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NCT03251378

A Multi-Center, Open-Label Study of Fruquintinib in Solid Tumors and Colorectal, and Breast Cancers

Completed Phase 1 Results posted Last updated 25 September 2024
What this trial tests

Phase 1 trial testing Fruquintinib (HMPL-013) in Advanced Solid Tumors in 129 participants. Completed in 30 March 2023.

Timeline
11 December 2017
Primary endpoint
13 December 2022
30 March 2023

Quick facts

Lead sponsorHutchison Medipharma Limited
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment129
Start date11 December 2017
Primary completion13 December 2022
Estimated completion30 March 2023
Sites9 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Hutchison Medipharma Limited — full company profile →

Who can join

18 and older, any sex, with Advanced Solid Tumors or Metastatic Colon Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Dose Escalation Phase: Number of Participants With Dose-limiting Toxicities (DLTs) Primary · Cycle 1 (cycle length equal to [=] 28 days)

Dose-limiting toxicity was defined as: Any Grade 4 non-hematologic toxicity; Any Grade 3 non-hematologic toxicity related to study drug except for nausea/vomiting, diarrhea, constipation, hypertension, and electrolyte imbalances downgraded within 3-days with appropriate supportive treatment; Grade 4 neutropenia lasting \>3 days; Grade 3 febrile neutropenia (absolute neutrophil count \[ANC\] \<1.0\*10\^9 per liter \[/L\] with a single temperature of greater than (\>) 38.3 degree centigrade (°C) or a sustained temperature of greater than or equal to (\>=) 38°C for more than 1 hour); Grade 4 thro

GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg1
Dose Escalation Phase: Fruquintinib 5 mg0
Dose Escalation Phase: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs Primary · From first dose of study drug up to 37 days after last dose of study drug (i.e., up to 29 months)

TEAEs were defined as AEs that started or worsened in severity on or after the first dose of study medication and no later than 37 days after the date of last study treatment. A serious adverse event (SAE) was any AE that had any of the following characteristics: Fatal (that was, the AE actually caused or led to death, except for deaths caused by the progress of disease); Life threatening (that was, AE, in view of the investigator, places participant at immediate risk of death); Required or prolonged inpatient hospitalization (excluding emergency or outpatient treatment); Resulted in persisten

Participants with TEAEs
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg7
Dose Escalation Phase: Fruquintinib 5 mg7
Participants with serious TEAEs
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg3
Dose Escalation Phase: Fruquintinib 5 mg2
Dose Expansion Phase: Progression Free Survival (PFS) Rate Primary · From the first dose of study drug to disease progression, or death, whichever occurred first (i.e., up to 29 months)

PFS was defined as time from date of first dosing until date of an objective disease progression (PD) as defined by Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 or death due to any cause, whichever comes first. PFS was determined using all data until last evaluable visit prior to or on date of: (i) radiographic PD per RECIST v1.1; (ii) withdrawal of consent to obtain additional scans on study; or (iii) initiation of subsequent anticancer therapy other than study drugs, whichever was earlier. PFS rate was defined as probability of being disease progression free at selec

GroupValue95% CI
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg53.334.68 – 100.00
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg61.0445.59 – 76.49
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg55.6439.87 – 71.41
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg29.301.91 – 56.70
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg38.4612.02 – 64.91
Dose Escalation and Expansion Phase: Maximum Observed Plasma Concentration (Cmax) of Fruquintinib Secondary · Dose Escalation and Cohort A of Expansion Phases: Predose, 1, 2, 4, 8, 24 hours post-dose on Days 1, 14, and 21 of Cycle 1; Cohorts B, C, D, E of Expansion Phase: Predose, 1, 2, 4, 8, 24 hours post-dose on Days 1 and 14 of Cycle 1 (Cycle 1 length=28 days)

Cmax of fruquintinib was reported.

