ClinicalTrials.gg
TerminatedNCT04163900Updated May 24, 2023Results posted

Comparing NUC-1031 Plus Cisplatin to Gemcitabine Plus Cisplatin in Patients With Advanced Biliary Tract Cancer

A Phase 3 interventional study of NUC-1031 and Gemcitabine in Biliary Tract Cancer, sponsored by NuCana plc. Terminated at 125 sites in 15 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-05-24.

Sponsored by NuCana plc · Phase 3, Interventional, and Treatment

Why this study was terminated
A pre-planned futility analysis concluded that NUC-1031 plus cisplatin was unlikely to achieve its primary objective of improving overall survival. Based on the IDMC's recommendation, NuCana has closed the study.
Phase
Phase 3
Study type
Interventional
Enrollment
773
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 155 studies in Biliary Tract Neoplasms with a site in United States — 48 open to participants now, 67 under way, 9 of them phase 3. Biliary Tract Neoplasms · United States.

Enrollment
4th of 140
773 · median 75
Started
2019
with 14 others
Phase 3
11 of 155
5 open now
Registered
69th of 155
by date

Among the 155 studies in Biliary Tract Neoplasms with a site in United States, this one is the 4th largest by enrollment of the 140 interventional ones that give a count, is one of 15 that started in 2019, is one of 11 in phase 3, and was the 69th registered.

Biliary Tract Neoplasms

519 studies on the registry are indexed under Biliary Tract Neoplasms; 199 are open to participants now.

Browse Biliary Tract Neoplasms studies →

Open to participants now

48 of the 155 studies in Biliary Tract Neoplasms with a site in United States are open now. Recruiting first, the newest first:

43 more — sign in →

All 48 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 140 Biliary Tract Neoplasms studies recruiting now, 80 (57%) set no upper age limit and 37 (26%) stop at 75 or younger; 6 take children under 18; 4 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 155 studies in Biliary Tract Neoplasms with a site in United States, or all of them as a file.
02

Study summary

NuTide:121 compares NUC-1031 with gemcitabine, both in combination with cisplatin, in patients with previously untreated advanced biliary tract cancer.

The primary hypotheses are:

  • The combination of NUC-1031 plus cisplatin prolongs overall survival compared to the gemcitabine plus cisplatin standard of care
  • The combination of NUC-1031 plus cisplatin increases overall response rate compared to the gemcitabine plus cisplatin standard of care
03

Conditions studied

  • Biliary Tract Cancer

Keywords

  • Adenocarcinoma
  • Ampullary
  • Antineoplastic Agents
  • Biliary Tract Cancer
  • Chemotherapy
  • Cholangiocarcinoma
  • Cisplatin
  • Digestive System Neoplasms
  • Distal Bile Duct
  • Extrahepatic
  • First-line Chemotherapy
  • Gallbladder
  • Gastrointestinal
  • Gemcitabine
  • Hepatobiliary
  • Intrahepatic
  • Locally advanced
  • Metastatic
  • Neoplasm
  • NUC-1031
  • ProTides
  • Untreated
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Written and authorization to use and disclose health information.
  2. Ability to comprehend and willingness to comply with the requirements of this protocol, including the QoL questionnaires.
  3. Female or male patients aged ≥18 years.
  4. - or cytologically-confirmed adenocarcinoma of the biliary tract (including gallbladder, intra and extra-hepatic biliary ducts and ampullary cancers) that is locally advanced, unresectable or (AJCC edition 8, 2018). Patients with measurable (as per v1.1 criteria) or non- are permitted.
  5. ≥16 weeks.
  6. (ECOG) performance status 0 or 1.
  7. Adequate biliary drainage with no evidence of ongoing infection. If applicable, treatable and clinically-relevant biliary duct obstruction has been relieved by internal endoscopic drainage/stenting at least 2 weeks previously or by palliative bypass surgery or percutaneous drainage prior to study treatment, and the patient has no active or suspected uncontrolled infection. Patients fitted with a biliary stent should be clinically stable and free of signs of infection for ≥2 weeks prior to study treatment. Patients with improving biliary function who meet all other inclusion criteria may be re-tested during the screening window.
  8. Adequate bone marrow, hepatic, and renal function, as evidenced by:

