Lirafugratinib for Solid Tumors

(ReFocus202 Trial)

Not yet recruiting at 17 trial locations
JD
LN
Overseen ByLissa Nazal
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called lirafugratinib to determine its safety and effectiveness for individuals with certain advanced solid tumors. The focus is on tumors that cannot be surgically removed and have a specific alteration in the FGFR2 gene, which is involved in cell growth. Participants should have previously tried other treatments and must have this FGFR2 gene change confirmed. Those with hard-to-treat tumors fitting this profile might find this trial suitable. As a Phase 2 trial, the research aims to measure the treatment's effectiveness in an initial, smaller group of participants.

Is there any evidence suggesting that lirafugratinib is likely to be safe for humans?

Research has shown that lirafugratinib is generally safe for patients with solid tumors. In an earlier study, patients took a daily dose of 70 mg, and the treatment positively affected the tumors. Most importantly, the study found that patients did not experience severe side effects. Some experienced mild to moderate issues like tiredness and nausea, but these were manageable. Overall, the current data indicates that lirafugratinib has a favorable safety profile.12345

Why do researchers think this study treatment might be promising?

Researchers are excited about lirafugratinib because it offers a new approach to treating solid tumors. Unlike traditional chemotherapy, which often targets all rapidly dividing cells, lirafugratinib is designed to specifically inhibit certain pathways that are crucial for tumor growth, potentially leading to fewer side effects. This targeted mechanism could mean more effective treatment with less collateral damage to healthy cells, making it a promising option for patients with solid tumors.

What evidence suggests that lirafugratinib might be an effective treatment for solid tumors?

Studies have shown that lirafugratinib, the treatment being tested in this trial, can effectively combat various solid tumors with FGFR2 changes. One study found that patients went nearly a year, with a median of 11.3 months, without their cancer worsening. The treatment also benefited almost half of the patients, with 46.5% experiencing tumor shrinkage or disappearance. Importantly, lirafugratinib has demonstrated lasting benefits, indicating its positive effects can persist over time. These results suggest that lirafugratinib may be effective for treating solid tumors with FGFR2 fusions or rearrangements.13567

Are You a Good Fit for This Trial?

Adults with advanced solid tumors (except cholangiocarcinoma) that can't be removed by surgery and have already been treated. These tumors must have a specific genetic change called FGFR2 fusion or rearrangement.

Inclusion Criteria

I have a tumor that can be measured and I can do all my daily activities without help.
I've had at least one type of cancer treatment over a month ago.
I have never been treated with FGFR inhibitors.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants take lirafugratinib regularly as instructed by their study doctor and visit the clinic for checkups and tests

24 months
Approximately every 4 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Lirafugratinib

Trial Overview

The trial is testing the effectiveness and safety of lirafugratinib, an oral medication. Participants will take it as prescribed, attend clinic visits for monitoring, and keep a diary of their dosage intake.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: LirafugratinibExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Elevar Therapeutics

Lead Sponsor

Trials
10
Recruited
1,200+

Citations

Efficacy and safety of lirafugratinib in FGFRi-naïve ...

Conclusions: Lirafugratinib demonstrated clinically meaningful anti-tumor activity (ORR, DOR, and PFS), manageable and tolerable safety in CCA ...

Lirafugratinib Produces Durable Responses in FGFR2 ...

The median progression-free survival was 11.3 months (95% CI, 9.2–14.8 months), with 49.2% of patients remaining progression-free at one year.

Tumor-agnostic efficacy and safety of lirafugratinib, a highly ...

+: Denotes censored time. • Lirafugratinib demonstrated durable clinical activity and radiographic response across 14 solid tumor types ...

FDA Approval Sought for Lirafugratinib in Second-Line, ...

In this cohort, the objective response rate (ORR) was 46.5% (95% CI, 37.1%-56.1%). Best overall responses included a complete response (CR) rate ...

Lirafugratinib Displays Antitumor Activity in Advanced ...

Treatment with 70 mg of daily lirafugratinib displayed positive antitumor activity among patients previously treated for unresectable, ...

A Study of Lirafugratinib in Non-CCA Solid Tumors With ...

The goal of this clinical trial is to evaluate if lirafugratinib is efficacious and safe to treat adult patients with previously treated, ...

Discovery of lirafugratinib (RLY-4008), a highly selective ...

Existing targeted therapies for solid tumors harboring FGFR2 alterations include pan-FGFR inhibitors, which often cannot be dosed to maximum ...