ClinicalTrials.gg
Not yet recruitingNCT07782346ICONICUpdated Nov 2, 2026

Liposomal Irinotecan Plus Cisplatin in Patients With Advanced or Metastatic Solid Malignancies

A Phase 1 interventional study of Liposomal Irinotecan Plus Cisplatin in Advanced Solid Malignancies, sponsored by National Health Research Institutes, Taiwan. Not yet recruiting at 6 sites in Taiwan. Open to participants aged 20 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by National Health Research Institutes, Taiwan · Phase 1, Interventional, and Treatment

Updated Nov 2, 2026Start date movedGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
44
Allocation
Not applicable
Ages
20 Years to 85 Years
Sex
All
01

Study summary

Phase I trial, Multiple centers, open-label, non-randomized single-arm study

Read the detailed description

To assess the safety and anti-tumor activity of liposomal irinotecan (nal-IRI; ONIVYDE®) and cisplatin in patients with advanced solid malignancies Primary endpoint To find the maximal tolerated dose (MTD) and recommended phase 2 dose (RP2D) of the combination of liposomal irinotecan (nal-IRI; ONIVYDE®) and cisplatin

02

Conditions studied

  • Advanced Solid Malignancies

Keywords

  • advanced solid malignancies
03

In context

Lead sponsor

National Health Research Institutes, Taiwan is the lead sponsor of 128 studies on the registry; 30 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 85 Years
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. Patients with age 20-85 years old.
  • 2. or histologically confirmed solid which are locally advanced, recurrent or diseases. The disease cannot be cured by surgical intervention or local therapies.
  • 3. The malignancies are to standard systemic therapy or there is no available systemic therapy.
  • 4. Followings are the diseases entities which are limited in each part:

    • a. Dose escalation phase (cohort 1): non-small cell lung cancer, small cell lung cancer, gastric cancer, neuroendocrine carcinoma, biliary tract cancer (including intrahepatic cholangiocarcinoma [CCA], extrahepatic CCA, gallbladder cancer, ampullary cancer), ovarian cancer, esophageal cancer, thymoma or thymic carcinoma.
    • b. Dose expansion phase (cohort 2): only thymic carcinoma.
  • 5. Radiologically as defined by v1.1.
  • 6. Baseline performance status score 0-1.
  • 7. of at least 12 weeks.
  • 8. Adequate hematologic parameters, and hepatic and renal functions defined as

    • a. ≥ 1500 /μL (without growth factor support at least 7 days).
    • b. ≥ 90000 /μL (evaluated at least 7 days after last platelet transfusion).
    • c. ≥ 9 g/dL (evaluated at least 14 days after last RBC transfusion).
    • d. Total ≤ 1.5X .
    • e. /ALT ≤ 2.5X ULN (≤ 5X ULN if attributable to liver metastases).
    • f. serum creatinine ≤ 1.5 x ULN or rate (CCr) ≥ 50 mL/min (calculated by Cockcroft-Gault formula [CCr={((140-age) x weight [kg])/(72x serum creatinine [mg/dL])}x 0.85 (if female)] or 24-hour urine collection).
  • 9. Normal or ECG without any clinical significant findings.
  • 10. Able to understand and sign an (or have a legal representative who is able to do so).
  • 11. Women or men of should agree to use an effective method.

Exclusion criteria

Exclusion Criteria:

  • 1. Patients who have major surgery, radiotherapy or other systemic chemotherapy or immunotherapy within 3 weeks are not eligible. Patients who have palliative radiotherapy will be eligible if the irradiated area does not involve the only lesion of measurable / evaluable disease.
  • 2. Patient with history of severe allergy to liposomal irinotecan (nal-IRI; ONIVYDE®) or cisplatin.
  • 3. Significant cardiovascular impairment: (1) history of congestive heart failure greater than (NYHA) Class II, \< 50%; or (2) unstable angina, myocardial infarction or stroke within 6 months; or (3) uncontrolled cardiac arrhythmia.
  • 4. Patients with electrolyte abnormalities that have not been corrected.
  • 5. Patients with active lesions in central nervous system, or need prednisolone ≥ 10 mg/day to control related symptoms
  • 6. Patients with active bacterial, fungal, tuberculosis or infection
  • 7. Patients with positive surface antigen (HBsAg) but not receiving anti-hepatitis B drug. Patients who have positive HBsAg, positive anti-HBc, or positive anti- are eligible if the corresponding HBV-DNA or HCV-RNA are undetectable.
  • 8. Subjects who have not recovered adequately from any toxicity from other anti-cancer treatment regimens and/or complications from major surgery prior to starting therapy.
  • 9. Patients who have peripheral neuropathy > grade I of any etiology.
  • 10. Patients who have serious concomitant systemic disorders incompatible with the study, i.e. poorly controlled diabetes mellitus, auto-immune disorders, or other condition that in the opinion of the investigator would preclude the subject's participation in the study.
  • 11. Patients who have other prior or concurrent except for adequately treated in situ carcinoma or basal cell carcinoma of skin, or any malignancy which remains disease-free for 3 or more years after curative treatment.
  • 12. Females who are breastfeeding or pregnant at screening or baseline.
  • 13. Patients with psychiatric illness which would preclude study compliance.
  • 13. Patients with psychiatric illness which would preclude study compliance.
  • 14. Patients who have received any prior treatment with ONIVYDE® (liposomal irinotecan) or irinotecan-containing regimens
Terms in these criteria, in plain language(24)

