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Fruquintinib

Phase 3

Metastatic Colorectal Cancer | Small molecule | Oncology |HUTCHMED (China) Limited|Last Updated: Apr 4, 2025

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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment723
FDA Designations
PRIORITY_REVIEWBREAKTHROUGH_THERAPY
Clinical trial landscape

Fruquintinib · 16 trials · 18 indications

Phase 3 4Phase 2 3Phase 1 9
NCT06584032Study of Fruquintinib Plus Sintilimab for Treatment of Advanced Endometrial CancerAdvanced Endometrial Cancer
RECRUITING412 Analytics
NCT04322539A Study of Efficacy and Safety of Fruquintinib (HMPL-013) in Participants With Metastatic Colorectal CancerMetastatic Colorectal Cancer
COMPLETED691 Analytics
NCT02691299A Phase III Clinical Trial of Fruquintinib in Patients With Advanced Non-small Cell Lung CancerNSCLC
COMPLETED527 Analytics
NCT02314819A Phase III Trial Evaluating Fruquintinib Efficacy and Safety in 3+ Line Colorectal Cancer Patients (FRESCO)Colorectal Cancer
COMPLETED416 Analytics
PHASE3RECRUITING
Study of Fruquintinib Plus Sintilimab for Treatment of Advanced Endometrial Cancer
Advanced Endometrial CancerUnlock trial analytics
PHASE3COMPLETED
A Study of Efficacy and Safety of Fruquintinib (HMPL-013) in Participants With Metastatic Colorectal Cancer
Metastatic Colorectal CancerUnlock trial analytics
PHASE3COMPLETED
A Phase III Clinical Trial of Fruquintinib in Patients With Advanced Non-small Cell Lung Cancer
NSCLCUnlock trial analytics
PHASE3COMPLETED
A Phase III Trial Evaluating Fruquintinib Efficacy and Safety in 3+ Line Colorectal Cancer Patients (FRESCO)
Colorectal CancerUnlock trial analytics
Study Endpoints
Primary Endpoints
Overall Survival (OS)
From date of randomization to death from any cause (up to 22 months)

OS was defined as the time (months) from date of randomization to death from any cause. OS was calculated as (date of death or last known alive - date of randomization + 1)/30.4375. Participants without report of death at the time of analysis will be censored at the date last known alive.

overall survival
from randomization until death due to any cause, assessed up to 2 year

every two months after end of treatment (EOT) observation period at 30 days after the last medication

tumor objective response rate
Patients will be followed until study completion, an average of 1 year

Occurrence of completed response or partial response after treatment, assessed by RECIST 1.1

Safety and tolerability
Each patient will be followed for 30 days after the last dose

Number of participants with treatment-related adverse events as assessed by CTCAE v4.03

Progressive free survival (PFS)
measured every 4 weeks at first 2 cycles and every 8 weeks since the third cycle from randomization to disease progression, assessed up to one year

To compare the Progressive Free Survival (PFS) of Fruquintinib plus best supportive care (BSC) versus placebo plus BSC in patients advanced non-squamous NSCLC patients who failed to standard second-line chemotherapy according to RECIST 1.1

Progression Free Survival (PFS)
From randomization until the date of first documented progression or date of death from any cause, whichever came first.

PFS refers to the time interval between the randomization date and the initial record of PD or date of death, whichever is earlier. The presence of PD shall be determined in accordance with the result of the evaluation performed by the investigator, using with RECIST v1.1 criteria. The date of final tumor evaluation will be used as the censoring date for subjects who have not presented with disease progression or death by that date. The date of randomization will be used as the censoring date for subjects which have no death and post-baseline tumor evaluation. If a subject has no post-baseline tumor evaluation but recorded as dead, death will be count as PFS event.

