NCT02393248 · REGISTRY CONDITION SEARCH
Open-Label, Dose-Escalation Study of Pemigatinib in Subjects With Advanced Malignancies - (FIGHT-101)
Found through the registry condition index, not selected as a treatment recommendation. This discovery collection was restricted to studies with posted results.
- Phase
- PHASE1, PHASE2
- Status at capture
- TERMINATED
- Registry last update
- 2023-01-06
The purpose of this study will be to evaluate the safety, tolerability, and pharmacological activity of pemigatinib in subjects with advanced malignancies. This study will have three parts, dose escalation (Part 1), dose expansion (Part 2) and combination therapy (Part 3).
Open the original ClinicalTrials.gov record → · Download preserved record
What did the study report?
Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.
Participant flow
Baseline characteristics
Parts 1 and 2 Combined: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)
Part 3: Number of Participants With Any TEAE
E0 Following Once Daily Dosing of Pemigatinib as Monotherapy in Parts 1 and 2
EC50 Following Once Daily Dosing of Pemigatinib as Monotherapy in Parts 1 and 2
Emax Following Once Daily Dosing of Pemigatinib as Monotherapy in Parts 1 and 2
Highest Serum Phosphate Concentration Following Pemigatinib as Monotherapy in Parts 1 and 2
Part 2: Overall Response Rate (ORR)
Part 3: ORR
Parts 1 and 2: Cmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1
Parts 1 and 2: Tmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1
Parts 1 and 2: AUClast After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1
Parts 1 and 2: AUC0-24 After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1
Parts 1 and 2: Cmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
Parts 1 and 2: Tmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
Parts 1 and 2: t1/2 After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
Parts 1 and 2: Cmin After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
Parts 1 and 2: AUC0-24 After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
Parts 1 and 2: CL/F After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
Parts 1 and 2: Vz/F After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
Parts 1 and 2: Accumulation Ratio After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
Parts 1 and 2: Cmax Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
Parts 1 and 2: Tmax Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
Parts 1 and 2: t1/2 Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
Parts 1 and 2: Cmin Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
Parts 1 and 2: AUC0-24 Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
Parts 1 and 2: CL/F Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
Parts 1 and 2: Vz/F Steady State Following Administration of Pemigatinib in the Fasted (Cycle 1 Day 14) and Fed (Cycle 2 Day 14) States
Part 3: Cmax of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 1
Part 3: Tmax of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 1
Part 3: AUClast of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 1
Part 3: AUC0-24 of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 1
Part 3: Cmax of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
Part 3: Tmax of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
Part 3: t1/2 of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
Part 3: Cmin of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
Part 3: AUC0-24 of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
Part 3: CL/F of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
Part 3: Vz/F of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
Part 3: Accumulation Ratio of Pemigatinib as Part of Combination Therapy on Cycle 1 Day 14 (Steady State)
Adverse events
Limitations, agreements, and source contact
Who could take part
- eligibility Criteria
- Inclusion Criteria: 1. Male or female subjects, age 18 years or older on day of signing consent 2. Part 1: Any advanced solid tumor malignancy; Part 2: Subjects with squamous non-small cell lung cancer, cholangiocarcinoma/gastric cancer, urothelial cancer, breast/endometrial cancer, multiple myeloma, or MPNs that have a tumor or malignancy that has been evaluated and confirmed to harbor genetic alterations in FGF or FGFR genes. A subject's fibroblast growth factor (FGF) or fibroblast growth factor receptor (FGFR) alteration may be based on local or central laboratory results. Part 3: Dose finding: subjects with solid tumor malignancies who qualify for combo therapy; dose-expansion: FGF/FGFR+ subjects qualified to receive combo therapy 3. Has progressed after prior therapy and there is no further effective standard anticancer therapy available (including subject refuses or is intolerant) 4. Life expectancy \> 12 weeks 5. Eastern Cooperative Oncology Group (ECOG) performance status: * Part 1: 0 or 1 * Part 2 and 3: 0, 1, or 2 Exclusion Criteria: 1. Treatment with other investigational study drug for any indication for any reason, or receipt of anticancer medications within 21 days or 5 half-lives before first dose of study drug 2. Prior receipt of a selective FGFR inhibitor 3. History of a calcium/phosphate homeostasis disorder 4. History and/or current evidence of ectopic mineralization/calcification 5. Current evidence of corneal disorder/keratopathy 6. Has a history or presence of inadequate liver, renal, hematopoietic and/or cardiac function parameters outside protocol-defined range 7. Prior radiotherapy within 2 weeks of study treatment
- healthy Volunteers
- false
- minimum Age
- 18 Years
- sex
- ALL
- std Ages
- ADULT
- OLDER_ADULT
Treatment arms and interventions
- arm Groups
- description
- Participants self-administered oral pemigatinib 1/2/4 milligrams (mg) once daily (QD) on a 2-weeks-on therapy and 1-week-off therapy schedule. The treatment cycle consisted of: Days 1 through 14: pemigatinib QD; Days 15 through 21: treatment break.
