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
ConditionsBiliary Tract Cancer
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.
Investigators
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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