A Phase II Study for Nab-paclitaxel Plus Cisplatin vs Gemcitabine Plus Cispatin as First Line Chemotherapy in Advanced Biliary Tract Cancer

Recruitment & Eligibility

Inclusion Criteria

Aged 18 to 70 years;
Diagnosis of unresectable or recurrent or metastatic biliary tract cancer (Ampulla of Vater, gallbladder, intra or extra-hepatic biliary ducts);
Adequate bone marrow, liver and kidney function: absdute neutrophil count (ANC) ≥ 1.5 x 10^9/L, platelet count (PLT) ≥75 x 10^9/L, hemoglobin (HB) ≥ 75 g/L, White blood cell(WBC) ≥ 3.0 x 10^9/L, no bleeding symptoms or bleeding tendency; Total bilirubin (TBIL) ≤ 3 x upper limit of normal range (ULN), alanine glutamate transaminase (ALT) and glutamate transaminase (AST) ≤ 5 x upper limit of normal range (ULN); creatinine(Cr) ≤ 1.5 x upper limit of normal range(ULN) or creatinine clearance rate（CCR）≥ 45ml/min;
At least one measurable lesion;
Karnofsky Performance Status(KPS) ≥ 70;
Estimated life expectancy of at least 3 months;
Resolution of all acute clinical toxic effects of any prior treatment to grade ≤ 1, with the exception of alopecia;
Be able to understand and willingness to sign IRB-approved informed consent; (If the patient cannot sign the informed consent due to consciousness disorder, upper limbs paralysis or inability to write, the legal representative shall sign the informed consent on behalf of the patient).

Exclusion Criteria

Ongoing uncontrolled infections, or have received systemic antibiotic therapy within 72 hours prior to registration;
Myeloproliferative disorder or any other hematopoietic function disorder;
Have an untreated second malignancy or brain metastasis;
Allergic to the chemotherapy drugs of this protocol;
Unable to cooperate due to neurologic diseases or psychiatric illness;
Pregnant or lactating female patients; Women of child-bearing age who refuse to accept contraceptive measures;
Have other significant medical illness, for example,active tuberculosis, active pneumonia, uncorrected electrolyte disturbance, uncontrolled tumor associated pain, uncontrolled hydrothorax or seroperitoneum and so on;
Patients need to receive other antitumor therapy at the same time;
Have received any other experimental treatment or participated in another interventional clinical trial within 30 days prior to registration;
Any other situation that the researcher considered patients are unsuitable for the trial.

Study & Design

Arm && Interventions

Group	Intervention	Description
Nab-paclitaxel + Cisplatin	Nab-paclitaxel + Cisplatin	Patients in this arm receive chemotherapy with Nab-paclitaxel plus Cisplatin
Gemcitabine + Cisplatin	Gemcitabine + Cisplatin	Patients in this arm receive chemotherapy with Gemcitabine plus Cisplatin

Primary Outcome Measures

Name	Time	Method
PFS	up to 3 years	PFS is defined as time from the start of treatment to progression of disease or death.

Secondary Outcome Measures

Name	Time	Method
OS	up to 3 years	Overall survival is defined as time from the start of treatment until death due to any reason.
AEs	up to 3 years	Adverse reactions refer to the occurrence and development of diseases in the process of using drugs according to normal usage and dosage to prevent, diagnose or treat diseases.Adverse reactions unrelated to the purpose of treatment.
TTP	up to 3 years	Time to progress is defined as time from randomized grouping to objective progression of tumors.
ORR	up to 3 years	The rate of participants that achieve either a complete response (CR) or a partial response (PR).

Recruitment & Eligibility