Cycle 1 Day 1
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg52.2± 24.2
Dose Escalation Phase: Fruquintinib 5 mg114± 27.5
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg96.0± 23.0
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg85.2± 32.1
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg89.0± 43.2
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg104± 37.0
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg105± 36.5
Cycle 1 Day 14
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg198± 9.8
Dose Escalation Phase: Fruquintinib 5 mg403± 33.7
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg336± 50.9
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg271± 26.5
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg293± 27.1
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg331± 36.1
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg352± 23.4
Cycle 1 Day 21
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg205± 12.8
Dose Escalation Phase: Fruquintinib 5 mg390± 19.1
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg238± NA
Dose Escalation and Expansion Phase: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Fruquintinib Secondary · Dose Escalation and Cohort A of Expansion Phases: Predose, 1, 2, 4, 8, 24 hours post-dose on Days 1, 14, and 21 of Cycle 1; Cohorts B, C, D, E of Expansion Phase: Predose, 1, 2, 4, 8, 24 hours post-dose on Days 1 and 14 of Cycle 1 (Cycle 1 length=28 days)

Tmax of fruquintinib over a dosing intervals were reported.

Cycle 1 Day 1
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg2.071.03 – 21.2
Dose Escalation Phase: Fruquintinib 5 mg1.950.917 – 25.0
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg1.961.00 – 13.8
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg2.250.917 – 23.8
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg2.040.983 – 2.04
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg2.001.00 – 18.4
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg2.011.75 – 23.9
Cycle 1 Day 14
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg1.030.967 – 1.92
Dose Escalation Phase: Fruquintinib 5 mg2.001.97 – 7.05
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg1.521.00 – 2.03
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg2.030.00 – 26.1
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg2.000.933 – 7.18
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg1.860.917 – 7.00
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg1.840.933 – 7.00
Cycle 1 Day 21
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg1.830.917 – 1.98
Dose Escalation Phase: Fruquintinib 5 mg2.001.88 – 4.08
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg1.00NA – NA
Dose Escalation and Expansion Phase: Minimum Observed Plasma Concentration (Cmin) of Fruquintinib Secondary · Dose Escalation and Cohort A of Expansion Phases: Predose, 1, 2, 4, 8, 24 hours post-dose on Days 14, and 21 of Cycle 1; Cohorts B, C, D, E of Expansion Phase: Predose, 1, 2, 4, 8, 24 hours post-dose on Day 14 of Cycle 1 (Cycle 1 length=28 days)

Cmin of fruquintinib was reported.

Cycle 1 Day 14
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg138± 28.3
Dose Escalation Phase: Fruquintinib 5 mg281± 101
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg251± 114
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg193± 57.3
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg204± 63.2
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg227± 98.4
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg249± 72.1
Cycle 1 Day 21
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg140± 27.0
Dose Escalation Phase: Fruquintinib 5 mg283± 81.0
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg182± NA
Dose Escalation and Expansion Phase: Time to Reach Minimum Observed Plasma Concentration (Tmin) of Fruquintinib Secondary · Dose Escalation and Cohort A of Expansion Phases: Predose, 1, 2, 4, 8, 24 hours post-dose on Days 14, and 21 of Cycle 1; Cohorts B, C, D, E of Expansion Phase: Predose, 1, 2, 4, 8, 24 hours post-dose on Day 14 of Cycle 1 (Cycle 1 length=28 days)

Tmin of fruquintinib was reported.

Cycle 1 Day 14
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg0.000.00 – 7.00
Dose Escalation Phase: Fruquintinib 5 mg0.5080.00 – 27.8
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg3.570.00 – 7.13
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg0.000.00 – 25.6
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg0.000.00 – 28.2
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg0.000.00 – 23.9
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg0.4580.00 – 22.0
Cycle 1 Day 21
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg7.000.00 – 25.6
Dose Escalation Phase: Fruquintinib 5 mg3.540.00 – 24.9
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg7.00NA – NA
Dose Escalation and Expansion Phase: Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours (AUC0-24) of Fruquintinib Secondary · Dose Escalation and Cohort A of Expansion Phases: Predose, 1, 2, 4, 8, 24 hours post-dose on Days 1, 14, and 21 of Cycle 1; Cohorts B, C, D, E of Expansion Phase: Predose, 1, 2, 4, 8, 24 hours post-dose on Days 1 and 14 of Cycle 1 (Cycle 1 length=28 days)

AUC0-24 of fruquintinib was reported.