- intervention Names
- Drug: Pemigatinib
- label
- Part 1: Intermittent pemigatinib 1/2/4 mg QD
- type
- EXPERIMENTAL
- description
- Participants self-administered oral pemigatinib 6 mg QD on a 2-weeks-on therapy and 1-week-off therapy schedule. The treatment cycle consisted of: Days 1 through 14: pemigatinib QD; Days 15 through 21: treatment break.
- intervention Names
- Drug: Pemigatinib
- label
- Part 1: Intermittent pemigatinib 6 mg QD
- type
- EXPERIMENTAL
- description
- Participants self-administered oral pemigatinib 9 mg QD on a 2-weeks-on therapy and 1-week-off therapy schedule. The treatment cycle consisted of: Days 1 through 14: pemigatinib QD; Days 15 through 21: treatment break.
- intervention Names
- Drug: Pemigatinib
- label
- Part 1: Intermittent pemigatinib 9 mg QD
- type
- EXPERIMENTAL
- description
- Participants self-administered oral pemigatinib 13.5 mg QD on a 2-weeks-on therapy and 1-week-off therapy schedule. The treatment cycle consisted of: Days 1 through 14: pemigatinib QD; Days 15 through 21: treatment break.
- intervention Names
- Drug: Pemigatinib
- label
- Part 1: Intermittent pemigatinib 13.5 mg QD
- type
- EXPERIMENTAL
- description
- Participants self-administered oral pemigatinib 20 mg QD on a 2-weeks-on therapy and 1-week-off therapy schedule. The treatment cycle consisted of: Days 1 through 14: pemigatinib QD; Days 15 through 21: treatment break.
- intervention Names
- Drug: Pemigatinib
- label
- Part 1: Intermittent pemigatinib 20 mg QD
- type
- EXPERIMENTAL
- description
- Participants self-administered oral pemigatinib 9 mg QD on Days 1 through 21 of each 21-day cycle.
- intervention Names
- Drug: Pemigatinib
- label
- Part 1: Continuous pemigatinib 9 mg QD
- type
- EXPERIMENTAL
- description
- Participants self-administered oral pemigatinib 13.5 mg QD on Days 1 through 21 of each 21-day cycle.
- intervention Names
- Drug: Pemigatinib
- label
- Part 1: Continuous pemigatinib 13.5 mg QD
- type
- EXPERIMENTAL
- description
- Participants self-administered oral pemigatinib 20 mg QD on Days 1 through 21 of each 21-day cycle.
- intervention Names
- Drug: Pemigatinib
- label
- Part 1: Continuous pemigatinib 20 mg QD
- type
- EXPERIMENTAL
- description
- Participants self-administered oral pemigatinib 7.5 mg twice daily (BID) on Days 1 through 21 of each 21-day cycle.
- intervention Names
- Drug: Pemigatinib
- label
- Part 1: Continuous pemigatinib 7.5 mg BID
- type
- EXPERIMENTAL
- description
- Participants self-administered oral pemigatinib 10 mg BID on Days 1 through 21 of each 21-day cycle.
- intervention Names
- Drug: Pemigatinib
- label
- Part 1: Continuous pemigatinib 10 mg BID
- type
- EXPERIMENTAL
- description
- Participants self-administered oral pemigatinib 9 mg QD on a 2-weeks-on therapy and 1-week-off therapy schedule. The treatment cycle consisted of: Days 1 through 14: pemigatinib QD; Days 15 through 21: treatment break.
- intervention Names
- Drug: Pemigatinib
- label
- Part 2: Intermittent pemigatinib 9 mg QD
- type
- EXPERIMENTAL
- description
- Participants self-administered oral pemigatinib 13.5 mg QD on a 2-weeks-on therapy and 1-week-off therapy schedule. The treatment cycle consisted of: Days 1 through 14: pemigatinib QD; Days 15 through 21: treatment break.