    • (ANC) ≥1,500/μL without colony-stimulating factor support
    • count ≥100,000/μL
    • ≥9 g/dL without need for haematopoietic growth factor or transfusion support in prior 2 weeks
    • Total \<2 × (ULN); does not apply to patients with Gilbert's syndrome. Consistent with inclusion criterion 7, patients whose whole bilirubin and biliary function is recovering may be re-tested during the screening period.
    • (ALT) and/or aspartate aminotransferase (AST) \<5 × ULN
    • ≥45 mL/min actual or calculated by the Cockcroft-Gault method
    • (INR) \<1.5 and activated partial thromboplastin time (aPTT) \<1.5 × ULN; does not apply to patients on an anti-coagulant with stable dose 28 days prior to first dose.
  9. \<450 msec (males) or \<470 msec (females), in the absence of bundle branch block. In the presence of bundle branch block with consequent QTc prolongation, patients may be enrolled based on a careful risk-benefit assessment.
  10. -infected patients who are healthy and have a low risk of Acquired Immunodeficiency Syndrome-related outcomes may be included in this study.
  11. Female patients of (i.e., all women except those who are for ≥1 year or who have a history of hysterectomy or surgical sterilization) must have a negative pregnancy test within 3 days prior to the first study drug administration. All patients of child-bearing potential must agree to practice true abstinence or to use two highly effective forms of , one of which must be a barrier method of contraception, from the time of screening until 6 months after the last dose of study medication.
  12. Male patients with a female partner must either have had a successful vasectomy or they and their female partner meet the criteria above (not of childbearing potential or practicing highly effective contraceptive methods).

Exclusion criteria

Exclusion Criteria:

  1. Combined or mixed hepatocellular/cholangiocarcinoma.
  2. Prior systemic therapy for advanced or biliary tract cancer. However, prior chemotherapy in the setting or low-dose chemotherapy given in conjunction with radiotherapy in the adjuvant setting and completed at least 6 months prior to enrolment is permitted. The following prior interventions are allowed provided the patient has fully recovered:

    • Surgery: non-curative resection with macroscopic residual disease or palliative bypass surgery. Patients who have previously undergone curative surgery must now have evidence of non-resectable disease requiring systemic chemotherapy.
    • Radiotherapy: prior radiotherapy (with or without radio-sensitizing low-dose chemotherapy) for localized disease and there is now clear evidence of disease progression requiring systemic chemotherapy.
    • Photodynamic therapy: prior photodynamic therapy for localized disease with no evidence of metastatic disease or for localized disease to relieve biliary obstruction in the presence of metastatic disease provided there is now clear evidence of disease progression requiring systemic chemotherapy.
    • Palliative radiotherapy: palliative radiotherapy provided that all adverse events have resolved and the patient has outside the field of radiation.
  3. Prior treatment with or known to NUC-1031, gemcitabine, cisplatin or other platinum-based agents or history of allergic reactions attributed to any parenteral (e.g. dimethylacetamide [DMA], Cremophor EL, Polysorbate 80, Solutol HS 15).
  4. Symptomatic central nervous system or .
  5. History of other , except adequately treated non-melanoma skin cancer, curatively treated in situ cancer of the cervix, surgically excised or potentially curatively treated ductal carcinoma in situ of the breast, or low grade prostate cancer or patients after prostatectomy not requiring treatment. Patients with previous invasive cancers are eligible if treatment was completed more than 3 years prior to initiating the current study treatment, and the patient has had no evidence of recurrence since then.
  6. Concurrent serious (as deemed by the Investigator) medical conditions, including, but not limited to, class III or IV congestive heart failure, history of congenital prolonged syndrome, uncontrolled infection, active or C, or other co-morbid conditions that in the opinion of the Investigator would impair study participation or cooperation.
  7. Congenital or acquired immunodeficiency (e.g., serious active infection with ). As per inclusion criterion 10, patients with HIV who are healthy and have a low risk of AIDS related outcomes are eligible.
  8. Other acute or chronic medical, neurological, or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or product administration or may interfere with the interpretation of study results and, in the judgment of the Investigator, would make the patient inappropriate for entry into this study.
  9. Prior exposure to another investigational agent within 28 days prior to randomization.
  10. Major surgery within 28 days prior to randomization; patient must have completely recovered from any prior surgical or other procedures.
  11. Pregnant or breastfeeding.
  12. Residual toxicities from prior treatments or procedures which have not regressed to Grade ≤1 severity ( v5.0), except for alopecia or ≤ Grade 2 peripheral neuropathy.
  13. Concomitant use of drugs at doses known to cause prolongation of QT/QTc interval.
  14. Administration of a within 28 days prior to randomization.
  15. Ongoing or recent (≤6 months) hepatorenal syndrome.
Terms in these criteria, in plain language(31)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
773 participants (actual)

