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Page 6 of 21                                                                                         Yang et al. Hepatoma Res 2023;9:48      https://dx.doi.org/10.20517/2394-5079.2023.68



                          Table 2. Clinical trials evaluating targeted therapies against most frequent actionable alterations in intrahepatic cholangiocarcinoma

                                                                                                                                    Objective        Duration of        Median progression
                                                                                        NO. of                                                                                                Median overall
                                         Phase Trial                                               Tumour type Treatment            response rate    response           free survival
                                                                                        patients                                                                                              survival (months)
                                                                                                                                    (%)              (months)           (months)
                          FGFR
                          Abou-Alfa et al.  2    FIGHT-202/NCT02924376                  107        CCA (FGFR2     Pemigatinib       35.5 (95%CI,     7.5 (95%CI, 5.7-   6.9 (95%CI, 6.2-9.6)  21.1 (95%CI, 14.8-NE)
                                 [28]
                          (2020)                                                        (105)      fus)                             26.5-45.4)       14.5)
                                                                                                   (iCCA)
                          Shi et al.     2       NCT04256980                            31         CCA (FGFR2     Pemigatinib       50.0 (95%CI      NR (95%CI, 3.4-    6.3 (95%CI, 4.9-NE)   NR (95%CI, NE)
                                 [29]
                          (2023)                                                        (30)       fus)                             31.3-68.7)       NE)
                                                                                                   (iCCA)
                          Goyal et al.   2       FOENIX-CCA2/NCT02052778                103        iCCA (FGFR2    Futibatinib       42 (95%CI, 32-   9.7 (95%CI, 7.6-   9.0 (95%CI, 6.9-13.1)  21.7 (95%CI, 14.5-NE)
                                 [7]
                          (2023)                                                                   fus)                             52)              17.0)
                          Borad et al.   2       FIDES-01/NCT03230318                   103        iCCA (FGFR2    Derazantinib      21.4 (95%CI,     NA                 8.0 (95%CI, 5.5-8.3)8.3  17.2 (95%CI, 12.5-22.4)
                                 [32]
                          (2022)                                                        40         fus)                             13.9-30.5)       NA                 (95%CI, 1.9-16.7)     15.9 (95%CI, 8.4-NE)
                                                                                                   iCCA (FGFR2                      6.5 (95%CI, 0.8-
                                                                                                   mut/amp)                         21.4)

                          Javle et al.   2       NCT02150967                            108        CCA (FGFR2     Infigratinib      23.1 (95%CI,     5.0 (IQR, 3.7-9.3)  7.3 (95%CI, 5.6-7.6)  12.2 (95%CI, 10.7-14.9
                                [31]
                          (2021)                                                                   fus)                             15.6-32.2)
                          Mazzaferro et   1/2    NCT01752920                            29         iCCA (FGFR2    Derazantinib      20.7             4.6 (95%CI: 2.3-   5.7 (95%CI, 4.04-9.2)  NA
                                   [99]
                          al. (2019)                                                               fus)                                              8.9)
                          Bahleda et al.   1     NCT01703481                            11         CCA (FGFR      Erdafitinib       27.3             11.4               NA                    NA
                                 [100]
                          (2019)                                                                   mut/fus)
                          Kim et al.     1       NCT02368951                            20         Solid Tumors   Aprutumab         0                NA                 NA                    NA
                                 [101]
                          (2019)                                                        (4)        (FGFR2-        ixadotin
                                                                                                   positive) (CCA)
                          Ahn et al.     pilot   NCT02265341                            12         BTCs (FGFR2    Ponatinib         8.3              NA                 2.4 (95%CI, 1.9-9.2)  15.7 (95%CI, 6.1-NE)
                                 [102]
                          (2022)                                                       (10)        fus) (iCCA)
                          IDH
                          Abou-Alfa et al.  3    ClarIDHy/NCT02989857                  185        iCCA (IDH1      Ivosidenib vs.    2.4 (95%CI, 0.5-  NA                2.7 (95%CI, 1.6-3.6) vs.  10.8 (95%CI, 7.7-17.6)
                                 [48]
                          (2020)                                                                   mut)           Placebo           6.9)*                               1.4 (1.4-2.5), HR 0.47   vs. 6.0 (3.6-6.3), HR 0.46
                                                                                                                                                                        (95%CI 0.33-0.68)     (95%CI 0.28-0.75),
                                                                                                                                                                                              RPFST adjusted
                          BRAF
                          Subbiah et al.   2     ROAR/NCT02034110                      43          BTCs (BRAF     Dabrafenib plus   47 (95%CI 31-    9 (95%CI, 6-14)    9 (95%CI, 5-10)       14 (95%CI, 10-33)
                                 [65]
                          (2020)                                                       (39)        V600E)         Trametinib        62)*
                                                                                                   (iCCA)
                          HER2

                          Lee et al.     2       KCSG-HB19-14/NCT04722133              34          BTCs (HER2-    Trastuzumab plus  29.4 (95%CI,     4.9 (2.1-10.4)     5.1 (95%CI, 3.6-6.7)  10.7 (95%CI, 7.9-NR)
                                 [103]
                          (2023)                                                       (6)         positive)      FOLFOX            16.7-46.3)
                                                                                                   (iCCA)
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