A Study of TAS-120 in Patients With Advanced Solid Tumors
Phase 1/2 Study of TAS-120 in Patients With Advanced Solid Tumors Harboring FGF/FGFR Aberrations
2 other identifiers
interventional
407
13 countries
58
Brief Summary
This is an open-label, nonrandomized, Phase 1/2 study for the fibroblast growth factor receptor (FGFR) inhibitor futibatinib (TAS-120). The purpose of the study is to evaluate the safety, tolerability, pharmacokinetic, pharmacodynamic, and anti-tumor activity of futibatinib in patients with advanced solid tumors with and without genomic FGF/FGFR abnormalities. The study will be conducted in 3 parts:
- 1.Dose escalation portion to determine the -Maximum Tolerated Dose and/ or Recommended Phase 2 Dose of futibatinib.
- 2.Phase 1 expansion portion to further evaluate the safety and efficacy of futibatinib in patients with tumors harboring FGF/FGFR aberrations, including patients with cholangiocarcinoma (CCA), primary central nervous system tumors, urothelial carcinoma, breast cancer, gastric cancer.
- 3.Phase 2 study portion to confirm objective response rate of futibatinib in intrahepatic CCA patients with tumors harboring FGFR2 gene rearrangements (incl fusions).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Jul 2014
Longer than P75 for phase_1
58 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 23, 2014
CompletedFirst Posted
Study publicly available on registry
February 3, 2014
CompletedStudy Start
First participant enrolled
July 21, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2020
CompletedResults Posted
Study results publicly available
March 20, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
October 22, 2024
CompletedMarch 27, 2025
November 1, 2024
6.2 years
January 23, 2014
September 27, 2023
March 10, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Phase 1: Dose Escalation-Maximum Tolerated Dose (MTD)
MTD:Highest dose level at which \<33% of participants experience dose-limiting toxicity (DLT) during Cycle1. DLT: \>=Grade(G)3: - nonhematologic toxicity, - nausea/vomiting lasting \>48hrs(uncontrolled by aggressive antiemetic), - diarrhea lasting \>48hrs (unresponsive to antidiarrheal drug); G4 neutropenia lasting \>7days; Febrile neutropenia (ANC\<1000/mm\^3 with body temperature=\>38.3°C/sustained temperature \>=38°C for \>1hr; Thrombocytopenia G4/G3 with bleeding, required blood transfusion; Corneal disorder worsened by 1 grade or more; Increased phosphorus: \>=9mg/dL or \>=7mg/dL lasting for \>=7days or phosphate lowering therapy\[PLT\] for 7days); Creatinine increase (\>1.5×upper limit of normal \[ULN\]) lasting for \>=7 days associated with serum phosphorus \>5.5 mg/dL(PLT=7days)/calcium×phosphorus \>55 mg/dL(PLT=7days); Hypercalcemia G2 for \>7days or G3; Ectopic de novo calcification in soft tissues; \>G2 DLT: prevented Cycle 1 completion, inability to start Cycle 2 within 2 weeks of schedule.
Cycle 1 (21-day cycle)
Phase 1: Dose Escalation-Recommended Phase 2 Dose (RP2D) of TAS-120
RP2D was MTD or less. MTD: Highest dose level at which \<33% of participants experience DLT) during Cycle1. DLT: \>=Grade(G)3: - nonhematologic toxicity, - nausea/vomiting lasting \>48hrs(uncontrolled by aggressive antiemetic), - diarrhea lasting \>48hrs (unresponsive to antidiarrheal drug); G4 neutropenia lasting \>7days; Febrile neutropenia (ANC\<1000/mm\^3 with body temperature=\>38.3°C/sustained temperature \>=38°C for \>1hr; Thrombocytopenia G4/G3 with bleeding, required blood transfusion; Corneal disorder worsened by 1 grade or more; Increased phosphorus: \>=9mg/dL or \>=7mg/dL lasting for \>=7days or phosphate lowering therapy\[PLT\] for 7days); Creatinine increase (\>1.5×upper limit of normal \[ULN\]) lasting for \>=7 days associated with serum phosphorus \>5.5 mg/dL(PLT=7days)/calcium×phosphorus \>55 mg/dL(PLT=7days); Hypercalcemia G2 for \>7days or G3; Ectopic de novo calcification in soft tissues; \>G2 DLT: prevented Cycle 1 completion, inability to start Cycle 2 within 2 weeks of schedule.
