The purpose of this study is to determine recommended Phase 2 dose \[RP2D\]) and the objective response rate of JNJ-42756493 (erdafitinib) in advanced hepatocellular carcinoma (HCC) participants with fibroblast growth factor (FGF) 19 amplification.
This is an open-label (all people know the identity of the intervention), multicenter (when more than one hospital or medical school team work on a medical research study), 2 parts (First, dose escalation Phase and second, dose expansion Phase) study to evaluate the safety, pharmacokinetics, pharmacodynamics, and clinical responses of JNJ-42756493 (erdafitinib) in Asian participants with advanced HCC. The duration of study will be approximately 11 months per participant. The study consists of 2 periods: Screening (28 days before study commences on Day 1); Open-label Treatment (dose escalation portion of the trial \[Part 1\]), participants are enrolled into cohorts at increasing dose levels of JNJ-42756493 (erdafitinib) in 28 day treatment cycles. Part 2, the cohort expansion part of the trial, will further explore the recommended phase 2 dose (RP2D) of JNJ-42756493 (erdafitinib) as determined in Part 1; and follow-up Phase (up to 6 months). Blood samples will be collected for evaluation of safety, pharmacokinetics, pharmacodynamics, and predictive biomarkers at pre-dose and post-dose of study treatment. Recommended Phase 2 dose (RP2D) for JNJ-42756493 (erdafitinib) will be evaluated primarily. Participants' safety will be monitored throughout the study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
53
Part 1: Participants will receive 8 mg tablet once daily from Day 1 to 7, and then Day 15 to 21 of 28 days cycle or 8 mg orally once daily of 28 days cycle up to the maximum tolerated dose in order to determine the recommended Phase 2 dose. Part 2: Recommended Phase 2 JNJ-42756493 (erdafitinib) dose determined in Part 1.
Unnamed facility
Changchun, China
Unnamed facility
Guangzhou, China
Unnamed facility
Hangzhou, China
Unnamed facility
Harbin, China
Part 1:Recommended Phase 2 Dose (RP2D)
RP2D will be determined based on pharmacodynamics, biomarker response or clinical response, as well as the incidence rate and nature of the toxicities observed.
Time frame: Up to Part 1 Day 84 (Cycle 3, Day 28) (approximately 84 days)
Number of participants with Objective Response
Objective response based on assessment of confirmed Complete response (CR) or partial response (PR) according to modified Response Evaluation Criteria in Solid Tumors (mRECIST) for HCC. CR defined as disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to less than 10 millimeter (mm). PR defined as at least 30 percent (%) decrease in sum of the diameters of the target lesions taking as reference the Baseline sum diameters. Confirmed responses are those that persist on repeat imaging study for at least 4 weeks after initial documentation of response.
Time frame: up to Month 12
Number of Participants With Adverse Events
An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
Time frame: up to Month 12
Time to Progression (TTP)
Time interval in months between the date of randomization and the date of disease progression or death due to progression, whichever occurred first.
Time frame: up to Month 12
Disease Control Rate (DCR)
DCR defined as the proportion of participants with complete response \[CR\], partial response \[PR\], or stable disease \[SD\]), and duration of objective response (DOR).
Time frame: up to Month 12
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Unnamed facility
Nanjing, China
Unnamed facility
Shanghai, China
Unnamed facility
Seoul, South Korea
Unnamed facility
Kaohsiung City, Taiwan
Unnamed facility
Tainan, Taiwan
Unnamed facility
Taipei, Taiwan
Progression-free Survival
Time from date of randomization to date of first documentation of objective tumor progression or death due to any cause, whichever occurred first.
Time frame: up to Month 12
Maximum Observed Plasma Concentration of JNJ-42756493 (erdafitinib)
Time frame: Up to Part 2 Day 84 (Cycle 3, Day 28) (approximately 84 days)
Time of Maximum Observed Plasma Concentration of JNJ-42756493 (erdafitinib)
Time frame: Up to Part 2 Day 84 (Cycle 3, Day 28) (approximately 84 days)
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)
The AUCtau is the measure of the plasma drug concentration from time zero to end of dosing interval. It is used to characterize drug absorption.
Time frame: Up to Part 2 Day 84 (Cycle 3, Day 28) (approximately 84 days)
Half life of JNJ-42756493 (erdafitinib)
Time frame: Up to Part 2 Day 84 (Cycle 3, Day 28) (approximately 84 days)
Apparent Volume of Distribution at Steady-State of JNJ-42756493 (erdafitinib)
Time frame: Up to Part 2 Day 84 (Cycle 3, Day 28) (approximately 84 days)
Total Clearance of JNJ-42756493 (erdafitinib)
Time frame: Up to Part 2 Day 84 (Cycle 3, Day 28) (approximately 84 days)
Accumulation Index of JNJ-42756493 (erdafitinib)
Time frame: Up to Part 2 Day 84 (Cycle 3, Day 28) (approximately 84 days)
Duration of Objective Response (DOR)
Time frame: Up to Month 12