The purpose of this study was to evaluate efficacy of derazantinib monotherapy or derazantinib-atezolizumab in combination in patients with advanced urothelial cancer harboring fibroblast growth factor receptor (FGFR) genetic aberrations (GA) of various clinical stages of disease progression and prior treatments.
The study comprised five open-label substudies (1-5) in patients with advanced urothelial cancer harboring FGFR GA (with the exception of substudy 2 which did not require a FGFR GA) who were treated by derazantinib monotherapy or derazantinib in combination with atezolizumab. The study enrolled patients with cisplatin-ineligible status, or patients whose disease progressed after either first-line treatment or prior treatment with FGFR inhibitors.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
95
Derazantinib was administered orally at a dose of 300 mg once daily
Derazantinib was administered orally at a dose of 200 mg once daily in combination with atezolizumab 1200 mg every 3 weeks
Derazantinib was administered orally at a dose of 300 mg once daily in combination with atezolizumab 1200 mg every 3 weeks
Objective Response Rate (ORR) Based on RECIST 1.1 (Substudies 1,3,4 and 5)
ORR was defined as the proportion of patients who achieved a confirmed clinical response (CR) or partial response (PR) by blinded investigator central review (BICR) using the internationally recognized criteria for the radiological assessment in tumor response of solid tumors (RECIST) Version 1.1
Time frame: From first dose up to 2 years
Recommended Phase 2 Dose (RP2D) of Derazantinib-atezolizumab in Combination Based on DLT Criteria, Safety and Efficacy Data (Substudy 2)
The RP2D was determined by a joint decision taken by the Independent Data Monitoring Committee (IDMC), Investigators, and the Sponsor in reviewing the aggregate of DLT and AE data, and considering efficacy data
Time frame: From first dose up to 2 years
Number of Patients With Dose-limiting Toxicities (DLTs) in Substudy 2
In Substudy 2, the primary endpoint was the number of patients with DLTs. A DLT was defined as a clinically-significant adverse event (AE) or abnormal laboratory value assessed as unrelated to disease progression, intercurrent illness, or concomitant medications. Any DLT had to be a toxicity considered at least possibly related to derazantinib or the combination of derazantinib and atezolizumab
Time frame: From first dose up to 2 years
Disease Control Rate (DCR) Per RECIST 1.1 in All Substudies
DCR was defined as the proportion of patients who achieved a confirmed clinical response (CR), partial response (PR) or stable disease (SD) by BICR using the internationally recognized criteria in accordance with RECIST Version 1.1
Time frame: From first dose up to 2 years
Duration of Response (DOR) Per RECIST 1.1
DOR was calculated from the first date of documented tumor response (confirmed CR or PR) to the date of disease progression as assessed by BICR or death per RECIST 1.1
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Derazantinib was administered orally at a dose of 200 mg twice daily in combination with atezolizumab 1200 mg every 3 weeks
Derazantinib was administered orally at a dose of 300 mg once daily
Derazantinib was administered orally at a dose of 300 mg once daily in combination with atezolizumab 1200 mg every 3 weeks
Derazantinib was administered orally at a dose of 200 mg twice daily
CTCA Clinical Research Inc., Atlanta
Newnan, Georgia, United States
Englander Institute Weill Cornell Medicine
New York, New York, United States
New York Cancer and Blood Specialists
Port Jefferson Station, New York, United States
University of Texas Southwestern Medical Center (UTSWMC)
Dallas, Texas, United States
MD Anderson
Houston, Texas, United States
NEXT Oncology
San Antonio, Texas, United States
Medical Oncology Associates PS (dba Summit Cancer Centers)
Spokane, Washington, United States
Coastal Cancer Care
Birtinya, Australia
Canberra Hospital and Health Services
Canberra, Australia
John Flynn Private Hospital
Tugun, Australia
...and 56 more locations
Time frame: From first dose up to 2 years
ORR Based on RECIST 1.1 (Substudy 2)
ORR was defined as the proportion of patients who achieved a confirmed clinical response (CR) or partial response (PR) by blinded investigator central review (BICR) using the internationally recognized criteria for the radiological assessment in tumor response of solid tumors (RECIST) Version 1.1
Time frame: From first dose up to 2 years
Progression-free Survival (PFS) by RECIST in All Substudies
PFS was calculated as the time from cohort assignment until disease progression as assessed by BICR, or death from any cause, whichever came first
Time frame: From first dose up to 2 years
Overall Survival (OS) in All Substudies
OS was calculated from the date of cohort assignment until death from any cause
Time frame: From first dose up to 2 years
Number of Patients With at Least Grade 3 Adverse Events (AEs)
Common Terminology Criteria for Adverse Events (CTCAE) displayed by increasing severity grades 3 to 5 (CTCAE grade 3/4/5 )
Time frame: From first dose and until 90 days following the last dose