Cycle 1 (21-day cycle)
Phase 1: Dose Expansion: Percentage of Participants With Objective Response
Objective response was defined as proportion of participants who had achieved best overall response of partial response (PR) or complete response (CR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. The CR was defined as a disappearance of all target lesions. Any pathological lymph nodes (target or non-target) must had reduction in short axis to \<10 millimeters (mm) and PR was defined as at least a 30 percent (%) decrease in the sum of diameters of target lesions. For Cohorts 1 to 6: Objective response was based on Independent Review Committee (IRC) and for pooled Sub-cohort: Objective response was based on investigator review.
Up to approximately 50.5 months (through cut-off date 29-May-2021) for Cohorts 1 to 6; up to approximately 27.5 months (through cut-off date 30-Jun-2019) for pooled sub-cohorts
Phase 2: Percentage of Participants With Objective Response
Objective response was defined as proportion of participants who had achieved best overall response of PR or CR per RECIST v1.1. CR was defined as a disappearance of all target lesions. Any pathological lymph nodes (target or non-target) must had reduction in short axis to \<10 mm and PR was defined as at least a 30% decrease in the sum of diameters of target lesions. The Phase 2 evaluation of objective response was based on central independent CT/MRI image assessment.
Up to approximately 37.5 months (through cut-off date 29-May-2021)
Secondary Outcomes (17)
Phase 1: Dose Expansion: Duration of Response (DOR)
Up to approximately 50.5 months (through cut-off date 29-May-2021) for Cohorts 1 to 6; up to approximately 27.5 months (through cut-off date 30-Jun-2019) for pooled sub-cohorts
Phase 2: Duration of Response (DOR)
Up to approximately 37.5 months (through cut-off date 29-May-2021)
Phase 1: Dose Expansion: Disease Control Rate (DCR)
Up to approximately 50.5 months (through cut-off date 29-May-2021) for Cohorts 1 to 6; up to approximately 27.5 months (through cut-off date 30-Jun-2019) for pooled sub-cohort
Phase 2: Disease Control Rate (DCR)
Up to approximately 37.5 months (through cut-off date 29-May-2021)
Phase 1: Dose Expansion: Progression-free Survival (PFS)
up to approximately 27.5 months (through cut-off date 30-Jun-2019)
- +12 more secondary outcomes
Study Arms (23)
Phase 1: Dose Escalation: QOD Dosing: 8 mg
EXPERIMENTALParticipants with or without fibroblast growth factor \[FGF\]/fibroblast growth factor receptor \[FGFR\] gene abnormalities received orally TAS-120 8 milligrams (mg) orally every other day (QOD; Monday, Wednesday and Friday of each week) in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QOD Dosing: 16 mg
EXPERIMENTALParticipants with or without FGF/FGFR gene abnormalities received orally TAS-120 16 mg orally QOD (Monday, Wednesday and Friday of each week) in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QOD Dosing: 24 mg
EXPERIMENTALParticipants with or without FGF/FGFR gene abnormalities received orally TAS-120 24 mg orally QOD (Monday, Wednesday and Friday of each week) in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QOD Dosing: 36 mg
EXPERIMENTALParticipants with or without FGF/FGFR gene abnormalities received orally TAS-120 36 mg orally QOD (Monday, Wednesday and Friday of each week) in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QOD Dosing: 56 mg
EXPERIMENTALParticipants with FGF/FGFR gene abnormalities received orally TAS-120 56 mg orally QOD (Monday, Wednesday and Friday of each week) in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QOD Dosing: 80 mg
EXPERIMENTALParticipants with FGF/FGFR gene abnormalities received orally TAS-120 80 mg orally QOD (Monday, Wednesday and Friday of each week) in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QOD Dosing: 120 mg
EXPERIMENTALParticipants with FGF/FGFR gene abnormalities received orally TAS-120 120 mg orally QOD (Monday, Wednesday and Friday of each week) in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QOD Dosing: 160 mg
EXPERIMENTALParticipants with FGF/FGFR gene abnormalities received orally TAS-120 160 mg orally QOD (Monday, Wednesday and Friday of each week) in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QOD Dosing: 200 mg
