“The EMA’s validation of Incyte’s Marketing Authorization Application
opens the review process as we seek to bring the first targeted therapy
The MAA application is based on data from the FIGHT-202 study evaluating pemigatinib as a treatment for patients with previously treated, locally advanced or metastatic cholangiocarcinoma.1
Cholangiocarcinoma is a rare cancer that forms in the bile duct. It is
classified based on its origin: intrahepatic cholangiocarcinoma (iCCA)
occurs in the bile duct inside the liver and extrahepatic
cholangiocarcinoma occurs in the bile duct outside the liver. Patients
with cholangiocarcinoma are often diagnosed at a late or advanced stage
when the prognosis is poor.2,3 The incidence of
cholangiocarcinoma varies regionally, but ranges between 0.4 – 1.8 per
The FIGHT-202 Phase 2, open-label, multicenter study (NCT02924376) is evaluating the safety and efficacy of pemigatinib – a selective fibroblast growth factor receptor (FGFR) inhibitor – in adult (age ≥ 18 years) patients with previously treated, locally advanced or metastatic cholangiocarcinoma with documented FGF/FGFR status.
Patients were enrolled into one of three cohorts – Cohort A (FGFR2 fusions or rearrangements), Cohort B (other FGF/FGFR genetic alterations) or Cohort C (no FGF/FGFR genetic alterations). All patients received 13.5 mg pemigatinib orally once daily (QD) on a 21-day cycle (two weeks on/one week off) until radiological disease progression or unacceptable toxicity.
The primary endpoint of FIGHT-202 is overall response rate (ORR) in Cohort A, assessed by independent review per RECIST v1.1. Secondary endpoints include ORR in Cohorts B, A plus B, and C; progression free survival (PFS), overall survival (OS), duration of response (DOR), disease control rate (DCR) and safety in all cohorts.
For more information about FIGHT-202, visit https://clinicaltrials.gov/ct2/show/NCT02924376.
The FIGHT (FIbroblast Growth factor receptor in oncology and Hematology Trials) clinical trial program includes ongoing Phase 2 and 3 studies investigating safety and efficacy of pemigatinib therapy across several FGFR-driven malignancies. Phase 2 monotherapy studies include FIGHT-202, as well as FIGHT-201 investigating pemigatinib in patients with metastatic or surgically unresectable bladder cancer, including with activating FGFR3 mutations or fusions/rearrangements; FIGHT-203 in patients with myeloproliferative neoplasms with activating FGFR1 fusions/rearrangements; FIGHT-207 in patients with previously treated, locally-advanced/metastatic or surgically unresectable solid tumor malignancies harboring activating FGFR mutations or fusions/rearrangements, irrespective of tumor type. FIGHT-205 is a Phase 2 study investigating pemigatinib plus pembrolizumab combination therapy and pemigatinib monotherapy in patients with previously untreated, metastatic or unresectable bladder cancer harboring FGFR3 mutations or fusions/rearrangements who are not eligible to receive cisplatin. FIGHT-302 is a recently initiated Phase 3 study investigating pemigatinib as a first-line treatment for patients with cholangiocarcinoma with FGFR2 fusions or rearrangements.
About FGFR and Pemigatinib
Fibroblast growth factor receptors (FGFRs) play an important role in tumor cell proliferation and survival, migration and angiogenesis (the formation of new blood vessels). Activating fusions, rearrangements, translocations and gene amplifications in FGFRs are closely correlated with the development of various cancers.
Pemigatinib is a potent, selective, oral inhibitor of FGFR isoforms 1, 2 and 3 which, in preclinical studies, has demonstrated selective pharmacologic activity against cancer cells with FGFR alterations.
Forward Looking Statements
Except for the historical information set forth herein, the matters set
forth in this press release, including statements regarding whether or
when pemigatinib might be approved in the EU, the US or elsewhere for
the treatment of, and whether or when pemigatinib might provide a
treatment option for, patients with previously treated, locally advanced
or metastatic cholangiocarcinoma with FGFR2 fusions or rearrangements,
and the FIGHT clinical trial program. These forward-looking statements
are based on the Company’s current expectations and subject to risks and
uncertainties that may cause actual results to differ materially,
including unanticipated developments in and risks related to:
unanticipated delays; further research and development and the results
of clinical trials possibly being unsuccessful or insufficient to meet
applicable regulatory standards or warrant continued development; the
ability to enroll sufficient numbers of subjects in clinical trials;
determinations made by the EMA; the Company’s dependence on its
relationships with its collaboration partners; the efficacy or safety of
the Company’s products and the products of the Company’s collaboration
partners; the acceptance of the Company’s products and the products of
the Company’s collaboration partners in the marketplace; market
competition; sales, marketing, manufacturing and distribution
requirements; greater than expected expenses; expenses relating to
litigation or strategic activities; and other risks detailed from time
to time in the Company’s reports filed with the
1 Vogel A, et al. FIGHT-202: A Phase 2 Study of Pemigatinib in Patients with Previously Treated Locally Advanced or Metastatic Cholangiocarcinoma. Proffered paper #2550.
2 Banales JM, et al. Nat Rev Gastroenterol Hepatol. 2016;13:261‒280.
3 Uhlig J, et al. Ann Surg Oncol. 2019;26:1993–2000.
4 Blechacz B, et al. Gut and Liver. 2017; 11(1):13-26
5 Graham RP, et al. Hum Pathol. 2014;45:1630‒1638.
6 Farshidfar F, et al. Cell Rep. 2017;18(11):2780–2794.
7 Ross JS et al. The Oncologist. 2014;19:235–242.
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