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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04083976
Registration number
NCT04083976
Ethics application status
Date submitted
6/09/2019
Date registered
10/09/2019
Date last updated
22/06/2025
Titles & IDs
Public title
A Study of Erdafitinib in Participants With Advanced Solid Tumors and Fibroblast Growth Factor Receptor (FGFR) Gene Alterations
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Scientific title
A Phase 2 Study of Erdafitinib in Subjects With Advanced Solid Tumors and FGFR Gene Alterations
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Secondary ID [1]
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42756493CAN2002
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Secondary ID [2]
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CR108661
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Universal Trial Number (UTN)
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Trial acronym
RAGNAR
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced Solid Tumor
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Erdafitinib
Experimental: Erdafitinib - Participants with fibroblast growth factor receptor (FGFR) mutations and FGFR gene fusions will receive a dose of erdafitinib oral tablets until disease progression, intolerable toxicity, withdrawal of consent, decision by the investigator to discontinue treatment, or end of data collection timepoint if there is clinical benefit in the opinion of the investigator, has been achieved.
Treatment: Drugs: Erdafitinib
Participants will receive erdafitinib oral tablets.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Broad Panel and Pediatric Cohorts: Objective Response Rate (ORR) Based on Response Assessment in Neuro-Oncology (RANO) as Assessed by Independent Review Committee (IRC)
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Assessment method [1]
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ORR is defined as the percentage of participants who achieved a complete response (CR), or partial response (PR) based on Response Assessment in Neuro-Oncology (RANO) criteria. According to RANO criteria whereby overall RANO response is based on both radiographic response (CR: disappearance of all target lesions; PR: sum of products of diameters \[SPD\] decreased by \>=50 percent \[%\] from baseline value) and clinical performance status with steroid dose information.
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Timepoint [1]
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Baseline (Cycle 1 Day 1 [each cycle of 21 days]) up to 4 years
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Primary outcome [2]
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Core Panel Cohort: Objective Response Rate (ORR) Based on Response Assessment in Neuro-Oncology (RANO) as Assessed by Independent Review Committee (IRC)
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Assessment method [2]
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ORR is defined as the percentage of participants who achieved a CR, or PR based on RANO criteria. According to RANO criteria whereby overall RANO response is based on both radiographic response (CR: disappearance of all target lesions; PR: sum of products of diameters \[SPD\] decreased by \>=50 percent \[%\] from baseline value) and clinical performance status with steroid dose information. The core panel cohort is a subgroup of the broad panel cohort with a select panel of pre-specified FGFR markers: FGFR3 mutations (S249C;Y373C; R248C; G370C); FGFR2 mutations (C382R); FGFR3 fusions (FGFR3-TACC3); FGFR2 fusions (FGFR2-BICC1; FGFR2-TACC2).
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Timepoint [2]
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Baseline (Cycle 1 Day 1 [each cycle of 21 days]) up to 4 years
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Secondary outcome [1]
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Objective Response Rate (ORR) as Assessed by Investigators Assessment
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Assessment method [1]
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Secondary outcome [2]
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Duration of Responses (DOR)
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Secondary outcome [3]
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Disease Control Rate (DCR)
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Assessment method [3]
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Secondary outcome [4]
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Clinical Benefit Rate (CBR)
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Assessment method [4]
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Secondary outcome [5]
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Progression-free Survival (PFS)
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Secondary outcome [6]
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Overall Survival (OS)
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Secondary outcome [7]
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Number of Participants With Adverse Events (AEs)
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Assessment method [7]
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Secondary outcome [8]
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Number of Participants With Adverse Events (AEs) by Severity
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Assessment method [8]
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Timepoint [8]
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Baseline (Cycle 1 Day 1 [each cycle of 21 days]) up to 5 years 4 months
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Secondary outcome [9]
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Pediatric Cohort: Plasma Concentration of Erdafitinib
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Assessment method [9]
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Timepoint [9]
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Baseline (Cycle 1 Day 1 [each cycle of 21 days]) up to 5 years 4 months
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Secondary outcome [10]
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Change From Baseline in European Organization for Research and Treatment of Cancer Quality-of-life Questionnaire Core 30 (EORTC-QLQ-C30) for Participants >=18 Years
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Assessment method [10]
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Timepoint [10]
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Secondary outcome [11]
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Change From Baseline in Pediatric Functional Assessment Of Cancer Therapy-Brain (Peds FACT-Br)
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Assessment method [11]
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Timepoint [11]
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Secondary outcome [12]
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Change From Baseline in Patient Global Impression of Symptom Severity (PGIS)
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Assessment method [12]
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Timepoint [12]
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Baseline (Cycle 1 Day 1 [each cycle of 21 days]) up to 5 years 4 months
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Secondary outcome [13]
