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fruquintinib+paclitaxel

Phase 3

Advanced Gastric Cancer | Small molecule | Oncology |HUTCHMED (China) Limited|Last Updated: Dec 1, 2025

Target and mechanism

Molecular targetFLT1, FLT4, KDR
Target classInhibitor
ModalitySmall molecule

Also known as fruquintinib

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment703

FDA Designations

PRIORITY_REVIEWBREAKTHROUGH_THERAPY

Clinical trial landscape

fruquintinib+paclitaxel · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT03223376A Phase III Study of Fruquintinib in Combination With Paclitaxel in Second Line Gastric Cancer(FRUTIGA)Advanced Gastric Cancer
COMPLETED703 Analytics
PHASE3COMPLETED
A Phase III Study of Fruquintinib in Combination With Paclitaxel in Second Line Gastric Cancer(FRUTIGA)
Advanced Gastric CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall survival (OS)
from randomization until death due to any cause, assessed up to 3 year

every two months follow up after EOT observation period at 30 days after the last medication

Progression free survival (PFS)
from the date of randomization to the date of the first documented progressive disease or date of death due to any cause, assessed up to 1 year]

PFS defined as the time from the date of randomization to the first evidence of disease progression as defined by response evaluation criteria in solid tumors (RECIST) v1.1 or death from any cause.

incidence of DLT
every subject's DLT observation window is 4 weeks
progression free survival of RP2D
from first dose up to progressive disease or EOT due to any cause, assessed up to 1 year

using RECIST v1.1 progressive disease (PD), using RECIST v 1.1

safety and tolerance
From first dose to within 30 days after the last dose

Safety and tolerance will be evaluated by incidence, severity and outcomes of adverse events (AEs) and categorized by severity in accordance with the NCI CTC AE Version 4.0.

Secondary Endpoints

Objective response rate (ORR)
from randomization up to progressive disease or EOT due to any cause, assessed up to 1 year
Disease control rate (DCR)
from randomization up to progressive disease or EOT due to any cause, assessed up to 1 year
Safety and tolerance evaluated by incidence, severity and outcomes of AEs
from first dose to 30 days post the last dose
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
fruquintinib+paclitaxelACTIVE_COMPARATORtreatment arm (fruquintinib+paclitaxel) : Fruquintinib once daily, 3 weeks on/1week off combined with Paclitaxel 80mg/㎡ day1, 8, 15 of 4 weeks cycle.
placebo+paclitaxelPLACEBO_COMPARATORcontrol arm (placebo+paclitaxel): Fruquintinib placebo once daily, 3 weeks on/1week off combined with Paclitaxel 80mg/㎡ day1, 8, 15 of 4 weeks cycle.

Interventions

NameTypeDescription
fruquintinib +paclitaxelCOMBINATION_PRODUCTtreatment arm(fruquintinib +paclitaxel)- subjects will receive Fruquintinib orally, once daily for 3 wks on/ 1 wk off combined with paclitaxel 80mg/㎡ at day 1,8,15 of 4-week cycle. Patients will receive a cycles of 4 weeks of study treatment or until the occurrence of progressive disease (PD), death, unacceptable toxicity, withdrawal of consent or other conditions that meet the end of treatment criteria.
fruquintinib placebo + paclitaxelCOMBINATION_PRODUCTcontrol arm(fruquintinib placebo + paclitaxel)- subjects will receive Fruquintinib placebo orally, once daily for 3 wks on/ 1 wk off combined with paclitaxel 80mg/㎡ at day 1,8,15 of 4-week cycle. Patients will receive a cycles of 4 weeks of study treatment or until the occurrence of progressive disease (PD), death, unacceptable toxicity, withdrawal of consent or other conditions that meet the end of treatment criteria.
fruquintinib+paclitaxelDRUG28-day cycle of fruquintinib qd for 3 weeks followed by 1-week break combined with paclitaxel 80 mg/m2
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * Signed informed consent * Histologically or cytologically confirmed gastric or gastroesophageal junction adenocarcinoma * Metastatic disease or locally advanced, unresectable disease * Disease progression during or within 4 months after the last dose of the first-line therapy ...

