Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID05727176

Phase 2 Study of Futibatinib 20 mg and 16 mg in Patients With Advanced Cholangiocarcinoma With FGFR2 Fusions or Rearrangements

Led by Taiho Oncology, Inc. · Updated on 2026-05-28

120

Participants Needed

65

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and effectiveness of futibatinib, an oral FGFR inhibitor, in patients with advanced cholangiocarcinoma (CCA) that has FGFR2 gene fusions or rearrangements. This Phase 2, open-label, multinational, randomized study aims to confirm the clinical benefit of a 20 mg dose and assess the safety and efficacy of a 16 mg dose in patients who have previously received treatment for their cancer. Participants are randomly assigned in equal numbers to receive either 16 mg or 20 mg of futibatinib daily in a 21-day cycle. Treatment continues until the disease progresses according to specific criteria or until other withdrawal conditions are met. The study compares these two dose levels to understand their impact on the disease. During the study, participants undergo regular assessments including imaging to measure tumor response, laboratory tests to monitor health, and quality of life questionnaires. Researchers will evaluate outcomes such as the overall response rate, duration of response, progression-free survival, overall survival, and treatment-emergent side effects. These evaluations continue up to 12 months after the study completion to gather comprehensive safety and efficacy data.

CONDITIONS

Brief Title

Study of Futibatinib in Patients With Advanced Cholangiocarcinoma With FGFR2 Fusion or Rearrangement

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically or cytologically confirmed, locally advanced, metastatic, or unresectable intrahepatic or extrahepatic cholangiocarcinoma
  • Documented evidence of FGFR2 gene fusions or other FGFR2 rearrangements
  • Received at least one prior systemic gemcitabine and platinum-based regimen for cholangiocarcinoma
  • Radiographic disease progression on the most recent prior therapy
  • Measurable disease
  • Performance status 0 or 1
  • Adequate organ function
Not Eligible

You will not qualify if you...

  • History or current evidence of calcium and phosphate homeostasis disorder
  • Current evidence of clinically significant retinal disorder
  • Major surgery within the previous 4 weeks or radiotherapy within 2 to 4 weeks depending on the field
  • Locoregional therapy such as TACE, SIRT, or ablation within 4 weeks
  • Non-investigational anticancer therapy within 3 weeks or unresolved side effects prior to futibatinib
  • Targeted therapy, immunotherapy, or investigational agents within 3 weeks or 5 half-lives prior to futibatinib
  • Prior FGFR-directed therapy
  • Serious illness including brain metastasis unless stable for at least 1 month, acute infection, recent severe cardiac events within 2 months, significant gastrointestinal disorders affecting absorption, or other severe medical or psychiatric conditions
  • Known progressing additional malignancy requiring active treatment except certain prior or concurrent cancers
  • Pregnant or lactating female
  • Known hypersensitivity or severe reaction to futibatinib or its components

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Continuous 21-day cycles until disease progression or withdrawal

Participants receive futibatinib orally at either 16 mg or 20 mg daily in 21-day cycles until disease progression or other withdrawal criteria are met.

Daily oral dosing with regular clinical visits during treatment

Trial Site Locations

Total: 65 locations

1

University of California San Diego UCSD - Moores Cancer Center

La Jolla, California, United States, 92093

Actively Recruiting

2

Tampa General Hospital Cancer Institute

Tampa, Florida, United States, 33606

Actively Recruiting

3

Henry Ford Health System

Detroit, Michigan, United States, 48202

Actively Recruiting

4

Gabrail Cancer Center Research

Canton, Ohio, United States, 44718

Withdrawn

5

Texas Oncology

Abilene, Texas, United States, 79606-5208

Actively Recruiting

6

The Liver Institute at Methodist Dallas Medical Center

Dallas, Texas, United States, 75203

Actively Recruiting

7

Texas Oncology Methodist DFW

Dallas, Texas, United States, 75230

Actively Recruiting

8

Texas Onc Methodist (Charlton)

Dallas, Texas, United States, 75237

Actively Recruiting

9

Texas Oncology - Northeast

Denton, Texas, United States, 76201

Actively Recruiting

10

Center for Oncology and Blood Disorders

Houston, Texas, United States, 77030

Withdrawn

11

Hospital Britanico

Buenos Aires, Argentina, AEB1280

Actively Recruiting

12

CEMIC

CABA, Argentina, 1431

Actively Recruiting

13

Sanatorio de la Mujer

Rosario, Argentina, S2013

Actively Recruiting

14

St Vincent's Hospital Sydney - The Kinghorn Cancer Centre

Sydney, New South Wales, Australia, 2010

Actively Recruiting

15

Alfred Health, Medical Oncology Unit, Second floor William Buckland Radiotherapy Center

Melbourne, Victoria, Australia, 3004

Actively Recruiting

16

St John of God Subiaco Hospital

Subiaco, Western Australia, Australia, 6008

Actively Recruiting

17

Instituto do Cancer do Estado de Sao Paulo

Cerqueira César, Brazil, 01246-000

Actively Recruiting

18

IOP - Instituto de Oncologia do Parana

Curitiba, Brazil, 80530-010

Actively Recruiting

19

Hospital Erasto Gaertner

Curitiba, Brazil, 81520-060

Actively Recruiting

20

Hospital de Base de Sao Jose do Rio Preto

São José do Rio Preto, Brazil, 15090-000

Actively Recruiting

21

Fundacao Antonio Prudente - A.C.Camargo Cancer Center

São Paulo, Brazil, 01508-010

Actively Recruiting

22

Grand River Hospital - Grand River Regional Cancer Centre (GRRCC)

