Evidence map›Paper›PMID 42765734›Full record

ReviewClinical and translational science2026

Fruquintinib: Mechanism of Action, Clinical, and Translational Science.

Xiaofei Zhou, Arvind Dasari, Jin Li, Caly Chien, Qi Dong, Lucy Chen, Lixian Dong, Neeraj Gupta

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Clinical and translational science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02314819 phase3completednot on this map

A Randomized, Double-blind and Placebo-controlled Phase III Trial Comparing Fruquintinib Efficacy and Safety vs Best Support Care (BSC) in Advanced Colorectal Cancer Patients Who Have Failed at Least Second Lines of Chemotherapies

TypeinterventionalSponsorHutchison Medipharma LimitedRan2014 to 2017Enrolled416ConditionsColorectal CancerArmsfruquintinib, placebo
NCT04322539 phase3completednot on this map

A Global Multicenter Randomized Placebo-Controlled Phase 3 Trial To Compare The Efficacy And Safety Of Fruquintinib Plus Best Supportive Care To Placebo Plus Best Supportive Care In Patients With Refractory Metastatic Colorectal Cancer

TypeinterventionalSponsorHutchison Medipharma LimitedRan2020 to 2024Enrolled691ConditionsMetastatic Colorectal Cancer, Metastatic Colon CancerArmsFruquintinib, Placebo
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Xiaofei ZhouQuantitative Clinical Pharmacology, Takeda Development Center Americas, Inc. (TDCA), Cambridge, Massachusetts, USA.ORCID https://orcid.org/0000-0003-0319-1327
Arvind DasariDepartment of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0001-5271-9744
Jin LiDepartment of Oncology, China Pharmaceutical University Shanghai GoBroad Cancer Hospital, Shanghai, China.ORCID https://orcid.org/0000-0003-0099-874X
Caly ChienClinical Pharmacology, HUTCHMED International Corporation, Florham Park, New Jersey, USA.ORCID https://orcid.org/0009-0002-7054-9536
Qi DongOncology Clinical Science, Takeda Development Center Americas, Inc. (TDCA), Cambridge, Massachusetts, USA.ORCID https://orcid.org/0009-0008-0291-1840
Lucy ChenOncology Clinical Science, Takeda Development Center Americas, Inc. (TDCA), Cambridge, Massachusetts, USA.ORCID https://orcid.org/0009-0007-7110-9117
Lixian DongPatient Safety and Pharmacovigilance, Takeda Development Center Americas, Inc. (TDCA), Cambridge, Massachusetts, USA.
Neeraj GuptaQuantitative Clinical Pharmacology, Takeda Development Center Americas, Inc. (TDCA), Cambridge, Massachusetts, USA.ORCID https://orcid.org/0000-0002-5500-5218

Funding

Takeda Development Center Americas Inc. (TDCA)
6 · The paper itself

Abstract

Fruquintinib is a highly selective, oral inhibitor of all three vascular endothelial growth factor receptors (-1, -2, and -3) that was approved, including in China, the United States, and the European Union, for the treatment of previously treated metastatic colorectal cancer (mCRC). The efficacy of fruquintinib for mCRC has been consistently demonstrated in randomized, double-blind, Phase 3 clinical studies, including FRESCO (NCT02314819), which enrolled patients in China, and FRESCO-2 (NCT04322539), which enrolled patients across 14 countries in North America, Europe, Asia, and Australia. In both studies, patients were randomized 2:1 to receive oral fruquintinib 5 mg or a matching placebo once daily, 3 weeks on, 1 week off, in 28-day cycles, plus best supportive care, until progression or unacceptable toxicity. Both FRESCO and FRESCO-2 met their primary endpoints, demonstrating significant improvements in overall survival (OS) with fruquintinib versus placebo: in FRESCO (fruquintinib: n = 278; placebo: n = 138), median OS was 9.3 with fruquintinib versus 6.6 months with placebo (hazard ratio [HR], 0.65; 95% confidence interval [CI], 0.51-0.83; p < 0.001); in FRESCO-2 (fruquintinib: n = 461; placebo: n = 230), median OS was 7.4 with fruquintinib versus 4.8 months with placebo (HR, 0.66; 95% CI, 0.55-0.80; p < 0.001). The most common any-grade treatment-emergent adverse events with fruquintinib (incidence ≥ 20% in either study, excluding laboratory abnormalities) were hypertension, palmar-plantar erythrodysesthesia, proteinuria, dysphonia, diarrhea, asthenia, decreased appetite, hypothyroidism, and fatigue. This mini-review summarizes the mechanism of action, pharmacokinetics, key clinical trials, and clinical efficacy and safety data for fruquintinib.

Indexed as

BenzofuransColorectal NeoplasmsProtein Kinase InhibitorsQuinazolinesClinical Trials, Phase III as TopicHumansRandomized Controlled Trials as TopicReceptors, Vascular Endothelial Growth FactorTranslational Research, BiomedicalBenzofuransHMPL-013Protein Kinase InhibitorsQuinazolinesReceptors, Vascular Endothelial Growth Factor

Identifiers

PMID42765734
PMCPMC13592224

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.