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OncoMatch/Clinical Trials/NCT05757336

Combination of Gemcitabine, Albumin-paclitaxel , Sintilimab and Bevacizumab in Unresectable Gallbladder Cancer

Is NCT05757336 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Combination of Gemcitabine, Nab-paclitaxel, Sintilimab and Bevacizumab for gallbladder cancer.

Phase 2RecruitingLu Wang, MD, PhDNCT05757336Data as of May 2026

Treatment: Combination of Gemcitabine, Nab-paclitaxel, Sintilimab and BevacizumabStudy design: Prospective, single-arm, single-center phase II clinical study; Primary endpoint: Objective response rate via investigator, Safety; Secondary endpoints: disease control rate, disease-free survival, overall survival, and proportion of acceptable radical resection of primary lesions; Main characteristics of enrolled patients: Patients with initially unresectable gallbladder cancer; Interventions: Combination of Gemcitabine, Nab-paclitaxel, Sintilimab and Bevacizumab; Sample size: Using Simon's two-stage design, 15 patients in the first stage, and if more than 4pts response, enlarge the sample size to 45 patients in total; Treatment until: 1. successfully conversed to resectable disease 2. progressed disease 3. intolerable toxicity 4. patient requests withdrawal; Research process: In this study, patients who met the inclusion criteria were evaluated at the end of every 9 weeks of treatment, up to surgical treatment or disease progression; Safety evaluation: Evaluate adverse reactions according to CTCAE 5.0; Follow up: every 90 days (±7 days) until the subject died, lost follow-up or the end of the study.

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Extracted eligibility criteria

Cancer type

Cholangiocarcinoma

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: systemic anti-tumor therapy

No previous systemic anti-tumor therapy (radiotherapy, chemotherapy, targeted or immunotherapy, etc.)

Lab requirements

Blood counts

ANC ≥ 1.5x10^9/L and platelets ≥ 90×10^9/L (no G-CSF in past 14 days); Hemoglobin > 9g/dL (no transfusion or erythropoietin in past 21 days)

Kidney function

Creatinine clearance rate (Cockcroft-Gault) ≥ 50 ml/min

Liver function

Total bilirubin ≤ 3 × ULN; AST and ALT ≤2.5×ULN (≤5×ULN with liver metastases); AKP ≤2.5×ULN

Cardiac function

Myocardial enzyme spectrum within normal range (clinically insignificant abnormalities allowed)

Sufficient organ function, the subject needs to meet the following laboratory indicators: ... see full criteria

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

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