CClinicalTrials.gg
CompletedNCT04301778Updated Mar 13, 2026Results posted

Durvalumab and SNDX-6532 Following Chemo or Radio-Embolization for Patients With Intrahepatic Cholangiocarcinoma

A Phase 2 interventional study of Durvalumab and SNDX-6352 in Unresectable Intrahepatic Cholangiocarcinoma, sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-13.

Sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purposed of this research is to study the safety and clinical activity of the combination of durvalumab and a CSF-1R inhibitor (SNDX-6352) in people with Intrahepatic Cholangiocarcinoma.

02

Conditions studied

  • Unresectable Intrahepatic Cholangiocarcinoma

Browse trials for

Keywords

  • colony stimulating factor -1 receptor (CSF-1R) inhibitor
  • Anti-PD-1 (receptor blocking antibody)
  • Immunotherapy
  • Intra-arterial therapy
  • Y90 (yttrium-90 radioembolization)
  • conventional transarterial chemoembolization (cTACE)
  • Chemo-embolization
  • Radio-embolization
  • Biliary tract
  • Intrahepatic Cholangiocarcinoma
  • Monoclonal antibody
03

In context

Cholangiocarcinoma

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

This study's enrollment of 5 is below the median of 50 across 687 interventional studies indexed under Cholangiocarcinoma.

Browse Cholangiocarcinoma studies →

Lead sponsor

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins is the lead sponsor of 572 studies on the registry; 73 are open to participants now.

Of its 111 completed or terminated interventional studies of FDA-regulated products, 67 (60%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Have cytologically confirmed intrahepatic cholangiocarcinoma.
  • All disease must be localized to the liver (locally advanced).
  • Subjects must not be deemed surgical candidates.
  • Must be a candidate for conventional transarterial chemoembolization or yttrium-90 radioembolization.
  • Must have measureable disease be mRECIST. Measurable disease will be confirmed by radiological imaging (MRI, CT).
  • Age ≥18 years
  • Body weight > 30 kg
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Life expectancy ≥12 weeks.
  • Patient must have adequate organ function defined by the study-specified laboratory tests as per the protocol.
  • Child Pugh Class A
  • Measured creatinine clearance (CL) >40 mL/min or Calculated creatinine clearance CL>40 mL/min by the Cockcroft-Gault formula.
  • Woman of childbearing potential must have a negative pregnancy test and follow contraceptive guidelines as defined per protocol.
  • Must use acceptable form of birth control while on study.
  • Men must use acceptable form of birth control while on study.
  • Ability to understand and willingness to sign a written informed consent document.
  • Willing and able to comply with the protocol for the duration of the study

Exclusion criteria

Exclusion Criteria:

  • Candidate for surgical resection
  • Concurrent enrollment in another clinical study, unless it is an observational (non-interventional) clinical study or during the follow-up of an interventional study.
  • Major surgery within 4 weeks prior to initiation of study treatment.
  • Received the last dose of anticancer therapy ≤ 28 days prior to the first dose of study drug.
  • All toxicities NCI CTCAE Grade ≥2 attributed to prior anti-cancer therapy other than alopecia, vitiligo, and neuropathy.
  • Any concurrent chemotherapy, IP, biologic, or hormonal therapy for cancer treatment.
  • History of allogenic organ transplantation.
  • Active or prior documented autoimmune or inflammatory disorders (including inflammatory bowel disease [e.g., colitis or Crohn's disease], diverticulitis [with the exception of diverticulosis], systemic lupus erythematosus, Sarcoidosis syndrome, checkpoint inhibitor-induced immune mediated reaction or Wegener syndrome [granulomatosis with polyangiitis, Graves' disease, rheumatoid arthritis, hypophysitis, uveitis, etc.]).
  • Patient with uncontrolled intercurrent illness including, but not limited to, uncontrolled infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, significant muscle disorders or psychiatric illness/social situations that would limit compliance with study requirements.
  • History of known additional primary malignancies.
  • History of leptomeningeal carcinomatosis.
  • Brain metastases or spinal cord compression.
  • History of active primary immunodeficiency.
  • Infection with Tuberculosis, HIV or hepatitis B or C at screening.
  • Current or prior use of immunosuppressive medication within 14 days before the first dose of treatment.
  • Receipt of live attenuated vaccine within 30 days prior to the first dose of IP.
  • Pregnant or breastfeeding women.
  • Has a history of allergy to study treatments or any of its components of the study.
  • Prior randomization or treatment in a previous durvalumab and/or SNDX-6532 clinical study regardless of treatment arm assignment.
  • Patient has clinically significant heart disease.
  • Any other sound medical, psychiatric, and/or social reason as determined by the Investigator.
  • Unwilling or unable to follow the study schedule for any reason.
05

Study design

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

Study arms

  • Experimental
    Durvalumab and SNDX-6352

    Participants will receive Durvalumab and SNDX-6352.

