RecruitingPhase 2NCT07359820

A Study of Lirafugratinib in Non-CCA Solid Tumors With FGFR2 Fusion or Rearrangement

A Phase 2, Open-Label, Single-Arm Study of Lirafugratinib in Patients With Previously Treated, Unresectable, Locally Advanced or Metastatic Solid Tumors (Excluding Cholangiocarcinoma) With FGFR2 Fusion or Rearrangement


Sponsor

Elevar Therapeutics

Enrollment

30 participants

Start Date

May 1, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to evaluate if lirafugratinib is efficacious and safe to treat adult patients with previously treated, unresectable, locally advanced or metastatic solid tumors (excluding cholangiocarcinoma) harboring FGFR2 fusion or rearrangement. Participants will: * Take lirafugratinib regularly as instructed by their study doctor. * Visit the clinic as instructed for checkups and tests. * Keep a diary recording each time a dose of lirafugratinib is taken.


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Unresectable, locally advanced, or metastatic solid tumor (other than CCA).
  • Documented FGFR2 gene fusion or rearrangement per local testing of blood and/or tumor.
  • Patient must have measurable disease per RECIST v1.1• Patient has ECOG performance status of 0-1.
  • Previously (>30 days) treated with ≥1 line of systemic therapy including chemotherapy (e.g., gemcitabine/cisplatin), immunotherapy, radiation therapy, or other approved therapies.
  • Subject has not received prior treatment with an FGFRi.

Exclusion Criteria6

  • An uncontrolled comorbidity.
  • Patient does not have adequate organ function (defined in protocol).
  • Patient has active infection, including human immunodeficiency virus (HIV), hepatitis B virus (HBV), and/or hepatitis C virus (HCV) (defined in protocol). Patients with well-controlled HBV are eligible (defined in protocol).
  • QT interval corrected using Fridericia's formula (QTcF) > 480 msec or history of prolonged QT syndrome, Torsades de pointes or familial history of prolonged QT syndrome.
  • Clinically significant, uncontrolled cardiovascular disease.
  • CNS metastases or primary CNS tumor that is associated with progressive neurologic symptoms.

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Interventions

DRUGLirafugratinib

Lirafugratinib is an oral inhibitor of FGFR2


Locations(19)

Mayo Clinic

Phoenix, Arizona, United States

Mayo Clinic

Jacksonville, Florida, United States

Moffitt Cancer Center

Tampa, Florida, United States

University of Chicago Medical Center

Chicago, Illinois, United States

Massachusetts General Hospital

Boston, Massachusetts, United States

Mayo Clinic

Rochester, Minnesota, United States

The University of Texas M.D. Anderson Cancer Center

Houston, Texas, United States

Institut Bergonie

Bordeaux, France

Centre Georges François Leclerc

Dijon, France

Centre Leon Berard

Lyon, France

Gustave Roussy Cancer Campus

Paris, France

Seoul National University Hospital

Seoul, South Korea

Samsung Medical Center

Seoul, South Korea

START Barcelona-Hospital HM Nou Delfos

Barcelona, Spain

Hospital Universitario Fundación Jiménez Díaz- START MADRID

Madrid, Spain

Hospital Universitario HM Sanchinarro-START MADRID-CIOCC

Madrid, Spain

University College Hospital (NIHR UCLH Clinical Research Facility)

London, United Kingdom

Sarah Cannon Research Institute UK

London, United Kingdom

The Christie NHS Foundation

Manchester, United Kingdom

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NCT07359820


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