Milind Javle, MD
Given that few options are available for intrahepatic cholangiocarcinoma (ICC), investigators are excited about a phase III trial of the multikinase inhibitor derazantinib (ARQ 087) as a second-line treatment for patients with inoperable or advanced disease. Current options are particularly limited for patients who experience disease progression after standard-of-care first-line chemotherapy. In the single-arm trial (NCT03230318), derazantinib is being tested in patients who have a genetic aberration in the fibroblast growth factor receptor 2 (FGFR2
Figure. Derazantinib in FGFR2 Gene Fusion-Positive ICC
Eligible patients will have histologically or cytologically confirmed locally advanced, inoperable, or metastatic ICC with FGFR2
gene fusion status confirmed by next-generation sequencing or fluorescence in situ hybridization testing. Participants must have received at least 1 regimen of prior systemic therapy, with evidence of radiographic progression. Patients who were not able to tolerate prior systemic therapy may also be enrolled.
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