A Study to Assess the Safety, Tolerability, and Pharmacokinetics of ABSK-011 in Patients With Advanced Solid Tumor

Last updated: November 10, 2025
Sponsor: Abbisko Therapeutics Co, Ltd
Overall Status: Active - Recruiting

Phase

1

Condition

Liver Cancer

Digestive System Neoplasms

Primary Biliary Cholangitis

Treatment

ABSK-011

Clinical Study ID

NCT04906434
ABSK-011-101
  • Ages 18-75
  • All Genders

Study Summary

This is an open-label phase 1 study with an escalation part and an expansion part.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Male or female, age 18 ~ 75 (include both ends, or other age range required by localregulations or IRB).

  2. Escalation Part: Patients must have histological or cytological confirmed advancedsolid tumors that have progressed on or intolerant to standard therapy or whom nostandard therapy exists; and patients with advanced HCC must satisfy:

  3. BCLC stage B or C and Child-Pugh score 5~6

  4. Patient must provide archived tissue sample or biopsy for FGF19 overexpressioncentral lab testing Expansion Part: patients must have histological or cytological confirmed, BCLC stageB or C HCC, and have progressed on or intolerant to or have refused to receive orhave no access to receive first line systemic therapy (by localguideline/regulation) and is unsuitable for other standard therapy(ies) (by localguideline/regulation) against HCC, and must satisfy:

  5. Patient must provide archived tissue sample or biopsy for FGF19 overexpressioncentral lab testing, and the result must be positive

  6. Patient must have at least 1 measurable lesion (RECIST V1.1)

  7. Child-Pugh score 5~7 without hepatic encephalopathy, no clinically apparentascites or require medical intervention

  8. ECOG performance status 0~1

  9. Life expectancy ≥ 3 months

  10. Adequate organ function and bone marrow function as indicated by the followingscreening assessments performed within 14 days prior to the first dose of study drug (without blood transfusion or medication with stimulation factors within 14 daysbefore 1st dose):

  11. Absolute neutrophil count (ANC) ≥1.5×109/L

  12. Platelet count (PLT) ≥75×109/L

  13. Hemoglobin (Hb) ≥80 g/L

  14. Total bilirubin (TBIL) ≤1.5×ULN

  15. Aspartate transaminase (AST) and alanine transaminase (ALT), ≤3×ULN (forpatient with liver metastasis in escalation part or patient in expansion part:AST and AST ≤5×ULN)

  16. Serum creatinine (Cr) ≤1.5×ULN or creatinine clearance (Crcl) ≥50 mL/min basedon Cockcroft-Gault formula

  17. Patients with HBV infection should follow local clinical practice and anti-HBVtherapy should be performed to ensure adequate viral suppression (HBV-DNA < 10000IU/mL or equivalent copies/mL prior to enrollment). Patients are examined everycycle to monitor HBV-DNA levels. If virus reactivation occurred for patients withoutanti-viral treatment when enrolled, anti-HBV therapy will be started following localpractice.

  18. Non-surgically sterilized male or female patients of childbearing potential mustagree to use effective methods of birth control during the study and for up to 6months after the last dose of study drug. Non-surgically sterilized female patientsof childbearing potential must in non-lactation period, and have a negative β-HCGtest result within 7 days before first administration.

  19. Patient should understand, sign, and date the written voluntary informed consentform prior to any protocol-specific procedures performed. Patient should be able andwilling to comply with study visits and procedures as per protocol.

Exclusion

Exclusion Criteria:

  1. Known allergy or hypersensitivity to any component of the investigational drugproduct.

  2. Previous treatment with FGFR4 or pan-FGFR pathway inhibitors (pan-FGFR inhibitorsshould be confirmed with the sponsor).

  3. Has a known second primary malignancy required active treatment.

  4. Has a known active central nervous system (CNS) metastases (if stable disease aftertreatment, free from or daily dexamethasone <10 mg or other equivalentglucocorticoids can be enrolled).

  5. Liver tumor volume accounts for ≥50% of the whole liver.

  6. Inability to take oral medication or other factors significant preclude adequateabsorption of oral medication, such as previously received total gastrectomy,residual gastric dysfunction after subtotal gastrectomy, short bowel syndrome aftersmall bowel resection, active diarrhea required drug treatment, etc.

  7. Severe irritable bowel syndrome requires drug therapy.

  8. Prior organ transplantation requires anti-rejection drug therapy.

  9. Previous anti-cancer therapy prior to initiation of study treatment: major surgery (except palliative therapy), radiotherapy (bone-marrow exposure >30%), routinechemotherapy <4 weeks (chemotherapy with nitrosourea or mitomycin <6 weeks); oralchemotherapy, endocrine therapy, molecular targeted therapy or immunotherapy within ≤ 5 half-life or ≤ 4 weeks (whichever is shorter).

