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FPA144

Phase 3

Gastric or Gastroesophageal Cancer | Monoclonal antibody | Oncology |Amgen Inc.|Trials Updated: May 27, 2026

FPA144 development status

Highest phase Phase 3 (NCT05052801)
Phase scored for AMGNPhase 1
Registered trials 9 across 4 sponsors since Sep 2021

FPA144 target and mechanism

ModalityMonoclonal antibody

Also known as Bemarituzumab, AMG 552

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials3
Total Enrollment708

FDA Designations

No designations recorded

FPA144 clinical trials

FPA144 · 3 trials · 3 indications

Phase 3 1Phase 2 1Phase 1 1
NCT05052801Bemarituzumab or Placebo Plus Chemotherapy in Gastric Cancers With Fibroblast Growth Factor Receptor 2b (FGFR2b) OverexpressionGastric Cancer
COMPLETED547 Analytics
PHASE3COMPLETED
Bemarituzumab or Placebo Plus Chemotherapy in Gastric Cancers With Fibroblast Growth Factor Receptor 2b (FGFR2b) Overexpression
Gastric CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival
Up to approximately 3.5 years

Overall survival in FGFR2b ≥ 10% 2+/3+ tumor cell staining participants

Progression-Free Survival (PFS)
From randomization until the primary analysis data cut-off date of 23 September 2020; median time on follow-up was 10.9 months.

PFS was defined as time from randomization until the date of radiographic disease progression based on investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or death from any cause, whichever came first. PFS was analyzed using Kaplan-Meier methods. Participants with no progression or death, or who started new anticancer therapy before documented progression or death without documented progression, or who had ≥ 2 consecutive missing tumor assessments before documented progression or death without documented progression were censored on the date of last adequate tumor assessment. Participants with no baseline tumor assessment, were censored at the date of randomization. The primary efficacy analysis was pre-specified to be conducted after at least 84 PFS events were observed.

Number of Participants who Experience Grade 3 or Grade 4 Dose-limiting Toxicities (DLTs)
Day 1 to Day 28 of Cycle 1

DLTs are defined as specific adverse events (AEs) or clinically laboratory abnormalities that occur during the DLT observation period (Day 1 to Day 28 of Cycle 1; cycle = 28 days), that the Cohort Review Committee (CRC) assess as related to FPA144. Events will be graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03: * Grade 3: Severe or medically significant but non-immediately life threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living; severe AE * Grade 4: Life-threatening consequences; urgent intervention indicated

Area Under Serum Concentration-time Curve (AUC) of FPA144
Cycle 1: Pre-dose (within 4 hours prior to infusion on Day 1) and 0.5, 3, 6, 24, 72, and 168 hours after end of infusion; Subsequent cycles: Pre-dose (within 4 hours prior to infusion) and 0.5 hours after end of infusion on Day 1 and Day 15
Maximum Serum Concentration (Cmax) of FPA144
Cycle 1: Pre-dose (within 4 hours prior to infusion on Day 1) and 0.5, 3, 6, 24, 72, and 168 hours after end of infusion; Subsequent cycles: Pre-dose (within 4 hours prior to infusion) and 0.5 hours after end of infusion on Day 1 and Day 15
Trough Serum Concentration (Ctrough) of FPA144
Cycle 1: Pre-dose (within 4 hours prior to infusion on Day 1) and 0.5, 3, 6, 24, 72, and 168 hours after end of infusion; Subsequent cycles: Pre-dose (within 4 hours prior to infusion) and 0.5 hours after end of infusion on Day 1 and Day 15
Clearance (CL) of FPA144
Cycle 1: Pre-dose (within 4 hours prior to infusion on Day 1) and 0.5, 3, 6, 24, 72, and 168 hours after end of infusion; Subsequent cycles: Pre-dose (within 4 hours prior to infusion) and 0.5 hours after end of infusion on Day 1 and Day 15
Terminal Half-life (t1/2) of FPA144
Cycle 1: Pre-dose (within 4 hours prior to infusion on Day 1) and 0.5, 3, 6, 24, 72, and 168 hours after end of infusion; Subsequent cycles: Pre-dose (within 4 hours prior to infusion) and 0.5 hours after end of infusion on Day 1 and Day 15
Volume of Distribution of FPA144
Cycle 1: Pre-dose (within 4 hours prior to infusion on Day 1) and 0.5, 3, 6, 24, 72, and 168 hours after end of infusion; Subsequent cycles: Pre-dose (within 4 hours prior to infusion) and 0.5 hours after end of infusion on Day 1 and Day 15