Countries:China
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Competitive Landscape -Gastric Cancer 112 trials (matched to "Advanced Gastric Cancer")

Top 20 of 45 competitors

CompanyTickerTrialsLead PhaseDrugs
AstraZeneca PLCAZN16PHASE3AZD0901, Ramucirumab, paclitaxel, Paclitaxel, Docetaxel
BeOne Medicines Ltd. Sponsored ADRONC4PHASE3Tislelizumab, Cisplatin, Leucovorin, 5-fluorouracil, Oxaliplatin
Jazz Pharmaceuticals Public Limited CompanyJAZZ3PHASE3Zanidatamab, Tislelizumab, Trastuzumab, Capecitabine, Oxaliplatin
Arcus Biosciences, Inc.RCUS2PHASE3Domvanalimab, Zimberelimab, Capecitabine, Fluorouracil, Leucovorin
Bristol-Myers Squibb CompanyBMY6PHASE2Pumitamig, Folfox, Capox, Nivolumab
Pfizer Inc.PFE7PHASE2disitamab vedotin, tucatinib
Agenus Inc.AGEN2PHASE3Balstilimab, Botensilimab, Folfox Protocol, XELOX, Nivolumab
AbbVie, Inc.ABBV2PHASE2Telisotuzumab Adizutecan, Budigalimab, Fluorouracil, Leucovorin, Oxaliplatin
Eli Lilly and CompanyLLY2PHASE2Ramucirumab, Paclitaxel
Compass Therapeutics, Inc.CMPX1PHASE2CTX-009, Paclitaxel
ALX Oncology Holdings, Inc.ALXO1PHASE2Evorpacept, Trastuzumab, Ramucirumab, Paclitaxel
GE Healthcare Technologies Inc.GEHC1PHASE2GEH300079 Positron-Emission Tomography/Computed Tomography
ImmunityBio IncIBRX1PHASE2N-803, Pembrolizumab
Apollomics Inc. Class AAPLM1PHASE2APL-101
Exelixis, Inc.EXEL2PHASE1cabozantinib, atezolizumab
Tango Therapeutics, Inc.TNGX2PHASE2Trifluridine/Tipiracil, Oxaliplatin, FOLFOX regimen, Nivolumab
Inhibrx Biosciences, Inc.INBX1PHASE1INBRX-106- Hexavalent OX40 agonist antibody, pembrolizumab, Carboplatin AUC-5, Pemetrexed/m2, Cisplatin/m2
Incyte CorporationINCY1PHASE2Capecitabine, Oxaliplatin, Retifanlimab
I-Mab Biopharma US LimitedIMAB2PHASE2Givastomig, Nivolumab, 5Fluorouracil, Leucovorin, Oxaliplatin
Enliven Therapeutics, Inc.ELVN1PHASE1ELVN-002, Trastuzumab, 5-Fluorouracil, Oxaliplatin, Capecitabine
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Frequently asked questions about fruquintinib+paclitaxel

What is Fruquintinib used for?

Fruquintinib is an investigational small molecule kinase inhibitor being developed for oncology indications including colorectal cancer, gastric cancer, advanced renal cell carcinoma, and metastatic colorectal cancer. It is also being studied for drug-drug interactions and food effects in healthy subjects. The drug is not FDA approved and remains in clinical development.

How does Fruquintinib work?

Fruquintinib is a small molecule kinase inhibitor, belonging to the -tinib class of targeted therapies. It works by inhibiting kinase enzymes involved in tumor growth and angiogenesis. The drug is being studied across multiple cancer types, including colorectal and gastric cancers, where kinase signaling pathways are frequently dysregulated.

Who is developing Fruquintinib?

Fruquintinib is being developed by HUTCHMED (China) Limited, a biopharmaceutical company listed under the ticker HCM. The company is conducting clinical trials of the drug primarily in China across multiple oncology indications, including colorectal cancer and gastric cancer.

What phase is Fruquintinib in?

Fruquintinib is in Phase 1 clinical development, though completed trials have included Phase 2 and Phase 3 studies. The drug has received FDA designations of Priority Review and Breakthrough Therapy. It remains investigational and is not yet FDA approved for any indication.

What clinical trials is Fruquintinib in?

Fruquintinib has been studied in several clinical trials, including NCT01975077 (Phase Ib in 3rd line metastatic colorectal cancer), NCT02196688 (Phase 2 in metastatic colorectal cancer), NCT02314819 (Phase 3 FRESCO trial in 3+ line colorectal cancer), and NCT03223376 (Phase 3 FRUTIGA trial in second line gastric cancer). These trials have been completed.

Is Fruquintinib the same as any other drug?

Fruquintinib is known by its generic name and does not have alternative names listed in the available data. It is a distinct small molecule kinase inhibitor being developed by HUTCHMED for multiple oncology indications, including colorectal cancer and gastric cancer.