5、消化系统肿瘤消化系统肿瘤 (8).pdf

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1、 Journal of Clinical Oncology List of Issues Volume 39,Issue 3_suppl Meeting Abstract|2021 Gastrointestinal Cancers SymposiumHEPATOBILIARY CANCERFinal results from a phase II study ofinfigratinib(BGJ398),an FGFR-selectivetyrosine kinase inhibitor,in patients withpreviously treated advancedRights&Per

2、missionsOPTIONS&TOOLSExport CitationTrack CitationAdd To FavoritesCOMPANION ARTICLESADVERTISEMENTADADVERTISEMENTLog InSubmitE-AlertsCartOpenAthens/Shibboleth MENU Article Toolscholangiocarcinoma harboring an FGFR2gene fusion or rearrangement.Milind M.Javle,Sameek Roychowdhury,Robin Kate Kelley,Saeed

3、 Sadeghi,Teresa Macarulla,Dirk Thomas Waldschmidt,.Show MoreAbstract Disclosures265Background:Treatment options forcholangiocarcinoma(CCA)after progression onfirst-line gemcitabine-based therapy are limited.Fibroblast growth factor receptor 2(FGFR2)genefusions occur in 1317%of intrahepatic CCA.Asing

4、le-arm,phase II study(NCT02150967)evaluated infigratinib,an ATP-competitive FGFR13-selective oral tyrosine kinase inhibitor,inpreviously-treated advanced CCA with FGFRfusions/rearrangements.Methods:Adult patientswith advanced/metastatic CCA with progressionNo companion articlesARTICLE CITATIONDOI:10

5、.1200/JCO.2021.39.3_suppl.265Journal of Clinical Oncology 39,no.3_suppl(January 20,2021)265-265.Published online January 22,2021.WE RECOMMENDADVERTISEMENTEmployer:Merritt HawkinsApply for this job Employer:Potomac Oncology&HematologyApply for this job Hematology-Oncology OpportunityJust Outside of C

6、hicagoRockford,Illinois N/AA reputable integrated health system seekinga board-certified or board-eligiblehematologist-oncologist to join its team.Oncology&Hematology AssociatePositionRockville,Maryland Competitive SalaryThis position offers a competitive base salary,a comprehensive benefits package

7、,exceptional productivity incentives,and apartnership track.Hematology/Oncology-at the Beach inLow Tax Delaware!Delaware(US);Family-oriented resort area inbeautiful south coastal DelawareAbstractFinal Phase II Data SupportInfigratinib in Chemotherapy-refractory CholangiocarcinomaHarboring FGFR2 Fusi

8、onsASCO Daily News,2021Phase II Study of BGJ398 in PatientsWith FGFR-Altered AdvancedCholangiocarcinomaMilind Javle et al.,J Clin Oncol,2017FGFR Kinase Inhibitor in FGFR-Altered AdvancedCholangiocarcinomaBy Matthew Stenger et al.,Hepatobiliary CancerLack of Targetable FGFR2 Fusions inEndemic Fluke-A

9、ssociatedCholangiocarcinomaSarinya Kongpetch et al.,JCO GlobalOncology,2020Cholangiocarcinoma With FGFRGenetic Aberrations:A UniqueClinical Phenotypeon 1 line of systemic therapy received infigratinib125 mg orally for 21 days of each 28-day cycle untilunacceptable toxicity or disease progression.All

10、patients received prophylaxis with the oralphosphate binder sevelamer.Primary endpoint:objective response rate(ORR)by independentcentral review per RECIST v1.1,with duration ofresponse(DOR).Secondary endpoints:progression-free survival(PFS),disease controlrate,overall survival,safety,pharmacokinetic

11、s.Approximately 160 patients are planned(120/20/20 patients in Cohorts 1/2/3).This analysisfocuses on Cohort 1(patients with FGFR2 genefusions or rearrangements without receiving aprior FGFR inhibitor).Results:As of 31 March 2020,108 patients,including 83(77%)with FGFR2fusions,received infigratinib:

12、median age 53 years(range 2381 years);54%had received 2 priortreatment lines.Median follow-up was 10.6months(range 1.155.9 months).96 patients(88.9%)discontinued treatment(12 ongoing).Centrally reviewed ORR was 23.1%(95%CI 15.632.2)including 1 CR and 24 PRs;median DOR wasADVERTISEMENTApurva Jain et

13、al.,JCO PO,2018Systemic therapy for advancedcholangiocarcinoma:new options onthe horizonSaleh A.Alqahtani et al.,HepatomaResearch-OAE Publishing,2020Efficacy and safety of copanlisib inpatients with relapsed or refractorymarginal zone lymphomaPanayiotis Panayiotidis et al.,BloodAdvances,2021Metastat

14、ic Calcinosis CutisAssociated With a Selective FGFRInhibitorDavid R.Carr et al.,JAMADermatology,2018Precision Approach to BladderCancerFeyza Sancar et al.,Journal ofAmerican Medical Association,2019Durable ibrutinib responses inrelapsed/refractory marginal zonelymphoma:long-term follow-up andbiomark

15、er analysisAriela Noy et al.,Blood Advances,2020Powered by5.0 months(range 0.919.1 months).Amongresponders,8(32.0%)patients had a DOR of 6months.Median PFS was 7.3 months(95%CI 5.67.6 months).Prespecified subgroup analysis:ORRwas 34%(17/50)in the second-line setting and13.8%(8/58)in the third-/later

16、-line setting(38prior treatments).Most common treatment-emergent adverse events(TEAEs,any grade)werehyperphosphatemia(76.9%),eye disorders(67.6%,excluding central serous retinopathy/retinalpigment epithelium detachment CSR/RPED),stomatitis(54.6%),and fatigue(39.8%).CSR/RPEDoccurred in 16.7%of patien

17、ts(including 1 G3event;0 G4).Other common grade 3/4 TEAEs werestomatitis(14.8%;all G3),hyponatremia(13.0%;allG3),and hypophosphatemia(13.0%;13 G3,1 G4).Conclusions:Infigratinib is associated withpromising anticancer activity and a manageableAE profile in patients with advanced,refractoryCCA with an

18、FGFR2 gene fusion or rearrangement.A phase III study of infigratinib versusgemcitabine/cisplatin is ongoing in the front-linesetting(NCT03773302).Clinical trial information:NCT02150967.2021 American Society of Clinical OncologyResearch Sponsor:QED Therapeutics Inc.QUICK LINKSContentNewest Articles A

19、rchive Meeting AbstractsJournal InformationAbout Editorial Roster Contact Us PermissionsResourcesAuthors Reviewers Subscribers Institutions AdvertisersSubmit Your ManuscriptSubscribe to this JournalASCO FAMILY OF SITESJournalsJournal of Clinical Oncology JCO Oncology Practice JCO Global Oncology JCO

20、 Clinical Cancer Informatics JCO Precision OncologyPublicationsASCO Educational Book ASCO Daily News ASCO Connection The ASCO Post EducationASCO eLearning ASCO Meetings Cancer.NetOther SitesASCO.org ASCO Author Services ASCO Career Center CancerLinQ Conquer Cancer Foundation TAPUR Study American Society of Clinical Oncology2318 Mill Road,Suite 800,Alexandria,VA 22314 2021 American Society of Clinical Oncology Terms of Use|Privacy Policy|Cookies

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