Multiple clinical trials evaluate the therapeutic potential of lirafugratinib (RLY-4008) across Phase 1 and Phase 2 stages in patients with advanced malignancies, including cholangiocarcinoma and FGFR2-altered solid tumors. Industry sponsors Relay Therapeutics Inc. and Elevar Therapeutics are overseeing these investigations, with recruitment statuses ranging from active, not recruiting to actively recruiting. Overall, these studies aim to assess the safety, tolerability, and clinical efficacy of targeted FGFR2 inhibition in molecularly selected patient populations.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT07359820 | RECRUITING | FGFR2 Gene Fusion/Rearrangement; Other Solid Tumors, Adult |
Elevar Therapeutics |
2026-06-04 | PHASE2 |
| NCT04526106 | Active not recruiting | FGFR2 Amplification|FGFR2 Gene Mutation|FGFR2 Gene Fusion/Rearrangement|FGFR2 Gene Translocation|FGFR2 Gene Activation|Intrahepatic Cholangiocarcinoma|Cholangiocarcinoma|Other Solid Tumors Adult |
Relay Therapeutics Inc. |
2020-09-02 | Phase 1|Phase 2 |
(data from https://clinicaltrials.gov, updated on 2026-09-03)
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>).
- Lirafugratinib (RLY-4008) Solubility in DMSO
- Lirafugratinib (RLY-4008) Stock Solution
- Lirafugratinib (RLY-4008) Storage
- Lirafugratinib (RLY-4008) Stability
- Lirafugratinib (RLY-4008) Molecular Weight
- Lirafugratinib (RLY-4008) CAS Number
- Lirafugratinib (RLY-4008) Chemical Structure (2D and 3D)
- Lirafugratinib (RLY-4008) SDS|MSDS