Study arms

  • Experimental
    A - NUC-1031 and cisplatin

    725 mg/m\^2 NUC-1031 administered in combination with 25 mg/m\^2 cisplatin on Days 1 and 8 of a 21-day cycle

    Drug: NUC-1031 · Drug: Cisplatin

  • Active comparator
    B - gemcitabine and cisplatin

    1000 mg/m\^2 gemcitabine administered in combination with 25 mg/m\^2 cisplatin on Days 1 and 8 of a 21-day cycle

    Drug: Gemcitabine · Drug: Cisplatin

Interventions

  • IV infusion in 500 mL of 0.9% sterile saline for injection given over 30 minutes

    Also known as: fosgemcitabine palabenamide

  • IV infusion in 250 mL of 0.9% sterile saline for injection given in accordance with the package insert

    Also known as: Difluorodeoxycytidine, Gemzar

  • IV in accordance with local institutional practice for biliary tract cancer, including the use of an appropriate hydration protocol

    Also known as: CDDP

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR)

    Percentage of patients achieving a confirmed complete response (CR) or partial response (PR) to treatment as assessed by blinded independent review according to RECIST v1.1 criteria. ORR = patients with CR + patients with PR, where" CR = disappearance of all target lesions PR = at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters This outcome was assessed in the population of patients with measurable disease at baseline who were also randomized ≥28 weeks before the data cut-off (ITTMD28). Patients were to receive a confirmatory scan 28-42 days after response is first observed.

    Time frame: Evaluated at Screening (baseline) then every 9 weeks from treatment start (C1D1), or every 12 weeks if treatment is stopped with no evidence of progression, until disease progression or death from any cause up to the end of study, an average of 6 months.

  2. Overall Survival (OS)

    The median time, in months, from the date of randomization to the date of death from any cause. For patients who were alive at the time of a data cut-off or were permanently lost to follow up, duration of OS was censored at the date at which they were last known to be alive.

    Time frame: From the date of randomization until the date of death from any cause, assessed up to 12 months on average

07

Results

Posted May 24, 2023
Limitations and caveats
At Interim Analysis 1, the futility boundary for OS was crossed and the study was closed on 02 Mar 2022. Following study closure, data from the 05 April 2022 final data cut-off (30 day follow-up post the last patient last visit) were analysed. In general, the analyses performed on this final database were those that were scheduled to take place at Interim Analysis 2. However, any p-values or CIs obtained are only viewed as descriptive as the study was stopped for futility.

Participant flow

A total of 773 patients were recruited between Dec 2019 and March 2022.

