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Trial Title: AK112 Combined With Chemotherapy Versus Durvalumab Combined With Chemotherapy in Advanced Biliary Tract Cancer

NCT ID: NCT06591520

Condition: Biliary Tract Cancer

Conditions: Official terms:
Biliary Tract Neoplasms
Cisplatin
Gemcitabine
Durvalumab

Study type: Interventional

Study phase: Phase 3

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Drug
Intervention name: AK112, Gemcitabine, Cisplatin
Description: AK112 will be administered at a selected dose intravenously (IV) every three weeks (Q3W). Gemcitabine will be administered at 1000 mg/m2, D1, D8, Q3W, intravenously (IV) for 8 cycles. Cisplatin will be administered at 25 mg/m2, D1, D8, Q3W, intravenously (IV) for 8 cycles.
Arm group label: AK112 + Gemcitabine + Cisplatin

Intervention type: Drug
Intervention name: Durvalumab, Gemcitabine, Cisplatin
Description: Durvalumab will be administered at 1500mg intravenously (IV) every three weeks (Q3W) for 8 cycles and followed by monotherapy every 4 weeks. Gemcitabine will be administered at 1000 mg/m2, D1, D8, Q3W, intravenously (IV) for 8 cycles. Cisplatin will be administered at 25 mg/m2, D1, D8, Q3W, intravenously (IV) for 8 cycles.
Arm group label: Durvalumab + Gemcitabine + Cisplatin

Summary: This is a phase 3 study. All subjects are patients with unresectable locally advanced or metastatic biliary tract cancer (BTC), Eastern Cooperative Oncology Group (ECOG) performance status 0-1. The purpose of this study is to evaluate the efficacy and safety of AK112 in combination with chemotherapy versus durvalumab in combination with chemotherapy in patients with unresectable locally advanced or metastatic BTC.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Be able and willing to provide written informed consent. - Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. - Has a life expectancy of at least 3 months. - Has a histologically or cytologically confirmed diagnosis of biliary tract cancer (BTC). - Has no prior systemic anti-tumor therapy for unresectable locally advanced or metastatic BTC. - Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. - Has adequate organ function. Exclusion Criteria: - Has other malignancies within 5 years prior to enrollment. - Is currently participating in a study of an investigational agent or using an investigational device. - Has known active central nervous system (CNS) metastases. - Has an active autoimmune disease that has required systemic treatment in the past 2 years. - Has an active infection requiring systemic therapy. - Has known active Hepatitis B or Hepatitis C. - History of myocardial infarction, unstable angina, congestive heart failure within 12 months prior to enrollment. - Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the study. - Has received a live virus vaccine within 30 days of the planned first dose of study therapy. - Has any concurrent medical condition that, in the opinion of the Investigator, would complicate or compromise compliance with the study or the well-being of the subject.

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Harbin Medical University Cancer Hospital

Address:
City: Harbin
Country: China

Contact:
Last name: Tongsen Zheng

Facility:
Name: Zhongshan Hospital, Fudan University

Address:
City: Shanghai
Country: China

Contact:
Last name: Jian Zhou

Start date: October 2024

Completion date: December 2027

Lead sponsor:
Agency: Akeso
Agency class: Industry

Source: Akeso

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06591520

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