- intervention Names
- Drug: Pemigatinib
- label
- Part 2: Intermittent pemigatinib 13.5 mg QD
- type
- EXPERIMENTAL
- interventions
- arm Group Labels
- Part 1: Continuous pemigatinib 10 mg BID
- Part 1: Continuous pemigatinib 13.5 mg QD
- Part 1: Continuous pemigatinib 20 mg QD
- Part 1: Continuous pemigatinib 7.5 mg BID
- Part 1: Continuous pemigatinib 9 mg QD
- Part 1: Intermittent pemigatinib 1/2/4 mg QD
- Part 1: Intermittent pemigatinib 13.5 mg QD
- Part 1: Intermittent pemigatinib 20 mg QD
- Part 1: Intermittent pemigatinib 6 mg QD
- Part 1: Intermittent pemigatinib 9 mg QD
- Part 2: Continuous pemigatinib 13.5 mg QD
- Part 2: Continuous pemigatinib 20 mg QD
- name
- Pemigatinib
- other Names
- INCB054828
- type
- DRUG
- arm Group Labels
- Part 3: Gem/Cis/intermittent pemigatinib 13.5 mg
- Part 3: Gem/Cis/intermittent pemigatinib 9 mg
- name
- Gemcitabine
- type
- DRUG
- arm Group Labels
- Part 3: Pem/continuous pemigatinib 13.5 mg
- Part 3: Pem/intermittent pemigatinib 13.5 mg
- Part 3: Pem/intermittent pemigatinib 9 mg
- name
- Pembrolizumab
- type
- DRUG
- arm Group Labels
- Part 3: Doc/intermittent pemigatinib 13.5 mg
- name
- Docetaxel
- type
- DRUG
- arm Group Labels
- Part 3: Tras/intermittent pemigatinib 13.5 mg
- name
- Trastuzumab
- type
- DRUG
- arm Group Labels
- Part 3: Ref/continuous pemigatinib 13.5 mg
- Part 3: Ref/continuous pemigatinib 20 mg
- Part 3: Ref/continuous pemigatinib 9 mg
- name
- Retifanlimab
- other Names
- INCMGA00012
- type
- DRUG
- arm Group Labels
- Part 3: Gem/Cis/intermittent pemigatinib 13.5 mg
- Part 3: Gem/Cis/intermittent pemigatinib 9 mg
- name
- Cisplatin
- type
- DRUG
Study design
- allocation
- NON_RANDOMIZED
- intervention Model
- SEQUENTIAL
- masking Info
- masking
- NONE
- primary Purpose
- TREATMENT
Enrollment
- count
- 201
- type
- ACTUAL
Registered outcome plans (not posted results)
- primary Outcomes
- description
- Adverse events were defined as the appearance of (or worsening of any pre-existing) undesirable sign(s), symptom(s), or medical condition(s) that occurred after a participant provided informed consent. Abnormal laboratory values or test results that occurred after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). TEAEs were defined as adverse events either reported for the first time or the worsening of pre-existing events after the first dose of study drug and within 30 days of the last dose of study drug.
- measure
- Parts 1 and 2 Combined: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)
- time Frame
- up to 763 days
- description
- Adverse events were defined as the appearance of (or worsening of any pre-existing) undesirable sign(s), symptom(s), or medical condition(s) that occurred after a participant provided informed consent. Abnormal laboratory values or test results that occurred after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). TEAEs were defined as adverse events either reported for the first time or the worsening of pre-existing events after the first dose of study drug and within 30 days of the last dose of study drug.
- measure
- Part 3: Number of Participants With Any TEAE
- time Frame
- up to 869 days
- description
- E0 was defined as the Baseline serum concentration of phosphate.
- measure
- E0 Following Once Daily Dosing of Pemigatinib as Monotherapy in Parts 1 and 2
- time Frame
- predose on Days 1 and 14 of Cycle 1; anytime during visit on Day 1 of Cycle 2 and all subsequent cycles
- description
- EC50 was defined as the pemigatinib steady-state area under the plasma or serum concentration-time curve that increases 50% of serum phosphate.
- measure
- EC50 Following Once Daily Dosing of Pemigatinib as Monotherapy in Parts 1 and 2
- time Frame
- predose on Days 1 and 14 of Cycle 1; anytime during visit on Day 1 of Cycle 2 and all subsequent cycles
- description
- Emax was defined as the maximum degree of increasing of serum phosphate by pemigatinib.
- measure
- Emax Following Once Daily Dosing of Pemigatinib as Monotherapy in Parts 1 and 2
- time Frame
- predose on Days 1 and 14 of Cycle 1; anytime during visit on Day 1 of Cycle 2 and all subsequent cycles
- description
- Serum phosphate concentration was assessed throughout Parts 1 and 2.
