HUTCHMED's fanregratinib shows promising efficacy in advanced ICC, with significant objective response rates and manageable safety profile.
Quiver AI Summary
HUTCHMED has announced positive results from a pivotal Phase II registration study of fanregratinib (HMPL-453) for treating advanced intrahepatic cholangiocarcinoma (ICC) with FGFR2 fusion/rearrangement in patients who have already undergone systemic therapy. The study is set to be presented at the ESMO Gastrointestinal Cancers Congress in July 2026. Key findings indicate a clinically significant objective response rate of 42.5%, with rapid disease control observed within 1.4 months and a median overall survival of 16.6 months. The study suggests that fanregratinib could be a valuable treatment option for this challenging patient population. The drug's New Drug Application has been accepted for priority review by the China National Medical Products Administration following the promising study results.
Potential Positives
- Results from the pivotal Phase II registration study demonstrated a high objective response rate of 42.5% in patients with advanced intrahepatic cholangiocarcinoma (ICC), supporting the therapeutic potential of fanregratinib.
- Fanregratinib has received priority review by the China National Medical Products Administration (NMPA) for its New Drug Application, indicating the regulatory authority's recognition of its significance for treatment.
- The study reported a median overall survival of 16.6 months, providing hopeful data for a patient population with limited treatment options.
- Fanregratinib exhibited a manageable safety profile, with a low treatment discontinuation rate due to drug-related adverse events (2.2%), highlighting its tolerability for patients.
Potential Negatives
- High percentage of participants (48.3%) experienced drug-related adverse events of Grade 3 or greater, indicating potential safety concerns associated with fanregratinib.
- Limited effectiveness with a 42.5% objective response rate may raise questions about the drug's overall efficacy in a heavily pretreated patient population.
- The clinical trial was a single-arm study, which can lead to concerns about the robustness and generalizability of the results compared to randomized controlled trials.
FAQ
What are the key findings from the fanregratinib study for ICC?
The study showed a 42.5% objective response rate and significant disease control in advanced ICC patients with FGFR2 alterations.
How does fanregratinib work in treating ICC?
Fanregratinib is a selective inhibitor targeting FGFR1, 2, and 3, which are involved in tumor growth and resistance to therapies.
What is the significance of the ESMO Congress presentation?
The ESMO Congress presentation will showcase pivotal study results, highlighting fanregratinib's efficacy and potential to transform treatment for advanced ICC.
What safety profile does fanregratinib exhibit?
Fanregratinib demonstrated a manageable safety profile, with 48.3% of patients experiencing grade 3 or greater drug-related adverse events.
When was the NDA for fanregratinib accepted for review?
The New Drug Application for fanregratinib was accepted for review in December 2025 by the China NMPA.
Disclaimer: This is an AI-generated summary of a press release distributed by GlobeNewswire. The model used to summarize this release may make mistakes. See the full release here.
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Full Release
— Registration-enabling study demonstrated high clinically meaningful objective responses, achieving rapid and durable disease control —
— Fanregratinib holds promise as a new treatment option for pretreated advanced ICC patients harboring FGFR2-fusions/rearrangements —
HONG KONG and FLORHAM PARK, N.J., June 25, 2026 (GLOBE NEWSWIRE) -- HUTCHMED (China) Limited (“ HUTCHMED ”) (Nasdaq/AIM:HCM; HKEX:13) today announces results from the pivotal Phase II registration study of fanregratinib (HMPL-453) in patients with intrahepatic cholangiocarcinoma (“ICC”) will be presented at the European Society for Medical Oncology (ESMO) Gastrointestinal Cancers Congress taking place from July 1 to 4, 2026 in Munich, Germany.
Supported by data from the study, a New Drug Application (NDA) for fanregratinib for the treatment of adult patients with advanced, metastatic or unresectable ICC with fibroblast growth factor receptor (“FGFR”) 2 fusion/rearrangement who have previously received systemic therapy has been accepted for review and granted priority review by the China National Medical Products Administration (NMPA) in December 2025.
“The clinical reality for this patient population with advanced FGFR2–fusion/rearrangement ICC is highly challenging, as the entire cohort had progressed on prior chemotherapy, and a significant majority had prior immunotherapy exposure,” said Professor Jianming Xu of the Chinese PLA General Hospital and leading Principal Investigator of the study. “The results from this registration-enabling trial represent an important milestone in the targeted treatment landscape for FGFR2-altered ICC. The objective response rate and survival metrics achieved by fanregratinib clearly support its therapeutic value as a potent, selective oral treatment option. We are encouraged by these findings and hope to see this innovation translate into clinical practice to address a critical need in gastrointestinal oncology.”
