, Florida, United States

Site Status

University of Illinois Hospital & Health Sciences System

Chicago, Illinois, United States

Site Status

University of Iowa Hospital and Clinics

Iowa City, Iowa, United States

Site Status

University Medical Center New Orleans

New Orleans, Louisiana, United States

Site Status

University of Minnesota Health Clinics and Surgery Center

Minneapolis, Minnesota, United States

Site Status

Northwell Health

Lake Success, New York, United States

Site Status

Columbia University Irving Medical Center

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

East Carolina University

Greenville, North Carolina, United States

Site Status

Wake Forest Baptist Health

Winston-Salem, North Carolina, United States

Site Status

UC Health At Cincinnati Va Medical Center

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

University of Pennsylvania Hospital

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center Health System

Pittsburgh, Pennsylvania, United States

Site Status

Tennessee Oncology

Chattanooga, Tennessee, United States

Site Status

Tennessee Oncology

Nashville, Tennessee, United States

Site Status

Baylor University Medical Center

Dallas, Texas, United States

Site Status

Houston Methodist Hospital

Houston, Texas, United States

Site Status

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status

Fred Hutchinson Cancer Research Center

Seattle, Washington, United States

Site Status

Aalborg Universitets Hospital

Aalborg, , Denmark

Site Status

Rigshospitalet Uni of Hospital of Copenhagen

Copenhagen, , Denmark

Site Status

Odense University Hospital

Odense C, , Denmark

Site Status

Chru de Lille Hopital Claude Huriez

Lille, , France

Site Status

Chu Hopital de La Timone

Marseille, , France

Site Status

Hospital Universitaire Pitie-Salpetriere

Paris, , France

Site Status

Universitaire Du Cancer de Toulouse Institut Claudius Regaud Iuct-Oncopole

Toulouse, , France

Site Status

Universitatsklinikum Bonn Aoer

Bonn, , Germany

Site Status

Klinikum Der Johann Wolfgang Goethe University

Frankfurt, , Germany

Site Status

Universitaetsklinikum Heidelberg

Heidelberg, , Germany

Site Status

University Hospital Tuebingen

Tübingen, , Germany

Site Status

Ospedale Bellaria

Bologna, , Italy

Site Status

Istituto Di Ricovero E Cura A Carattere Scientifico (Irccs) Ospedale San Raffaele

Milan, , Italy

Site Status

Iov - Istituto Oncologico Veneto Irccs

Padua, , Italy

Site Status

A.S.L. Napoli 1 Centro Ospedale Del Mare

Ponticelli, , Italy

Site Status

Irccs Istituto Clinico Humanitas

Rozzano, , Italy

Site Status

Azienda Ospedaliero Universitaria Citta Della Salute E Della Scienza

Torino, , Italy

Site Status

University of Tokyo Hospital

Bunkyō City, , Japan

Site Status

National Cancer Center Hospital

Chūōku, , Japan

Site Status

Kyushu University Hospital

Fukuoka, , Japan

Site Status

Kyoto University Hospital

Kyoto, , Japan

Site Status

Nagoya University Hospital

Nagoya, , Japan

Site Status

Tohoku University Hospital

Sendai, , Japan

Site Status

Netherlands Cancer Institute Antoni Van Leeuwenhoek Ziekenhuis

Amsterdam, , Netherlands

Site Status

Erasmus Mc Cancer Institute

Rotterdam, , Netherlands

Site Status

Hospital Del Mar

Barcelona, , Spain

Site Status

Hospital General Universitario Vall D Hebron

Barcelona, , Spain

Site Status

Hospital Clinic Barcelona Main

Barcelona, , Spain

Site Status

Hospital de La Santa Creu I Sant Pau

Barcelona, , Spain

Site Status

Ico Girona Hospital Universitari de Girona Dr Josep Trueta

Girona, , Spain

Site Status

Ico Institut Catala D Oncologia

L'Hospitalet de Llobregat, , Spain

Site Status

Hospital General Universitario Gregorio Maranon

Madrid, , Spain

Site Status

Hospital Universitario Ramon Y Cajal

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital Universitario Hm Sanchinarro

Madrid, , Spain

Site Status

Clinica Universidad de Navarra (Cun)

Pamplona, , Spain

Site Status

Hospital General de Catalunya

Sant Cugat del Vallès, , Spain

Site Status

Hospital Universitario Virgen Del Rocio

Seville, , Spain

Site Status

Hospital General Universitario de Valencia

Valencia, , Spain

Site Status

Addenbrooke'S Hospital

Cambridge, , United Kingdom

Site Status

Velindre Cancer Centre

Cardiff, , United Kingdom

Site Status

St James'S University Hospital

Leeds, , United Kingdom

Site Status

Guys Hospital

London, , United Kingdom

Site Status

The Royal Marsden Nhs Foundation Trust - Sutton

London, , United Kingdom

Site Status

The Royal Marsden Nhs Foundation Trust - Chelsea

London, , United Kingdom

Site Status

The Christie Nhs Foundation Trust Uk

Manchester, , United Kingdom

Site Status

The Clatterbridge Cancer Centre

Metropolitan Borough of Wirral, , United Kingdom

Site Status

Countries

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United States Denmark France Germany Italy Japan Netherlands Spain United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2021-004740-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

INCB 54828-209

Identifier Type: -

Identifier Source: org_study_id