Participant flow — Overall Study
MilestoneA - NUC-1031 and CisplatinB - Gemcitabine and Cisplatin
Started388385
Received study treatment (safety population)383378
Completed00
Not completed388385
Withdrew: Radiological disease progression112127
Withdrew: Study closure98133
Withdrew: Adverse event7832
Withdrew: Withdrawal by subject3734
Withdrew: Death2916
Withdrew: Physician decision1725
Withdrew: Clinical disease progression1413
Withdrew: Protocol violation34
Withdrew: Lost to follow-up01

Outcome measures

PrimaryObjective Response Rate (ORR)

Percentage of patients achieving a confirmed complete response (CR) or partial response (PR) to treatment as assessed by blinded independent review according to RECIST v1.1 criteria. ORR = patients with CR + patients with PR, where" CR = disappearance of all target lesions PR = at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters This outcome was assessed in the population of patients with measurable disease at baseline who were also randomized ≥28 weeks before the data cut-off (ITTMD28). Patients were to receive a confirmatory scan 28-42 days after response is first observed.

Time frame:
Evaluated at Screening (baseline) then every 9 weeks from treatment start (C1D1), or every 12 weeks if treatment is stopped with no evidence of progression, until disease progression or death from any cause up to the end of study, an average of 6 months.
Reported as:
Count of participants · Participants
Objective Response Rate (ORR)
ParticipantsA - NUC-1031 and CisplatinB - Gemcitabine and Cisplatin
Objective Response Rate (ORR)5334
PrimaryOverall Survival (OS)

The median time, in months, from the date of randomization to the date of death from any cause. For patients who were alive at the time of a data cut-off or were permanently lost to follow up, duration of OS was censored at the date at which they were last known to be alive.

Time frame:
From the date of randomization until the date of death from any cause, assessed up to 12 months on average
Reported as:
Median · Months
Overall Survival (OS)
MonthsA - NUC-1031 and CisplatinB - Gemcitabine and Cisplatin
Overall Survival (OS)9.2 (8.3 to 10.4)12.6 (11.0 to 15.1)

Adverse events

Collected over Each patient was assessed for serious and other (non-serious) adverse events from the date of consent until 30 days after the last dose of study treatment, an average of 6 months. Each patient was assessed for all-cause mortality from the date of randomization until the date of death from any cause, an average of 12 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
A - NUC-1031 and Cisplatin188/388 (48.5%)175/383 (45.7%)370/383 (96.6%)
B - Gemcitabine and Cisplatin135/385 (35.1%)126/378 (33.3%)369/378 (97.6%)
Most frequent serious events
Showing 10 of 192
Most frequent serious events
EventA - NUC-1031 and CisplatinB - Gemcitabine and Cisplatin
PyrexiaGeneral disorders12/38318/378
SepsisInfections and infestations12/38312/378
Pulmonary embolismRespiratory, thoracic and mediastinal disorders12/3837/378
VomitingGastrointestinal disorders5/3839/378
CholangitisHepatobiliary disorders8/3834/378
ThrombocytopeniaBlood and lymphatic system disorders8/3832/378
AscitesGastrointestinal disorders7/3834/378
Deep vein thrombosisVascular disorders7/3832/378
pneumoniaInfections and infestations5/3835/378
Biliary tract infectionInfections and infestations3/3835/378
Most frequent other events
Showing 10 of 44
Most frequent other events
EventA - NUC-1031 and CisplatinB - Gemcitabine and Cisplatin
AnaemiaBlood and lymphatic system disorders99/383183/378
NauseaGastrointestinal disorders167/383142/378
Alanine aminotransferase increasedInvestigations142/38362/378
FatigueGeneral disorders139/383114/378
NeutropeniaBlood and lymphatic system disorders88/383133/378
Aspartate aminotransferase increasedInvestigations121/38357/378
ConstipationGastrointestinal disorders105/383102/378
Neutrophil count decreasedInvestigations57/38383/378
VomitingGastrointestinal disorders81/38365/378
ThrombocytopeniaBlood and lymphatic system disorders76/38374/378