    Drug: Durvalumab · Drug: SNDX-6352

Interventions

  • DrugDurvalumab

    1. Durvalumab - 1500 mg via IV infusion over 60 minutes (-5/+10 min) on day 1 of each 28-day cycle (every 4 weeks). 2. Drug - 1500mg IV

    Also known as: MEDI4736

  • DrugSNDX-6352

    1. SNDX-6352 - 3mg/kg via IV infusion over 30 minutes (-5/+10 min) on days 1 and 15 of each 28-day cycle (every 2 weeks), starting with cycle 2 (not given during cycle 1). 2. Drug - 3mg/kg IV

    Also known as: UCB6352

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR) Per mRECIST (Modified RECIST)

    ORR is defined as the number of patients achieving a complete response (CR) or partial response (PR) based on the Response Evaluation Criteria in Solid Tumors (mRECIST) at any time during the study. CR = disappearance of all target lesions, PR is =\>30% decrease in sum of diameters of target lesions, progressive disease (PD) is \>20% increase in sum of diameters of target lesions, stable disease (SD) is \<30% decrease or \<20% increase in sum of diameters of target lesions. Estimation based on the Kaplan-Meier curve.

    Time frame: 8 months

  2. Number of Participants Experiencing Study Drug-related Toxicities

    Number of participants who experience treatment related adverse events ≥ grade 3 as defined by CTCAE 5.0.

    Time frame: up to 1 year

Secondary outcomes

  1. Overall Survival (OS)

    OS is defined as the number of months from the start of study treatment to time of death. Individuals are censored at the date of the last contact if no event occurs. The estimation method used was Kaplan-Meier.

    Time frame: up to 2 years

  2. Progression-free Survival (PFS) Per mRECIST

    PFS is defined as the number of months from the date of treatment to disease recurrence \[disease recurrence (DR) progressive disease (PD) or relapse from complete response (CR) as assessed using mRECIST criteria\] or death due to any cause. Per mRECIST criteria, CR = disappearance of all target lesions, Partial Response (PR) is =\>30% decrease in sum of diameters of target lesions, Progressive Disease (PD) is \>20% increase in sum of diameters of target lesions, Stable Disease (SD) is \<30% decrease or \<20% increase in sum of diameters of target lesions.

    Time frame: 8 months

  3. Duration of Response (DOR)

    Number of days from the start of partial response (PR) or complete response (CR) by radiographic scans, whichever is recorded first, until the first date that progressive disease or death is documented. Per mRECIST, CR = disappearance of any intratumoral arterial enhancement in all target lesions, PR is =\>30% decrease in sum of diameters of target lesions.

    Time frame: 8 months

07

Results

Posted Mar 31, 2023

Participant flow

Participant flow — Overall Study
MilestoneDurvalumab and SNDX-6352
Started5
Completed5
Not completed0

Outcome measures

PrimaryObjective Response Rate (ORR) Per mRECIST (Modified RECIST)

ORR is defined as the number of patients achieving a complete response (CR) or partial response (PR) based on the Response Evaluation Criteria in Solid Tumors (mRECIST) at any time during the study. CR = disappearance of all target lesions, PR is =\>30% decrease in sum of diameters of target lesions, progressive disease (PD) is \>20% increase in sum of diameters of target lesions, stable disease (SD) is \<30% decrease or \<20% increase in sum of diameters of target lesions. Estimation based on the Kaplan-Meier curve.

Time frame:
8 months
Reported as:
Count of participants · Participants
Objective Response Rate (ORR) Per mRECIST (Modified RECIST)
ParticipantsDurvalumab and SNDX-6352
Objective Response Rate (ORR) Per mRECIST (Modified RECIST)1
PrimaryNumber of Participants Experiencing Study Drug-related Toxicities

Number of participants who experience treatment related adverse events ≥ grade 3 as defined by CTCAE 5.0.