Kitchener, OH, Canada, N2G 1G3

Actively Recruiting

23

Sunnybrook Health Sciences Center

Toronto, OH, Canada, M4M 3N5

Actively Recruiting

24

University of Toronto

Toronto, OH, Canada, M5G 2M9

Actively Recruiting

25

McGill University Health Center

Montreal, Quebec, Canada, H4A 3J1

Actively Recruiting

26

Guangdong Provincial People's Hospitall

Guangzhou, Guangdong, China, 510080

Actively Recruiting

27

Harbin Medical University - Cancer Hospital

Harbin, Heilongjiang, China

Actively Recruiting

28

Jiangsu Provance Hospital

Nanjing, Jiangsu, China, 212028

Not Yet Recruiting

29

Jilin Cancer Hospital

Changchun, Jilin, China, 130028

Actively Recruiting

30

Shandong University - Shandong Cancer Hospital

Jinan, Shandong, China, 250117

Actively Recruiting

31

Zhongahan Hospital Fudan unversity

Shanghai, Shanghai Municipality, China, 200032

Not Yet Recruiting

32

West China Hospital- Sichuan University

Chengdu, Sichuan, China, 610041

Actively Recruiting

33

Sir Run Run Shaw Hospital, Zhejiang University

Hangzhou, Zhejiang, China, 310016

Actively Recruiting

34

Shanghai Gobroad Cancer Hospital China Pharmaceutical University

Shanghai, China, 200123

Actively Recruiting

35

Tongji University Shanghai East Hospital

Shanghai, China

Actively Recruiting

36

The University of Hong Kong

Hong Kong Island, Hong Kong, 999077

Actively Recruiting

37

The Chinese University of Hong Kong Prince of Wales Hospital

New Territories, Hong Kong, 999077

Actively Recruiting

38

Policlinico S. Orsola-Malpighi

Bologna, Italy, 40138

Actively Recruiting

39

IRCCS Humanitas Research Hospital

Rozzano, Italy, 20089

Actively Recruiting

40

AOUI Verona - Ospedale Borgo Roma

Verona, Italy, 37134

Actively Recruiting

41

Tohoku University Hospital

Sendai, Miyagi, Japan, 980-8574

Withdrawn

42

National Cancer Center Hospital East

Kashiwa-Shi, Japan, 277-0882

Actively Recruiting

43

Nagasaki University Hospital

Nagasaki, Japan, 852-8501

Withdrawn

44

Nagoya University Hospital

Nagoya, Japan, 466-8560

Actively Recruiting

45

Osaka Metropolitan University Hospital

Osaka-Fu, Japan, 558-8585

Actively Recruiting

46

Szpital Wojewdzki w Koszalinie im. Mikoaja Kopernika

Koszalin, Poland, 75-581

Withdrawn

47

Centrum Onkologii Ziemi Lubelskiej im. w. Jana z Dukli

Lublin, Poland, 20-0920

Withdrawn

48

Europejskie Centrum Zdrowia Otwock Sp. Z.o.o.

Otwock, Poland, 05-400

Actively Recruiting

49

Centrum Onkologii-Instytut im. Marii Skłodowskiej - Curie

Warsaw, Poland, 02-034

Actively Recruiting

50

Fundação Champalimaud

Lisbon, Portugal, 1400-038

Actively Recruiting

51

Centro Hospitalar Lisboa Norte CHLN EPE - Hospital de Santa Maria

Lisbon, Portugal, 1649-035

Actively Recruiting

52

Inje University Haeundae Paik Hospital

Busan, South Korea, 48108

Actively Recruiting

53

Dong-A University Hospital

Busan, South Korea, 49201

Withdrawn

54

Kyungpook National University Hospital

Daegu, South Korea, 41944

Actively Recruiting

55

Gyeongsang National University Hospital

Jinju, South Korea, 52727

Actively Recruiting

56

CHA Bundang Medical Center

Seongnam, South Korea, 13532

Actively Recruiting

57

Yonsei University Health System - Severance Hospital

Seoul, South Korea, 03722

Actively Recruiting

58

The Catholic University of Korea, St. Mary's Hospital

Seoul, South Korea, 06591

Actively Recruiting

59

Hospital Vall d'Hebron

Barcelona, Spain, 08035

Actively Recruiting

60

Institut Català d'Oncologia de l'Hospitalet de Llobregat - Hospital Duran i Reynals

Barcelona, Spain, 08908

Actively Recruiting

61

Hospital General Universitario Gregorio Maranon

Madrid, Spain, 28007

Actively Recruiting

62

Clinica Universidad de Navarra, Medical Oncology Service (Mariano Ponz Sarvise)

Madrid, Spain, 28027

Actively Recruiting

63

Hospital Universitario Fundación Jimenez Díaz

Madrid, Spain, 28040

Actively Recruiting

64

Hospital Universitario 12 de octubre

Madrid, Spain, 28043

Actively Recruiting

65

Clinica Universidad de Navarra

Pamplona, Spain, 31008

Actively Recruiting

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Research Team

T

Taiho Oncology, INC

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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