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OncoMatch/Clinical Trials/NCT07786766

Pemigatinib Plus PD-1 Inhibitor With or Without Chemotherapy in FGFR2 Fusion/Rearrangement-Positive Cholangiocarcinoma

Is NCT07786766 recruiting? Yes, currently enrolling (Sep 2026). This Phase 2 trial studies multiple treatments including Pemigatinb and PD-1 inhibitors for biliary tract cancer (btc).

Phase 2RecruitingHaitao Zhao, MDNCT07786766Data as of Sep 2026Location: China

Treatment: Pemigatinb · PD-1 inhibitors · ChemotherapyThis is a prospective, single-arm, phase II clinical study. Patients with advanced cholangiocarcinoma harboring FGFR2 fusions or rearrangements who have either not previously received standard therapy or have experienced treatment failure following standard therapy will be screened for eligibility and enrolled in the study after providing written informed consent.

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Extracted eligibility criteria

Treatments studied

Other

PemigatinbPD-1 inhibitorsChemotherapy

Cancer type

Cholangiocarcinoma

Biomarker criteria

Required: FGFR2 fusion

Histologically confirmed FGFR2 fusion or rearrangement

Required: FGFR2 rearrangement

Histologically confirmed FGFR2 fusion or rearrangement

Disease stage

Required: Stage III, IV

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Demographics

Ages ≤ 80

Prior therapy

Cannot have received: FGFR inhibitor (pemigatinib, futibatinib)

No prior treatment with a selective FGFR inhibitor, including pemigatinib, futibatinib, or other selective FGFR inhibitors.

Cannot have received: FGFR inhibitor

Prior treatment with a selective FGFR inhibitor.

Lab requirements

Blood counts

ANC ≥ 1.5 × 10⁹/L (no G-CSF within 14 days); Platelet count ≥ 90 × 10⁹/L (no transfusion within 14 days); Hemoglobin > 9 g/dL (no transfusion or ESA within 14 days)

Kidney function

Serum creatinine ≤ 1.5 × ULN and creatinine clearance ≥ 50 mL/min

Liver function

Total bilirubin ≤ 2.5 × ULN; AST and ALT ≤ 3.0 × ULN (≤ 5.0 × ULN with liver metastases)

Cardiac function

Adequate coagulation function (INR or PT ≤ 1.5 × ULN; patients on anticoagulant therapy eligible if PT within intended therapeutic range); no clinically significant or uncontrolled cardiac disease (unstable angina, recent MI, NYHA III/IV CHF, uncontrolled arrhythmia, significant ECG abnormalities)

Adequate organ function, defined by the following laboratory criteria: ... see inclusion criterion 8 and exclusion criterion 11

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

Frequently asked questions

Is NCT07786766 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior FGFR inhibitor, FGFR inhibitor disqualifies patients from enrollment.

Does this trial require FGFR2?

Yes, FGFR2 fusion is a required biomarker for enrollment.

Does this trial require FGFR2?

Yes, FGFR2 rearrangement is a required biomarker for enrollment.

What disease stage is eligible?

Stage III or IV is required.

Is there an age limit?

Yes. Patients must be 80 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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