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.

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.

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.

Metastases

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

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

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.

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.

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.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

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.

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

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.

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
44 participants (estimated)

Study arms

  • Experimental
    combination of liposomal irinotecan (nal-IRI; ONIVYDE®) and cisplatin

    Patients receive liposomal irinotecan (nal-IRI) and cisplatin administered intravenously on Days 1 and 15 of each 28-day cycle. Treatment continues until disease progression, unacceptable toxicity, withdrawal of consent, or investigator decision.

    Drug: Liposomal Irinotecan Plus Cisplatin

Interventions

  • DrugLiposomal Irinotecan Plus Cisplatin

    Drug pages: Irinotecan · Cisplatin

    Liposomal irinotecan and cisplatin are administered intravenously on Days 1 and 15 of each 28-day cycle.

06

What researchers measure

Primary outcomes

  1. Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D)

    To determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D) of liposomal irinotecan (nal-IRI) in combination with cisplatin in patients with advanced or metastatic solid malignancies.

    Time frame: During cycle one, approximately 28 days

Secondary outcomes

  1. Objective Response Rate (ORR) by RECIST Version 1.1

    Objective response rate (ORR) assessed according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Every 8 weeks from first dose until documented disease progression or death from any cause, whichever occurs first.

    Time frame: up to approximately 5 years

  2. Progression-Free Survival (PFS)

    Progression-free survival (PFS), defined as the time from the first dose to documented disease progression or death from any cause, whichever occurs first.

    Time frame: up to approximately 5 years

  3. Safety Profile

    Safety profile assessed by the incidence and severity of adverse events (AEs) and serious adverse events (SAEs), graded according to NCI CTCAE Version 5.0.

    Time frame: From initiation of study treatment through 30 days after the end of study treatment.

  4. Overall survival (OS)

    OS will be measured from the start date of study treatment to the date of death.

    Time frame: up to approximately 5 years

  5. Objective Response Rate (ORR)

    ORR is defined as the proportion of participants who achieve a confirmed complete response (CR) or partial response (PR) according to RECIST version 1.1. Tumor assessments will be performed by CT scan within 28 days prior to registration and every 8 weeks after treatment initiation, or as clinically indicated. Objective responses must be confirmed by a subsequent tumor assessment performed at least 4 weeks after the initial response.

    Time frame: Every 8 weeks from treatment initiation until documented disease progression, withdrawal, death, or end of study participation, up to approximately 5 years.

07

Study locations

6 sites
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared due to restrictions related to participant privacy, confidentiality, and informed consent.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Start date
Oct 1, 2026→Dec 1, 2026
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    Start date Oct 1, 2026→Dec 1, 2026
    + 1 other change: site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07782346
Responsible party
Sponsor
First posted
Aug 24, 2026
Start date
Dec 1, 2026 (estimated)
Primary completion
Dec 31, 2030 (estimated)
Completion
Dec 31, 2032 (estimated)
Last update
Nov 2, 2026

Study contacts

Li-Yaun Bai, MD, PhD,
Contact
lybai6@gmail.com
886+975-680928
Wei-Li Ma, MD, PhD,
Contact
excellent0667@gmail.com
886-0972653425
Hui-Jen Tsai, MD, PhD
study director · National Health Research Institutes, Taiwan
Li-Yaun Bai, MD, PhD
study chair · China Medical University Hospital

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. 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 drugs tested here: Irinotecan · Cisplatin

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