AUC (0-t) of fruquintinib
up to 26 days

Pharmacokinetics of fruquintinib by assessment of area under the plasma concentration time curve from zero to the last measurable concentration

AUC (0-inf) of fruquintinib
up to 26 days

Pharmacokinetics of fruquintinib by assessment of area under the plasma concentration curve from zero extrapolated to infinity

Cmax of fruquintinib
up to 26 days

Pharmacokinetics of fruquintinib by assessment of maximum plasma fruquintinib concentration

Dose Escalation Phase: Number of Participants With Dose-limiting Toxicities (DLTs)
Cycle 1 (cycle length equal to [=] 28 days)

Dose-limiting toxicity was defined as: Any Grade 4 non-hematologic toxicity; Any Grade 3 non-hematologic toxicity related to study drug except for nausea/vomiting, diarrhea, constipation, hypertension, and electrolyte imbalances downgraded within 3-days with appropriate supportive treatment; Grade 4 neutropenia lasting \>3 days; Grade 3 febrile neutropenia (absolute neutrophil count \[ANC\] \<1.0\*10\^9 per liter \[/L\] with a single temperature of greater than (\>) 38.3 degree centigrade (°C) or a sustained temperature of greater than or equal to (\>=) 38°C for more than 1 hour); Grade 4 thrombocytopenia or Grade 3 thrombocytopenia associated with bleeding; Dose interruption for \>14 days due to toxicity.

Dose Escalation Phase: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
From first dose of study drug up to 37 days after last dose of study drug (i.e., up to 29 months)

TEAEs were defined as AEs that started or worsened in severity on or after the first dose of study medication and no later than 37 days after the date of last study treatment. A serious adverse event (SAE) was any AE that had any of the following characteristics: Fatal (that was, the AE actually caused or led to death, except for deaths caused by the progress of disease); Life threatening (that was, AE, in view of the investigator, places participant at immediate risk of death); Required or prolonged inpatient hospitalization (excluding emergency or outpatient treatment); Resulted in persistent or significant disability/incapacity (that was, the AE resulted in substantial disruption of the participant's ability to conduct normal life functions).

Dose Expansion Phase: Progression Free Survival (PFS) Rate
From the first dose of study drug to disease progression, or death, whichever occurred first (i.e., up to 29 months)

PFS was defined as time from date of first dosing until date of an objective disease progression (PD) as defined by Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 or death due to any cause, whichever comes first. PFS was determined using all data until last evaluable visit prior to or on date of: (i) radiographic PD per RECIST v1.1; (ii) withdrawal of consent to obtain additional scans on study; or (iii) initiation of subsequent anticancer therapy other than study drugs, whichever was earlier. PFS rate was defined as probability of being disease progression free at selected timepoints such as 16 weeks and was calculated using Brookmeyer-Crowley method based on PFS events observed up to 29 months. PD:at least 20 percent (%) increase in sum of diameters of target lesions, taking as reference smallest sum on study, including baseline; an absolute increase of at least 5 millimeter (mm) in sum of diameters of target lesions; and appearance of one or more new lesions.

Total radioactivity on blood, urine and faeces (radiocarbon) following oral suspension [14C]HMPL-013 dosing
Up to 14 days

Total radioactivity in blood to determine Cmax, Tmax, Half-life, AUC0-t, AUC0-∞ Total radioactivity in urine and faeces at each time interval and cumulative radioactivity (mass balance)

• To determine the effect of food on the PK of a single dose of 4mg fruquintinib in normal healthy subjects.
Planned Enrollment/Screening Duration: Approximately 2 weeks. Length of Each Confinement: Approximately 7days prior to dose until approximately 120 hours postdose. Planned Study Conduct Duration: Approximately 6 weeks

Blood samples for PK analysis of serum fruquintinib levels will be collected for a 2-week period following each of 2 doses.

