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ESMO GI 2025 | Phase II trial of irpagratinib and atezolizumab in FGF19+ advanced HCC

Qi Cheng, PhD, Huazhong University of Science and Technology, Wuhan, China, discusses a Phase II trial (NCT05441475) of irpagratinib and atezolizumab in FGF19+ advanced hepatocellular carcinoma (HCC). The combination showed encouraging response rates and progression-free survival in both first-line and checkpoint inhibitor-pretreated populations, including patients with prior checkpoint inhibitor exposure. The safety profile was manageable, with no grade 4/5 treatment-related adverse events or discontinuations. This interview took place at the European Society for Medical Oncology (ESMO) Gastrointestinal Cancer 2025 Congress in Barcelona, Spain.

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Transcript

The updated results from the 220 microgram BID cohort of irpagratinib in combination with atezolizumab are highly encouraging, demonstrating both robust efficacy and manageable safety. The ORR exceeded 50% in both treatment-naïve and pretreated HCC patients, surpassing the response rate of currently available therapies. The median PFS was 7 months in pretreated patients and 8...

The updated results from the 220 microgram BID cohort of irpagratinib in combination with atezolizumab are highly encouraging, demonstrating both robust efficacy and manageable safety. The ORR exceeded 50% in both treatment-naïve and pretreated HCC patients, surpassing the response rate of currently available therapies. The median PFS was 7 months in pretreated patients and 8.3 months in treatment-naïve patients, which is particularly impressive in the context of FGFR19 overexpression HCC.

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