HUTCHMED reports 42.5% response rate in pivotal Phase II fanregratinib study
HUTCHMED (China) Limited reported that its Phase II trial of fanregratinib in intrahepatic cholangiocarcinoma patients met its primary endpoint with a 42.5% objective response rate. The study also showed a median overall survival of 16.6 months and a manageable safety profile. Based on these results, the China National Medical Products Administration accepted a New Drug Application for priority review in December 2025.

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HUTCHMED (China) Limited announced results from a pivotal Phase II registration study of fanregratinib (HMPL-453) in patients with intrahepatic cholangiocarcinoma (ICC). The data, presented at the European Society for Medical Oncology (ESMO) Gastrointestinal Cancers Congress, demonstrated a clinically meaningful objective response rate of 42.5% and a median overall survival of 16.6 months. These findings support fanregratinib as a potential new treatment option for pretreated advanced ICC patients harboring FGFR2-fusions/rearrangements.
Supported by the study data, a New Drug Application (NDA) for fanregratinib was accepted for review and granted priority review by the China National Medical Products Administration (NMPA) in December 2025. The application targets the treatment of adult patients with advanced, metastatic, or unresectable ICC with FGFR2 fusion/rearrangement who have previously received systemic therapy.
Clinical Trial Results
The single-arm, multi-center, open-label Phase II trial was conducted across 53 sites in China. All enrolled patients had received at least one line of systemic therapy, including chemotherapy, and 72% had prior immunotherapy exposure. The study met its primary endpoint, showing an Independent Review Committee (IRC)-assessed objective response rate (ORR) of 42.5% (95% CI: 30.0%–53.6%).
Key secondary endpoints indicated consistent clinical activity and rapid onset of action. The median time to response was 1.4 months. Additional efficacy metrics are detailed in the table below:
| Metric | Value (95% CI) |
|---|---|
| Median Duration of Response (DoR) | 6.9 months (5.6–8.5) |
| Disease Control Rate (DCR) | 83.9% (74.5%–90.9%) |
| Median Progression-Free Survival (PFS) | 6.9 months (4.1–8.2) |
| Median Overall Survival (OS) | 16.6 months (12.4–16.6) |
Safety Profile
Fanregratinib exhibited a manageable safety profile consistent with the known mechanism of selective FGFR inhibitors. Drug-related adverse events of Grade 3 or greater were reported in 48.3% of patients. The most common events were elevations in liver enzymes and palmar-plantar erythrodysesthesia syndrome (PPES). Treatment discontinuation due to drug-related adverse events occurred in 2.2% of patients, with no treatment-related deaths recorded.
Professor Jianming Xu of the Chinese PLA General Hospital and leading Principal Investigator of the study emphasized the significance of the results. "The objective response rate and survival metrics achieved by fanregratinib clearly support its therapeutic value as a potent, selective oral treatment option," he stated.
What is the anticipated timeline for the NMPA's final approval decision following the December 2025 priority review acceptance?
Does HUTCHMED plan to file regulatory submissions for fanregratinib with the FDA or EMA to expand access to global markets?
How will fanregratinib's efficacy and safety profile compare to other FGFR inhibitors currently approved for intrahepatic cholangiocarcinoma?

























