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CompletedNCT03478488KN035-BTCUpdated Sep 23, 2026

Programmed Death Ligand (PD-L1) Combined With Chemotherapy for Patients With BTC

A Phase 3 interventional study of KN035 plus Gemcitabine & oxaliplatin and Gemcitabine & oxaliplatin in Biliary Tract Neoplasms, sponsored by 3D Medicines (Sichuan) Co., Ltd.. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by 3D Medicines (Sichuan) Co., Ltd. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
472
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This is a randomized, open-label, parallel-group multi-center study of Phase 3 study to assess the efficacy and safety of KN035 compared to standard of care (SOC) Gemcitabine-based chemotherapies in the treatment of participants with previously untreated locally advanced or metastatic biliary tract cancer.

The primary hypothesis of this study is that participants will have a longer overall Survival (OS) when treated with combined therapy than SOC.

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Conditions studied

  • Biliary Tract Neoplasms
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Eighteen years and older;
  • Histological or cytological diagnosis of unresectable or metastatic gallbladder cancer or cholangiocarcinoma;
  • Previously untreated with systemic therapy; Subjects who developed recurrent disease >6 months after a sort of adjuvant, neoadjuvant chemotherapy could also be eligible.
  • Liver function Child-Pugh A or B;
  • Performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Status;
  • Life expectancy of at least 12 weeks;
  • At least one measurable lesion per RECIST 1.1;
  • Adequate organ function

Exclusion criteria

Exclusion Criteria:

  • Specific anti-tumor treatment prior to 4 weeks;
  • more than 50% liver metastasis ;
  • Patient with other serious diseases or clinical conditions, including but not limited to uncontrolled active infection etc;
  • History of severe hypersensitivity reaction to any monoclonal antibody or chemistry;
  • Women who are pregnant or in the period of lactation;
  • Patients with an active, known or suspected autoimmune disease. Patients are permitted to enrol if they have vitiligo, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement;
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
472 participants (actual)

Study arms

  • Experimental
    KN035

    KN035 plus Gemcitabine \& oxaliplatin KN035 2.5 mg/Kg, administered as subcutaneous injection, weekly of each 21-day cycle. Gemcitabine 1000 mg/m\^2, IV infusion on Day 1 and Day 8, and oxaliplatin 85 mg/m\^2, IV infusion on Day 1 of each 21-day cycle for no more than 6 cycles.

    Drug: KN035 plus Gemcitabine & oxaliplatin

  • Active comparator
    Gemcitabine & oxaliplatin

    Gemcitabine 1000 mg/m\^2, IV infusion on Day 1 and Day 8, and oxaliplatin 85 mg/m\^2, IV infusion on Day 1 of each 21-day cycle for no more than 6 cycles.

    Drug: Gemcitabine & oxaliplatin

Interventions

  • DrugKN035 plus Gemcitabine & oxaliplatin

    KN035 a programmed death ligand immune check inhibitor Per Investigator decision

    Also known as: Experimental

  • DrugGemcitabine & oxaliplatin

    The standard of care for the patients with unresectable/metastatic biliary tract cancer

    Also known as: Active Comparator

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What researchers measure

Primary outcomes

  1. Overall Survival (OS)

    was defined as the time from randomization to death due to any cause.

    Time frame: Observed by 12 weeks after progressive disease or end of treatment

Secondary outcomes

  1. Progression Free Survival (PFS)

    was defined as the time from randomization to documented disease progression per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) or death due to any cause, whichever occurred first and was based on blinded independent Review Committee (BIRC) review.

    Time frame: Observed by 6 weeks

  2. Objective response rate (ORR)

    was defined as the percentage of participants in the analysis population who experienced a Complete Response or a Partial Response and was assessed using RECIST 1.1 based on BIRC evaluation.

    Time frame: Observed by 6 weeks

  3. Disease control rate (DCR)

    was defined as the percentage of participants in the analysis population who experienced a Complete Response or a Partial Response or stable disease and was assessed using RECIST 1.1 based on BIRC evaluation

    Time frame: Observed by 6 weeks

  4. Duration of Response (DOR)

    was defined as the time from the first met for complete response/partial response (whichever was first recorded) until the first date that recurrent or progressive disease was objectively documented (taking as reference for progressive disease the smallest measurements recorded on study)

    Time frame: Observed by 6 weeks

  5. Time to progression (TTP)

    was defined as the time from randomization to the first date that progressive disease was objectively documented

    Time frame: Observed by 6 weeks

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Study locations

1 site
  • The Chinese people's liberation army (PLA) 81hospital
    Nanjing, Jiangsu 210002, China
07

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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Registry details

Key details

Study ID
NCT03478488
Lead sponsor
3D Medicines (Sichuan) Co., Ltd.
Responsible party
Sponsor
First posted
Mar 27, 2018
Start date
Apr 16, 2018
Primary completion
Sep 10, 2024
Completion
Sep 10, 2024
Last update
Sep 23, 2026

Study contacts

Shukui Qin
principal investigator · The Chinese people's liberation army (PLA) 81 hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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