Study of Tinengotinib VS. Physician's Choice a Treatment of Subjects With FGFR-altered in Cholangiocarcinoma

NCT ID: NCT05948475

Last Updated: 2024-06-24

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-20

Study Completion Date

2026-08-31

Brief Summary

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This study is a Phase III, Randomized, Controlled, Global Multicenter Study to Evaluate the Efficacy and Safety of Oral Tinengotinib versus Physician's Choice in Subjects with Fibroblast Growth Factor Receptor (FGFR)-altered, Chemotherapy- and FGFR Inhibitor-Refractory/Relapsed Cholangiocarcinoma

Detailed Description

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Approximately 200 subjects will be enrolled. Eligible subjects will be randomized in a 2:2:1 ratio to receive tinengotinib 8 mg QD, tinengotinib 10 mg QD or Physician's Choice in Part A; and eligible subjects will be randomized in a 2:1 ratio to receive the recommended Part B dose or selected dose or Physician's Choice in Part B.

Conditions

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Cholangiocarcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Tinengotinib 8 mg QD

Tinengotinib will be administered in 28-day cycles.

Group Type EXPERIMENTAL

Tinengotinib 8 mg

Intervention Type DRUG

Subjects randomized to receive tinengotinib will receive a starting dose of either 8 mg QD., self-administered orally QD in 28-day cycles.

Tinengotinib 10 mg QD

Tinengotinib will be administered in 28-day cycles.

Group Type EXPERIMENTAL

Tinengotinib 10 mg

Intervention Type DRUG

Subjects randomized to receive tinengotinib will receive a starting dose of either10 mg QD., self-administered orally QD in 28-day cycles.

Physician's Choice

Physician's Choice treatments include FOLFOX or FOLFIRI

Group Type ACTIVE_COMPARATOR

Physician's Choice

Intervention Type DRUG

For subjects receiving FOLFOX or FOLFIRI, the subject will receive treatment every two weeks, with two administrations per each 28-day cycle.

Interventions

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Tinengotinib 8 mg

Subjects randomized to receive tinengotinib will receive a starting dose of either 8 mg QD., self-administered orally QD in 28-day cycles.

Intervention Type DRUG

Tinengotinib 10 mg

Subjects randomized to receive tinengotinib will receive a starting dose of either10 mg QD., self-administered orally QD in 28-day cycles.

Intervention Type DRUG

Physician's Choice

For subjects receiving FOLFOX or FOLFIRI, the subject will receive treatment every two weeks, with two administrations per each 28-day cycle.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. ≥ 18 years of age at the time of signing the informed consent form (ICF).
2. Histologically or cytologically confirmed CCA/adenocarcinoma of biliary origin with radiological evidence of unresectable or metastatic disease.
3. Documentation of FGFR2 fusion/rearrangement gene status
4. Subjects must have received at least one line of prior chemotherapy and exactly one FDA approved FGFR inhibitor.

Exclusion Criteria

1. Prior receipt of two or more FGFR inhibitors, either approved or investigational drugs.
2. Subjects with known brain or central nervous system (CNS) metastases that have radiologically or clinically progressed in the 28 days prior to initiation of therapy. Subjects with asymptomatic brain/CNS metastases or treated brain/CNS metastases that have been clinically stable for 14 days on steroids without escalation of steroids are eligible for enrollment.
3. Subjects with a known concurrent malignancy that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin, carcinoma in situ of the cervix, or other noninvasive or indolent malignancy, including those that have previously undergone potentially curative therapy.
4. Subjects who have received prior systemic therapy or investigational study drug ≤ 5 half-lives or 14 days, whichever is shorter, prior to starting the study drug or who have not recovered (grade ≤ 1 or at pretreatment baseline except tolerable grade 2 alopecia, fatigue/asthenia, and neuropathy due to trauma) from adverse events (AEs) of prior therapy.
5. Concurrent anticancer therapy including chemo-, immune-, or radiotherapy. Hormone therapy may be allowed with Sponsor approval.
6. Subjects who have received wide field radiotherapy ≤ 4 weeks or limited field radiation for palliation ≤ 2 weeks prior to starting the study drug or who have not recovered from AEs of prior therapy.
7. Subjects with uncontrolled hypertension (defined as blood pressure of ≥ 150 mm Hg systolic and/or ≥ 90 mm Hg diastolic despite adequate treatment with antihypertensive medications at screening)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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TransThera Sciences (Nanjing), Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Milind Javle, MD

