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OncoMatch/Clinical Trials/NCT07850791

A Prospective Study of Sacituzumab Tirumotecan Plus Pembrolizumab for Advanced Biliary Tract Cancer

Official title: A Prospective, Multicenter, Single-Arm, Phase II Clinical Study of Sacituzumab Tirumotecan Plus Pembrolizumab as Second-Line Treatment for Advanced Biliary Tract Cancer

Is NCT07850791 recruiting? Yes, currently enrolling (Oct 2026). This Phase 2 trial studies Sacituzumab Tirumotecan (SKB264) plus Pembrolizumab for biliary tract cancer (btc).

Phase 2RecruitingHaitao Zhao, MDNCT07850791Data as of Oct 2026Location: China

Treatment: Sacituzumab Tirumotecan (SKB264) plus Pembrolizumab — The purpose of this study is to explore the effects of sacituzumab tirumotecan combined with pembrolizumab on survival, disease progression, and safety in patients with advanced biliary tract malignancies in the second-line and later settings. This is a multicenter, phase II, interventional single-arm clinical study. A total of 38 participants will be enrolled. Participants will receive the combination therapy until disease progression or unacceptable toxicity.

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Extracted eligibility criteria

Treatments studied

Immunotherapy

Sacituzumab Tirumotecan (SKB264) plus Pembrolizumab

Cancer type

Cholangiocarcinoma

Disease stage

Required: Stage IIIA, IIIB, IIIC, IV

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≤ 75

Prior therapy

Min 1 prior line

Must have received: standard therapy

Disease progression after one or more prior lines of standard therapy.

Cannot have received: TROP2-targeted therapy

Prior treatment with TROP2-targeted therapy

Cannot have received: topoisomerase I inhibitor

Prior treatment with ... topoisomerase I inhibitors

Lab requirements

Blood counts

Hemoglobin ≥ 90 g/L; ANC ≥ 1.5 x 10^9/L; Platelets ≥ 100 x 10^9/L. No blood transfusion, no G-CSF administration, and no pharmacological correction within 14 days prior to screening.

Kidney function

Serum creatinine ≤ 1.5x ULN, or creatinine clearance (CrCl) > 50 mL/min (Cockcroft-Gault formula).

Liver function

ALT and AST ≤ 2.5x ULN; for patients with liver metastases, ALT and AST ≤ 5x ULN. Serum bilirubin ≤ 2.0x ULN (criteria do not apply to patients with confirmed Gilbert's syndrome). Any clinically significant biliary obstruction must be relieved prior to enrollment.

Adequate hematological and organ function ... see full text for details.

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

Frequently asked questions

Is NCT07850791 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior TROP2-targeted therapy, topoisomerase I inhibitor disqualifies patients from enrollment.

What disease stage is eligible?

Stage IIIA or IIIB or IIIC or IV is required.

Is there an age limit?

Yes. Patients must be 75 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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