Cycle 1 Day 1
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg912± 21.5
Dose Escalation Phase: Fruquintinib 5 mg2010± 19.2
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg1340± 25.6
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg1384± 39.0
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg1550± 46.5
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg1821± 31.5
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg1739± 39.8
Cycle 1 Day 14
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg3694± 17.1
Dose Escalation Phase: Fruquintinib 5 mg8249± 35.2
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg6507± 53.7
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg5338± 28.9
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg5833± 27.3
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg6135± 40.1
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg6957± 25.1
Cycle 1 Day 21
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg3731± 22.5
Dose Escalation Phase: Fruquintinib 5 mg7740± 26.7
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg4995± NA
Dose Escalation and Expansion Phase: Apparent Clearance at Steady State (CL/Fss) of Fruquintinib Secondary · Dose Escalation and Cohort A of Expansion Phases: Predose, 1, 2, 4, 8, 24 hours post-dose on Days 14, and 21 of Cycle 1; Cohorts B, C, D, E of Expansion Phase: Predose, 1, 2, 4, 8, 24 hours post-dose on Day 14 of Cycle 1 (Cycle 1 length=28 days)

CL/Fss was calculated as Dose/AUC0-t. As planned, CL/Fss was assessed at Cycle 1 Days 14 and 21 after multiple dose administration in Dose Escalation Phase and Cohort A of Dose Expansion Phase; and at Cycle 1 Day 14 for Cohort B, C, D, E of Expansion Phase.

Cycle 1 Day 14
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg14.4± 2.90
Dose Escalation Phase: Fruquintinib 5 mg11.1± 4.04
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg14.1± 7.31
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg16.3± 5.16
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg14.8± 3.92
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg14.7± 7.18
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg12.3± 2.80
Cycle 1 Day 21
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg14.1± 3.07
Dose Escalation Phase: Fruquintinib 5 mg11.3± 2.83
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg17.5± NA
Dose Escalation and Expansion Phase: Accumulation Ratio Based on Cmax of Fruquintinib Secondary · Dose Escalation and Cohort A of Expansion Phases: Predose, 1, 2, 4, 8, 24 hours post-dose on Days 14 and 21 of Cycle 1; Cohorts B, C, D, E of Expansion Phase: Predose, 1, 2, 4, 8, 24 hours post-dose on Day 14 of Cycle 1 (Cycle 1 length=28 days)

Accumulation ratio based on Cmax for Cycle 1 Day 14 was calculated as Day 14 Cmax /Day 1 Cmax and for Cycle 1 Day 21 was calculated as Day 21 Cmax /Day 1 Cmax. Accumulation ratio based on Cmax of fruquintinib was reported.

Cycle 1 Day 14
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg4.06± 1.42
Dose Escalation Phase: Fruquintinib 5 mg3.66± 1.42
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg3.57± 0.232
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg3.32± 1.21
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg3.44± 1.36
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg3.22± 1.38
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg3.40± 0.963
Cycle 1 Day 21
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg4.22± 1.45
Dose Escalation Phase: Fruquintinib 5 mg3.47± 1.22
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg3.40± NA
Dose Escalation and Expansion Phase: Accumulation Ratio Based on AUC0-24 Hours of Fruquintinib Secondary · Dose Escalation and Cohort A of Expansion Phases: Predose, 1, 2, 4, 8, 24 hours post-dose on Days 14 and 21 of Cycle 1; Cohorts B, C, D, E of Expansion Phase: Predose, 1, 2, 4, 8, 24 hours post-dose on Day 14 of Cycle 1 (Cycle 1 length=28 days)

Accumulation ratio for Cycle 1 Day 14 was calculated as AUC0-24 at Day 14 divided by AUC0-24h at Day 1, and for Cycle 1 Day 21 was calculated as AUC0-24 at Day 21 divided by AUC0-24 at Day 1. Accumulation ratio based on AUC0-24 of fruquintinib was reported.