EXPERIMENTALParticipants with FGF/FGFR gene abnormalities received orally TAS-120 200 mg orally QOD (Monday, Wednesday and Friday of each week) in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QD Dosing: 4 mg
EXPERIMENTALParticipants with or without FGF/FGFR gene abnormalities received a dose between 4 mg orally once daily (QD) in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QD Dosing: 8 mg
EXPERIMENTALParticipants with or without FGF/FGFR gene abnormalities received a dose between 8 mg orally QD in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QD Dosing: 16 mg
EXPERIMENTALParticipants with or without FGF/FGFR gene abnormalities received a dose between 16 mg orally QD in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QD Dosing: 20 mg
EXPERIMENTALParticipants with or without FGF/FGFR gene abnormalities received a dose between 20 mg orally QD in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Escalation: QD Dosing: 24 mg
EXPERIMENTALParticipants with or without FGF/FGFR gene abnormalities received a dose between 24 mg orally QD in a 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Expansion Cohort 1
EXPERIMENTALParticipants with intra-hepatic or extrahepatic cholangiocarcinoma (iCCA or eCCA) harboring FGFR2 gene fusions or rearrangements and who were treated or not treated with prior FGFR inhibitors received TAS-120 20 mg tablets orally QD in each of 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Expansion: Cohort 2
EXPERIMENTALParticipants with primary central nervous system (CNS) tumors harboring FGFR gene fusions or FGFR1 activating mutations received TAS-120 20 mg tablets orally QD in each of 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Expansion: Cohort 3
EXPERIMENTALParticipants with advanced urothelial carcinoma harboring FGFR3 gene fusions or FGFR3 activating mutations received TAS-120 20 mg tablets orally QD in each of 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Expansion: Cohort 4
EXPERIMENTALParticipants with breast or gastric cancer with harboring FGFR2 amplification received TAS-120 20 mg tablets orally QD in each of 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1:Dose Expansion: Cohort 5
EXPERIMENTALParticipants with tumor types harboring FGFR gene fusions or activating mutations received TAS-120 20 mg tablets orally QD in each of 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Expansion: Cohort 6
EXPERIMENTALParticipants who were not included in Cohorts 1 to 5 received TAS-120 20 mg tablets orally QD in each of 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Expansion: Sub-cohort 1
EXPERIMENTALParticipants with iCCA who were enrolled prior to the confirmation of the recommended Phase 2 dose (RP2D) received TAS-120 16 mg tablets orally QD in each of 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 1: Dose Expansion: Sub-cohort 2
EXPERIMENTALParticipants with other tumor types who were enrolled prior to the confirmation of the RP2D received TAS-120 16 mg tablets orally QD in each of 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Phase 2
EXPERIMENTALParticipants with iCCA with tumors harboring FGFR2 gene rearrangements received TAS-120 20 mg tablets orally QD in each of 21-day treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent or death.
Interventions
oral once daily dosing, 21-day cycle
Eligibility Criteria
You may qualify if:
- Provide written informed consent
- Age ≥ 18 years of age
- Has histologically or cytologically confirmed, locally advanced or metastatic cancer
- The following specific criteria for each study portion
- Phase 1 (Dose Escalation):
- Patients with any type of solid tumor
- Disease progression following standard therapies or intolerant to prior standard therapies
- Phase 1 (Dose Expansion)
- Have at least one FGF/FGFR aberration
- Disease progression following standard therapies or were intolerant to prior standard therapies (including prior FGFR inhibitors).
- Have measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) guidelines (version 1.1, 2009) for advanced solid tumors or Response Assessment in Neuro-Oncology criteria (2010) for brain tumors.
