OncoMatch

OncoMatch/Clinical Trials/NCT05615818

Personalized Medicine for Advanced Biliary Cancer Patients

Is NCT05615818 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments for biliary tract neoplasms.

Phase 3RecruitingUNICANCERNCT05615818Data as of May 2026

Treatment: Futibatinib · Ivosidenib · Zanidatamab · Trastuzumab · Neratinib · Encorafenib · Binimetinib · Niraparib · Cisplatin · GemcitabineThe object of this trial is to evaluate whether the introduction of a targeted therapy after 4 cycles of the current standard-of-care treatment for advanced biliary cancer is superior to continuing with the standard treatment. The trial is composed of two phases: (i) An initial screening phase to identify a suitable patient population, during which a molecular profile of the patient's tumour will be obtained, and (ii) a randomised comparative trial in which patients with disease control after 4 cycles of standard treatment, and whose tumour harbours a targetable molecular alteration, will be randomised (2:1) to receive either a matched targeted therapy or to continue with the standard treatment.

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Extracted eligibility criteria

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Max 1 prior line

Must have received: first-line standard of care — advanced/palliative

Candidate for 1L-SoC therapy, or has initiated first cycle of 1L-SoC therapy

Cannot have received: anticancer therapy in the palliative setting

Exception: Adjuvant capecitabine allowed if completed ≥ 183 days prior to study entry

Prior anticancer therapy in the palliative setting. Adjuvant capecitabine allowed if completed ≥ 183 days prior to study entry

Cannot have received: molecularly targeted therapy under investigation in the SAFIR-ABC10 study

Prior treatment with any of the MTT under investigation in the SAFIR-ABC10 study

Lab requirements

Blood counts

ANC ≥1.5 × 10⁹/L, platelet count ≥100 × 10⁹/L, haemoglobin ≥9 g/dL

Kidney function

estimated creatinine clearance ≥ 60 mL/min (Cockcroft-Gault)

Liver function

total bilirubin ≤1.5 × ULN (≤3.0 ULN with Gilbert syndrome); AST/ALT ≤2.5 × ULN (≤5 × ULN with tumour liver involvement)

Cardiac function

left ventricular ejection fraction ≥50% at baseline (by echocardiogram or MUGA)

Adequate bone marrow function: absolute neutrophil count (ANC) ≥1.5 × 10⁹/L, platelet count ≥100 × 10⁹/L, and haemoglobin ≥9 g/dL; Adequate liver function: total bilirubin level ≤1.5 × ULN (≤3.0 ULN with Gilbert syndrome), AST and ALT ≤2.5 × ULN (≤5 ULN with tumour liver involvement); Adequate renal function: estimated creatinine clearance ≥ 60 mL/min (Cockcroft-Gault); Adequate cardiac function: left ventricular ejection fraction ≥50% at baseline (by echocardiogram or MUGA)

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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