CClinicalTrials.gg
Status unknownNCT03982680Updated Jul 16, 2019

Toripalimab Combined With Gemcitabine/5--fluoropyrimidine for Advanced Cholangiocarcinoma

A Phase 2 interventional study of Toripalimab and Gemcitabine in Advanced Cholangiocarcinoma, sponsored by Jiangmen Central Hospital. Status unknown at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2019-07-16.

Sponsored by Jiangmen Central Hospital · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
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Study summary

The study is a phase II clinical trial of single arm. The purpose is to evaluate the safety and efficacy of anti-PD-1 antibody Toripalimab combined with chemotherapy(gemcitabine+5-fluorine pyrimidine) in unresectable advanced cholangiocarcinoma patients.

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Conditions studied

  • Advanced Cholangiocarcinoma

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03

In context

Cholangiocarcinoma

914 studies on the registry are indexed under Cholangiocarcinoma; 286 are open to participants now.

This study's planned enrollment of 30 is below the median of 50 across 687 interventional studies indexed under Cholangiocarcinoma.

Browse Cholangiocarcinoma studies →

Lead sponsor

Jiangmen Central Hospital is the lead sponsor of 5 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • histologically or cytologically confirmed cholangiocarcinoma
  • stage IV disease,no system therapy for advanced disease
  • one or more lesions that can be measured by imaging assessment
  • 18 to 70 years of age and life expectancy exceeds 3 months
  • adequate specimens for detection of PD-1/PD-L1 and MMR
  • karnofsky performance status(KPS) score ≥70%
  • routine blood routine, liver and kidney function and electrocardiogram were basically normal without contraindication of chemotherapy.

Exclusion criteria

Exclusion Criteria:

  • dual cancers other than cholangiocarcinoma
  • metastasis of central nervous system
  • unreleased biliary obstruction
  • acute infections requiring treatment
  • non-infectious pneumonia requires glucocorticoid therapy, active autoimmune diseases, or systemic immunosuppressive therapy.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Toripalimab combined with Gem/5-FU

    All patients were given Toripalimab 3 mg/kg (day 1 and 15); Gem+5-FU (Gem 1250mg/m2+CF 200 mg/m2+5-FU400 mg/m2 intravenous drip+5-FU 2.4-3.6 g/m2 continuous intravenous drip for 48 hours), the first and fifteenth days, four weeks for a cycle, a total of four cycles.After 4 cycles, Toripalimab was maintained at 3 mg/kg Q3 w for a total of 1 year if the disease was not progressing or toxic side effects were tolerated.

    Drug: Toripalimab · Drug: Gemcitabine · Drug: 5- fluorine pyrimidine

Interventions

  • DrugToripalimab

    3mg/kg on d1 and d15 q4W\*4cycles,then 3mg/kg q3w for 1 year in total

  • DrugGemcitabine

    1250mg/m2 on d1 and d15 q4W\*4cycles

    Also known as: Gem

  • Drug5- fluorine pyrimidine

    400mg/m2 intravenous injection plus 5-FU 2.4g-3.6g/m2 continuous intravenous drip for 48h on d1 and d15 q4W\*4cycles

    Also known as: 5-FU

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What researchers measure

Primary outcomes

  1. 6-month PFS rate

    the rate of 6-month progression free survival

    Time frame: 6-month after the beginning of first line systemic therapy

  2. mPFS

    the median of progression free survival

    Time frame: from the beginning of the first line systemic therapy until the date of first documented progression or date of death from any cause,whichever came first,assessed up to 24 months

  3. Toxic side effects

    assess according to the National Cancer Institute-Common Terminology Criteria for Adverse Events 3.0

    Time frame: from the beginning of the first line systemic therapy until the end of follow-up,assessed up to 24 months

Secondary outcomes

  1. ORR

    the objective response rate

    Time frame: from the beginning of the first line systemic therapy until the date of completion of therapy,assessed up to 13 months

  2. DCR

    the disease control rate

    Time frame: from the beginning of the first line systemic therapy until the date of completion of therapy,assessed up to 13 months

  3. 1-year OS rate

    the rate of 1-year overall survival

    Time frame: 1 year after the beginning of the first line systemic therapy

  4. mOS

    the median of overall survival

    Time frame: from the beginning of the first line systemic therapy until the date of death from any cause,assessed up to 24 months

Other outcomes

  1. the value of PD-1/PD-L1

    to analyze the predictive value of PD-1/PD-L1 for efficacy and toxicity

    Time frame: from the beginning of the first line systemic therapy until the end of follow-up,assessed up to 24 months

  2. the value of MMR

    to analyze the predictive value of MMR for efficacy and toxicity

    Time frame: from the beginning of the first line systemic therapy until the end of follow-up,assessed up to 24 months

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Study locations

1 of 1 sites recruiting
  • Jiangmen central hospital
    Jiangmen, Guangdong 529000, China
    Recruiting
08

