Zolbetuximab With mFOLFOX6 or CAPOX in Claudin 18.2 Overexpressed Advanced or Metastatic Biliary Tract Cancers

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorMidhun Malla

About this trial

Subjects will receive zolbetuximab with either CAPOX every 3 weeks or mFOLFOX6 every 2 weeks. The chemotherapy regimen chosen, mFOLFOX6 or CAPOX is per the treating investigator discretion and subject preference.

Study treatment will continue for a maximum of 2 years, or until disease progression per RECIST 1.1, intolerable side effects, or investigator/subject preference. Disease evaluation will occur every 8 to 9 weeks.

Eligibility criteria

Qualifiers

Age ≥ 18 years at the time of informed consent.

Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1 at the time of registration.

Histological or cytological confirmation of biliary tract carcinoma per American Joint Committee on Cancer (AJCC) staging manual v8.

Radiologically confirmed locally advanced/unresectable (per treating investigator) or metastatic disease.

Disqualifiers

Receipt of 5-fluorouracil or capecitabine in the adjuvant setting within 6 months prior to registration or patients who progressed on FOLFOX or CAPOX regimens in the past.

Previous treatment with Claudin 18.2 directed treatment.

Active infection requiring systemic therapy. NOTE: Subjects receiving prophylactic antibiotics (e.g., to prevent a urinary tract infection or chronic obstructive pulmonary disease exacerbation) are eligible for the study.

Pregnant or breastfeeding. NOTE: breast milk cannot be stored for future use while the subject is being treated on study.

Trial design

Treatments tested in this trial

  • Zolbetuximab
  • mFOLFOX6
  • CAPOX

Treatment groups

32 Participants
are divided into 1 treatment group

Sponsors and collaborators

Midhun Malla

Lead sponsor

Hoosier Cancer Research Network

Sponsor institution

University of Alabama at Birmingham

Collaborator

Astellas Pharma Inc

Collaborator

University of Michigan

Collaborator