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Locations

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UCLA Medical Center

Santa Monica, California, United States

Site Status RECRUITING

Stanford Cancer Center

Stanford, California, United States

Site Status RECRUITING

The University of Kansas Cancer Center

Westwood, Los Angeles, California, United States

Site Status RECRUITING

Mount Sinai Comprehensive Cancer Center

Miami Beach, Florida, United States

Site Status RECRUITING

The University of Chicago Hospitals

Chicago, Illinois, United States

Site Status RECRUITING

UMass Memorial Medical Center

Worcester, Massachusetts, United States

Site Status NOT_YET_RECRUITING

University of Michigan

Ann Arbor, Michigan, United States

Site Status NOT_YET_RECRUITING

Henry Ford

Detroit, Michigan, United States

Site Status NOT_YET_RECRUITING

University of Minnesota- Masonic Cancer Center, M Health Fairview

Minneapolis, Minnesota, United States

Site Status NOT_YET_RECRUITING

Roswell Park Comprehensive Cancer Center

Buffalo, New York, United States

Site Status RECRUITING

Messino Cancer Centers

Asheville, North Carolina, United States

Site Status RECRUITING

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status RECRUITING

Tennessee Oncology- Nashville

Nashville, Tennessee, United States

Site Status RECRUITING

Vanderbilt-Ingram Cancer Center

Nashville, Tennessee, United States

Site Status RECRUITING

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology-Sammons Cancer Center

Dallas, Texas, United States

Site Status NOT_YET_RECRUITING

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

University of Virginia Cancer Center

Charlottesville, Virginia, United States

Site Status RECRUITING

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status NOT_YET_RECRUITING

Ordensklinikum Linz GmbH

Linz, , Austria

Site Status RECRUITING

Landesklinikum Wiener Neustadt

Wiener Neustadt, , Austria

Site Status NOT_YET_RECRUITING

Universitair Ziekenhuis Antwerpen

Antwerp, , Belgium

Site Status NOT_YET_RECRUITING

Universitair Ziekenhuis Gent

Ghent, , Belgium

Site Status NOT_YET_RECRUITING

Universitair Ziekenhuis Leuven

Leuven, , Belgium

Site Status NOT_YET_RECRUITING

Institut Sainte Catherine - Institut du Cancer Avignon Provence

Avignon, , France

Site Status NOT_YET_RECRUITING

Centre Hospitalier Régional Universitaire de Besançon

Besançon, , France

Site Status NOT_YET_RECRUITING

Hopital Beaujon

Clichy, , France

Site Status NOT_YET_RECRUITING

Hopital Franco-Britannique - Fondation Cognacq-Jay

Levallois-Perret, , France

Site Status NOT_YET_RECRUITING

Clinique de la Sauvegarde

Lyon, , France

Site Status NOT_YET_RECRUITING

Centre Hospitalier Universitaire de Montpellier

Montpellier, , France

Site Status NOT_YET_RECRUITING

Hopital Saint Antoine

Paris, , France

Site Status NOT_YET_RECRUITING

Institut de Cancerologie Gustave Roussy

Villejuif, , France

Site Status NOT_YET_RECRUITING

Krebszentrum Reutlingen

Baden, , Germany

Site Status RECRUITING

Krankenhaus Nordwest gGmbH

Frankfurt, , Germany

Site Status RECRUITING

Asklepios Klinik Altona

Hamburg, , Germany

Site Status NOT_YET_RECRUITING

Medizinische Hochschule Hannover

Hanover, , Germany

Site Status NOT_YET_RECRUITING

Universitaetsklinikum Heidelberg (UKHD) - Nationales Centrum fuer Tumorerkrankungen Heidelberg (NCT)