Time frame:
up to 1 year
Reported as:
Count of participants · Participants
Number of Participants Experiencing Study Drug-related Toxicities
ParticipantsDurvalumab and SNDX-6352
Number of Participants Experiencing Study Drug-related Toxicities2
SecondaryOverall Survival (OS)

OS is defined as the number of months from the start of study treatment to time of death. Individuals are censored at the date of the last contact if no event occurs. The estimation method used was Kaplan-Meier.

Time frame:
up to 2 years
Reported as:
Median · months
Overall Survival (OS)
monthsDurvalumab and SNDX-6352
Overall Survival (OS)15.3 (14.2 to NA)
SecondaryProgression-free Survival (PFS) Per mRECIST

PFS is defined as the number of months from the date of treatment to disease recurrence \[disease recurrence (DR) progressive disease (PD) or relapse from complete response (CR) as assessed using mRECIST criteria\] or death due to any cause. Per mRECIST criteria, CR = disappearance of all target lesions, Partial Response (PR) is =\>30% decrease in sum of diameters of target lesions, Progressive Disease (PD) is \>20% increase in sum of diameters of target lesions, Stable Disease (SD) is \<30% decrease or \<20% increase in sum of diameters of target lesions.

Time frame:
8 months
Reported as:
Median · months
Progression-free Survival (PFS) Per mRECIST
monthsDurvalumab and SNDX-6352
Progression-free Survival (PFS) Per mRECIST3.6 (1.8 to NA)
SecondaryDuration of Response (DOR)

Number of days from the start of partial response (PR) or complete response (CR) by radiographic scans, whichever is recorded first, until the first date that progressive disease or death is documented. Per mRECIST, CR = disappearance of any intratumoral arterial enhancement in all target lesions, PR is =\>30% decrease in sum of diameters of target lesions.

Time frame:
8 months
Reported as:
Number · days
Duration of Response (DOR)
daysDurvalumab and SNDX-6352
Duration of Response (DOR)57

Adverse events

Collected over Adverse events were collected from start of study drug until 90 days from last dose of study drug, up to 1 year. Patients were followed for survival (all-cause mortality) for up to 2 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Durvalumab and SNDX-63524/5 (80%)1/5 (20%)5/5 (100%)
Most frequent serious events
Most frequent serious events
EventDurvalumab and SNDX-6352
Skin infectionInfections and infestations1/5
Ruptured femoral pseudoaneurysmVascular disorders1/5
Most frequent other events
Showing 10 of 25
Most frequent other events
EventDurvalumab and SNDX-6352
Abdominal painGastrointestinal disorders4/5
FatigueGeneral disorders4/5
AST increasedInvestigations4/5
CPK increasedInvestigations4/5
NauseaGastrointestinal disorders3/5
Weight lossInvestigations3/5
ConstipationGastrointestinal disorders2/5
Pain at biopsy siteGeneral disorders2/5
Blood LDH increasedInvestigations2/5
ArthralgiaMusculoskeletal and connective tissue disorders2/5

Baseline characteristics

Age, Continuous
Age, Continuous(years)Durvalumab and SNDX-6352
Median60 (39 to 64)
Sex: Female, Male
Sex: Female, Male(Participants)Durvalumab and SNDX-6352
Female3
Male2
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Durvalumab and SNDX-6352
Hispanic or Latino0
Not Hispanic or Latino5
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Durvalumab and SNDX-6352
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American3
White2
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)Durvalumab and SNDX-6352
United States5
Eastern Cooperative Oncology Group (ECOG) Performance Status
Eastern Cooperative Oncology Group (ECOG) Performance Status(Participants)Durvalumab and SNDX-6352
ECOG 04
ECOG 11
08

Study locations

1 site
  • Sidney Kimmel Comprehensive Cancer Center
    Baltimore, Maryland 21231, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Feb 7, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04301778
Lead sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Collaborators
Syndax Pharmaceuticals, AstraZeneca
Responsible party
Sponsor
First posted
Mar 10, 2020
Start date
Aug 24, 2021
Primary completion
Nov 4, 2022
Completion
Feb 6, 2024
Results posted
Mar 31, 2023
Last update
Mar 13, 2026

Study contacts

Lei Zheng, MD
principal investigator · Sidney Kimmel Cancer Center at the Johns Hopkins Medical Institution

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 completed, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

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.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion