Phase 2 Futibatinib in Combination With PD-1 Antibody Based Standard of Care in Solid Tumors

NCT ID: NCT05945823

Last Updated: 2025-12-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-13

Study Completion Date

2027-01-31

Brief Summary

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This is a nonrandomized, uncontrolled, open-label, multicenter Phase 2 study to evaluate the efficacy, safety, and tolerability of futibatinib in combination with PD-1 antibody-based SoC therapy in adult patients with solid tumors.

Detailed Description

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Patients with locally advanced, unresectable or metastatic esophageal cancer (EC) or pancreatic ductal adenocarcinoma (PDAC) will receive futibatinib in combination with pembrolizumab plus standard of care (SOC) chemotherapy. Patients with EC will receive Investigator choice of chemotherapy (FP or mFOLFOX6), patients with PDAC will receive mFOLFIRINOX. Subjects will receive futibatinib in combination with pembrolizumab plus standard of care (SOC) chemotherapy during induction phase of the study and will continue on futibatinib in combination with pembrolizumab in consolidation phase.

Conditions

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Siewert Type 1 GEJ Cancer Pancreatic Cancer Locally Advanced Unresectable or Metastatic Solid Tumors Including Esophageal Cancer Esophageal Adenocarcinoma Esophageal Squamous Cell Cancer

Keywords

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Futibatinib Advanced esophageal cancer Esophageal cancer TAS-120 Immunotherapy Esophageal squamous cell cancer (ESCC) GEJ cancer pancreatic ductal adenocarcinoma pancreatic cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort A

Patients with Esophageal cancer (Adenocarcinoma or Squamous cell cancer) will receive Futibatinib administered once daily on a continuous dosing regimen in combination with pembrolizumab plus investigator choice of SoC chemotherapy (FP or mFOLFOX6) for 6 cycles (induction phase) following by Futibatinib combination with pembrolizumab (consolidation phase).

Group Type EXPERIMENTAL

Futibatinib

Intervention Type DRUG

TAS-120 20 mg tablets, oral; once daily

Pembrolizumab

Intervention Type DRUG

400 mg once every 6-week-cycle, via IV infusion.

Cisplatin

Intervention Type DRUG

80 mg/m\^2 Q3W via IV infusion, as part of investigator's choice FP chemotherapy

5-FU

Intervention Type DRUG

4000 mg/m\^2 Q3W via IV infusion, as part of investigator's choice FP chemotherapy or 400 mg/m\^2 Q2W via bolus IV infusion followed by 2400 mg/m\^2 Q2W via continuous IV infusion, as part of investigator's choice mFOLFOX6 chemotherapy.

2400 mg/m\^2 Q2W via continuous IV infusion, as part of investigator's choice mFOLFOX6 chemotherapy.

2400 mg/m\^2 Q2W via continuous IV infusion, as part of mFOLFIRINOX chemotherapy.

Oxaliplatin

Intervention Type DRUG

85 mg/m\^2 Q2W via IV infusion, as part of mFOLFIRINOX or mFOLFOX6 chemotherapy. 2400 mg/m\^2 Q2W via continuous IV infusion, as part of mFOLFIRINOX chemotherapy.

Leucovorin

Intervention Type DRUG

400 mg/m\^2 Q2W as part of mFOLFIRINOX or mFOLFOX6 chemotherapy.

Levoleucovorin

Intervention Type DRUG

200 mg/m\^2 Q2W as part of investigator's choice mFOLFOX6 chemotherapy.

Cohort B

Patients with PDAC will receive Futibatinib administered once daily on a continuous dosing regimen in combination with pembrolizumab plus mFOLFIRINOX for 6 cycles (induction phase) following by Futibatinib combination with pembrolizumab (consolidation phase) .

Group Type EXPERIMENTAL

Futibatinib

Intervention Type DRUG

TAS-120 20 mg tablets, oral; once daily

Pembrolizumab

Intervention Type DRUG

400 mg once every 6-week-cycle, via IV infusion.

5-FU

Intervention Type DRUG

4000 mg/m\^2 Q3W via IV infusion, as part of investigator's choice FP chemotherapy or 400 mg/m\^2 Q2W via bolus IV infusion followed by 2400 mg/m\^2 Q2W via continuous IV infusion, as part of investigator's choice mFOLFOX6 chemotherapy.

2400 mg/m\^2 Q2W via continuous IV infusion, as part of investigator's choice mFOLFOX6 chemotherapy.

2400 mg/m\^2 Q2W via continuous IV infusion, as part of mFOLFIRINOX chemotherapy.

Oxaliplatin

Intervention Type DRUG

85 mg/m\^2 Q2W via IV infusion, as part of mFOLFIRINOX or mFOLFOX6 chemotherapy. 2400 mg/m\^2 Q2W via continuous IV infusion, as part of mFOLFIRINOX chemotherapy.

Leucovorin

Intervention Type DRUG

400 mg/m\^2 Q2W as part of mFOLFIRINOX or mFOLFOX6 chemotherapy.

Levoleucovorin

Intervention Type DRUG

200 mg/m\^2 Q2W as part of investigator's choice mFOLFOX6 chemotherapy.

Irinotecan

Intervention Type DRUG

150 mg/m\^2 Q2W as part of mFOLFIRINOX chemotherapy.

Interventions

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Futibatinib

TAS-120 20 mg tablets, oral; once daily

Intervention Type DRUG

Pembrolizumab

400 mg once every 6-week-cycle, via IV infusion.

