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Clinical Trials/NCT04692051
NCT04692051
Unknown
Phase 2

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

Huazhong University of Science and Technology1 site in 1 country100 target enrollmentSeptember 1, 2019

Overview

Phase
Phase 2
Intervention
Nab-paclitaxel + Cisplatin
Conditions
Biliary Tract Cancer
Sponsor
Huazhong University of Science and Technology
Enrollment
100
Locations
1
Primary Endpoint
PFS
Last Updated
5 years ago

Overview

Brief Summary

It is a trial to compare the efficacy and safety of Nab-paclitaxel plus Cisplatin vs Gemcitabine plus Cispatin as first line chemotherapy in advanced biliary tract cancer.

Registry
clinicaltrials.gov
Start Date
September 1, 2019
End Date
September 1, 2021
Last Updated
5 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Xianglin Yuan

Professor, Head of the cancer center

Huazhong University of Science and Technology

Eligibility Criteria

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.

Arms & Interventions

Nab-paclitaxel + Cisplatin

Patients in this arm receive chemotherapy with Nab-paclitaxel plus Cisplatin

Intervention: Nab-paclitaxel + Cisplatin

Gemcitabine + Cisplatin

Patients in this arm receive chemotherapy with Gemcitabine plus Cisplatin

Intervention: Gemcitabine + Cisplatin

Outcomes

Primary Outcomes

PFS

Time Frame: up to 3 years

PFS is defined as time from the start of treatment to progression of disease or death.

Secondary Outcomes

  • OS(up to 3 years)
  • AEs(up to 3 years)
  • TTP(up to 3 years)
  • ORR(up to 3 years)

Study Sites (1)

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