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Surufatinib

Phase 3

Neuroendocrine Tumors | Small molecule | Oncology |HUTCHMED (China) Limited|Trials Updated: Sep 17, 2026

Surufatinib development status

Highest phase Phase 3
Registered trials 21 across 5 sponsors since May 2014

Surufatinib target and mechanism

Molecular targetFGFR1, FLT1, FLT4, KDR
Target classInhibitor
ModalitySmall molecule

Also known as Tyrosine Kinase Inhibitor, HMPL-012, sulfatinib, Sulfatinb

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials15
Total Enrollment1,682

FDA Designations

No designations recorded

Surufatinib clinical trials

Surufatinib · 15 trials · 22 indications

Phase 3 2Phase 2 5Phase 1/2 3Phase 1 5
NCT02588170Phase III Study of Surufatinib in Treating Advanced Extrapancreatic Neuroendocrine TumorsNeuroendocrine Tumors
COMPLETED219 Analytics
NCT02589821Phase III Study of Surufatinib in Treating Advanced Pancreatic Neuroendocrine TumorsNeuroendocrine Tumors
COMPLETED195 Analytics
PHASE3COMPLETED
Phase III Study of Surufatinib in Treating Advanced Extrapancreatic Neuroendocrine Tumors
Neuroendocrine TumorsUnlock trial analytics
PHASE3COMPLETED
Phase III Study of Surufatinib in Treating Advanced Pancreatic Neuroendocrine Tumors
Neuroendocrine TumorsUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS)
9 months after the last patient enrolled

the duration between the randomization date and the first disease progression (PD) or death (whichever comes first).

Overall Survival (OS)
From date of first dose of study drug until withdrawal of consent or death (up to approximately 20 months)

Duration from the date of initial treatment to the date of death due to any cause

Progression-free survival
About 18 months

Progression-free survival(PFS) assessed by the investigator as per the Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1)

Adverse events (AEs) of safety run-in part
From Cycle 1 Day 1 to the end of Cycle 2 Day 7 (each cycle is 21 days)

The AEs of the first 6 patients were evaluated by the possibly occurs Dose Limited Toxicity (DLT).

Objective response rate (ORR)
From date of first dose of study drug until disease progression, withdrawal of consent, death, new anti-cancer therapy(up to approximately 2 years)

The incidence of confirmed complete response or partial response (RECIST1.1).

Progression-free survival (PFS) rate at Week 16
Progression-free survival (PFS) rate at Week 16

Proportion of patients without PD or death at Week 16

Recommended Phase 2 dose (RP2D) (Phase Ib)
first 21 days of treatment

Determine the RP2D of the pamiparib and surufatinib combination

The 6-month progression-free survival (PFS) rate (Phase II)
from the first drug administration up to two years

The percentage of patients alive without documented progression 6 months after treatment initiation.

AUC0-t
From Day 1 to Day 7

Area under the plasma concentration-time curve from time 0 to time of the last measurable concentration

AUC0-inf
From Day 1 to Day 7

Area under the plasma concentration-time curve from time 0 to infinity (if data permit)

Cmax
From Day 1 to Day 7

Maximum observed plasma concentration

Incidence and severity of AE/SAEs
from day 1 of first dosing to 30 days after permanent discontinuation of Sulfatinib

the safety of Sulfatinib

To assess number of participants with adverse events as a measure of safety and tolerability during dose escalating
1-28days after every drug administration

The primary endpoint is evaluation of safety during the first 28-day cycle 1 of therapy following the initiation of multiple dosing of HMPL-012. The safety variables to be evaluated in this study are adverse events, physical examinations, vital signs (specifically including blood pressure), clinical laboratory evaluations including serum chemistry, hematology , and urinalysis (with detailed sediment analysis, proteinuria, and 24-hour urine for collection for protein), and electrocardiograms (ECGs) in triplicate

Secondary Endpoints

The objective response rate of the tumor (ORR)
9 months after the last patient enrolled
The disease control rate (DCR)
9 months after the last patient enrolled
Duration of Response (DoR)
9 months after the last patient enrolled
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SurufatinibEXPERIMENTALSurufatinib 300 mg, orally, once daily (QD)
PlaceboPLACEBO_COMPARATORPlacebo 300 mg, orally, once daily (QD)
Surufatinib Combined With Camrelizumab, Nab-paclitaxel, and GemcitabineEXPERIMENTAL -
Nab-paclitaxel Plus GemcitabineACTIVE_COMPARATOR -
Surufatinib with Nab-paclitaxel, and GemcitabineOTHER -
Surufatinib in combination with anti-PD-1/L1 therapyEXPERIMENTALSurufatinib 250 mg orally once plus anti-PD-1/L1, Q3W or Q4W, the same immune checkpoint inhibitor from patients' first-line therapy.
Anti-PD-1/L1 monotherapyEXPERIMENTALAnti-PD-1/L1 therapy, Q3W or Q4W, the same immune checkpoint inhibitor from patients' first-line therapy
Surufatinib & ToripalimabEXPERIMENTALSurufatinib 250mg will be taken orally once daily continuously through a 21-day cycle of study treatment. Toripalimab 240mg will be intravenously administered on Day 1 of each cycle.
Pamiparib + Surufatinib (Phase Ib/II)EXPERIMENTALPhase Ib: A dose de-escalation schedule is used in the phase Ib dose finding part. Dose Level 1 (starting dose): pamiparib 40 mg administered orally twice daily (fixed dose) and surufatinib 250 mg administered orally once daily on a 21-day treatment cycle. If ≥2/6 patients experience a dose limiting toxicity (DLT), we will de-escalate to Dose Level 2: pamiparib 40 mg administered orally twice daily (fixed dose) and surufatinib 200 mg administered orally once daily on a 21-day treatment cycle. Approximately 3-12 patients will be enrolled in phase Ib study. Phase II: The phase II part will begin once the recommended phase 2 dose (RP2D) of surufatinib have been determined in the Phase Ib in order to assess antitumor activity of pamiparib and surufatinib combination. In phase II study, pamiparib 40 mg orally twice daily and surufatinib PR2D will be administered.
Cohort 1EXPERIMENTALSubjects with Normal Hepatic Function: All patients to receive study drug (Surufatinib 250mg) on Day 1
Cohort 2EXPERIMENTALSubjects with Moderate Hepatic Impairment: All patients to receive study drug (Surufatnib 250mg) on Day 1
Cohort 3 (if enrolled)EXPERIMENTALSubjects with Mild Hepatic Impairment: All patients to receive study drug (Surufatnib 250mg) on Day 1
SulfatinibEXPERIMENTALSulfatinib 300 mg once a day (QD) will be orally administrated on a 28-day cycle.
Sulfatinib capsuleEXPERIMENTALcohort 1: Sulfatinib single oral dosing;after 7days,Sulfatinib continuous oral dosing ( once a day) 28days as a cycle.