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Change From Baseline in Patient Global Impression of Change (PGIC)
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Assessment method [13]
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Timepoint [13]
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Secondary outcome [14]
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Change From Baseline in European Quality of Life -5 Dimensions-5 Levels (EQ-5D-5L)
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Timepoint [14]
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Eligibility
Key inclusion criteria
* Histologic demonstration of an unresectable, locally advanced, or metastatic solid tumor malignancy with an fibroblast growth factor receptor (FGFR) mutation or FGFR gene fusion
* Measurable disease
* Participant must have received at least one prior line of systemic therapy in the advanced, unresectable, or metastatic setting; or is a child or adolescent participant with a newly-diagnosed solid tumor and no acceptable standard therapies
* Documented progression of disease, defined as any progression that requires a change in treatment, prior to full study screening
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Minimum age
6
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Has had prior chemotherapy, targeted therapy, or treatment with an investigational anticancer agent within 15 days or less than or equal to (<=) 5 half-lives of the agent (whichever is longer) and up to a maximum of 30 days before the first dose of erdafitinib
* The presence of FGFR gatekeeper and resistance mutations
* Histologic demonstration of urothelial carcinoma
* Hematologic malignancy (i.e., myeloid and lymphoid neoplasms
* For non-small cell lung cancer participants only: pathogenic somatic mutations or gene fusions in the following genes: EGFR, ALK, ROS1, NTRK, BRAF V600E and KRAS
* Active malignancies other than for disease requiring therapy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Not applicable
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
20/11/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/12/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
316
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Flinders Centre for Innovation in Cancer - Adelaide
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Recruitment hospital [2]
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Chris O'Brien Lifehouse - Camperdown
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St Vincent s Hospital Sydney - Darlinghurst
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St Vincents Hospital Melbourne - Fitzroy
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Fiona Stanley Hospital - Murdoch
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Intergrated Clinical Oncology Network Pty Ltd (ICON) - South Brisbane
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Recruitment postcode(s) [1]
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5042 - Adelaide
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Recruitment postcode(s) [2]
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2050 - Camperdown
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Recruitment postcode(s) [3]
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2010 - Darlinghurst
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3065 - Fitzroy
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Recruitment postcode(s) [5]
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6150 - Murdoch
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Recruitment postcode(s) [6]
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4101 - South Brisbane
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Recruitment outside Australia
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Colorado
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Maine
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Massachusetts
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Taiwan
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State/province [107]
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Taichung
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Country [108]
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Taiwan
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State/province [108]
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Tainan
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Country [109]
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Taiwan
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State/province [109]
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Taipei
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Country [110]
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Taiwan
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State/province [110]
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Taoyuan City
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Country [111]
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United Kingdom
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State/province [111]
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Bristol
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Country [112]
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United Kingdom
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State/province [112]
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Manchester
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Country [113]
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United Kingdom
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State/province [113]
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Newcastle upon Tyne
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Country [114]
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United Kingdom
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State/province [114]
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Plymouth
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Country [115]
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United Kingdom
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State/province [115]
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Sutton
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Country [116]
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United Kingdom
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State/province [116]
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Wirral
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Janssen Research & Development, LLC
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the efficacy of erdafitinib in terms of overall response rate (ORR) in adult and pediatric participants with advanced solid tumors with fibroblast growth factor receptor (FGFR) alterations (mutations or gene fusions). It will also evaluate ORR in pediatric participants with advanced solid tumors and FGFR alterations.
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Trial website
https://clinicaltrials.gov/study/NCT04083976
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Janssen Research & Development, LLC Clinical Trial
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Address
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Janssen Research & Development, LLC
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/76/NCT04083976/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/76/NCT04083976/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT04083976
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