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trifluridine/tipiracil

Phase 3

Metastatic Oesogastric Adenocarcinoma | Small molecule | Oncology |Takeda Pharmaceutical Company Limited|Last Updated: Feb 5, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment324

FDA Designations

No designations recorded

Clinical trial landscape

trifluridine/tipiracil · 1 trial · 1 indication

Phase 3 1
NCT07270991Trifluridine/Tipiracil + Fruquintinib Versus Trifluridine/Tipiracil Alone for Metastatic Oeso-gastric AdenocarcinomaMetastatic Oesogastric Adenocarcinoma
RECRUITING324 Analytics
PHASE3RECRUITING
Trifluridine/Tipiracil + Fruquintinib Versus Trifluridine/Tipiracil Alone for Metastatic Oeso-gastric Adenocarcinoma
Metastatic Oesogastric AdenocarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall survival
up to 18 months after randomization

The primary endpoint is the Overall survival (OS) and is defined as the time between the date of randomization and the date of death caused by any reason or the date of last news if the patient is alive.

Secondary Endpoints

Progression-free survival (PFS)
Up 18 months after randomization
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm A (control arm): trifluridine/tipiracilACTIVE_COMPARATORCycle of 28 days 35 mg/m2 by mouth twice daily on Days 1 to 5, 2 days of rest and 35 mg/m2 by mouth twice daily on days 8 to 12
Arm B (experimental arm): trifluridine/tipiracil + fruquintinibEXPERIMENTALCycle of 28 days For trifluridine/tipiracil: 35 mg/m2 by mouth twice daily on Day 1 to 5, 2 days of rest and 35 mg/m2 by mouth twice daily on days 8 to 12 For fruquintinib: 5 mg by mouth once daily Day 1 to Day 21 (3 weeks) Treatment will be repeated every 4 weeks until radiological disease progression, unacceptable toxicity or patient's refusal.

Interventions

NameTypeDescription
trifluridine/tipiracilDRUGCycle of 28 days 35 mg/m2 by mouth twice daily on Days 1 to 5, 2 days of rest and 35 mg/m2 by mouth twice daily on days 8 to 12 Treatment will be repeated every 4 weeks until radiological disease progression, unacceptable toxicity or patient's refusal.
fruquintinibDRUGFor fruquintinib: 5 mg by mouth once daily Day 1 to Day 21 (3 weeks) Treatment will be repeated every 4 weeks until radiological disease progression, unacceptable toxicity or patient's refusal.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites64

Inclusion Criteria: 1. Age ≥ 18 years (patients enrolled gender independently). 2. Histologically proven metastatic adenocarcinoma of the stomach or the esophagogastric junction (GEJ) or esophagus. 3. Prior treatment by two or three lines of treatment for metastatic setting (patients who received a...

Countries:FranceGermany
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Frequently asked questions about trifluridine/tipiracil

What is trifluridine/tipiracil used for in metastatic oesogastric adenocarcinoma?

Trifluridine/tipiracil is an investigational small molecule being studied for the treatment of metastatic oesogastric adenocarcinoma. It is currently in Phase 3 clinical development, and the ongoing trial is evaluating it in combination with fruquintinib versus trifluridine/tipiracil alone in this patient population.

What does trifluridine/tipiracil target?

Trifluridine/tipiracil is a small molecule combination therapy. Trifluridine is a nucleoside analog that incorporates into DNA, disrupting DNA synthesis, while tipiracil inhibits thymidine phosphorylase, preventing the degradation of trifluridine. This mechanism is being studied in metastatic oesogastric adenocarcinoma.

Who makes trifluridine/tipiracil?

Trifluridine/tipiracil is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The company is conducting a Phase 3 clinical trial of the drug in metastatic oesogastric adenocarcinoma.

What phase is trifluridine/tipiracil in?

Trifluridine/tipiracil is in Phase 3 clinical development for metastatic oesogastric adenocarcinoma. It is an investigational drug and has not been approved for this indication. The ongoing Phase 3 trial is actively recruiting participants.

What clinical trials is trifluridine/tipiracil in?

Trifluridine/tipiracil is being studied in the Phase 3 clinical trial NCT07270991, titled "Trifluridine/Tipiracil + Fruquintinib Versus Trifluridine/Tipiracil Alone for Metastatic Oeso-gastric Adenocarcinoma." This randomized, active-controlled trial is recruiting 324 participants in France and Germany.

Is trifluridine/tipiracil the same as TAS-102?

Trifluridine/tipiracil is a combination of two active ingredients, trifluridine and tipiracil. The drug is also known by the brand name Lonsurf. In the context of this clinical trial, it is being evaluated as a single agent and in combination with fruquintinib for metastatic oesogastric adenocarcinoma.