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ABC294640

Phase 2

Cholangiocarcinoma | Small molecule | Oncology |Redhill Biopharma Ltd.|Last Updated: Jul 23, 2025

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
UNCONTROLLEDBiomarker
Total Trials1
Total Enrollment65
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03377179A Study of ABC294640 Alone and in Combination With HCQ Sulfate in the Treatment of Advanced CholangiocarcinomaPHASE2 COMPLETED 65Mar 7, 2018Jun 21, 2022Jul 23, 20255 United States
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Study Endpoints
Primary Endpoints
Part1 - Determine Response Rate
At least 4 months

To determine the response rate (RR) of CCA defined as objective responses (OR), i.e. complete and partial responses (CR, PR) plus stable disease (SD) of at least 4 months to treatment with ABC294640.

Part 2 - Determine the Durable Disease Control Rate
At least 4 months

To determine the Durable Disease Control Rate (DDCR) of CCA defined as Disease Control Rate (DCR) of at least 4 months duration to treatment with ABC294640 and HCQ

Secondary Endpoints
Physical exam to include eye exams (the latter only for patients enrolled in Part 2) to measure safety and tolerability of ABC294640 alone and in combination with HCQ
From screening phase, during beginning of each cycle of treatment, till 30 days after the end of treatment (an estimated median of 5 months)
A general neurological exam to measure safety and tolerability of ABC294640 alone and in combination with HCQ
From screening phase, during beginning of each cycle of treatment, till 30 days after the end of treatment (an estimated median of 5 months)
HADS score for depression and anxiety to measure safety and tolerability of ABC294640 alone and in combination with HCQ
From screening, during each cycle of treatment, till the end of treatment (an estimated median of 4 months). Patient diaries will be filled on a daily basis during treatment.
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ABC294640 +/- HCQ treatmentEXPERIMENTALPart 1: All participants will be receiving ABC294640, 500 mg twice a day (BID), continuously in 28 day cycles Part 2: All participants will be receiving ABC294640, 500 mg twice a day (BID) and HCQ at a determined level, continuously in 28 day cycles
Interventions
NameTypeDescription
ABC294640DRUGTwo 250 mg capsules of ABC294640 will be taken twice daily
Hydroxychloroquine Sulfate 200 MGDRUGHCQ tablets will be taken at a dose that will be determined
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: 1. Patients with histologically confirmed intrahepatic, perihilar or extra-hepatic CCA. 2. Patients with no more than 2 prior treatments with systemic anti-neoplastic therapy for CCA. 3. The tumor is unresectable and not amenable to curative therapy. 4. One or more tumors measur...

Countries:United States
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Competitive Landscape -Cholangiocarcinoma 58 trials
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