  10. Prior toxicities from chemotherapy, radiotherapy, and other anti-cancer therapies,including immunotherapy that have not regressed to Grade ≤1 severity (CTCAE v5.0)with the exception of which inclusion criteria allowed, alopecia, vitiligo andneurotoxicity Grade ≤2 that investigator believe don't affect safety assessment.

  11. Concomitant use of strong inhibitors or inducers of CYP3A4 (include grapefruitjuice, grapefruit hybrids, pomegranates, starfruit, pomelos, Seville oranges orjuice or products) within at least 14 day prior to the first dose of the study drug.

  12. Impaired cardiac function or clinically significant cardiac disease, including anyone of the following:

  13. New York Heart Association class III or IV congestive heart failure, unstableangina, or myocardial infarction within 6 months before administration of thestudy drug;

  14. Clinically significant cardiac arrhythmia requiring active therapy;

  15. Uncontrolled hypertension;

  16. Left ventricle ejection fraction<50%

  17. Prolongation of QTcF (average of three times of examine, male > 450 ms, female > 470 ms) (Note: QTc interval corrected by Frederica's formula) at screening,and other ECG abnormalities with clinical significant by the judge of theinvestigator.

  18. Active infection or unexplained fever > 38.5℃.

  19. Active or record of gastrointestinal bleeding within 6 months (e.g. esophagealvarices or ulcer bleeding).

  20. Patients with active HCV infection (HCV-RNA>103 copies/mL or following localclinical practice) and require concomitant anti-HCV therapy during the study; or HBVHCV co-infection.

  21. History of immunodeficiency, including HIV serum test positive, or otheracquired/congenital immunodeficiency disease, or active tuberculosis.

  22. Any other clinically significant comorbidities, such as respiratory, metabolic,congenital, endocrine or central nervous system disease, or any other medicalconditions, mental disturbances or social determinants, which in the judgment of theInvestigator, could compromise compliance with the protocol, interfere with theinterpretation of study results, or predispose the patient to safety risks.

  23. Combined with portal vein tumor thrombus of type IV.

Study Design

Total Participants: 200
Treatment Group(s): 1
Primary Treatment: ABSK-011
Phase: 1
Study Start date:
February 26, 2020
Estimated Completion Date:
December 31, 2028

Study Description

The escalation part will evaluate the safety, tolerability, PK and recommended dose of expansion (RDE) of oral ABSK-011 in patients with advanced solid tumors. The expansion part of oral ABSK-011 at RDE will be followed for further evaluating safety and tolerability in patients with FGF19 overexpression advanced HCC. Preliminary antitumor activity will also be assessed.

Connect with a study center

  • The First Affiliated Hospital of Bengbu Medical College

    Bengbu, Anhui
    China

    Site Not Available

  • The First Affiliated Hospital of Bengbu Medical College

    Bengbu 1816440, Anhui 1818058
    China

    Completed

  • Beijing Tsinghua Changgung Hospital

    Beijing, Beijing
    China

    Site Not Available

  • The Fifth Medical Center of the General Hospital of the Chinese People's Liberation Army

    Beijing, Beijing
    China

    Site Not Available

  • Beijing Tsinghua Changgung Hospital

    Beijing 1816670, Beijing Municipality 2038349
    China

    Active - Recruiting

  • The Fifth Medical Center of the General Hospital of the Chinese People's Liberation Army