Safety in the first 28-Days of Therapy
28-Days after Permanent Discontinuation of HMPL-013

The primary endpoint is evaluation of safety during the first 28-day cycle of therapy following the initiation of multiple dosing of HMPL-013. 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
Progression Free Survival (PFS), as Assessed by the Investigator Using Response Evaluation Criteria In Solid Tumors (RECIST) v1.1
From randomization until the first documentation of objective progression or death, whichever comes first (up to 22 months)
Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
From randomization until the first documentation of best overall response (up to 22 months)
Disease Control Rate (DCR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
From randomization until the first documentation of best overall response (up to 22 months)
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Study Design & Arms
Treatment Arms
ArmTypeDescription
Fruquintinib Plus Best Supportive Care (BSC) GroupEXPERIMENTALParticipants will be orally administered Fruquintinib 5 mg in combination with BSC once daily for 3 weeks of continuous dosing followed by a 1-week break (with each cycle length of 28 days).
Placebo Plus BSC GroupPLACEBO_COMPARATORParticipants will be orally administered Placebo 5 mg in combination with BSC once daily for 3 weeks of continuous dosing followed by a 1-week break (with each cycle length of 28 days).
Treatment ArmACTIVE_COMPARATORAll subjects will receive study treatment in 4-week cycles: Fruquintinib, QD, 5mg with best supportive care for 3 consecutive weeks, and then one week off. Tumor assessment will be performed every 4 weeks in the first 2 cycles, and every 8 weeks since the 3rd cycle, until disease progression or death. Subsequent anti-neoplastic treatment and survival status will be followed up after disease progression.
Control ArmPLACEBO_COMPARATORAll subjects will receive study treatment in 4-week cycles: Placebo, QD, 5mg with best supportive care for 3 consecutive weeks, and then one week off. Tumor assessment will be performed every 4 weeks in the first 2 cycles, and every 8 weeks since the 3rd cycle, until disease progression or death. Subsequent anti-neoplastic treatment and survival status will be followed up after disease
Fruquintinib & GefitinibEXPERIMENTALDrug: Fruquintinib and Gefitinib
Control GroupPLACEBO_COMPARATORPlacebo is a capsule in the form of 1mg and 5 mg, orally, once daily, 3 weeks on/1week off with best supportive care.
Treatment GroupEXPERIMENTALThe subjects will receive oral Fruquintinib at fasting state 5mg+best supportive care, once daily for the first 3 consecutive weeks and dose holiday for 1 week according to their dose regimens until the occurrence of disease progression, unacceptable toxicity, or withdrawal of consent
Part AOTHERSubjects will receive fruquintinib, alone and with itraconazole.
Part BOTHERSubjects will receive fruquintinib, alone and with rifampin.
3 mg Dose EscalationEXPERIMENTAL3 mg of Fruquintinib (HMPL-013), capsule taken orally, daily, 3 weeks on, 1 week off
5 mg Dose EscalationEXPERIMENTAL5 mg of Fruquintinib (HMPL-013), capsule taken orally, daily, 3 weeks on, 1 week off
Fruquintinib Expansion Cohort AEXPERIMENTAL5 mg fruquintinib (HMPL-013) capsule taken orally, daily, 3 weeks on, 1 week off in patients with advanced solid tumors of any type.
Metastatic Colorectal Cancer Expansion Cohort B (prior trifluridine/tipiracil or regorafenib)EXPERIMENTAL5 mg fruquintinib (HMPL-013) capsule taken orally, daily, 3 weeks on, 1 week off in patients with metastatic colorectal cancer who have progressed on or had intolerable toxicity to TAS-102, regoragenib, or both.
