Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Fruquintinib · 16 trials · 18 indications
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.
every two months after end of treatment (EOT) observation period at 30 days after the last medication
Occurrence of completed response or partial response after treatment, assessed by RECIST 1.1
Number of participants with treatment-related adverse events as assessed by CTCAE v4.03
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
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.
Pharmacokinetics of fruquintinib by assessment of area under the plasma concentration time curve from zero to the last measurable concentration
Pharmacokinetics of fruquintinib by assessment of area under the plasma concentration curve from zero extrapolated to infinity
Pharmacokinetics of fruquintinib by assessment of maximum plasma fruquintinib concentration
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.
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).
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 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)
Blood samples for PK analysis of serum fruquintinib levels will be collected for a 2-week period following each of 2 doses.
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.
| Arm | Type | Description |
|---|---|---|
| Fruquintinib Plus Best Supportive Care (BSC) Group | EXPERIMENTAL | Participants 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 Group | PLACEBO_COMPARATOR | Participants 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 Arm | ACTIVE_COMPARATOR | All 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 Arm | PLACEBO_COMPARATOR | All 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 & Gefitinib | EXPERIMENTAL | Drug: Fruquintinib and Gefitinib |
| Control Group | PLACEBO_COMPARATOR | Placebo is a capsule in the form of 1mg and 5 mg, orally, once daily, 3 weeks on/1week off with best supportive care. |
| Treatment Group | EXPERIMENTAL | The 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 A | OTHER | Subjects will receive fruquintinib, alone and with itraconazole. |
| Part B | OTHER | Subjects will receive fruquintinib, alone and with rifampin. |
| 3 mg Dose Escalation | EXPERIMENTAL | 3 mg of Fruquintinib (HMPL-013), capsule taken orally, daily, 3 weeks on, 1 week off |
| 5 mg Dose Escalation | EXPERIMENTAL | 5 mg of Fruquintinib (HMPL-013), capsule taken orally, daily, 3 weeks on, 1 week off |
| Fruquintinib Expansion Cohort A | EXPERIMENTAL | 5 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) | EXPERIMENTAL | 5 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) | EXPERIMENTAL | 5 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 D | EXPERIMENTAL | 5 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 E | EXPERIMENTAL | 5 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. |
| fruquintinib | EXPERIMENTAL | fruquintinib suspension, 5 mg (100 mCi)oral taken once |
| A- 4mg QD | EXPERIMENTAL | arm 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 off | EXPERIMENTAL | arm 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 dosing | EXPERIMENTAL | Experimental: Fasted dosing of fruquintinib followed by fed dosing; Dosing in the fasted state followed by fed dosing |
| B-fed dosing followed by fasted dosing | EXPERIMENTAL | Experimental: Fed dosing of fruquintinib followed by fasted dosing; Dosing in the fed state followed by fasted dosing |
| Fruquintinib capsule | EXPERIMENTAL | cohort 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) |
| Name | Type | Description |
|---|---|---|
| fruquintinib | DRUG | Fruquintinib will be orally administrated once daily for 2 consecutive weeks followed by a 1-week break. |
| sintilimab | BIOLOGICAL | Sintilimab will be intravenously administrated on Day 1 every three weeks. |
| paclitaxel | DRUG | 175 mg/m\^2 via IV infusion, once a week for 3 weeks followed by a 1-week break. |
| doxorubicin | DRUG | 60mg/m\^2 via IV infusion, on Day 1 every three weeks. |
| Placebo | DRUG | Placebo capsule |
| Gefitinib | DRUG | Gefitinib will be administered orally once daily per 28-day cycle or unacceptable toxicity |
| Dabigatran Etexilate | DRUG | Dabigatran Etexilate will be administered as a single oral dose 150mg on the morning of day 1 and morning of day 5 |
| Rosuvastatin | DRUG | Rosuvastatin will be administered as a single oral dose 10mg on the morning of day 1 and the morning of day 5 |
| Itraconazole | DRUG | a synthetic triazole antifungal agent |
| Rifampin | DRUG | a semisynthetic antibiotic derivative of rifamycin SV |
| Fruquintinib (HMPL-013) | DRUG | Fruquintinib 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. |
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...
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