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OncoMatch/Clinical Trials/NCT05651672

Pemigatinib in the Advanced Gastrointestinal Cancer With FGFR 1-3 Alterations

Is NCT05651672 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Pemigatinib for gastrointestinal cancer.

Phase 2RecruitingTianjin Medical University Cancer Institute and HospitalNCT05651672Data as of May 2026

Treatment: PemigatinibThis study is a prospective single-arm phase II study to evaluate the efficacy and safety of Pemigatinib in the advanced gastrointestinal cancer with FGFR 1-3 alterations and failed standard therapy.

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Extracted eligibility criteria

Cancer type

Colorectal Cancer

Gastric Cancer

Hepatocellular Carcinoma

Pancreatic Cancer

Cholangiocarcinoma

Esophageal Carcinoma

Biomarker criteria

Required: FGFR1 amplification

Required: FGFR1 fusion/rearrangement

Required: FGFR1 mutation

Required: FGFR2 amplification

Required: FGFR2 fusion/rearrangement

Required: FGFR2 mutation

Required: FGFR3 amplification

Required: FGFR3 fusion/rearrangement

Required: FGFR3 mutation

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: standard therapy

Disease progression after prior standard therapy

Cannot have received: small molecule multi-target inhibitors targeting the FGFR pathway (anlotinib, lenvatinib, sorafenib, apatinib)

No previous use of small molecule multi-target inhibitors targeting the FGFR pathway (including but not limited to anlotinib, lenvatinib, sorafenib, apatinib)

Cannot have received: selective FGFR inhibitor

Prior receipt of selective FGFR inhibitors

Cannot have received: any other investigational drug or anti-tumor drug

Have received any other investigational drug or participated in another interventional clinical trial within 28 days before the first dose, or have received anti-tumor drug treatment within 28 days before the first dose (including Chinese herbal medicine with anti-tumor indications)

Cannot have received: radiotherapy

Have received radiotherapy within 4 weeks before the first dose.

Lab requirements

Blood counts

Sufficient organ functions required

Kidney function

Sufficient organ functions required

Liver function

Hepatic encephalopathy, hepatorenal syndrome, or liver cirrhosis with Child-Pugh grade B or C excluded

Cardiac function

Clinically significant or uncontrolled heart diseases, including unstable angina, acute myocardial infarction within 6 months before the first dose, grade III/IV congestive heart failure (New York Heart Association), and uncontrolled arrhythmia (patients with pacemakers or with atrial fibrillation but well controlled heart rate are allowed) excluded; ECG changes or medical history considered clinically significant by the investigator, QTcF interval > 480 ms at screening, JTc interval can be used instead of QTc interval (in such cases, JTc must be ≤ 340 ms) for patients with intraventricular conduction block (QRS interval > 120 ms) excluded; Uncontrolled hypertension (systolic pressure > 160 mmHg or diastolic pressure > 100 mmHg) after the optimal medical treatment, or a history of hypertensive crisis or hypertensive encephalopathy excluded

Sufficient organ functions; abnormal laboratory parameters listed below: Serum phosphate > ULN; Serum calcium exceeds the normal range, or the calcium concentration corrected for serum albumin exceeds the normal range when serum albumin exceeds the normal range; Potassium level < LLN (potassium levels can be corrected by supplements at screening)

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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