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Trial Title: GEN-001 Plus Pembrolizumab for Patients With Advanced Refractory Biliary Tract Cancer

NCT ID: NCT05998447

Condition: Biliary Tract Cancer

Conditions: Official terms:
Biliary Tract Neoplasms
Pembrolizumab

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: GEN-001
Description: The capsules taken by mouth. Each capsule will contain ≥ 3x10^11 colony-forming units (CFU)
Arm group label: GEN-001 with pembrolizumab or GEN-001 with pembrolizumab and mFOLFOX

Intervention type: Drug
Intervention name: Pembrolizumab
Description: 200 mg given by intravenous (IV) infusion once every 3 weeks
Arm group label: GEN-001 with pembrolizumab or GEN-001 with pembrolizumab and mFOLFOX

Other name: KEYTRUDA®

Intervention type: Drug
Intervention name: mFOLFOX
Description: mFOLFOX given by intravenous (IV) once every 2 weeks for only cohort 3
Arm group label: GEN-001 with pembrolizumab or GEN-001 with pembrolizumab and mFOLFOX

Summary: This is a phase II, multicenter, open-label study with a safety run-in to evaluate the safety and efficacy of GEN-001 in combination with pembrolizumab or in combination with pembrolizumab and mFOLFOX for patients with advanced refractory BTC who have progressed after 1 or 2 prior standard therapy and are not candidates for any other standard therapy. The safety run-in phase will be conducted before the main study phase

Criteria for eligibility:
Criteria:
Inclusion Criteria: - The patient (or legally acceptable representative if applicable) provides written informed consent for the trial. - Be ≥19 years of age on day of signing informed consent. - Patient with histologically or cytologically confirmed diagnosis of unresectable, recurrent, or metastatic advanced biliary tract adenocarcinoma of the gallbladder or biliary tree (either intrahepatic or extrahepatic cholangiocarcinoma) Exclusion Criteria: - A WOCBP who has a positive urine pregnancy test (within 72 hours) prior to treatment. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required. - Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (Cohort 1 only), and was discontinued from the previous IO therapy due to a Grade 3 or higher immune-related AE (irAE) (Cohort 2 and Cohort 3). - Is currently participating and receiving study treatments or has participated in a study of an investigational agent and received the study therapy or has used an investigational device within 4 weeks prior to the first dose of study treatment. - Has had an allogeneic tissue/solid organ transplan

Gender: All

Minimum age: 19 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Seoul National University Hospital

Address:
City: Seoul
Zip: 03080
Country: Korea, Republic of

Status: Recruiting

Investigator:
Last name: Do-Youn Oh, M.D., PhD
Email: Principal Investigator

Facility:
Name: Severance Hospital

Address:
City: Seoul
Zip: 03722
Country: Korea, Republic of

Status: Recruiting

Investigator:
Last name: Hyejin Choi
Email: Principal Investigator

Facility:
Name: Asan Medical Center

Address:
City: Seoul
Zip: 05505
Country: Korea, Republic of

Status: Recruiting

Investigator:
Last name: InKeun Park
Email: Principal Investigator

Facility:
Name: Samsung Medical Center.

Address:
City: Seoul
Zip: 06351
Country: Korea, Republic of

Status: Recruiting

Investigator:
Last name: Joon Oh Park
Email: Principal Investigator

Facility:
Name: Korea University Guro Hospital

Address:
City: Seoul
Zip: 08308
Country: Korea, Republic of

Status: Recruiting

Investigator:
Last name: Sang-cheul Oh
Email: Principal Investigator

Facility:
Name: Ajou University Medical Center

Address:
City: Suwon
Zip: 16499
Country: Korea, Republic of

Status: Recruiting

Investigator:
Last name: Minsuk Kwon
Email: Principal Investigator

Start date: September 18, 2023

Completion date: October 2026

Lead sponsor:
Agency: Genome & Company
Agency class: Industry

Collaborator:
Agency: Merck Sharp & Dohme LLC
Agency class: Industry

Source: Genome & Company

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05998447

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