Metastatic Colorectal Cancer Expansion Cohort C (no prior trifluridine/tipiracil or regorafenib)EXPERIMENTAL5 mg fruquintinib (HMPL-013) capsule taken orally, daily, 3 weeks on, 1 week off in patients with metastatic colorectal cancer who have not been treated with TAS-102 or regorafenib.
Metastatic Breast Cancer (HR positive, HER2 negative) Expansion Cohort DEXPERIMENTAL5 mg fruquintinib (HMPL-013) capsule taken orally, daily, 3 weeks on, 1 week off in patients with metastatic Her2-negative, hormone receptor positive breast cancer.
Metastatic Breast Cancer (TNBC) Expansion Cohort EEXPERIMENTAL5 mg fruquintinib (HMPL-013) capsule taken orally, daily, 3 weeks on, 1 week off in patients with metastatic triple negative (Her2-negative, ER-negative, PR-negative) breast cancer.
fruquintinibEXPERIMENTALfruquintinib suspension, 5 mg (100 mCi)oral taken once
A- 4mg QDEXPERIMENTALarm A- fruquintinib 4mg once daily, p.o.,continuous;given in 28-days cycles until disease progress, intolerable toxicity or patients withdrawal of consent
B- 5mg once daily, 3wks on/1wk offEXPERIMENTALarm B-fruquintinb 5mg once daily,p.o.,3 weeks on/1 week off, given in 28-day cycles until disease progress,intolerable toxicity or patients withdrawal of consent
A-fasted dosing followed by fed dosingEXPERIMENTALExperimental: Fasted dosing of fruquintinib followed by fed dosing; Dosing in the fasted state followed by fed dosing
B-fed dosing followed by fasted dosingEXPERIMENTALExperimental: Fed dosing of fruquintinib followed by fasted dosing; Dosing in the fed state followed by fasted dosing
Fruquintinib capsuleEXPERIMENTALcohort 1: fruquintinb continuous oral dosing (1mg once a day) cohort 2: fruquintinb continuous oral dosing (2mg once a day) cohort 3: fruquintinb continuous oral dosing (4mg once a day) cohort 4: fruquintinb continuous oral dosing (6mg once a day) cohort 5: fruquintinb continuous oral dosing (5mg once a day) cohort 6: fruquintinb oral dosing, 3 weeks on/1 week off (5mg once a day) cohort 7: fruquintinb oral dosing, 3 weeks on/1 week off (6mg once a day)
Interventions
NameTypeDescription
fruquintinibDRUGFruquintinib will be orally administrated once daily for 2 consecutive weeks followed by a 1-week break.
sintilimabBIOLOGICALSintilimab will be intravenously administrated on Day 1 every three weeks.
paclitaxelDRUG175 mg/m\^2 via IV infusion, once a week for 3 weeks followed by a 1-week break.
doxorubicinDRUG60mg/m\^2 via IV infusion, on Day 1 every three weeks.
PlaceboDRUGPlacebo capsule
GefitinibDRUGGefitinib will be administered orally once daily per 28-day cycle or unacceptable toxicity
Dabigatran EtexilateDRUGDabigatran Etexilate will be administered as a single oral dose 150mg on the morning of day 1 and morning of day 5
RosuvastatinDRUGRosuvastatin will be administered as a single oral dose 10mg on the morning of day 1 and the morning of day 5
ItraconazoleDRUGa synthetic triazole antifungal agent
RifampinDRUGa semisynthetic antibiotic derivative of rifamycin SV
Fruquintinib (HMPL-013)DRUGFruquintinib is a small molecule tyrosine kinase inhibitor (TKI) that targets VEGFR-1, -2, and -3, with a novel chemical structure which belongs to the quinazoline class.
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Eligibility Criteria
Age Range18 Years to N/A
SexALL

Inclusion Criteria: * Provide written informed consent; * Age ≥18 years; * Histologically and/or cytologically documented metastatic colorectal adenocarcinoma. RAS, BRAF, and microsatellite instability microsatellite instability (MSI)/mismatch repair (MMR) status for each patient must be documented...

Countries:United StatesAustraliaAustriaBelgiumCzechiaEstoniaFranceGermanyHungaryItalyJapanPolandSpainUnited KingdomChina
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Competitive Landscape -Colorectal Cancer 259 trials (matched to "Metastatic Colorectal Cancer")
Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT06584032studyFirstPostDate: changed