Baseline characteristics

Intent-to-treat

Age, Categorical
Age, Categorical(Participants)A - NUC-1031 and CisplatinB - Gemcitabine and CisplatinTotal
<=18 years000
Between 18 and 65 years185186371
>=65 years203199402
Age, Continuous
Age, Continuous(years)A - NUC-1031 and CisplatinB - Gemcitabine and CisplatinTotal
Median65.0 (31 to 87)65.0 (20 to 86)65.0 (20 to 87)
Sex: Female, Male
Sex: Female, Male(Participants)A - NUC-1031 and CisplatinB - Gemcitabine and CisplatinTotal
Female174188362
Male214197411
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)A - NUC-1031 and CisplatinB - Gemcitabine and CisplatinTotal
Hispanic or Latino213152
Not Hispanic or Latino359337696
Unknown or Not Reported81725
Race (NIH/OMB)
Race (NIH/OMB)(Participants)A - NUC-1031 and CisplatinB - Gemcitabine and CisplatinTotal
American Indian or Alaska Native101
Asian7677153
Native Hawaiian or Other Pacific Islander011
Black or African American358
White285274559
More than one race000
Unknown or Not Reported232851
Primary tumour location
Primary tumour location(Participants)A - NUC-1031 and CisplatinB - Gemcitabine and CisplatinTotal
Gallbladder8080160
Intra-hepatic209207416
Extra-hepatic8080160
Ampullary191837
Extent of disease
Extent of disease(Participants)A - NUC-1031 and CisplatinB - Gemcitabine and CisplatinTotal
Locally advanced5665121
Metastatic330320650
Unknown202
Measurable disease
Measurable disease(Participants)A - NUC-1031 and CisplatinB - Gemcitabine and CisplatinTotal
Yes367366733
No211940

1 further baseline measures are reported on the registry.