This pivotal study is a single-arm, multi-center, open-label, Phase II registration clinical trial conducted across 53 sites in China to evaluate the efficacy, safety and pharmacokinetic of fanregratinib in treating advanced ICC patients with FGFR2 fusion/rearrangement ( NCT04353375 ). All patients had received at least one line of systemic therapy, of which all had received chemotherapy and 72% had received immunotherapy. The study has met its primary endpoint, demonstrating an Independent Review Committee (IRC)-assessed objective response rate (ORR) of 42.5% (95% CI: 30.0%–53.6%). Key secondary endpoints showed consistent clinical activity and a rapid onset of action, with a median time to response of 1.4 months. Median duration of response (DoR) was 6.9 months (95% CI: 5.6–8.5) and disease control rate (DCR) reached 83.9% (95% CI: 74.5%–90.9%). Furthermore, the median progression-free survival (PFS) was 6.9 months (95% CI: 4.1–8.2), while the median overall survival (OS) was 16.6 months (95% CI: 12.4–16.6).
Fanregratinib exhibited a manageable safety profile consistent with the known mechanism of selective FGFR inhibitors. Drug-related adverse events of Grade 3 or greater were reported in 48.3% of patients, with the most common being elevations in liver enzymes and palmar-plantar erythrodysesthesia syndrome (PPES). Treatment discontinuation due to drug-related adverse events was limited to 2.2% of patients, and no treatment-related deaths were recorded.
Details of the presentation are as follows:
| Title: | Fanregratinib in fibroblast growth factor receptor 2 (FGFR2)- fusions/rearrangements intrahepatic cholangiocarcinoma (ICC): Pivotal part of a phase II trial |
| Lead Author: | Jianming Xu, Chinese PLA General Hospital, Beijing, China |
| Session: | Rapid oral session on innovation |
| Presentation Number: | 343RO |
| Date & Time: | Saturday, July 4, 2026, 9:00 am CEST |
| Location: | Room 13a |
About Fanregratinib
Fanregratinib (HMPL-453) is a novel, highly selective and potent inhibitor targeting FGFR 1, 2 and 3. Aberrant FGFR signaling has been found to be a driving force in tumor growth, promotion of angiogenesis and resistance to anti-tumor therapies. Abnormal FGFR gene alterations are believed to be the drivers of tumor cell proliferation in several solid tumor settings. HUTCHMED currently retain all rights to fanregratinib worldwide.
About HUTCHMED
HUTCHMED (Nasdaq/AIM:HCM; HKEX:13) is an innovative, commercial-stage, biopharmaceutical company. It is committed to the discovery and global development and commercialization of targeted therapies and immunotherapies for the treatment of cancer and immunological diseases. Since inception it has focused on bringing drug candidates from in-house discovery to patients around the world, with its first three medicines marketed in China, the first of which is also approved around the world including in the US, Europe and Japan. For more information, please visit: www.hutch-med.com or follow us on LinkedIn .
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the “safe harbor” provisions of the US Private Securities Litigation Reform Act of 1995. These forward-looking statements reflect HUTCHMED’s current expectations regarding future events, including but not limited to its expectations regarding the therapeutic potential of fanregratinib, the further clinical development for fanregratinib, its expectations as to whether any studies on fanregratinib would meet their primary or secondary endpoints, and its expectations as to the timing of the completion and the release of results from such studies. Such risks and uncertainties include, among other things, assumptions regarding enrollment rates and the timing and availability of subjects meeting a study’s inclusion and exclusion criteria; changes to clinical protocols or regulatory requirements; unexpected adverse events or safety issues; the ability of fanregratinib, including as combination therapies, to meet the primary or secondary endpoint of a study, to obtain regulatory approval in different jurisdictions and to gain commercial acceptance after obtaining regulatory approval; the potential markets of fanregratinib for a targeted indication, and the sufficiency of funding. Existing and prospective investors are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. For further discussion of these and other risks, see HUTCHMED’s filings with the US Securities and Exchange Commission, The Stock Exchange of Hong Kong Limited and on AIM. HUTCHMED undertakes no obligation to update or revise the information contained in this press release, whether as a result of new information, future events or circumstances or otherwise.
Medical Information
This press release contains information about products that may not be available in all countries, or may be available under different trademarks, for different indications, in different dosages, or in different strengths. Nothing contained herein should be considered a solicitation, promotion or advertisement for any prescription drugs including the ones under development.
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