4.0 Article

Infigratinib for cholangiocarcinoma

Journal

DRUGS OF TODAY
Volume 58, Issue 7, Pages 327-334

Publisher

PROUS SCIENCE, SAU-THOMSON REUTERS
DOI: 10.1358/dot.2022.58.7.3408813

Keywords

Solid tumors; Infigratinib; Cholangiocarcinoma; Fibroblast growth factor receptor (FGFR) inhibitors; Gastrointestinal cancer

Funding

  1. QED Therapeutics
  2. Novartis
  3. BridgeBio
  4. Boehringer-Ingelheim

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Cholangiocarcinoma is a serious and often late-stage cancer of the liver bile ducts. Current standard treatment involves systemic chemotherapy. Recent research has uncovered gene alterations, leading to the development of targeted therapies. Infigratinib is an oral medication that targets fibroblast growth factor receptor and has received accelerated approval for previously treated patients with advanced or metastatic cholangiocarcinoma.
Cholangiocarcinoma (CCA) is a serious and often fatal cancer of the bile ducts of the liver with a 5-year survival rate of 5-15%. At the time of diagnosis, most patients present with advanced or metastatic CCA, which is an aggressive malignancy with a poor prognosis. The standard of care for patients with locally advanced or metastatic CCA includes systemic chemotherapy with gemcitabine and cisplatin. Recently, research in the molecular basis of cancer has led to the discovery of underlying gene alterations, allowing the develop-ment of targeted therapies. Here we provide a review of infigratinib, which is an oral small-molecule tyro-sine kinase inhibitor targeting fibroblast growth factor receptor (FGFR). On the basis of positive phase II effi-cacy data, infigratinib received accelerated approval from the U.S. Food and Drug Administration (FDA) for adults with previously treated, unresectable locally advanced or metastatic CCA with an FGFR2 fusion or other rearrangement.

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