    Beijing 1816670, Beijing Municipality 2038349
    China

    Site Not Available

  • Chongqing Cancer Hospital

    Chongqing, Chongqing
    China

    Site Not Available

  • Chongqing Cancer Hospital

    Chongqing 1814906, Chongqing Municipality 1814905
    China

    Active - Recruiting

  • Fujian Provincial Cancer Hospital

    Fuzhou, Fujian
    China

    Site Not Available

  • Fujian Provincial Cancer Hospital

    Fuzhou 1810821, Fujian 1811017
    China

    Completed

  • Sun Yat Sen Memorial Hospital

    Guangzhou, Guangdong
    China

    Site Not Available

  • Sun Yat Sen Memorial Hospital

    Guangzhou 1809858, Guangdong 1809935
    China

    Completed

  • Guangxi Zhuang Autonomous Region People's Hospital

    Nanning, Guangxi
    China

    Site Not Available

  • Guangxi Zhuang Autonomous Region People's Hospital

    Nanning 1799869, Guangxi 1809867
    China

    Completed

  • Weifang People's Hospital

    Weifang, Hebei 1808773
    China

    Completed

  • Harbin Medical University Cancer Hospital

    Haerbin, Heilongjiang 2036965
    China

    Active - Recruiting

  • First Affiliated Hospital of Henan University of Science and Technology

    Luoyang, Henan
    China

    Site Not Available

  • Henan Cancer Hospital

    Zhengzhou, Henan
    China

    Site Not Available

  • First Affiliated Hospital of Henan University of Science and Technology

    Luoyang 1801792, Henan 1808520
    China

    Completed

  • Henan Cancer Hospital

    Zhengzhou 1784658, Henan 1808520
    China

    Completed

  • Hubei Cancer Hospital

    Wuhan, Hubei
    China

    Site Not Available

  • Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science & Technology

    Wuhan, Hubei
    China

    Active - Recruiting

  • Hubei Cancer Hospital

    Wuhan 1791247, Hubei 1806949
    China

    Completed

  • Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science & Technology

    Wuhan 1791247, Hubei 1806949
    China

    Active - Recruiting

  • Hunan Cancer Hospital

    Changsha, Hunan
    China

    Site Not Available

  • Hunan Provincial People's Hospital

    Changsha, Hunan
    China

    Site Not Available

  • Hunan Cancer Hospital

    Changsha 1815577, Hunan 1806691
    China

    Completed

  • Hunan Provincial People's Hospital

    Changsha 1815577, Hunan 1806691
    China

    Site Not Available

  • Suzhou University Affiliated Second Hospital

    Suzhou, Jiangsu
    China

    Site Not Available

  • Suzhou University Affiliated Second Hospital

    Suzhou 1886760, Jiangsu 1806260
    China

    Completed

  • Tonghua Central Hospital

    Tonghua, Jilin
    China

    Site Not Available

  • Tonghua Central Hospital

    Tonghua 2034414, Jilin 2036500
    China

    Completed

  • Shengjing Hospital of China medical university

    Shenyang, Liaoning
    China

    Site Not Available

  • Shengjing Hospital of China medical university

    Shenyang 2034937, Liaoning 2036115
    China

    Completed

  • General Hospital of Ningxia Medical University

    Yinchuan, Ningxia
    China

    Site Not Available

  • General Hospital of Ningxia Medical University

    Yinchuan 1786657, Ningxia 1799355
    China

    Completed

  • Jinan Central Hospital

    Jinan, Shandong
    China

    Site Not Available

  • Linyi Cancer Hospital

    Linyi, Shandong
    China

    Site Not Available

  • Jinan Central Hospital

    Jinan 1805753, Shandong 1796328
    China

    Completed

  • Linyi Cancer Hospital

    Linyi 1803318, Shandong 1796328
    China

    Completed

  • The First Affiliated Hospital of Xi'an Jiaotong University

    Xian, Shanxi 1795912
    China

    Site Not Available

  • Mianyang Central Hospital

    Mianyang, Sichuan
    China

    Site Not Available

  • Mianyang Central Hospital

    Mianyang 1800627, Sichuan 1794299
    China

    Active - Recruiting

  • Ningbo Huamei Hospital, University of Chinese Academy of Sciences

    Ningbo, Zhejiang
    China

    Site Not Available

  • Ningbo Huamei Hospital, University of Chinese Academy of Sciences

    Ningbo 1799397, Zhejiang 1784764
    China

    Site Not Available

  • National Taiwan University Hospital

    Taibei,
    China

    Site Not Available

  • National Cheng Kung University Hospitals

    Tainan,
    Taiwan

    Site Not Available

  • National Cheng Kung University Hospitals

    Tainan 1668355,
    Taiwan

    Completed

  • National Cheng Kung University Hospitals

    Tainan City 1668355,
    Taiwan

    Site Not Available

  • Nation Taiwan University Hospital

    Taipei,
    Taiwan

    Site Not Available

  • Nation Taiwan University Hospital

    Taipei 1668341,
    Taiwan

    Completed

  • Mayo Clinic

    Phoenix 5308655, Arizona 5551752 85054
    United States

    Site Not Available

  • Mayo Clinic

    Jacksonville, Florida 32224
    United States

    Site Not Available

  • Moffitt Cancer Center

    Tampa, Florida 33612
    United States

    Site Not Available

  • Mayo Clinic

    Jacksonville 4160021, Florida 4155751 32224
    United States

    Site Not Available

  • Moffitt Cancer Center

    Tampa 4174757, Florida 4155751 33612
    United States

    Active - Recruiting

  • Mayo Clinic

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Mayo Clinic

    Rochester 5043473, Minnesota 5037779 55905
    United States

    Site Not Available

  • Icahn School of Medicine at Mount Sinai

    New York, New York 10029
    United States

    Site Not Available

  • Icahn School of Medicine at Mount Sinai

    New York 5128581, New York 5128638 10029
    United States

    Active - Recruiting

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston 4699066, Texas 4736286 77030
    United States

    Active - Recruiting

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