- measure
- Highest Serum Phosphate Concentration Following Pemigatinib as Monotherapy in Parts 1 and 2
- time Frame
- predose on Days 1 and 14 of Cycle 1; anytime during visit on Day 1 of Cycle 2 and all subsequent cycles
- secondary Outcomes
- description
- ORR was defined as the percentage of participants with a best overall response of complete response (CR) or partial response (PR), per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, as determined by the investigator. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to \<10 millimeters (mm). PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions.
- measure
- Part 2: Overall Response Rate (ORR)
- time Frame
- up to 126 days
- description
- ORR was defined as the percentage of participants with a best overall response of CR or PR, per RECIST version 1.1, as determined by the investigator. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to \<10 millimeters (mm). PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions.
- measure
- Part 3: ORR
- time Frame
- up to 203 days
- description
- Cmax was defined as the maximum observed plasma concentration.
- measure
- Parts 1 and 2: Cmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1
- time Frame
- Part 1: predose; 0.5, 1, 2, 4, 6, and 8 hours post-dose post-dose on Cycle 1 Day 1. Part 2: predose on Cycle 1 Day 1
- description
- tmax was defined as the time to the maximum observed plasma concentration.
- measure
- Parts 1 and 2: Tmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1
- time Frame
- Part 1: predose; 0.5, 1, 2, 4, 6, and 8 hours post-dose post-dose on Cycle 1 Day 1. Part 2: predose on Cycle 1 Day 1
- description
- AUClast was defined as the area under the plasma or serum concentration-time curve from the time of dosing to the last measurable concentration.
- measure
- Parts 1 and 2: AUClast After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1
- time Frame
- Part 1: predose; 0.5, 1, 2, 4, 6, and 8 hours post-dose post-dose on Cycle 1 Day 1. Part 2: predose on Cycle 1 Day 1
- description
- AUC0-24 was defined as the area under the plasma or serum concentration-time curve from time 0 to 24 hours post-dose.
- measure
- Parts 1 and 2: AUC0-24 After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Day 1
- time Frame
- Part 1: predose; 0.5, 1, 2, 4, 6, and 8 hours post-dose post-dose on Cycle 1 Day 1. Part 2: predose on Cycle 1 Day 1
- description
- Cmax was defined as the maximum observed plasma concentration.
- measure
- Parts 1 and 2: Cmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
- time Frame
- Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
- description
- tmax was defined as the time to the maximum observed plasma concentration.
- measure
- Parts 1 and 2: Tmax After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
- time Frame
- Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
- description
- t1/2 was defined as the apparent plasma terminal phase disposition half-life.
- measure
- Parts 1 and 2: t1/2 After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
- time Frame
- Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
- description
- Cmin was defined as the minimum observed plasma concentration over the dose interval.
- measure
- Parts 1 and 2: Cmin After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
- time Frame
- Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
- description
- AUC0-24 was defined as the area under the plasma or serum concentration-time curve from time 0 to 24 hours post-dose.
- measure
- Parts 1 and 2: AUC0-24 After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
- time Frame
- Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
- description
- CL/F was defined as the apparent oral dose clearance.
- measure
- Parts 1 and 2: CL/F After Once Daily Dosing of Pemigatinib as Monotherapy on Cycle 1 Days 8 and 14 (Steady State)
- time Frame
- Part 1: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14. Part 2: predose on Cycle 1 Days 8 and 14; 0.5, 1, 2, 4, 6, and 8 hours post-dose on Cycle 1 Day 14
Full study description
- brief Summary
- The purpose of this study will be to evaluate the safety, tolerability, and pharmacological activity of pemigatinib in subjects with advanced malignancies. This study will have three parts, dose escalation (Part 1), dose expansion (Part 2) and combination therapy (Part 3).
Source references
- references
- citation
- Subbiah V, Iannotti NO, Gutierrez M, Smith DC, Feliz L, Lihou CF, Tian C, Silverman IM, Ji T, Saleh M. FIGHT-101, a first-in-human study of potent and selective FGFR 1-3 inhibitor pemigatinib in pan-cancer patients with FGF/FGFR alterations and advanced malignancies. Ann Oncol. 2022 May;33(5):522-533. doi: 10.1016/j.annonc.2022.02.001. Epub 2022 Feb 14.
- pmid
- 35176457
- type
- DERIVED
- citation
- Gong X, Ji T, Liu X, Chen X, Yeleswaram S. Evaluation of the clinical cardiac safety of pemigatinib, a fibroblast growth factor receptor inhibitor, in participants with advanced malignancies. Pharmacol Res Perspect. 2022 Feb;10(1):e00906. doi: 10.1002/prp2.906.
- pmid
- 34951522
- type
- DERIVED
Source notices and limitations
Discovery and provenance
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Preserved source evidence · Not medical advice
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