08

Study locations

125 sites
  • Arizona Oncology Associates , PC - HOPE
    Tucson, Arizona 85711, United States
  • University of Arizona Cancer Center
    Tucson, Arizona 85719, United States
  • The Oncology Institute of Hope and Innovation
    Whittier, California 90602-3171, United States
  • Rocky Mountain Cancer Centers, LLP- Aurora
    Aurora, Colorado 80012, United States
  • Baptist Health Medical Group Oncology, LLC
    Miami, Florida 33176, United States
  • Orlando Health, Inc.
    Orlando, Florida 32806, United States
  • IACT Health
    Columbus, Georgia 31904, United States
  • Affiliated Oncologists LLC
    Chicago Ridge, Illinois 60415, United States
  • University of Kansas Medical Center Research Institute, Inc.
    Westwood, Kansas 66205, United States
  • Norton Cancer Institute
    Louisville, Kentucky 40217, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215-5400, United States
  • Henry Ford Medical Group
    Detroit, Michigan 48202, United States
  • Minnesota Oncology Hemtology
    Minneapolis, Minnesota 55404, United States
  • Regents of the University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • University of Rochester Medical Center - Strong Memorial Hospital
    Rochester, New York 14642, United States
  • The Research Foundation for The State University of New York
    Stony Brook, New York 11794-3369, United States
  • Wake Forest University Health Sciences
    Winston-Salem, North Carolina 27157, United States
  • The Ohio State University James Cancer Hospital and Solove Research Institute
    Columbus, Ohio 43210, United States
  • Corporal Michael J. Crescenz VA Medical Center
    Philadelphia, Pennsylvania 19104, United States
  • Prisma Health Upstate
    Greenville, South Carolina 29605, United States
  • Texas Oncology, P.A. - Austin
    Austin, Texas 78705, United States
  • Baylor Charles A. Sammons Cancer Center
    Dallas, Texas 75246, United States
  • Joe Arrington Cancer Research and Treatment Center
    Lubbock, Texas 79410, United States
  • Texas Oncology, P.A. - Tyler
    Tyler, Texas 75702, United States
  • Virginia Mason Medical Center
    Seattle, Washington 98101, United States
  • Northwest Cancer Specialists, P.C.-Vancouver
    Vancouver, Washington 98684, United States
  • Wenatchee Valley Hospital and Clinics
    Wenatchee, Washington 98801, United States
  • The Medical College of Wisconsin, Inc.
    Milwaukee, Wisconsin 53226, United States
  • Chris O'Brien Lifehouse
    Camperdown, New South Wales 2050, Australia
  • St George Hospital
    Kogarah, New South Wales 2217, Australia
  • Newcastle Private Hospital
    Newcastle, New South Wales 2305, Australia
  • Westmead Hospital
    Westmead, New South Wales 2145, Australia
  • Townsville Cancer Centre
    Townsville, Queensland 4814, Australia
  • Warringal Medical Centre
    Heidelberg, Victoria 3084, Australia
  • The Alfred Hospital
    Melbourne, Victoria 3004, Australia
  • Fiona Stanley Hospital
    Murdoch, Western Australia 6150, Australia
  • Sir Charles Gairdner Hospital
    Nedlands, Western Australia 6009, Australia
  • Tom Baker Cancer Centre
    Calgary, Alberta T2N 4N2, Canada
  • Nova Scotia Health Authority
    Halifax, Nova Scotia B3H1V7, Canada
  • Royal Victoria Regional Health Centre
    Barrie, Ontario L4M 6M2, Canada
  • The Ottawa Hospital Cancer Centre
    Ottawa, Ontario K1H 8L6, Canada
  • Sunnybrook Research Institute
    Toronto, Ontario M4N 3M5, Canada
  • Princess Margaret Cancer Centre
    Toronto, Ontario M5G 1X6, Canada
  • CHUM Centre de Recherche
    Montréal, Quebec H2X 0A9, Canada
  • SMBD Jewish General Hospital
    Montréal, Quebec H3T 1E2, Canada
  • Fakultní nemocnice Brno
    Brno, 625 00, Czechia
  • Fakultní nemocnice Hradec Králové
    Hradec Králové, 500 05, Czechia
  • Fakultní nemocnice Olomouc
    Olomouc, 775 20, Czechia
  • Thomayerova nemocnice
    Prague, 140 59, Czechia
  • Nemocnice Na Homolce
    Prague, 150 30, Czechia
  • Centre Georges François Leclerc
    Dijon, 21079, France
  • CHU de Grenoble - Hôpital Nord
    Grenoble, 38043, France
  • Institut Hospitalier Franco-Britannique
    Levallois-Perret, 92300, France
  • Hôpital Cochin
    Paris, 75679, France
  • ICO - Site René Gauducheau
    Saint Herblain, 44805, France
  • Universitaetsklinikum Heidelberg
    Heidelberg, Baden Wuerttemberg 69120, Germany
  • Vivantes Klinikum Neukoelln
    Berlin, 12351, Germany
  • Universitaetsklinikum Freiburg
    Freiburg, 79106, Germany
  • Medizinische Hochschule Hannover
    Hanover, 30625, Germany
  • Universitaetsklinikum Tuebingen
    Tuebingen, 72076, Germany
  • Semmelweis Egyetem
    Budapest, 1083, Hungary
  • Del-pesti Centrumkorhaz - Orszagos Hematologiai es Infektologiai Intezet
    Budapest, 1097, Hungary
  • Orszagos Onkologiai Intezet
    Budapest, 1122, Hungary
  • Debreceni Egyetem
    Debrecen, 4032, Hungary
  • Borsod-Abauj-Zemplen Megyei Kozponti Korhaz es Egyetemi Oktatokorhaz
    Miskolc, 3526, Hungary
  • Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rendelointezet
    Szolnok, 5004, Hungary
  • Ospedale Policlinico San Martino
    Genova, 16132, Italy
  • IEO Istituto Europeo di Oncologia
    Milano, 20141, Italy
  • Istituto Nazionale Tumori Fondazione G. Pascale
    Napoli, 80131, Italy
  • IOV - Istituto Oncologico Veneto IRCCS
    Padova, 35128, Italy
  • Azienda Ospedaliero Universitaria Pisana
    Pisa, 56126, Italy
  • Centro Ricerche Cliniche di Verona S.r.l
    Verona, 37124, Italy
  • CHA Bundang Medical Center, CHA University
    Seongnam-si, Gyeonggi-do 13496, Korea, Republic of
  • Chonnam National University Hwasun Hospital
    Hwasun, Jeollanam-do 58128, Korea, Republic of
  • Dong-A University Hospital
    Pusan, 602-715, Korea, Republic of
  • Seoul National University Bundang Hospital
    Seongnam-si, 13620, Korea, Republic of
  • Korea University Anam Hospital
    Seoul, 02841, Korea, Republic of
  • Seoul National University Hospital
    Seoul, 03080, Korea, Republic of
  • Samsung Medical Center
    Seoul, 06351, Korea, Republic of
  • Korea University Guro Hospital
    Seoul, 08308, Korea, Republic of
  • Severance Hospital, Yonsei University
    Seoul, 3722, Korea, Republic of
  • Asan Medical Center
    Seoul, 5505, Korea, Republic of
  • FSBSI "Russian Oncological Scientific Center n.a. N.N. Blokhin"
    Moscow, 115478, Russian Federation
  • FSBSI Russian Oncological Scientific Center n.a. N.N. Blokhin
    Moscow, 115478, Russian Federation
  • "VitaMed" LLC
    Moscow, 129515, Russian Federation
  • State Budget Institution of Healthcare "Leningrad Regional Clinical Oncology Dispensary"
    Saint Petersburg, 191104, Russian Federation
  • Pavlov First Saint Petersburg State Medical University
    Saint Petersburg, 197022, Russian Federation
  • SPb SBIH "City Clinical Oncological Dispensary"
    Saint Petersburg, 197022, Russian Federation
  • Medicinskiy gorod
    Tyumen, 625041, Russian Federation
  • Hospital Universitari Vall d'Hebron
    Barcelona, 08035, Spain
  • Hospital Clinic de Barcelona
    Barcelona, 08036, Spain
  • Hospital de la Santa Creu i Sant Pau
    Barcelona, 08041, Spain
  • ICO l'Hospitalet - Hospital Duran i Reynals
    L'Hospitalet De Llobregat, 08908, Spain
  • Hospital General Universitario Gregorio Marañon
    Madrid, 28007, Spain
  • Hospital Universitario Clinico San Carlos
    Madrid, 28040, Spain
  • Hospital Universitario HM Madrid Sanchinarro
    Madrid, 28050, Spain
  • Hospital Universitario Virgen Macarena
    Sevilla, 41009, Spain
  • Hospital Universitario Virgen del Rocio
    Sevilla, 41013, Spain
  • Changhua Christian Medical Foundation Changhua Christian Hospital
    Changhua, 50004, Taiwan

