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fruquintinib+sintilimab

Phase 3

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

fruquintinib+sintilimab development status

Highest phase Phase 3
Registered trials 1 across 1 sponsor since Aug 2001

fruquintinib+sintilimab target and mechanism

Molecular targetFLT1, FLT4, KDR
Target classInhibitor
ModalitySmall molecule

Also known as Fruquintinib, Fruquintinib (HMPL-013)

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials18
Total Enrollment3,925

FDA Designations

PRIORITY_REVIEWBREAKTHROUGH_THERAPY

fruquintinib+sintilimab clinical trials

fruquintinib+sintilimab · 18 trials · 21 indications

Phase 3 5Phase 2/3 1Phase 2 3Phase 1/2 1Phase 1 8
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
NCT03223376A Phase III Study of Fruquintinib in Combination With Paclitaxel in Second Line Gastric Cancer(FRUTIGA)Advanced Gastric Cancer
COMPLETED703 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 Study of Fruquintinib in Combination With Paclitaxel in Second Line Gastric Cancer(FRUTIGA)
Advanced Gastric 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.

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.

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

AUC(0-t) of fruquintinib: area under the plasma-concentration time curve from time 0 to time of the last measurable concentration
Up to 36 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 36 days

Pharmacokinetics of fruquintinib by assessment of area under the plasma concentration curve from zero extrapolated to infinity (if data permit)

Cmax of fruquintinib
up to 36 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.

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.

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).
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.
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
Fed/FastedEXPERIMENTALfruquintinib 5 mg with food on Day 1 and fruquintinib 5 mg without food on Day 15. 40 mg rabeprazole from Day 23 to Day 29. On Day 29, fruquintinib 5 mg one hour after rabeprazole dose.
Fasted/FedEXPERIMENTALfruquintinib 5 mg without food on Day 1 and fruquintinib 5 mg with food on Day 15. 40 mg rabeprazole from Day 23 to Day 29. On Day 29, fruquintinib 5 mg one hour after rabeprazole dose.
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.
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
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
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+sintilimabDRUGfruquintinib, 5 mg, QD, PO, 2 weeks on/1 week off, 3 weeks/cycle; sintilimab, 200 mg, IV infusion, Q3W, 3 weeks/cycle.
axitinib / everolimusDRUGaxitinib, 5 mg, twice daily (BID), PO, 3 weeks/cycle, dose escalation will be at the investigator 's discretion based on clinical; everolimus, 10 mg, QD, PO, 3 weeks/cycle.
GefitinibDRUGGefitinib will be administered orally once daily per 28-day cycle or unacceptable toxicity
Fruquintinib in Combination with SintilimabDRUGFruquintinib plus Sintilimab: Cohort A: Fruquintinib 3 mg QD, oral dosing, 3 weeks on/1 weeks off +Sintilimab 200mg Q4W, intravenous dosing. Cohort B: Fruquintinib 4 mg QD, oral dosing, 3 weeks on/1 weeks off +Sintilimab 200mg Q4W, intravenous dosing Cohort C: Fruquintinib 5 mg QD, oral dosing, 2weeks on/1 weeks off + Sintilimab 200mg Q3W, intravenous dosing Cohort E: Fruquintinib 3 mg QD, continuous, oral dosing, + Sintilimab 200mg Q3W, intravenous dosing Fruquintinib monotherapy arm: Fruquintinib 5 mg QD, oral dosing, 3 weeks on/1 weeks off Patients will be treated until disease progression, death, unacceptable toxicity, loss of follow-up, withdrawal of consent or other conditions meet the end of treatment criteria.
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
fruquintinib with food/fruquintinib without food/fruquintinib with rabeprazoleDRUGfruquintinib 5 mg with food on Day 1 and fruquintinib 5 mg without food on Day 15. 40 mg rabeprazole from Day 23 to Day 28. 40 mg rabeprazole one hour before 5 mg fruquintinib Day 29.
fruquintinib without food/fruquintinib with food/fruquintinib with rabeprazoleDRUGfruquintinib 5 mg without food on Day 1 and fruquintinib 5 mg with food on Day 15. 40 mg rabeprazole from Day 23 to Day 28. 40 mg rabeprazole one hour before 5 mg fruquintinib Day 29.
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.
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 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 -Endometrial Cancer 136 trials (matched to "Advanced Endometrial Cancer")

Frequently asked questions about fruquintinib+sintilimab

What is fruquintinib+sintilimab?

Fruquintinib+sintilimab is an investigational combination of fruquintinib, an oral small molecule kinase inhibitor, and sintilimab, an anti-PD-1 antibody. It is being studied in advanced solid tumors including endometrial cancer, renal cell carcinoma, and gastric cancer. The combination is developed by HUTCHMED (China) Limited.

What does fruquintinib+sintilimab target?

Fruquintinib targets FLT1, FLT4, and KDR (VEGFR-1, -3, and -2), inhibiting tumor angiogenesis. Sintilimab targets PD-1, enhancing antitumor immune responses. Together, the combination aims to inhibit angiogenesis and activate immune-mediated tumor cell killing.

Who is developing fruquintinib+sintilimab?

Fruquintinib+sintilimab is being developed by HUTCHMED (China) Limited, which trades under the ticker HCM. HUTCHMED is the sponsor of the clinical trials evaluating this combination.

What phase is fruquintinib+sintilimab in?

Fruquintinib+sintilimab is in Phase 3 clinical development. The most advanced trial is a Phase 3 study in advanced endometrial cancer. Other trials include a Phase 2/3 study in advanced renal cell carcinoma and Phase 1 studies.

What clinical trials is fruquintinib+sintilimab in?

Fruquintinib+sintilimab is being evaluated in several clinical trials. These include NCT06584032, a Phase 3 study in advanced endometrial cancer; NCT05522231, a Phase 2/3 study in advanced renal cell carcinoma (FRUSICA-2); and NCT05368805, a Phase 1 drug-drug interaction study. Another Phase 1 study is NCT05216367 in hepatic impairment.

Is fruquintinib+sintilimab the same as fruquintinib?

No, fruquintinib+sintilimab is a combination regimen that includes fruquintinib plus sintilimab. Fruquintinib alone is also known as HMPL-013. The combination is distinct from fruquintinib monotherapy or other combinations such as fruquintinib+paclitaxel.