Heidelberg, , Germany

Site Status RECRUITING

Ludwig-Maximilians-Universität München Kum

München, , Germany

Site Status NOT_YET_RECRUITING

Clinica Oncologica, Ospedali Riuniti Umberto 1

Ancona, , Italy

Site Status RECRUITING

Candiolo Cancer Institute - FPO IRCCS

Candiolo, , Italy

Site Status NOT_YET_RECRUITING

Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori

Meldola, , Italy

Site Status RECRUITING

Istituto Europeo di Oncologia IRCCS

Milan, , Italy

Site Status NOT_YET_RECRUITING

ASST Grande Ospedale Metropolitano Niguard

Milan, , Italy

Site Status NOT_YET_RECRUITING

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, , Italy

Site Status NOT_YET_RECRUITING

Azienda Ospedaliera Universitaria Luigi Vanvitelli

Napoli, , Italy

Site Status NOT_YET_RECRUITING

Istituto Nazionale Tumori IRCCS Fondazione G. Pascale

Napoli, , Italy

Site Status RECRUITING

Azienda Ospedaliera Universitaria di Parma

Parma, , Italy

Site Status NOT_YET_RECRUITING

Azienda Ospedaliero-Universitaria Pisana

Pisa, , Italy

Site Status NOT_YET_RECRUITING

Humanitas Research Hospital

Rozzano, , Italy

Site Status RECRUITING

Azienda Ospedaliera Universitaria Senese Policlinico Le Scotte

Siena, , Italy

Site Status NOT_YET_RECRUITING

AOUI Verona - Ospedale Borgo Roma

Verona, , Italy

Site Status RECRUITING

Amsterdam UMC, location AMC

Amsterdam, , Netherlands

Site Status NOT_YET_RECRUITING

Centrum Onkologii-Instytut im. Marii Skłodowskiej-Curie

Warsaw, , Poland

Site Status NOT_YET_RECRUITING

Centro Hospitalar Lisboa Norte CHLN EPE - Hospital de Santa Maria

Lisbon, , Portugal

Site Status NOT_YET_RECRUITING

Fundação Champalimaud

Lisbon, , Portugal

Site Status NOT_YET_RECRUITING

CHA Bundang Medical Center

Seongnam-si, Gyeonggi-do, South Korea

Site Status RECRUITING

Gyeongsang National University Hospital

Jinju, Gyeongsangnam-do, South Korea

Site Status RECRUITING

Chonnam National University Hwasun Hospital

Hwasun, Jeollanam-do, South Korea

Site Status RECRUITING

Inje University Haeundae Paik Hospital

Busan, , South Korea

Site Status RECRUITING

Dong-A University Hospital

Busan, , South Korea

Site Status RECRUITING

Kyungpook National University Hospital

Daegu, , South Korea

Site Status RECRUITING

Gachon University Gil Medical Center

Incheon, , South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Yonsei University Health System - Severance Hospital

Seoul, , South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Korea University Guro Hospital

Seoul, , South Korea

Site Status RECRUITING

Hospital Clínic de Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitari Vall d´Hebron

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario Reina Sofa

Córdoba, , Spain

Site Status RECRUITING

Clinica Universidad de Navarra

Madrid, , Spain

Site Status RECRUITING

HM Hospital Universitario Madrid Sanchinarro - CIOCC

Madrid, , Spain

Site Status RECRUITING

Hospital General Universitario Gregorio Maranon

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario 12 de octubre

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Fundacion Jimenez Diaz

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Ramón y Cajal

Madrid, , Spain

Site Status RECRUITING

Clinica Universidad de Navarra

Pamplona, , Spain

Site Status RECRUITING

Hospital Clinico Universitario de Santiago de Compostela

Santiago de Compostela, , Spain

Site Status NOT_YET_RECRUITING

Hospital Universitario Miguel Servet

Zaragoza, , Spain

Site Status NOT_YET_RECRUITING

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, , Taiwan

Site Status RECRUITING

Chang Gung Memorial Hospital CGMH - Kaohsiung Branch

Kaohsiung City, , Taiwan

Site Status RECRUITING

Taichung Veterans General Hospital

Taichung, , Taiwan

Site Status NOT_YET_RECRUITING

National Taiwan University Hospital

Taipei, , Taiwan

Site Status RECRUITING

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status RECRUITING

Royal Marsden Hospital NHS

London, , United Kingdom

Site Status NOT_YET_RECRUITING

UCG-1st floor central

London, , United Kingdom

Site Status NOT_YET_RECRUITING

The Christie NHS Foundation Trust - Christie Hospital

Manchester, , United Kingdom

Site Status NOT_YET_RECRUITING

Nottingham University Hospitals NHS Trust

Nottingham, , United Kingdom

Site Status NOT_YET_RECRUITING

Countries

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United States Austria Belgium France Germany Italy Netherlands Poland Portugal South Korea Spain Taiwan United Kingdom

Central Contacts

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Jean Fan, MD

Role: CONTACT

86-25-86901107

Hui Wang

Role: CONTACT

86-25-86901159

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Swetha Vadde

Role: primary

650-721-3343

Ashley Vallandingham

Role: primary

913-588-0593

Ana Lacombe

Role: primary

305-674-2625 ext. 53758

Jenna Blamowski

Role: primary

Sarah Chatley

Role: backup

716-845-4846

Josh Duckett

Role: primary

828-212-7021

Peggy Fowler

Role: primary

Emma Brennan

Role: primary

615-917-9153

Kristen Harris

Role: primary

434-297-5724

Seonyoung Park

Role: primary

82-31-780-3440

Eun Jin Kim

Role: backup

82-10-6755-0814

Hye-Kyoung Lee

Role: primary

82-55-750-9454

Su Jin Lee

Role: primary

82-61-379-8872

Jeong Ah Im

Role: backup

82-61-379-7700

Eunyeong Park

Role: primary

82-51-797-0096

Subin Lee

Role: backup

82-51-797-0097

Minseong Seon

Role: primary

Sun hee Lee

Role: primary

82 53-200-5515

Jinseon Kim

Role: primary

82-32-460-3227

So Hee Choi

Role: backup

82-10-9271-7739

Hyeonju Jung

Role: primary

82-2-2072-7611

Mie soon In

Role: backup

82-2 2072-0795

somang Kim

Role: primary

82-10-6701-3112

EunKyung Park

Role: primary

Soohyun Park

Role: primary

82-10-8686-4176

Noeul Kim

Role: backup

82-2-2626-2212

Cherie Chen

Role: primary

886-903-206-006

Yu-Chi Chang

Role: backup

886- 7-3121101 ext. 5610

Chen-Yi Lin

Role: primary

886 7 7317 123 ext. 3679

Chieh-Ling (Iris) Yen

Role: primary

886-4-23592525 ext. 82593

Tz-Min Chao

Role: primary

886-2-2312-3456 ext. 67857

Shu-Hui Chou

Role: primary

886-228712121 ext. 2935

Joanne Song

Role: backup

886-228712121 ext. 2935

Other Identifiers

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TT420C2308

Identifier Type: -

Identifier Source: org_study_id

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