UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056779
Receipt number R000064897
Scientific Title A multicenter prospective observational study on the clinical outcomes of patients with biliary tract cancer treated by systemic chemotherapy in combination with immune checkpoint inhibitors
Date of disclosure of the study information 2025/02/10
Last modified on 2025/01/22 09:34:11

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Basic information

Public title

A multicenter prospective observational study on the clinical outcomes of patients with biliary tract cancer treated by systemic chemotherapy in combination with immune checkpoint inhibitors

Acronym

An observational study on systemic chemotherapy with ICI for biliary cancer

Scientific Title

A multicenter prospective observational study on the clinical outcomes of patients with biliary tract cancer treated by systemic chemotherapy in combination with immune checkpoint inhibitors

Scientific Title:Acronym

An observational study on systemic chemotherapy with ICI for biliary cancer

Region

Japan


Condition

Condition

Biliary tract cancer

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

This multicenter prospective observational study aims to evaluate real-world data on the therapeutic efficacy, the factors associated with treatment outcomes and the immune-related adverse events (irAEs) of systemic therapy in combination with immune checkpoint inhibitors (ICIs) for biliary tract cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

To evaluate the efficacy of Gem + CDDP in combination with durvalumab or pembrolizumab and investigate the factors associated with treatment outcomes
To investigate the frequency and the characteristics of immune related adverse events

Key secondary outcomes

1) To investigate the frequency of genetic test in biliary tract cancer and its impact on treatment efficacy
2) To evaluate the treatment efficacy and safety by regimen in second-line and later-line therapies
3) To investigate the frequency and the characteristics of the adverse events other than irAEs
4) To investigate the factors associated with the occurrence of irAEs
5) To investigate the correlation between the occurrence of irAEs and survival.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Diagnosed with unresectable biliary tract cancer, including intrahepatic cholangiocarcinoma, hilar bile duct cancer, and distal bile duct cancer, gallbladder cancer or ampullary cancer.
2) Pathologically confirmed as adenocarcinoma or adenosquamous carcinoma. In cases of postoperative recurrence, if the surgical specimen already provided a pathological diagnosis, the pathological diagnosis for the recurrent lesion is not required.
3) Received no prior chemotherapy for biliary tract cancer. The patients who were treated with S-1 as postoperative adjuvant chemotherapy remain eligible.
4) Received no prior history of radiotherapy for biliary tract cancer. The patients who have received palliative radiation for bone metastases for pain control remain eligible.
5) Over 20 years old
6) Provided written informed consent to participate in this study.

Key exclusion criteria

1) With a malignancy of other organ that could influence prognosis.
2) Received any chemotherapy for other malignancy at the time of enrollment.
3) Received prior treatment with ICIs including of antiPD1, antiPDL1, antiPDL2 or antiCTLA4 antibodies, therapy of Tcell regulatory antibodies or vaccine therapy.
4) Judged to be unsuitable for the participant this study by investigator or sub-investigator.

Target sample size

250


Research contact person

Name of lead principal investigator

1st name Tetsuo
Middle name
Last name Takehara

Organization

Osaka University Graduate School of Medicine

Division name

Gastroenterology and Hepatology

Zip code

5650871

Address

2-2, yamadaoka, suita, osaka

TEL

06-6879-3621

Email

takehara@gh.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Minoru
Middle name
Last name Shigekawa

Organization

Osaka University Graduate School of medicine

Division name

Gastroenterology and Hepatology

Zip code

5650871

Address

2-2, yamadaoka, suita, osaka

TEL

06-6879-3621

Homepage URL


Email

m-shigekawa@gh.med.osaka-u.ac.jp


Sponsor or person

Institute

Osaka Pancreas Forum

Institute

Department

Personal name



Funding Source

Organization

Dept. of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Suita, Japan

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical Review Board Osaka University Hospital

Address

2-2, yamadaoka, suita, osaka

Tel

06-6210-8296

Email

rinri@hp-crc.med.osaka-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 02 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 01 Month 07 Day

Date of IRB

2025 Year 01 Month 07 Day

Anticipated trial start date

2025 Year 02 Month 10 Day

Last follow-up date

2030 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2025 Year 01 Month 22 Day

Last modified on

2025 Year 01 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064897