- Patients with any of the following tumor types
- Patients with intrahepatic or extrahepatic CCA harboring FGFR2 gene fusions or other FGFR2 aberrations
- Patients with primary CNS tumors
- Patients with advanced urothelial carcinoma with FGFR3 fusions or FGFR3 activating mutations
- +11 more criteria
You may not qualify if:
- History and/or current evidence of clinically significant non-tumor related alteration of calcium-phosphorus homeostasis.
- History and/or current evidence of clinically significant ectopic mineralization/calcification.
- History and/or current evidence of clinically significant retinal disorder
- A serious illness or medical condition(s)
- Pregnant or breast-feeding female
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (58)
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234, United States
Mayo Clinic (AZ)
Scottsdale, Arizona, 85259, United States
The University of Arizona Cancer Center - North Campus
Tucson, Arizona, 85719, United States
City of Hope National Medical Center
Duarte, California, 91010, United States
UCSF Helen Diller Family Comprehensive Cancer Center. Mission Bay
San Francisco, California, 94158, United States
Cancer Treatment Centers of America
Newnan, Georgia, 30265, United States
Cancer Treatment Centers of America Zion, IL
Zion, Illinois, 60099, United States
The University of Kansas Cancer Center
Fairway, Kansas, 66205, United States
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
Dana Farber Cancer Institution
Boston, Massachusetts, 02215, United States
Wayne State Universtity (Karmanos Cancer Institute)
Detroit, Michigan, 48201, United States
Mayo Clinic (MN)
Rochester, Minnesota, 55905, United States
New Mexico Cancer Care Alliancer
Albuquerque, New Mexico, 87106, United States
Roswell Park Cancer Institute
Buffalo, New York, 14263, United States
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
Sidney Kimmel Cancer Center at Jefferson
Philadelphia, Pennsylvania, 19107, United States
University of Pittsburgh Medical Center Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232, United States
Greenville Health System ITOR,Clinical Research Unit
Greenville, South Carolina, 29605, United States
Spartanburg Medical Center
Spartanburg, South Carolina, 29303, United States
Mary Crowley Cancer Research - Medical City
Dallas, Texas, 75230, United States
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030, United States
University of Utah, Huntsman Cancer Hospital
Salt Lake City, Utah, 84112, United States
University of Virginia Cancer Center
Charlottesville, Virginia, 22903, United States
Virginia Mason Cancer Center
Seattle, Washington, 98101, United States
University of Wisconsin Clinical Science Center
Madison, Wisconsin, 53792, United States
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
Royal Melbourne Hospital
Melbourne, Australia
Sunnybrook Research Institue
Toronto, M4N3M5, Canada
Centre Léon Bérard Bât
Lyon, Cedex, 69373, France
Institut Bergonie
Bordeaux, 33076, France
Hospices Civils de Lyon
Bron, 69677, France
Pitié-Salpêtrière Hospital
Paris, 75013, France
Rennes, Centre Eugène Marquis
Rennes, 35042, France
Institute Goustave-Roussy-DITEP
Villejuif, 94805, France
University Hospital Essen, West German Cancer Center, Department of Medical Oncology
Essen, 45147, Germany
The Chinese University of Hong Kong
Shatin, Hong Kong
Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta
Milan, 20133, Italy
UOC Oncologia Medica 1 I"V - Istituto Oncologico Veneto - IRCCS
Padua, 35128, Italy
Hokkaido University Hospital
