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OncoMatch/Clinical Trials/NCT07105852

Exploring the Safety and Efficacy of Sacituzumab Tirumotecan Combined With Pucotenlimab in the Treatment of Advanced Cholangiocarcinoma

Is NCT07105852 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Sacituzumab tirumotecan (iv)+Putolizumab for cholangiocarcinoma.

Phase 2RecruitingSir Run Run Shaw HospitalNCT07105852Data as of May 2026

Treatment: Sacituzumab tirumotecan (iv)+Putolizumab1. Primary Objectives (1) To evaluate the safety and tolerability of sacituzumab tirumotecan in combination with pucotenlimab in patients with advanced cholangiocarcinoma; (2) To assess the objective response rate (ORR) of sacituzumab tirumotecan combined with pucotenlimab in patients with unresectable or metastatic cholangiocarcinoma, as evaluated by investigators per RECIST v1.1; 2. Secondary Objectives (1) To evaluate the overall survival (OS) of sacituzumab tirumotecan combined with pucotenlimab in advanced cholangiocarcinoma; (2) To assess progression-free survival (PFS), disease control rate (DCR), duration of response (DOR), and time to response (TTR) in patients treated with sacituzumab tirumotecan combined with pucotenlimab, as determined by investigators based on RECIST v1.1; (3) To further evaluate PFS (as a standalone secondary endpoint); 3. Exploratory Objectives (1) To investigate the correlation between TROP2 expression, systemic immune biomarkers, and treatment efficacy.

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Extracted eligibility criteria

Cancer type

Cholangiocarcinoma

Biomarker criteria

Required: TACSTD2 positive TROP2 protein

Patients with positive TROP2 protein

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot have received: TROP2-targeted therapy

Previously received any of the following treatments (including in the context of adjuvant or neoadjuvant therapy): targeted TROP2 therapy

Cannot have received: topoisomerase I inhibitor

Any drug therapy containing targeted topoisomerase I, including antibody conjugated drug (ADC) therapy

Cannot have received: immune checkpoint inhibitor

Immune checkpoint inhibitors (such as anti-PD-1/L1 antibodies, anti-CTLA-4 antibodies, etc.), immune checkpoint agonists (such as ICOS, CD40, CD137, GITR, OX40 antibodies, etc.), immune cell therapy, and any other treatment targeting the tumor immune mechanism

Cannot have received: antibody-drug conjugate

Any drug therapy containing targeted topoisomerase I, including antibody conjugated drug (ADC) therapy

Cannot have received: TROP2-targeted antibody-drug conjugate

Previously received ADC targeting TROP2 or any drug treatment containing topoisomerase I inhibitors

Lab requirements

Blood counts

neutrophil count >= 1.2 × 10^9/L; platelet count >= 75 × 10^9/L; hemoglobin >= 9 g/dL

Kidney function

plasma Cr <= 1.5 ULN or creatinine clearance rate (Ccr) >= 60 ml/min

Liver function

AST, ALT, ALP <= 2.5 x ULN; TBIL <= 1.5 x ULN; if liver metastasis, ALT and AST <= 5 ULN

Having sufficient organ and bone marrow function ... Blood routine: neutrophil count (NEUT) >= 1.2 × 10^9/L; platelet count (PLT) >= 75 × 10^9/L; hemoglobin >= 9 g/dL; Liver function: AST, ALT, ALP <= 2.5 x ULN; TBIL <= 1.5 x ULN; If there is liver metastasis, ALT and AST should be <= 5ULN; Renal function: plasma Cr <= 1.5ULN or creatinine clearance rate (Ccr) >= 60 ml/min

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

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