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临床试验/CTRI/2023/07/055523
CTRI/2023/07/055523尚未招募3 期

Trastuzumab plus chemotherapy vs Chemotherapy alone in first-line HER2 positive advanced biliary tract cancer patients - a randomized non-blinded two-arm Phase III prospective clinical trial.

Tata Memorial Hospital3 个研究点 分布在 1 个国家目标入组 196 人开始时间: 2023年2月8日最近更新:

试验速览

阶段
3 期
状态
尚未招募
入组人数
196
试验地点
3
主要终点
To evaluate the difference in progression free survival at 6 months between Trastuzumab chemotherapy combination & chemotherapy alone

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Computer generated randomization
盲法
Open Label

入排标准

年龄范围
18.00 Year(s) 至 95.00 Year(s)(—)
性别
All

入选标准

  • 1.Histologically confirmed adenocarcinoma of the biliary tract, with the following specifications 2.HER2 positive (by IHC or FISH) unresectable or metastatic Biliary tract cancers.
  • 3.Age more than or equal to 18 years, ECOG performance status 0 to
  • 4.Patient does not have any contraindications to receive chemotherapy or trastuzumab.
  • 5.Adequate hematological, hepatic, and renal function parameters 6.Normal cardiac ejection fraction and cardiac function, as assessed by echocardiography, ejection fraction (EF) more than or equal to 50% or above the lower limit of normal.
  • ECG with no clinically relevant abnormalities.
  • 7.Women of childbearing age should have a negative pregnancy test at the time of randomization and should be willing to use adequate contraception during the treatment phase of the trial.
  • 8.Subjects must provide written informed consent prior to the performance of study-specific procedures or assessments, and must be willing to comply with treatment and follow-up assessments and procedures.
  • 9.Subjects who have received adjuvant chemotherapy will be considered eligible provided that therapy is completed more than 12 months before study enrollment.
  • Patients who have received radiation therapy and surgery will also be eligible provided the interventions have been completed 3 weeks, before enrolment in the study.
  • 10.Negative serum pregnancy test (if applicable) and willing for adequate contraception.
  • 11.At least one measurable disease according to RECIST criteria.
  • 12.A life expectancy of at least 12 weeks.

排除标准

  • 1.Distal cholangiocarcinoma 2.Known hypersensitivity or contraindications against gemcitabine, cisplatin, Nab-paclitaxel, or trastuzumab.
  • 3.Clinically significant active coronary heart disease, cardiomyopathy, or congestive heart failure, NYHA III to IV.
  • 4.Clinically significant valvular defect.
  • 5.Past or current history of other malignancies not curatively treated and without evidence of disease for more than 5 years, except for curatively treated basal cell carcinoma of the skin and in situ carcinoma of the cervix.
  • 6.Severe dyspnea at rest due to complications of advanced malignancy or requiring supplementary oxygen therapy.
  • 7.Baseline neuropathy greater than NCI Grade I.
  • 8.Subject pregnant or breastfeeding, or planning to become pregnant within 6 months after the end of treatment.
  • 9.Received prior chemotherapy within 1 year.
  • 10.Any active ILD or history of lung illness requiring bronchodilator drugs.
  • 11.Patients with prior chemotherapy for metastatic disease will be ineligible for enrollment in the study.

结局指标

主要结局

To evaluate the difference in progression free survival at 6 months between Trastuzumab chemotherapy combination & chemotherapy alone

时间窗: To evaluate the difference in progression free survival at 6 months between Trastuzumab chemotherapy combination & chemotherapy alone

次要结局

  • To evaluate the difference in Overall Survival between the Trastuzumab chemotherapy combination & chemotherapy alone.(To evaluate the difference in overall response rates between Trastuzumab chemotherapy combination and chemotherapy alone.)

研究者

申办方类型
Research institution and hospital

研究点 (3)

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