New drug targets rare bile duct cancer in 235-Patient trial
NCT ID NCT04353375
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests an experimental drug called HMPL-453 in people with advanced intrahepatic cholangiocarcinoma, a type of bile duct cancer, that has a specific genetic change (FGFR2 fusion). The trial aims to see how well the drug shrinks tumors. About 235 adults will take the drug orally in cycles. It is an open-label, single-arm study, meaning everyone gets the drug and no placebo is used.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- HMPL-453 tartrate (a targeted cancer drug)
- What this could lead to
- If successful, this could provide a new treatment option for people with a rare bile duct cancer that has specific genetic changes.
- What could go wrong
- This is an early-to-mid stage trial with no control group, so results may not confirm benefit. Side effects from the drug are possible and long-term safety is unknown.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 235 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2020
- Expected to finish
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Feb 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Have fully understood the study and voluntarily signed the ICF; 2. Age ≥ 18 years; 3. a. pathologically or cytologically confirmed advanced treatment failure solid tumor with standard patients (applicable to cohorts2 stage I); b. histologically or cytologically confirmed histologically or cytologically confirmed locally advanced unresectable or metastatic ICC patients with FGFR2 fusions/rearrangements/mutation (applicable to Cohort 1, Cohort 2 Stage II, Cohort 3 and Cohort 4) 4. a. The patients have received at least one prior systemic treatment regimen for advanced ICC and has intolerable PD or toxicity(Cohort1-3); b. Patients who have not received any prior systemic therapy for advanced ICC(Cohort4) 5. Measurable lesion according to RECIST v1.1; 6. ECOG performance status of 0 or 1; 7. Life expectancy ≥ 12 weeks; 8. Female patients or male patients with partners of childbearing potential must take effective contraceptive measures per the protocol. Exclusion Criteria: 1. Patients who previously received selective FGFR targeting therapy; 2. Received approved or researched systemic anti-tumor treatment within 3 weeks prior to the start of the study treatment; 3. Radical radiotherapy within 4 weeks; 4. Have received local anti-tumor treatment within 4 weeks; 5. Major surgery requiring hospitalization or incomplete healing of the surgery incision within 4 weeks; 6. Current or prior history of retinal detachment; 7. Using a strong inducer or inhibitor of cytochrome P450 3A (CYP3A) within 2 weeks or 5 half-lives of the study treatment; 8. Taking drugs or dietary supplementsthat may cause blood phosphorus and/or blood calcium to rise within 2 weeks prior to the start of the study treatment; 9. International normalized ratio above 1.5 or partial activated prothrombin time above 1.5 times ULN; 10. History of clinically significant active hepatopathy, including active viral hepatitis, or other active hepatitis, clinically significant moderate to severe liver cirrhosis; 11. The patients with human immunodeficiency virus (HIV) infection; 12. Active infection requiring systemic treatment within 1 week prior to the start of the study treatment; 13. Screening blood phosphorus levels above ULN, or history of abnormal calcium phosphorus metabolism requiring clinical intervention or relevant medical history; 14. Currently keratopathy confirmed by ophthalmological examination; 15. Prior history of retinal detachment, or current diseases that may cause retinal detachment; 16. Clinically significant arrhythmia or conduction abnormalities requiring clinical intervention; 17. Patients with known deep venous thrombosis, treated with low molecular weight heparin (LMWH) or drugs with similar efficacy, and the investigator judges that the thrombosis is stable for ≥ 2 weeks ; 18. Toxicities caused by prior anti-tumor treatment have not recovered to grade 0 or 1; 19. The patient has any current disease or condition that affects drug absorption, or the patient cannot be orally administered; 20. Combined with other malignant tumor or a history of other malignant tumor within 5 years prior to study screening; 21. Patients currently has central nervous system metastases, meningeal metastases or spinal cord compression, except in individual cases; 22. Any other medical condition or clinically significant laboratory abnormalities judged by the investigator would make the patients unsuitable to participate in this study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Chinese PLA General Hospital
RECRUITINGBeijing, Beijing Municipality, China
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