Hokkaido, 060-8648, Japan
Kyoto University Hospital, Department of Clinical Pharmacology and Therapeutics
Kyoto, 606-8507, Japan
Tohoku University Hospital
Miyagi, 980-8574, Japan
Osaka International Cancer Institute
Osaka, 541-8567, Japan
National Cancer Center Hospital
Tokyo, 104-0045, Japan
University Hospital Jenna
Jenna, 07740, Netherlands
Yonsei University, Severance Hospital (Seoul)
Seoul, 03722, South Korea
ASAN Medical Center (Seoul)
Seoul, 05505, South Korea
Samsung Medical Center (Seoul)
Seoul, 06351, South Korea
Seoul National University Hospital
Seoul, 110-744, South Korea
Val D'Hebron University Hospital
Barcelona, 08035, Spain
Hospital Clinic i Provincial de Barcelona,
Barcelona, 08036, Spain
University Hospital Ramón y Cajal
Madrid, 28034, Spain
Centro Integral Oncológico Clara Campal - Hospital Universitario Madrid Sanchinarro
Madrid, Spain
Cheng Kung University Hospital
Tainan, 704, Taiwan
National Taiwan University Hospital
Taipei, 10048, Taiwan
Guy's and St Thomas' NHS Foundation Trust
London, SE1 9RT, United Kingdom
Sarah Cannon Research Institute
London, W1G 6AD, United Kingdom
University College London Hospital
London, W1T 7HA, United Kingdom
The Christie NHS Foundation Trust
Manchester, M20 4BX, United Kingdom
Related Publications (4)
Goyal L, Meric-Bernstam F, Hollebecque A, Valle JW, Morizane C, Karasic TB, Abrams TA, Furuse J, Kelley RK, Cassier PA, Klumpen HJ, Chang HM, Chen LT, Tabernero J, Oh DY, Mahipal A, Moehler M, Komatsu Y, Ahn DH, Epstein RS, Halim AB, Wacheck V, He Y, Liu M, Benhadji KA, Bridgewater JA; FOENIX-CCA2 Study Investigators. Plain language summary of the FOENIX-CCA2 study: futibatinib for people with advanced bile duct cancer. Future Oncol. 2024;20(36):2811-2822. doi: 10.1080/14796694.2024.2364504. Epub 2024 Jun 17.
PMID: 38884254DERIVEDDiPeri TP, Zhao M, Evans KW, Varadarajan K, Moss T, Scott S, Kahle MP, Byrnes CC, Chen H, Lee SS, Halim AB, Hirai H, Wacheck V, Kwong LN, Rodon J, Javle M, Meric-Bernstam F. Convergent MAPK pathway alterations mediate acquired resistance to FGFR inhibitors in FGFR2 fusion-positive cholangiocarcinoma. J Hepatol. 2024 Feb;80(2):322-334. doi: 10.1016/j.jhep.2023.10.041. Epub 2023 Nov 14.
PMID: 37972659DERIVEDGoyal L, Meric-Bernstam F, Hollebecque A, Valle JW, Morizane C, Karasic TB, Abrams TA, Furuse J, Kelley RK, Cassier PA, Klumpen HJ, Chang HM, Chen LT, Tabernero J, Oh DY, Mahipal A, Moehler M, Mitchell EP, Komatsu Y, Masuda K, Ahn D, Epstein RS, Halim AB, Fu Y, Salimi T, Wacheck V, He Y, Liu M, Benhadji KA, Bridgewater JA; FOENIX-CCA2 Study Investigators. Futibatinib for FGFR2-Rearranged Intrahepatic Cholangiocarcinoma. N Engl J Med. 2023 Jan 19;388(3):228-239. doi: 10.1056/NEJMoa2206834.
PMID: 36652354DERIVEDBahleda R, Meric-Bernstam F, Goyal L, Tran B, He Y, Yamamiya I, Benhadji KA, Matos I, Arkenau HT. Phase I, first-in-human study of futibatinib, a highly selective, irreversible FGFR1-4 inhibitor in patients with advanced solid tumors. Ann Oncol. 2020 Oct;31(10):1405-1412. doi: 10.1016/j.annonc.2020.06.018. Epub 2020 Jul 2.
PMID: 32622884DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Taiho
- Organization
- Taiho Oncology, Inc.
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
- Expanded Access
- Yes
Study Record Dates
First Submitted
January 23, 2014
First Posted
February 3, 2014
Study Start
July 21, 2014
Primary Completion
October 1, 2020
Study Completion
October 22, 2024
Last Updated
March 27, 2025
Results First Posted
March 20, 2024
Record last verified: 2024-11
Data Sharing
- IPD Sharing
- Will not share