Interventions

NameTypeDescription
SurufatinibDRUGSurufatinib 300 mg once a day (QD) will be orally administrated on a 28-day cycle
PlaceboOTHERPlacebo 300 mg once a day (QD) will be orally administrated on a 28-day cycle
Surufatinib Combined With Camrelizumab, Nab-paclitaxel, and GemcitabineDRUGDrug: Surufatinib Combined With Camrelizumab, Nab-paclitaxel, and Gemcitabine 1. Surufatinib: 200mg, qd 2. Camrelizumab: 200mg, IV drip, Q3W, D1 3. Nab-paclitaxel: 125 mg/m2, IV drip, D1,D8 4. Gemcitabine : 1000 mg/m2, IV drip, D1, D8
Nab-paclitaxel Plus GemcitabineDRUGDrug: Nab-paclitaxel Plus Gemcitabine 1. Nab-paclitaxel: 125 mg/m2, IV drip, D1,D8 2. Gemcitabine : 1000 mg/m2, IV drip, D1, D8
Surufatinib with Nab-paclitaxel, and GemcitabineDRUGDrug: Surufatinib with Nab-paclitaxel, and Gemcitabine 1. Surufatinib: 200mg, qd 2. Nab-paclitaxel: 125 mg/m2, IV drip, D1,D8 3. Gemcitabine : 1000 mg/m2, IV drip, D1, D8
Anti-PD-1/L1DRUGAnti-PD-1/L1 therapy, Q3W or Q4W, the same immune checkpoint inhibitor from patients' first-line therapy.
ToripalimabDRUGToripalimab is an injection in the form of 240mg, intravenous, once three weeks.
Surufatinib in combination with GemcitabineDRUGSurufatinib in combination with Gemcitabine
PamiparibDRUGOral
SulfatinibDRUGSulfatinib 300 mg once a day (QD) will be orally administrated on a 28-day cycle.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: 1. Adequately understand the study and voluntarily sign the Informed Consent Form; 2. Be at least 18 years old; 3. Based on central pathology review results,patients have a confirmed histologically pathology diagnosis of low- or intermediate grade (G1 or G2) advanced (unresectab...

Countries:ChinaUnited States
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Recent Changes (Last 90 Days)

LOWSep 17, 2026NCT06361888lastUpdatePostDate: changed
LOWSep 17, 2026NCT06361888lastUpdatePostDate: changed

Frequently asked questions about Surufatinib

What is surufatinib used for?

Surufatinib is an investigational small molecule being studied in oncology for advanced solid tumors, biliary tract cancer, extensive-stage small cell lung cancer, hepatic impairment, metastatic pancreatic cancer, and neuroendocrine tumors. It is in Phase 2 development and is not yet approved for these uses.

What does surufatinib target?

Surufatinib targets FGFR1, FLT1, FLT4, and KDR. It acts as an inhibitor of these receptor tyrosine kinases, which are involved in angiogenesis and tumor growth signaling pathways. This multi-target inhibition is the basis for its investigation in solid tumors and other cancers.

Who is developing surufatinib?

Surufatinib is being developed by HUTCHMED (China) Limited, which trades under the ticker HCM. The company is the sponsor of the clinical trials evaluating surufatinib in various cancer indications.

What phase is surufatinib in?

Surufatinib is in Phase 2 clinical development. It is an investigational agent and has not been approved by the FDA for any indication. The Phase 2 program includes trials in metastatic pancreatic cancer, extensive-stage small cell lung cancer, and other solid tumors.

What clinical trials is surufatinib in?

Surufatinib is being studied in several clinical trials, including NCT06361888, a Phase 2/3 trial in metastatic pancreatic cancer that is currently recruiting; NCT05509699, a completed Phase 2 trial in extensive-stage small cell lung cancer; NCT05494580, a completed Phase 1 trial in platinum-resistant ovarian cancer; and NCT05093322, a completed Phase 1/2 trial in pediatric and young adult patients with recurrent or refractory solid tumors.