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Chemotherapy Combined With Adebrelimab and Mecapegfilgrastim in Neoadjuvant Treatment of Potentially Resectable BTC

Phase 2
Not yet recruiting
Conditions
Biliary Tract Neoplasms
Interventions
Drug: Total Neoadjuvant Treatment
Registration Number
NCT06037655
Lead Sponsor
The First Affiliated Hospital with Nanjing Medical University
Brief Summary

The purpose of this study is to assess the safety and efficacy of Gemcitabine/cisplatin combined with Adebrelimab and Mecapegfilgrastim in neoadjuvant treatment of potentially resectable Biliary Tract Neoplasms.

Detailed Description

After being informed about the study and potential risks, patients giving written informed consent will undergo a 1-week screening period to determine eligibility for study entry. At week 0, patients who meet the eligibility requirements will be receive Gemcitabine/cisplatin combined with Adebrelimab and Mecapegfilgrastim three weeks a cycle, surgery was performed after 4 cycles.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Male or female
  • Age ≥ 18 years,≤ 75 years
  • Patients with untreated resectable locally advanced biliary tract cancer (BTC) who are difficult to directly resecte surgically
  • Ability to provide written informed consent prior to participation in any study-related procedure
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • At least one, not previously irradiated, measurable lesion according to RECIST (version 1.1).
  • Adequate organ function
Exclusion Criteria
  • Diagnosis of mixed ampullary, hepatocellular, and cholangiocarcinoma
  • Known history of a serious allergy to any monoclonal antibody
  • Any active malignancy prior to the start of treatment
  • Active or history of autoimmune disease
  • Other acute or chronic conditions, psychiatric disorders, or laboratory abnormalities that may increase the risk of study participation
  • Pregnant or lactating women

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
ExperimentalTotal Neoadjuvant TreatmentNeoAdjuvant Therapy with Adebrelimab plus Mecapegfilgrastim and Gemcitabine/cisplatin followed by the operation
Primary Outcome Measures
NameTimeMethod
Objective response rate (ORR)18 weeks

ORR is defined as patients achieving clinical complete response (CR) or partial response (PR) according to RECIST v1.1

Secondary Outcome Measures
NameTimeMethod
overall survival (OS)2 years

Overall survival

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