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Phase Ib/II Trial of Nal-Irinotecan and Nivolumab as Second-Line Treatment in Patients With Advanced Biliary Tract Cancer

Phase 1
Completed
Conditions
Biliary Tract Cancer
Interventions
Registration Number
NCT03785873
Lead Sponsor
University of Michigan Rogel Cancer Center
Brief Summary

The purpose of this study is to test the effectiveness (how well the drug works), safety, and tolerability of the investigational drug combination of nivolumab plus nanoliposomal-irinotecan, 5-fluorouracil, and leucovorin for patients with advanced or metastatic biliary tract cancer after progression on first-line systemic therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
34
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Nal-Irinotecan and NivolumabNanoliposomal-Irinotecan-
Nal-Irinotecan and NivolumabNivolumab-
Nal-Irinotecan and NivolumabLeucovorin-
Nal-Irinotecan and Nivolumab5-Fluorouracil-
Primary Outcome Measures
NameTimeMethod
Phase II: Median Progression-Free Survival (PFS)Up to 2 years after last dose of study treatment or 3 years after first date of treatment initiation for those that remain on treatment

Based on Kaplan-Meier estimates.

Phase Ib: Incidence of dose-limiting toxicities (DLTs) of drug combination nanoliposomal-Irinotecan, 5-fluorouracil, leucovorin and nivolumabAt 4 weeks after initiation of study treatment

Adverse events will be graded according to NCI Common Toxicity Criteria for Adverse Events (CTCAE) version 5.0

Secondary Outcome Measures
NameTimeMethod
Overall Response Rate (ORR)Up to 2 years after last dose of study treatment

Determined per the combined Response Evaluation Criteria in Solid Tumours (RECISTv1.1) and immune-related RECIST (irRECIST) criteria

Incidence of adverse eventsUntil discontinuation of study treatment, up to approximately 2 years after initiating study treatment or 3 years after first date of treatment initiation for those that remain on treatment

Reportable adverse events are defined by the study protocol and graded according to the NCI Common Toxicity Criteria for Adverse Events (CTCAE) v5.0.

Median Overall Survival (OS)Up to 2 years after last dose of study treatment

Trial Locations

Locations (5)

University of Michigan Rogel Cancer Center

🇺🇸

Ann Arbor, Michigan, United States

Cancer and Hematology Centers of Western Michigan

🇺🇸

Grand Rapids, Michigan, United States

University of Utah

🇺🇸

Salt Lake City, Utah, United States

Virginia Mason

🇺🇸

Seattle, Washington, United States

University of Wisconsin

🇺🇸

Madison, Wisconsin, United States

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