2021 Year in Review: Cholangiocarcinoma

Primary results from the phase 2 FIDES-01 study indicate that derazantinib yields durable objective responses with a manageable safety profile in patients with intrahepatic CCA who harbor FGFR2 fusions/rearrangements.
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Interim results of the multicenter, dose-escalation/dose-expansion study indicate that RLY-4008 is well-tolerated, demonstrating selective targeting of FGFR2 and the potential to overcome FGFR inhibitor resistance in patients with advanced CCA.
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Retrospective exposure-response analysis data support 20 mg once daily as the starting dose for futibatinib, whereas exposure-safety analysis for futibatinib demonstrated a significant relationship between hyperphosphatemia and futibatinib exposure.
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Results of this retrospective pooled safety analysis indicate that futibatinib was safe and tolerable in patients with advanced solid tumors, including intrahepatic CCA.
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Findings of patient-reported outcomes from the phase 2 FOENIX-CCA2 study indicate that quality-of-life data and overall health status were maintained among futibatinib-treated patients with advanced intrahepatic CCA.
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Initial results of the phase 2 FOENIX-CCA2 study demonstrated that second-line futibatinib was active and had a manageable safety profile in patients with intrahepatic CCA harboring FGFR2 fusion/rearrangements.
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Longitudinal evaluation of quality of life in pemigatinib-treated patients with advanced CCA harboring FGFR fusions/rearrangements showed that those who achieved complete response/partial response or stable disease exhibited stable overall health status and emotional functioning.
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Findings from a study in a Chinese patient population confirmed the efficacy and tolerability of pemigatinib in patients with recurrent or metastatic CCA with an FGFR2 fusion or rearrangement.
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Updated results from the FIGHT-202 study supported the primary data that second-line pemigatinib treatment resulted in efficacy and sustained tolerability in patients with CCA harboring FGFR2 rearrangements/fusions.
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Final results of the ClarIDHy trial demonstrated the clinical benefit of ivosidenib in patients with previously treated unresectable or metastatic CCA harboring an IDH1 mutation.
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