Secondary Endpoints

Progression-free Survival (PFS)
Up to approximately 3.5 years
Objective Response Rate (ORR)
Up to approximately 3.5 years
Number of Participants who Experience a Treatment-emergent Adverse Event (TEAE)
Up to approximately 3.5 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Bemarituzumab with mFOLFOX6EXPERIMENTAL -
Placebo with mFOLFOX6ACTIVE_COMPARATOR -
Bemarituzumab + mFOLFOX6EXPERIMENTALParticipants received 15 mg/kg bemarituzumab administered every 2 weeks (Q2W) with a single additional bemarituzumab 7.5 mg/kg dose on cycle 1 day 8. Participants also received mFOLFOX6 chemotherapy administered Q2W. Treatment continued until unacceptable toxicity, disease progression, or death.
Placebo + mFOLFOX6PLACEBO_COMPARATORParticipants received placebo for bemarituzumab administered every 2 weeks with a single additional placebo dose on cycle 1 day 8. Participants also received mFOLFOX6 chemotherapy administered Q2W. Treatment continued until unacceptable toxicity, disease progression, or death.
FPA144EXPERIMENTALParticipants will receive escalating doses of FPA144. On completion of Cycle 1 (Cycles = 28 days in length) participants may participate in an optional Extended Treatment Period based on the Investigator's discretion, which begins on Day 1 of Cycle 2. FPA144 will be administered once every 2 weeks (Q2W) in 4-week cycles until disease progression, or until the patient meets any of the other withdrawal criteria.

Interventions

NameTypeDescription
BemarituzumabDRUGIntravenous (IV) infusion
mFOLFOX6DRUGmFOLFOX6 administered as a combination of oxaliplatin and leucovorin as IV infusions. 5-FU administered as bolus followed by additional administration as IV infusion.
PlaceboDRUGIV infusion
Modified FOLFOX6DRUGmFOLFOX6 regimen consists of the following: * Oxaliplatin 85 mg/m² IV infusion over 120 minutes * Leucovorin 400 mg/m² IV infusion over 120 minutes, or 200 mg/m² levo-leucovorin if leucovorin is unavailable * 5-fluorouracil (5-FU) 400 mg/m² bolus over approximately 5 minutes then 5-FU 2400 mg/m² as a continuous IV infusion over approximately 48 hours
FPA144DRUGFPA144 will be administered intravenously Q2W.
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Eligibility Criteria

Age Range18 Years to 100 Years
SexALL
Healthy VolunteersNo
Study Sites300

Inclusion Criteria: * Adults with histologically documented unresectable, locally advanced or metastatic gastric or gastroesophageal junction cancer not amenable to curative therapy * Fibroblast growth factor receptor 2b (FGFR2b) ≥10% 2+/3+ tumor cell staining as determined by centrally performed i...

Countries:United StatesArgentinaAustraliaBelgiumBrazilBulgariaCanadaChileChinaColombiaCzechiaDenmarkEstoniaFranceGreeceHungaryIrelandIsraelItalyJapanLatviaLithuaniaMalaysiaMexicoNorwayPeruPolandPortugalRomaniaSingaporeSouth AfricaSouth KoreaSpainSwedenTaiwanThailandTurkey (Türkiye)GermanyUnited Kingdom
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Frequently asked questions about FPA144

What is FPA144 used for?

FPA144 is an investigational monoclonal antibody being studied for the treatment of advanced gastric or gastroesophageal cancer. It is in Phase 1 clinical development and has been evaluated in Japanese patients with these tumor types. FPA144 is not yet approved for any indication.

Who is developing FPA144?

FPA144 is being developed by Amgen Inc., a biotechnology company whose common stock trades on Nasdaq under the ticker symbol AMGN. Amgen is the sponsor of the clinical program evaluating FPA144 in advanced gastric or gastroesophageal cancer.

What phase is FPA144 in?

FPA144 is in Phase 1 clinical development. The single completed trial was a Phase 1 study, and no active trials are currently listed. As a Phase 1 asset, FPA144 remains investigational and has not been approved by the FDA or any other regulatory agency.

What clinical trials is FPA144 in?

FPA144 has been evaluated in one completed clinical trial, NCT05913115, titled A Study Evaluating Safety and Pharmacokinetics of FPA144 in Japanese Patients With Advanced Gastric or Gastroesophageal Cancer. The Phase 1 study enrolled 6 participants in Japan and was uncontrolled, non-randomized, and not blinded.

Is FPA144 FDA approved?

No, FPA144 is not FDA approved. It is an investigational monoclonal antibody in Phase 1 development for advanced gastric or gastroesophageal cancer. The only completed trial, NCT05913115, was a small Phase 1 study, and no regulatory approvals have been granted for FPA144.