Ongoing first-line phase III trials with targeted agents for advanced BTCs

Study name/numberTarget populationEstimated sample sizeExperimental treatmentComparatorPrimary endpointSecondary endpoints
FIGHT-3021
NCT03656536
FGFR2 rearrangements432 patientsPemigatinib
13.5 mg QD on a 3-week cycle
Cisplatin 25 mg/mq + gemcitabine
1000 mg/mq on days 1 and 8 q3w up to 8 cycles
PFS per RECIST v1.1 by ICROS, ORR, DOR, DCR per RECIST v1.1 by ICR, safety, QoL
PROOF trial
NCT03773302
FGFR2 fusions384 patientsInfigratinib 125 mg orally QD, 3 weeks on, 1 week offCisplatin 25 mg/mq + gemcitabine
1000 mg/mq on days 1 and 8 q3w up to 8 cycles
PFS per RECIST v1.1 by ICROS, ORR, DOR, BOR, DCR per RECIST v1.1 by ICR, PFS per investigator assessment, safety
FOENIX-CCA31
NCT04093362
FGFR2 rearrangements216 patientsFutibatinib 20 mg orally QD on a 3-week cycleCisplatin 25 mg/mq + gemcitabine
1000 mg/mq on days 1 and 8 q3w up to 8 cycles
PFS per RECIST v1.1 by ICROS, ORR, DCR per RECIST v1.1 by ICR, PFS per investigator assessment, safety

Crossover is allowed in FIGHT-302 and FOENIX-CCA3; QD: once a day; q3w: every 3 weeks; ICR: independent central review; QoL: quality of life; BOR: best overall response