Study on Durvalumab or Placebo with Gemcitabine and Cisplatin for First-Line Treatment of Advanced Biliary Tract Cancer (TOPAZ-1)

Sponsor: AstraZeneca

Sponsor score: 40

ClinicalTrials ID:NCT03875235

This clinical trial is testing whether adding the drug Durvalumab to the standard chemotherapy treatment of Gemcitabine and Cisplatin can improve outcomes for patients with advanced biliary tract cancer. Some patients will receive a placebo instead of Durvalumab to compare the effects.

Patient Parameters

Program Overview

The purpose of this study is to determine if the addition of Durvalumab, an immunotherapy drug, to the standard chemotherapy regimen of Gemcitabine and Cisplatin can provide better results for patients who are receiving their first treatment for advanced biliary tract cancer. The study will compare the effects of Durvalumab with a placebo to see if it offers any additional benefits.

Description

This is a Phase III clinical trial, which means it is in the later stages of testing and involves a larger group of participants. The study is randomized, meaning patients are randomly assigned to receive either the experimental treatment or a placebo. It is also double-blind, so neither the patients nor the researchers know who is receiving the actual drug or the placebo, ensuring unbiased results. The trial is being conducted across multiple regions internationally, involving patients with advanced biliary tract cancers who are receiving their first line of treatment. The main goal is to see if Durvalumab, when combined with the chemotherapy drugs Gemcitabine and Cisplatin, can improve patient outcomes compared to the standard treatment alone.

Eligibility Criteria

Inclusion

  1. Histologically confirmed, unresectable advanced or metastatic biliary tract, including cholangiocarcinoma (intrahepatic or extrahepatic) and gallbladder carcinoma.
  2. Patients with previously untreated disease if unresectable or metastatic at initial diagnosis will be eligible.
  3. Patient with recurrent disease >6 months after curative surgery or >6 months after the completion of adjuvant therapy (chemotherapy and/or radiation) will be eligible.
  4. WHO/ECOG PS of 0 or 1

Exclusion

  1. History of another primary malignancy
  2. Brain metastases or spinal cord compression
  3. Uncontrolled intercurrent illness
  4. Major surgical procedure within 28 days prior to the first dose of IP.
  5. Prior locoregional therapy such as radioembolization

Locations

FACILITYZIPCITYSTATE
Research Site90027Los AngelesCalifornia
Research Site92868OrangeCalifornia
Research Site20007Washington D.C.District of Columbia
Research Site33905Fort MyersFlorida
Research Site33705St. PetersburgFlorida
Research Site66205WestwoodKansas
Research Site40202LouisvilleKentucky
Research Site01805BurlingtonMassachusetts
Research Site63110St LouisMissouri
Research Site27514Chapel HillNorth Carolina

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