NCT05945823

Brief Summary

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.

Trial Health

78
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
53

participants targeted

Target at P25-P50 for phase_2

Timeline
6mo left

Started Jul 2023

Typical duration for phase_2

Geographic Reach
4 countries

22 active sites

Status
active not recruiting

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

Study Progress84%
Jul 2023Jan 2027

First Submitted

Initial submission to the registry

July 6, 2023

Completed
7 days until next milestone

Study Start

First participant enrolled

July 13, 2023

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 14, 2023

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 28, 2026

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2027

Expected
Last Updated

April 9, 2026

Status Verified

April 1, 2026

Enrollment Period

2.5 years

First QC Date

July 6, 2023

Last Update Submit

April 8, 2026

Conditions

Keywords

FutibatinibAdvanced esophageal cancerEsophageal cancerTAS-120ImmunotherapyEsophageal squamous cell cancer (ESCC)GEJ cancerpancreatic ductal adenocarcinomapancreatic cancer

Outcome Measures

Primary Outcomes (1)

  • ORR by investigator assessment

    Defined as the proportion of patients experiencing a best overall response of partial response (PR) or complete response (CR) (per RECIST 1.1), based on investigator assessment

    12 months

Secondary Outcomes (5)

  • Treatment-emergent adverse events (TEAEs) as assessed by CTCAE v5.0

    12 months

  • DoR per investigator assessment

    12 months

  • DCR per investigator assessment

    12 months

  • PFS per investigator assessment

    12 months

  • 6-month PFS rate

    12 months

Study Arms (2)

Cohort A

EXPERIMENTAL

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).

Drug: FutibatinibDrug: PembrolizumabDrug: CisplatinDrug: 5-FUDrug: OxaliplatinDrug: LeucovorinDrug: Levoleucovorin

Cohort B

EXPERIMENTAL

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) .

Drug: FutibatinibDrug: PembrolizumabDrug: 5-FUDrug: OxaliplatinDrug: LeucovorinDrug: LevoleucovorinDrug: Irinotecan

Interventions

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

Also known as: PLATINOL®
Cohort A
5-FUDRUG

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.

Also known as: ADRUCIL®
Cohort ACohort B

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.

Also known as: ELOXATIN®
Cohort ACohort B

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

Also known as: calcium folinate, folinic acid, WELLCOVORIN®
Cohort ACohort B

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

Also known as: calcium levofolinate, levofolinic acid, FUSILEV®
Cohort ACohort B

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

Cohort B

TAS-120 20 mg tablets, oral; once daily

Also known as: TAS-120
Cohort ACohort B

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

Also known as: MK-3475, KEYTRUDA®
Cohort ACohort B

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Is ≥18 years of age at the time of informed consent
  • 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).
  • Cohort B: Histologically or cytologically confirmed, locally advanced, unresectable or metastatic pancreatic ductal adenocarcinoma.
  • No prior systemic treatment for locally advanced, unresectable or metastatic disease
  • Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) guidelines.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Adequate organ function
  • Able to take medications orally

You may not qualify if:

  • Has locally advanced disease that is resectable or potentially curable with radiation therapy (as determined by local investigator).
  • Has an adenocarcinoma histology and is eligible to receive approved targeted therapy (eg, HER-2 positive patients).
  • 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.
  • Has known additional malignancy that is progressing or requires active treatment.
  • History or current evidence of calcium and phosphate homeostasis disorder
  • Current evidence of clinically significant retinal disorder
  • Pregnant or lactating female.
  • Has known hypersensitivity or severe reaction to any of the study drugs or their excipients.
  • Has a diagnosis of immunodeficiency.
  • 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.
  • Has an active autoimmune disease that has required systemic treatment in the past 2 years
  • Has a history of (noninfectious) pneumonitis that required steroids or has current pneumonitis.
  • Has had an allogenic tissue/organ transplant.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (22)

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

Santa Monica, California, 90404, United States

Location

Rocky Mountain Cancer Centers Midtown

Denver, Colorado, 80218, United States

Location

Mount Sinai Comprehensive Cancer Center

Miami Beach, Florida, 33140, United States

Location

Moffitt Cancer Center and Research Institute

Tampa, Florida, 33612, United States

Location

Henry Ford Health System

Detroit, Michigan, 48202, United States

Location

The Minniti Center - Medical Oncology and Hematology

Mickleton, New Jersey, 08056, United States

Location

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

Buffalo, New York, 14203, United States

Location

NYU Langone

New York, New York, 10016, United States

Location

Gabrail Cancer Center Research LLC

Canton, Ohio, 44718, United States

Location

Alliance Cancer Specialists

Horsham, Pennsylvania, 19044, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

Dallas VA Medical Center

Dallas, Texas, 75216, United States

Location

Inova Schar Cancer Institute

Fairfax, Virginia, 22031, United States

Location

Blue Ridge Cancer Care

Roanoke, Virginia, 24014, United States

Location

Virginia Mason Medical Center

Seattle, Washington, 98101, United States

Location

Gundersen Lutheran Health System

La Crosse, Wisconsin, 54601, United States

Location

Centre Hospitalier Regional Universitaire de Lille

Lille, 59037, France

Location

Centre Hospitalier Regional Universitaire Poitiers

Poitiers, 86000, France

Location

Krankenhaus Nordwest gGmbH

Frankfurt, 60488, Germany

Location

Universitaetsmedizin Mainz

Mainz, 55131, Germany

Location

Hospital Universitari Vall d'Hebron

Barcelona, 08035, Spain

Location

Hospital Universitario 12 de Octubre

Madrid, 28041, Spain

Location

MeSH Terms

Conditions

Adenocarcinoma Of EsophagusEsophageal Squamous Cell CarcinomaPancreatic NeoplasmsEsophageal Neoplasms

Interventions

futibatinibpembrolizumabCisplatinFluorouracilOxaliplatinLeucovorinLevoleucovorinIrinotecan

Condition Hierarchy (Ancestors)

Carcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsNeoplasms, Squamous CellGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteHead and Neck NeoplasmsDigestive System DiseasesEsophageal DiseasesGastrointestinal DiseasesEndocrine Gland NeoplasmsPancreatic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Chlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsUracilPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsCoordination ComplexesOrganic ChemicalsFormyltetrahydrofolatesTetrahydrofolatesFolic AcidPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingCoenzymesEnzymes and CoenzymesCamptothecinAlkaloids

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Expanded Access
Yes

Study Record Dates

First Submitted

July 6, 2023

First Posted

July 14, 2023

Study Start

July 13, 2023

Primary Completion

January 28, 2026

Study Completion (Estimated)

January 1, 2027

Last Updated

April 9, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share

Locations