Clinical trial • Phase II • Oncology|Gastroenterology

Trifluridine, Tipiracil hydrochloride for Cholangiocarcinoma | Gallbladder carcinoma

Phase II trial of Trifluridine, Tipiracil hydrochloride for Cholangiocarcinoma | Gallbladder carcinoma. open-label. 38 participants.

Overview

Trial Therapeutic Area
Oncology|Gastroenterology
Trial Disease
Cholangiocarcinoma | Gallbladder carcinoma
Trial Stage
Phase II
Drug Modality
Small molecule
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
03-06-2025
First CTIS Authorization Date
31-07-2025

Trial design

open-label Phase II trial across 7 sites in Germany.

Open Label
Yes
Target Sample Size
38

Eligibility

Recruits 38 adults.

Inclusion criteria

  • {"criterion_text":"- Histologically or cytologically confirmed, non-resectable, locally advanced or metastatic cholangiocarcinoma or gall bladder carcinoma"}
  • {"criterion_text":"- Measurable or assessable disease according to RECIST 1.1"}
  • {"criterion_text":"- Documented disease progression after prior gemcitabine or gemcitabine containing therapy or intolerance to such a treatment. Examples of permitted therapies include, but are not limited to: a) Single agent gemcitabine); b) Any gemcitabine-based regimen, with or without maintenance gemcitabine"}
  • {"criterion_text":"- Patients with available molecular tumor profiling may only be included if they are not eligible for approved targeted therapies or if they reject approved targeted therapies. Eligibility for such therapies is determined by the local interdisciplinary tumor board or molecular tumor board, based on the results of molecular testing, clinical criteria, and the patient’s preference."}

Exclusion criteria

  • {"criterion_text":"- CNS metastases"}
  • {"criterion_text":"- Clinically significant gastrointestinal disorders including bleeding, inflammation, occlusion, or diarrhea > grade 1"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Median progression free survival (PFS) assessed by the local investigator at each site (time from first administration of chemotherapy to the date of radiological or clinical tumor progression or death of any cause whichever comes first).","definition_or_measurement_approach":"Assessed by the local investigator at each site; time from first administration of chemotherapy to radiological or clinical tumor progression or death from any cause, whichever occurs first."}

Secondary endpoints

  • {"endpoint_text":"- Progression-free survival rate at 4 months defined as the proportion of patients with non-progressive disease 4 months after inclusion by intention to treat analysis","definition_or_measurement_approach":"Proportion of patients without disease progression 4 months after inclusion (intention-to-treat analysis)."}
  • {"endpoint_text":"- Median overall survival (time interval from first administration of chemotherapy to date of death from any cause)","definition_or_measurement_approach":"Time from first administration of chemotherapy to death from any cause; median OS will be calculated."}
  • {"endpoint_text":"- Proportion of patients with an objective response according to RECIST 1.1","definition_or_measurement_approach":"Objective response per RECIST 1.1 criteria as assessed (local investigator)."}
  • {"endpoint_text":"- Type, frequency and severity of adverse events according to NCI CTCAE version 5.0 specifying seriousness and expectedness (AE, SAE, SUSAR)","definition_or_measurement_approach":"Adverse events graded per NCI CTCAE v5.0, with specification of seriousness and expectedness (AE, SAE, SUSAR)."}
  • {"endpoint_text":"- Health related QoL according to EORTC QLQ C30 and the EQ-5D-5L","definition_or_measurement_approach":"Quality of life measured using EORTC QLQ-C30 and EQ-5D-5L questionnaires."}

Recruitment

Planned Sample Size
38
Recruitment Window Months
33

Geography

Total Number Of Sites
7
Total Number Of Participants
38

Germany

Earliest CTIS Part Ii Submission Date
17-07-2025
Latest Decision Or Authorization Date
10-11-2025
Processing Time Days
116
Number Of Sites
7
Number Of Participants
38