Cycle 1 Day 14
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg4.24± 1.21
Dose Escalation Phase: Fruquintinib 5 mg4.19± 1.19
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg4.04± NA
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg3.87± 1.22
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg4.38± 3.08
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg3.73± 1.51
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg4.37± 1.70
Cycle 1 Day 21
GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg4.36± 1.53
Dose Escalation Phase: Fruquintinib 5 mg3.90± 0.964
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg4.43± NA
Dose Escalation and Expansion Phase: Objective Response Rate (ORR) Secondary · From the first dose of study drug until first documentation of best overall response (i.e., up to 29 months)

ORR was defined as the percentage of participants with objective complete response (CR) or partial response (PR) response per RECIST version 1.1. As per RECIST 1.1; CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR was defined at least a 30 percent (%) decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters.

GroupValue95% CI
Dose Escalation Phase: Fruquintinib 3 mg16.70.42 – 64.12
Dose Escalation Phase: Fruquintinib 5 mg14.30.36 – 57.87
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg0.00.00 – 45.93
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg2.40.06 – 12.86
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg5.10.63 – 17.32
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg0.00.00 – 30.85
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg0.00.00 – 24.71

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug up to 37 days after last dose of study drug (i.e., up to 29 months). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Dose Escalation Phase: Fruquintinib 3 mg
Serious: 3/7 (43%)
Deaths: 3/7
Dose Escalation Phase: Fruquintinib 5 mg
Serious: 2/7 (29%)
Deaths: 2/7
Dose Expansion Phase, Cohort A: Fruquintinib 5 mg
Serious: 4/6 (67%)
Deaths: 3/6
Dose Expansion Phase, Cohort B: Fruquintinib 5 mg
Serious: 19/41 (46%)
Deaths: 30/41
Dose Expansion Phase, Cohort C: Fruquintinib 5 mg
Serious: 14/40 (35%)
Deaths: 25/40
Dose Expansion Phase, Cohort D: Fruquintinib 5 mg
Serious: 2/14 (14%)
Deaths: 12/14
Dose Expansion Phase, Cohort E: Fruquintinib 5 mg
Serious: 4/14 (29%)
Deaths: 12/14

Serious adverse events (49 terms)

ReactionSystemDose Escalation Phase: Fru…Dose Escalation Phase: Fru…Dose Expansion Phase, Coho…Dose Expansion Phase, Coho…Dose Expansion Phase, Coho…Dose Expansion Phase, Coho…Dose Expansion Phase, Coho…
Abdominal painGastrointestinal disorders
PneumoniaInfections and infestations
Small intestinal obstructionGastrointestinal disorders
Urinary tract infectionInfections and infestations
Mental status changesPsychiatric disorders
Acquired oesophageal webGastrointestinal disorders
Large intestinal obstructionGastrointestinal disorders
Breast cellulitisInfections and infestations
OsteomyelitisInfections and infestations
Embolic strokeNervous system disorders
HypertensionVascular disorders
Upper gastrointestinal haemorrhageGastrointestinal disorders
DysphagiaGastrointestinal disorders
Gastric ulcer perforationGastrointestinal disorders
Lower gastrointestinal haemorrhageGastrointestinal disorders
OesophagitisGastrointestinal disorders
ProctalgiaGastrointestinal disorders
SepsisInfections and infestations
Cholecystitis infectiveInfections and infestations
COVID-19Infections and infestations
Device related infectionInfections and infestations
Kidney infectionInfections and infestations
Upper respiratory tract infectionInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Other adverse events (221 terms — click to expand)

