About this trial
Gallbladder cancer (GBC) is the most common malignant tumour of the biliary tract. It is also the most aggressive cancer of the biliary tract with the shortest median survival from the time of diagnosis. Currently, radical resection is the most effective strategy to potentially cure GBC. Chemotherapy and radiotherapy have been employed as adjuvant and palliative setting, however, the overall survival is still dismal. This study aim to evaluate the addition of Everolimus in addition to standard of care in gallbladder cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histological proof of cancer with stage III inoperable or Stage IV metastatic disease without any prior treatment.
Patients with histologic proof of metastatic gallbladder carcinoma who have not had previous treatment for metastatic disease or who received gemcitabine/capecitabine with or without platinum>= 6 months ago as part of adjuvant therapy
Absolute neutrophil count (ANC) >= 1500/uL
Platelet (PLT) >= 100,000/uL
Disqualifiers
Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
Clinically significant cardiac disease, especially history of myocardial infarction =< 6 months, or congestive heart failure (New York Heart Association [NYHA] classification III or IV) requiring use of ongoing maintenance therapy for life-threatening ventricular arrhythmias
Patients taking strong inhibitors or inducers of CYP3A4
Prior therapy with everolimus
Trial design
Parallel
Treatments tested in this trial
Everolimus 10 mg
DrugOral Everolimus 10 mg daily in addition to standard of care i.e. GemOx or CapOx
Standard of care
DrugGemOx or CapOx
Treatment groups
Trial outcomes
Primary outcomes
Progression free survival
Progression free survival from diagnosis to disease progression or death
Secondary outcomes
Overall survival
Survival time from the enrollment till the study closure
Chemotherapy Toxicity
Toxicity of addition of Everolimus to standard of care as measured by WHO toxicity criteria
Sponsors and contacts
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