Intervention Type DRUG

Cisplatin

80 mg/m\^2 Q3W via IV infusion, as part of investigator's choice FP chemotherapy

Intervention Type DRUG

5-FU

4000 mg/m\^2 Q3W via IV infusion, as part of investigator's choice FP chemotherapy or 400 mg/m\^2 Q2W via bolus IV infusion followed by 2400 mg/m\^2 Q2W via continuous IV infusion, as part of investigator's choice mFOLFOX6 chemotherapy.

2400 mg/m\^2 Q2W via continuous IV infusion, as part of investigator's choice mFOLFOX6 chemotherapy.

2400 mg/m\^2 Q2W via continuous IV infusion, as part of mFOLFIRINOX chemotherapy.

Intervention Type DRUG

Oxaliplatin

85 mg/m\^2 Q2W via IV infusion, as part of mFOLFIRINOX or mFOLFOX6 chemotherapy. 2400 mg/m\^2 Q2W via continuous IV infusion, as part of mFOLFIRINOX chemotherapy.

Intervention Type DRUG

Leucovorin

400 mg/m\^2 Q2W as part of mFOLFIRINOX or mFOLFOX6 chemotherapy.

Intervention Type DRUG

Levoleucovorin

200 mg/m\^2 Q2W as part of investigator's choice mFOLFOX6 chemotherapy.

Intervention Type DRUG

Irinotecan

150 mg/m\^2 Q2W as part of mFOLFIRINOX chemotherapy.

Intervention Type DRUG

Other Intervention Names

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TAS-120 MK-3475 KEYTRUDA® PLATINOL® ADRUCIL® ELOXATIN® calcium folinate folinic acid WELLCOVORIN® calcium levofolinate levofolinic acid FUSILEV®

Eligibility Criteria

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Inclusion Criteria

1. Is ≥18 years of age at the time of informed consent
2. Cohort A: Histologically or cytologically confirmed, locally advanced, unresectable or metastatic adenocarcinoma or squamous cell carcinoma of the esophagus or advanced/metastatic Siewert type 1 adenocarcinoma of the esophagogastric junction (EGJ).
3. Cohort B: Histologically or cytologically confirmed, locally advanced, unresectable or metastatic pancreatic ductal adenocarcinoma.
4. No prior systemic treatment for locally advanced, unresectable or metastatic disease
5. Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) guidelines.
6. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
7. Adequate organ function
8. Able to take medications orally

Exclusion Criteria

1. Has locally advanced disease that is resectable or potentially curable with radiation therapy (as determined by local investigator).
2. Has an adenocarcinoma histology and is eligible to receive approved targeted therapy (eg, HER-2 positive patients).
3. Has received prior treatment with an anti-PD-1/PD-L1 or FGF/FGFR targeting drug, or any other agent directed to stimulatory or co-stimulatory T-cell receptor.
4. Has known additional malignancy that is progressing or requires active treatment.
5. History or current evidence of calcium and phosphate homeostasis disorder
6. Current evidence of clinically significant retinal disorder
7. Pregnant or lactating female.
8. Has known hypersensitivity or severe reaction to any of the study drugs or their excipients.
9. Has a diagnosis of immunodeficiency.
10. Has known human immunodeficiency virus (HIV) and/or history of Hepatitis B or C infections, or known to be positive for Hepatitis B antigen (HBsAg)/ Hepatitis B virus (HBV) DNA or Hepatitis C antibody or RNA.
11. Has an active autoimmune disease that has required systemic treatment in the past 2 years
12. Has a history of (noninfectious) pneumonitis that required steroids or has current pneumonitis.
13. Has had an allogenic tissue/organ transplant.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Taiho Oncology, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of California Los Angeles UCLA - Cancer Care - Santa Monica

Santa Monica, California, United States

Site Status

Rocky Mountain Cancer Centers Midtown

Denver, Colorado, United States

Site Status

Mount Sinai Comprehensive Cancer Center

Miami Beach, Florida, United States

Site Status

Moffitt Cancer Center and Research Institute

Tampa, Florida, United States

Site Status

Henry Ford Health System

Detroit, Michigan, United States

Site Status

The Minniti Center - Medical Oncology and Hematology

Mickleton, New Jersey, United States

Site Status

Roswell Park Comprehensive Cancer Center (RPCCC) (Roswell Park Cancer Institute (RPCI))

Buffalo, New York, United States

Site Status

NYU Langone

New York, New York, United States

Site Status

Gabrail Cancer Center Research LLC

Canton, Ohio, United States

Site Status

Alliance Cancer Specialists

Horsham, Pennsylvania, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Dallas VA Medical Center

Dallas, Texas, United States

Site Status

Inova Schar Cancer Institute

Fairfax, Virginia, United States

Site Status

Blue Ridge Cancer Care

Roanoke, Virginia, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

Gundersen Lutheran Health System

La Crosse, Wisconsin, United States

Site Status

Centre Hospitalier Regional Universitaire de Lille

Lille, , France

Site Status

Centre Hospitalier Regional Universitaire Poitiers

Poitiers, , France

Site Status

Krankenhaus Nordwest gGmbH

Frankfurt, , Germany

Site Status

Universitaetsmedizin Mainz

Mainz, , Germany

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Countries

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United States France Germany Spain

Other Identifiers

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TAS-120-206

Identifier Type: -

Identifier Source: org_study_id