Showing the first 100 of 125 sites across 15 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • McNamara MG, Goyal L, Doherty M, Springfeld C, Cosgrove D, Sjoquist KM, Park JO, Verdaguer H, Braconi C, Ross PJ, Gramont A, Zalcberg JR, Palmer DH, Valle JW, Knox JJ. NUC-1031/cisplatin versus gemcitabine/cisplatin in untreated locally advanced/metastatic biliary tract cancer (NuTide:121). Future Oncol. 2020 Jun;16(16):1069-1081. doi: 10.2217/fon-2020-0247. Epub 2020 May 6. PubMed 32374623 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2019 to primary completion in Mar 2022, 26 months.

Results were first posted in May 2023, 1 year 2 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 1, 2019
First posted
Nov 15, 2019
StartActual
Dec 24, 2019
Primary completionActual
Mar 2, 2022
CompletionActual
Apr 5, 2022
Results first posted
May 24, 2023
Last update
May 24, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 24, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04163900
Lead sponsor
NuCana plc
Responsible party
Sponsor
First posted
Nov 15, 2019
Start date
Dec 24, 2019
Primary completion
Mar 2, 2022
Completion
Apr 5, 2022
Results posted
May 24, 2023
Last update
May 24, 2023

Study contacts

Jennifer Knox, MD
principal investigator · Professor of Medicine, University of Toronto

Oversight

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

Not currently enrolling

This study is terminated, as verified in May 2023. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: NUC-1031

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