Study of TT-00420 (Tinengotinib) in Subjects With Cholangiocarcinoma Who Failed or Relapsed to Chemotherapy and FGFR Inhibitor
Launched by TRANSTHERA SCIENCES (NANJING), INC. · Sep 26, 2023
Trial Information
Current as of July 09, 2025
Recruiting
Keywords
ClinConnect Summary
This clinical trial is studying a new oral medication called TT-00420 (Tinengotinib) to see how well it works and how safe it is for patients with a type of cancer known as cholangiocarcinoma, particularly in those who have not responded well to previous treatments like chemotherapy or a specific type of targeted therapy called FGFR inhibitors. The trial is currently recruiting participants who are at least 18 years old and have been diagnosed with advanced cholangiocarcinoma that cannot be surgically removed. To join the study, patients must have had prior chemotherapy and have a documented change in a specific gene (FGFR2) associated with their cancer.
Participants can expect to take the medication as tablets and will be closely monitored by healthcare professionals throughout the study. It's important for potential participants to know that certain health conditions, recent treatments, or medications may affect their eligibility to join the trial. The goal of the study is to gather information about how well this new treatment works for patients who have run out of other options, helping to improve outcomes for those with this challenging disease.
Gender
ALL
Eligibility criteria
- Inclusion Criteria:
- • 1. ≥ 18 years of age at the time of signing the informed consent form (ICF).
- • 2. Histologically or cytologically confirmed CCA/adenocarcinoma of biliary origin with radiological evidence of unresectable or metastatic disease.
- • 3. Subjects must have received one or two lines of prior systemic chemotherapy.
- • 4. Documentation of FGFR2 gene alteration and must have failed to prior treatment of exactly one FGFR inhibitor.
- • 5. At least one measurable lesion as defined by RECIST V1.1 criteria for solid tumors.
- • 6. ECOG≤ 1.
- • 7. Adequate organ and bone marrow function(without receiving any hematopoietic growth factor, blood or platelet therapy within 14 days before the first dose).
- • 8. Must agree to take sufficient contraceptive methods to avoid pregnancy during the study and until at least 3 months after ceasing study treatment.
- • 9. Able to sign informed consent and comply with the protocol.
- Exclusion Criteria:
- • 1. Subjects with concomitant brain or central nervous system (CNS) metastases and imaging or clinically confirmed progression within 28 days prior to the start of treatment. Brain or central nervous system metastases that not treated with corticosteroids and remain stable within 14 days prior to screening are eligible for enrollment.
- • 2. Subjects with a known concurrent malignancy that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin, carcinoma in situ of the cervix, or other noninvasive or indolent malignancy, including those that have previously undergone potentially curative therapy.
- • 3. Subjects who have received prior systemic therapy or investigational study drug ≤ 5 half-lives or 14 days, whichever is shorter, prior to starting the study drug or who have not recovered (grade ≤ 1 or at pretreatment baseline except tolerable grade 2 alopecia, fatigue/asthenia, and neuropathy due to trauma) from adverse events (AEs) of prior therapy.
- • 4. Concurrent anticancer therapy including chemo-, immune-, or radiotherapy. Hormone therapy may be allowed with Sponsor approval.
- • 5. Subjects who have received wide field radiotherapy ≤ 4 weeks or limited field radiation for palliation ≤ 2 weeks prior to starting the study drug or who have not recovered from AEs of prior therapy.
- • 6. Subjects who have underwent major surgery or have not recovered from adverse events of surgery within the 4 weeks prior to initiation of the investigational drug (grade ≤ 1 or at pretreatment baseline except tolerable grade 2 alopecia, fatigue/asthenia, and neuropathy due to trauma).
- • 7. Impaired cardiac function or significant diseases.
- • 8. Subjects who have received stable doses of antihypertensive drugs for at least 1 week with uncontrolled hypertension under at screening period (defined as blood pressure of ≥ 150 mm Hg systolic and/or ≥ 90 mm Hg diastolic despite adequate treatment with antihypertensive medications at screening).
- • 9. Subjects who have severe gastrointestinal disease or gastrointestinal dysfunction that may lead to absorption, metabolism or excretion of the study drug, enrollment eligibility will be based on the investigator's judgment (including but not limited to total gastrotomy, short bowel syndrome).
- • 10. Subjects who have bleeding disorders or thrombotic disorders or therapeutic anticoagulant therapy requiring INR monitoring.
- • 11. Subjects who have received a strong CYP3A inhibitor and inducer before starting the study drug, within an interval of ≤ 2 weeks or 5 half-lives (whichever is shorter); (except topical ketoconazole).
- • 12. Tested positive for the human immunodeficiency virus (HIV).
- • 13. Subjects who have an active HBV infection.
- • 14. Subjects who are pregnant or breastfeeding.
- • 15. Subjects who are unable to swallow or tolerate oral medication.
- • 16. The investigator determines that he or she is not eligible for study participation for any clinical or laboratory abnormalities, or any reason that could confuse the study results, interfere with participants' safe participation and compliance with the trial procedure.
About Transthera Sciences (Nanjing), Inc.
Transthera Sciences (Nanjing), Inc. is a biopharmaceutical company dedicated to the discovery and development of innovative therapeutics for unmet medical needs. Leveraging advanced scientific research and a robust pipeline, Transthera focuses on developing novel treatments that target complex diseases, with an emphasis on precision medicine and personalized healthcare solutions. Committed to excellence in clinical research, the company collaborates with global partners to advance its clinical trials and bring transformative therapies to market, ultimately improving patient outcomes and enhancing quality of life.
Contacts
Jennifer Cobb
Immunology at National Institute of Allergy and Infectious Diseases (NIAID)
Locations
Beijing, , China
Beijing, , China
Hangzhou, Zhejiang, China
Shanghai, , China
Shanghai, Shanghai, China
Nanjing, Jiangsu, China
Changsha, Hunan, China
Wuhan, Hubei, China
Jinan, Shandong, China
Zhengzhou, Henan, China
Guangzhou, Guangdong, China
Changchun, Jilin, China
Harbin, Heilongjiang, China
Shijiazhuang, Hebei, China
Changsha, Hunan, China
Fuzhou, Fujian, China
Shenyang, Liaoning, China
Wuhan, Hubei, China
Taiyuan, Shanxi, China
Guangzhou, Guangdong, China
Kunming, Yunnan, China
Tianjin, , China
Beijing, Beijing, China
Chengdu, Sichuan, China
Shanghai, , China
Hefei, Anhui, China
Jinan, Shandong, China
Beijing, , China
Shenzhen, Guangdong, China
Hangzhou, Zhejiang, China
Zhengzhou, Henan, China
Patients applied
Timeline
First submit
Trial launched
Trial updated
Estimated completion
Not reported