Several clinical trials evaluate derazantinib in advanced solid tumors with fibroblast growth factor receptor (FGFR) genomic alterations, including intrahepatic cholangiocarcinoma, urothelial carcinoma, gastric adenocarcinoma, and healthy volunteer pharmacokinetics. Sponsors such as Basilea Pharmaceutica and Institut für Klinische Krebsforschung IKF GmbH have conducted Phase 1, Phase 2, and Phase 1b/2 trials, with recruitment statuses ranging from completed and active to terminated or closed expanded access. Overall, these studies highlight derazantinib as a monotherapy and combination treatment for FGFR-driven malignancies.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05174650 | ACTIVE_NOT_RECRUITING | Intrahepatic Cholangiocarcinoma |
Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest |
2022-04-20 | PHASE2 |
| NCT04604132 | TERMINATED | Gastric Adenocarcinoma |
Basilea Pharmaceutica |
2020-10-06 | PHASE1; PHASE2 |
| NCT03230318 | COMPLETED | Intrahepatic Cholangiocarcinoma; Combined Hepatocellular and Cholangiocarcinoma |
Basilea Pharmaceutica |
2017-09-28 | PHASE2 |
| NCT04045613 | COMPLETED | Urothelial Carcinoma |
Basilea Pharmaceutica |
2019-08-02 | PHASE1; PHASE2 |
| NCT04098692 | COMPLETED | Healthy Volunteers |
Basilea Pharmaceutica |
2019-08-08 | PHASE1 |
| NCT01752920 | COMPLETED | Solid Tumor |
Basilea Pharmaceutica |
2012-12-10 | PHASE1; PHASE2 |
(data from https://clinicaltrials.gov, updated on 2025-12-05)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).