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Afatinib

Phase 1

Advanced Solid Tumor | Small molecule | Oncology |Incyte Corporation|Last Updated: May 15, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment70
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06302621Pemigatinib + Afatinib in Advanced Refractory Solid TumorsPHASE1 RECRUITING 70Apr 17, 2024Dec 1, 2027May 15, 20261 United States
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Study Endpoints
Primary Endpoints
Maximum tolerated dose (MTD)
Through Cycle 1 (21 Days)

All patients in the dose-escalation part who have received ≥ 75% (21 days) of study drug and completed Cycle 1 through Cycle 1 Day 21 or experienced a dose limiting toxicity (DLT)

Objective response rate (ORR)
Baseline, Every 9 weeks during treatment and Off Study up to 1 year

Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) in patients with FGFR2-fusion, rearrangement or in-frame deletion positive intrahepatic cholangiocarcinoma. Defined as the proportion of patients achieving Complete response (CR) and partial response(PR) per RECIST v1.1

Secondary Endpoints
Disease Control Rate
Baseline, Every 9 weeks during treatment and Off Study up to 1 year
Duration of Response
Baseline, Every 9 weeks during treatment and Off Study up to 1 year
Overall Survival
Baseline, Every 9 weeks during treatment and Off Study up to 1 year
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
DOSE ESCALATION PHASE 1A PEMIGATINIB + AFATINIBEXPERIMENTALIn the phase 1a dose escalation study participants with FGFR-altered refractory advanced solid tumors will be enrolled. This research study involves the study drugs Afatinib and Pemigatinib.
COHORT 1: EXPANSION PHASE 1B COHORT 1 MTD/RP2D PEMIGATINIB + AFATINIB FGFR INHIBITOR-NAIVEEXPERIMENTALIn the phase Ib dose expansion study, patients with FGFR-altered cholangiocarcinoma will be recruited into 2 cohorts: FGFR inhibitor-naïve cholangiocarcinoma and FGFR-inhibitor-pretreated and resistant cholangiocarcinoma. Cohort 1 will enroll patients with FGFR inhibitor-naïve cholangiocarcinoma. This research study involves the study drugs Afatinib and Pemigatinib.
COHORT 2: EXPANSION PHASE 1B COHORT 2 MTD/RP2D PEMIGATINIB + AFATINIB FGFR INHIBITOR-PRETREATEDEXPERIMENTALIn the phase Ib dose expansion study, patients with FGFR-altered cholangiocarcinoma will be recruited into 2 cohorts: FGFR inhibitor-naïve cholangiocarcinoma and FGFR-inhibitor-pretreated and resistant cholangiocarcinoma. Cohort 2 will enroll patients with FGFR-inhibitor-pretreated and resistant cholangiocarcinoma. This research study involves the study drugs Afatinib and Pemigatinib.
Interventions
NameTypeDescription
AfatinibDRUGEach study treatment cycle lasts 21 days: Afatinib, oral, once daily, per protocol determined number of days per cycle and per protocol determined dosage
PemigatinibDRUGEach study treatment cycle lasts 21 days: Pemigatinib, oral, once daily, per protocol determined number of days per cycle and per protocol determined dosage
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: All Patients * Unresectable or metastatic, histologically confirmed advanced solid tumor, where standard curative or palliative measures are no longer effective or are not considered appropriate or safe in the opinion of the investigator. * FGFR1-3 fusion, rearrangement, activa...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06302621primaryCompletionDate: changed
LOWMay 24, 2026NCT06302621studyFirstPostDate: changed