About this trial
To compare overall survival (OS) of patients in Futibatinib and Zimberelimab in Combination with Gemcitabine plus Cisplatin versus Durvalumab or Pembrolizumab in Combination with Gemcitabine plus Cisplatin for patients with first-line advanced biliary tract cancer
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Has histologically confirmed unresectable or advanced biliary tract (i.e. intrahepatic bile duct, extrahepatic bile duct, or gallbladder) cancer that is adenocarcinoma or adenosquamous carcinoma;
Has no history of prior treatment for locally advanced or metastatic Biliary Tract Cancer (BTC);
Adjuvant or neoadjuvant chemotherapy is not considered as prior treatment if more than 6 months have passed since its completion.
Has radiographically measurable disease per RECIST v1.1.
Disqualifiers
History and/or current evidence of clinically significant nontumor-related alteration of calcium-phosphorus homeostasis;
History and/or current evidence of clinically significant retinal disorder confirmed by retinal examination;
Has prior Fibroblast Growth Factor Receptor (FGFR)-directed therapy including futibatinib
Has prior treatment with an anti-Programmed Death Ligand 1 (PD-L1), anti-Programmed Cell Death Protein 1 (PD-1), anti-Cytotoxic T-Lymphocyte-Associated Protein 4 (CTLA-4), anti-T-cell immunoreceptor with Ig and ITIM domains (TIGIT), or other immune checkpoint inhibitor (ICI) or agonist as monotherapy or in combination.
Trial design
Parallel
Treatments tested in this trial
Futibatinib
DrugFutibatinib 20 mg will be administered orally once daily.
Zimberelimab
DrugZimberelimab 360 mg will be administered on Day 1 of each 3-week cycle (Q3W) by intravenous infusion.
Durvalumab
DrugDurvalumab 1500 mg will be administered on Day 1 of Q3W by intravenous infusion.
Pembrolizumab
DrugPembrolizumab 200 mg will be administered on Day 1 of Q3W by intravenous infusion.
Gemcitabine
DrugGemcitabine 1000 mg/m2 will be administered Days 1 and 8 of Q3W by intravenous infusion.
Cisplatin
DrugCisplatin 25 mg/m2 will be administered Days 1 and 8 of Q3W by intravenous infusion.
Treatment groups
Trial outcomes
Primary outcomes
Overall Survival (OS)
* To compare OS of patients in Arm A versus Arm B for patients with first-line advanced BTC whose primary tumor site is intrahepatic or extrahepatic cholangiocarcinoma * To compare OS of patients in Arm A versus Arm B for patients with first-line advanced BTC
Secondary outcomes
Progression-Free Survival (PFS) according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1 using Blinded Independent Central Review (BICR) and Investigator assessment
6-months PFS rate according to RECIST v1.1 using BICR and Investigator assessments
Objective response rate (ORR) according to RECIST v1.1 using BICR and Investigator assessments
Duration of response (DoR) according to RECIST v1.1 using BICR and Investigator assessments
Sponsors and contacts
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Taiho Pharmaceutical Co., Ltd.
Lead sponsor
Taiho Oncology, Inc.
Collaborator