ReactionSystemDose Escalation Phase: Fru…Dose Escalation Phase: Fru…Dose Expansion Phase, Coho…Dose Expansion Phase, Coho…Dose Expansion Phase, Coho…Dose Expansion Phase, Coho…Dose Expansion Phase, Coho…
HypertensionVascular disorders
FatigueGeneral disorders
ProteinuriaRenal and urinary disorders
DiarrhoeaGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
DysphoniaRespiratory, thoracic and mediastinal disorders
Palmar-plantar erythrodysaesthesia syndromeSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
Blood alkaline phosphatase increasedInvestigations
HyponatraemiaMetabolism and nutrition disorders
HypertriglyceridaemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
HypothyroidismEndocrine disorders
Aspartate aminotransferase increasedInvestigations
Weight decreasedInvestigations
Alanine aminotransferase increasedInvestigations
Activated partial thromboplastin time prolongedInvestigations
International normalised ratio increasedInvestigations
Blood bilirubin increasedInvestigations
HyperglycaemiaMetabolism and nutrition disorders
Abdominal painGastrointestinal disorders
StomatitisGastrointestinal disorders
Lymphocyte count decreasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Urinary tract infectionInfections and infestations
VomitingGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Oral painGastrointestinal disorders
Platelet count decreasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
HypercalcaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
AnaemiaBlood and lymphatic system disorders
Dry mouthGastrointestinal disorders
HypomagnesaemiaMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Blood creatinine increasedInvestigations

Most-reported serious reactions: Abdominal pain, Pneumonia, Small intestinal obstruction, Urinary tract infection, Mental status changes, Acquired oesophageal web, Large intestinal obstruction, Breast cellulitis.

Data from ClinicalTrials.gov NCT03251378 adverse events section.

Sponsor's own description

An open-label, dose escalation and expansion clinical trial to evaluate the safety, tolerability, and PK of fruquintinib in patients with advanced solid tumors, metastatic colorectal cancer and metastatic breast cancer.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Fruquintinib: a novel antivascular endothelial growth factor receptor tyrosine kinase inhibitor for the treatment of metastatic colorectal cancer.
    Zhang Y, Zou JY, Wang Z, Wang Y. · · 2019 · cited 55× · PMID 31496821 · DOI 10.2147/cmar.s215533
  2. Efficacy and safety of regorafenib and fruquintinib as third-line treatment for colorectal cancer: a narrative review.
    Xu X, Yu Y, Liu M, Liang L, et al · · 2022 · cited 18× · PMID 35261903 · DOI 10.21037/tcr-20-3539
  3. Standard of Care and Promising New Agents for the Treatment of Mesenchymal Triple-Negative Breast Cancer.
    Mezi S, Botticelli A, Pomati G, Cerbelli B, et al · · 2021 · cited 14× · PMID 33802438 · DOI 10.3390/cancers13051080
  4. Targeting RTKs/nRTKs as promising therapeutic strategies for the treatment of triple-negative breast cancer: evidence from clinical trials.
    Mehta K, Hegde M, Girisa S, Vishwa R, et al · · 2024 · cited 9× · PMID 39668367 · DOI 10.1186/s40779-024-00582-z
  5. Phase 1/1b open-label, dose-escalation study of fruquintinib in patients with advanced solid tumors in the United States.
    Wang-Gillam A, Schelman W, Ukrainskyj S, Chien C, et al · · 2023 · cited 8× · PMID 37796398 · DOI 10.1007/s10637-023-01395-y
  6. Population Pharmacokinetics of Fruquintinib, a Selective Oral Inhibitor of VEGFR -1, -2, and -3, in Patients with Refractory Metastatic Colorectal Cancer.
    Zhou X, Yang X, Grinshpun B, Taylor A, et al · · 2025 · cited 5× · PMID 39969131 · DOI 10.1002/jcph.70001
  7. Cytokine Networks in Triple-Negative Breast Cancer: Mechanisms, Therapeutic Targets, and Emerging Strategies.
    Rosado-Sanz M, Martínez-Alarcón N, Abellán-Soriano A, Golfe R, et al · · 2025 · cited 2× · PMID 40868199 · DOI 10.3390/biomedicines13081945
  8. Targeting tumor dormancy: the next frontier in gastrointestinal stromal tumor therapy.
    Wu S, Liu H, Yin Y, Li J, et al · · 2026 · PMID 41955967 · DOI 10.1016/j.neo.2026.101306

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