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Futibatinib

Phase 3

Biliary Tract Neoplasms | Small molecule | Oncology |Zymeworks Inc.|Last Updated: May 19, 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
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment800
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05615818Personalized Medicine for Advanced Biliary Cancer PatientsPHASE3 RECRUITING 800Jul 18, 2024Jun 1, 2028May 19, 202669 Belgium, France +1
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Study Endpoints
Primary Endpoints
Progression-free survival (PFS)
From randomisation to disease progression or death, up to 5 years.

Time from randomisation to the first documented progression of disease (PD) as assessed by the investigator according to RECIST v1.1, or death from any cause, whichever occurs first.

Secondary Endpoints
Overall Survival (OS)
From randomisation to death, up to 5 years.
Objective response rate
From randomisation, up to 5 years.
Time to treatment failure
From randomisation to treatment failure event, up to 5 years.
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ExperimentalEXPERIMENTALMolecular targeted therapy matched to genetic alteration carried by the tumour
ControlACTIVE_COMPARATORContinued standard of care treatment for first-line biliary tract cancer
Interventions
NameTypeDescription
FutibatinibDRUGDose 20 mg once a day (QD)
IvosidenibDRUGDose 500 mg QD
ZanidatamabDRUGDose: Patients \< 70 kg: 1800 mg every 3 weeks (Q3W), Patients ≥ 70 kg: 2400 mg Q3W
TrastuzumabDRUGLoading dose 8 mg/kg, then 6 mg/kg Q3W (Combination with neratinib)
NeratinibDRUGDose: 240 mg QD (combination with trastuzumab)
EncorafenibDRUGDose: 450 mg QD (Combination with binimetinib)
BinimetinibDRUGDose: 45 mg twice a day (BID) (Combination with encorafenib)
NiraparibDRUGDose: 200 mg QD or 300 mg QD
CisplatinDRUGDose: 25 mg/m2 IV on days 1 and 8 Q3W (CISGEM)
GemcitabineDRUGDose: 1000 mg/m2 IV on days 1 and 8 Q3W (CISGEM)
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites69

SCREENING PHASE Inclusion Criteria: 1. Signed a written informed consent form prior to any trial specific procedures (Consent #1) 2. Histologically-proven intrahepatic, perihilar or distal cholangiocarcinoma, or gallbladder carcinoma (ampullary carcinoma excluded) 3. De novo or recurrent, locally ...

Countries:BelgiumFranceUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05615818primaryCompletionDate: changed
LOWMay 24, 2026NCT05615818studyFirstPostDate: changed