References and documents

Publications

  • GBD 2013 Mortality and Causes of Death Collaborators. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015 Jan 10;385(9963):117-71. doi: 10.1016/S0140-6736(14)61682-2. Epub 2014 Dec 18. PubMed 25530442 ↗
  • Jain A, Javle M. Molecular profiling of biliary tract cancer: a target rich disease. J Gastrointest Oncol. 2016 Oct;7(5):797-803. doi: 10.21037/jgo.2016.09.01. PubMed 27747093 ↗
  • Takakura H, Domae S, Ono T, Sasaki A. The Immunological Impact of Chemotherapy on the Tumor Microenvironment of Oral Squamous Cell Carcinoma. Acta Med Okayama. 2017 Jun;71(3):219-226. doi: 10.18926/AMO/55204. PubMed 28655941 ↗
  • Gotwals P, Cameron S, Cipolletta D, Cremasco V, Crystal A, Hewes B, Mueller B, Quaratino S, Sabatos-Peyton C, Petruzzelli L, Engelman JA, Dranoff G. Prospects for combining targeted and conventional cancer therapy with immunotherapy. Nat Rev Cancer. 2017 May;17(5):286-301. doi: 10.1038/nrc.2017.17. Epub 2017 Mar 24. PubMed 28338065 ↗
  • Okusaka T, Nakachi K, Fukutomi A, Mizuno N, Ohkawa S, Funakoshi A, Nagino M, Kondo S, Nagaoka S, Funai J, Koshiji M, Nambu Y, Furuse J, Miyazaki M, Nimura Y. Gemcitabine alone or in combination with cisplatin in patients with biliary tract cancer: a comparative multicentre study in Japan. Br J Cancer. 2010 Aug 10;103(4):469-74. doi: 10.1038/sj.bjc.6605779. Epub 2010 Jul 13. PubMed 20628385 ↗
  • Morizane C, Ueno M, Ikeda M, Okusaka T, Ishii H, Furuse J. New developments in systemic therapy for advanced biliary tract cancer. Jpn J Clin Oncol. 2018 Aug 1;48(8):703-711. doi: 10.1093/jjco/hyy082. PubMed 29893894 ↗
  • Sabbatino F, Villani V, Yearley JH, Deshpande V, Cai L, Konstantinidis IT, Moon C, Nota S, Wang Y, Al-Sukaini A, Zhu AX, Goyal L, Ting DT, Bardeesy N, Hong TS, Fernandez-del Castillo C, Tanabe KK, Lillemoe KD, Ferrone S, Ferrone CR. PD-L1 and HLA Class I Antigen Expression and Clinical Course of the Disease in Intrahepatic Cholangiocarcinoma. Clin Cancer Res. 2016 Jan 15;22(2):470-8. doi: 10.1158/1078-0432.CCR-15-0715. Epub 2015 Sep 15. PubMed 26373575 ↗
  • Taube JM, Klein A, Brahmer JR, Xu H, Pan X, Kim JH, Chen L, Pardoll DM, Topalian SL, Anders RA. Association of PD-1, PD-1 ligands, and other features of the tumor immune microenvironment with response to anti-PD-1 therapy. Clin Cancer Res. 2014 Oct 1;20(19):5064-74. doi: 10.1158/1078-0432.CCR-13-3271. Epub 2014 Apr 8. PubMed 24714771 ↗
  • Herbst RS, Soria JC, Kowanetz M, Fine GD, Hamid O, Gordon MS, Sosman JA, McDermott DF, Powderly JD, Gettinger SN, Kohrt HE, Horn L, Lawrence DP, Rost S, Leabman M, Xiao Y, Mokatrin A, Koeppen H, Hegde PS, Mellman I, Chen DS, Hodi FS. Predictive correlates of response to the anti-PD-L1 antibody MPDL3280A in cancer patients. Nature. 2014 Nov 27;515(7528):563-7. doi: 10.1038/nature14011. PubMed 25428504 ↗
  • Topalian SL, Hodi FS, Brahmer JR, Gettinger SN, Smith DC, McDermott DF, Powderly JD, Carvajal RD, Sosman JA, Atkins MB, Leming PD, Spigel DR, Antonia SJ, Horn L, Drake CG, Pardoll DM, Chen L, Sharfman WH, Anders RA, Taube JM, McMiller TL, Xu H, Korman AJ, Jure-Kunkel M, Agrawal S, McDonald D, Kollia GD, Gupta A, Wigginton JM, Sznol M. Safety, activity, and immune correlates of anti-PD-1 antibody in cancer. N Engl J Med. 2012 Jun 28;366(26):2443-54. doi: 10.1056/NEJMoa1200690. Epub 2012 Jun 2. PubMed 22658127 ↗
  • Gou M, Zhang Y, Si H, Dai G. Efficacy and safety of nivolumab for metastatic biliary tract cancer. Onco Targets Ther. 2019 Jan 25;12:861-867. doi: 10.2147/OTT.S195537. eCollection 2019. PubMed 30774373 ↗
  • Asaoka Y, Ijichi H, Koike K. PD-1 Blockade in Tumors with Mismatch-Repair Deficiency. N Engl J Med. 2015 Nov 12;373(20):1979. doi: 10.1056/NEJMc1510353. No abstract available. PubMed 26559583 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 16, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03982680
Lead sponsor
Jiangmen Central Hospital
Responsible party
yu gengsheng (Vice director of Oncology department, Jiangmen Central Hospital) — Principal investigator
First posted
Jun 11, 2019
Start date
Jul 13, 2019
Primary completion
May 30, 2021 (estimated)
Completion
Dec 30, 2021 (estimated)
Last update
Jul 16, 2019

Study contacts

Deng wenjing, master
Contact
wjdeng2011@163.com
(+86)07503165905
Yu gengsheng, master
Contact
gengsheng_yu@hotmail.com
(+86)07503165915
Yu gengsheng, master
study director · jiangmen cenctral 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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