Sites

Site Name
Universitaetsklinikum Aachen AöR
Department Name
Klinik für Gastroenterologie, Stoffwechselerkrankungen und internistische Intensivmedizin
Principal Investigator Name
Marie-Luise Berres
Principal Investigator Email
mberres@ukaachen.de
Contact Person Name
Marie-Luise Berres
Contact Person Email
mberres@ukaachen.de
Site Name
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR
Department Name
I. Medizinische Klinik und Poliklinik
Principal Investigator Name
Friedrich Foerster
Principal Investigator Email
friedrich.foerster@unimedizin-mainz.de
Contact Person Name
Friedrich Foerster
Site Name
University Hospital Cologne AöR
Department Name
Klinik für Gastroenterologie und Hepatologie
Principal Investigator Name
Dirk-Thomas Waldschmidt
Principal Investigator Email
dirk.waldschmidt@uk-koeln.de
Contact Person Name
Dirk-Thomas Waldschmidt
Contact Person Email
dirk.waldschmidt@uk-koeln.de
Site Name
Universitaetsklinikum Duesseldorf AöR
Department Name
Klinik für Gastroenterologie, Hepatologie und Infektiologie
Principal Investigator Name
Christoph Roderburg
Principal Investigator Email
Christoph.Roderburg@med.uni-duesseldorf.de
Contact Person Name
Christoph Roderburg
Site Name
Universitaetsklinikum Bonn AöR
Department Name
Medizinische Klinik und Poliklinik I Onkologische Gastroenterologie
Principal Investigator Name
Maria Gonzalez-Carmona
Principal Investigator Email
maria.gonzalez-carmona@ukbonn.de
Contact Person Name
Maria Gonzalez-Carmona
Site Name
Charite Universitaetsmedizin Berlin KöR
Department Name
Medizinische Klinik mit Schwerpunkt Hepatologie und Gastroenterologie
Principal Investigator Name
Raphael Mohr
Principal Investigator Email
raphael.mohr@charite.de
Contact Person Name
Raphael Mohr
Contact Person Email
raphael.mohr@charite.de
Site Name
Krankenhaus Nordwest GmbH
Department Name
Institut für Klinisch-Onkologische Forschung
Principal Investigator Name
Thorsten Götze
Principal Investigator Email
goetze.thorsten@ikf-khnw.de
Contact Person Name
Thorsten Götze
Contact Person Email
goetze.thorsten@ikf-khnw.de

Sponsor

Primary sponsor

Full Name
Heinrich-Heine-Universitaet Duesseldorf
Organisation Type
Educational Institution
Country Of Registered Address
Germany

Third parties

  • {"country":"Germany","full_name":"Acnos Pharma GmbH","duties_or_roles":"14","organisation_type":"Pharmaceutical company"}
  • {"country":"","full_name":"SERVIER Deutschland GmbH","duties_or_roles":"Monetary support","organisation_type":""}
  • {"country":"","full_name":"Servier Affaires Médicales","duties_or_roles":"Monetary support","organisation_type":""}

Investigational products

Investigational Product Name
Lonsurf 20 mg/8.19 mg film-coated tablets
Active Substance
Trifluridine, Tipiracil hydrochloride
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Marketing authorisation (EU)
Starting Dose
30 mg/m2 twice daily on days 1-5
Frequency
Twice daily on days 1-5 of each 14-day cycle
Maximum Dose
60 mg/m2 per day
Investigational Product Name
Lonsurf 15 mg/6.14 mg film-coated tablets
Active Substance
Trifluridine, Tipiracil hydrochloride
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Marketing authorisation (EU)
Starting Dose
30 mg/m2 twice daily on days 1-5
Frequency
Twice daily on days 1-5 of each 14-day cycle
Maximum Dose
60 mg/m2 per day
Investigational Product Name
Onivyde pegylated liposomal 4.3 mg/ml concentrate for dispersion for infusion
Active Substance
Irinotecan
Modality
Small molecule
Routes Of Administration
INTRAVENOUS INFUSION
Route
Intravenous infusion
Authorisation Status
Marketing authorisation (EU) - orphan designation listed
Orphan Designation
Yes
Starting Dose
70 mg/m2 on day 1
Frequency
70 mg/m2 on day 1 of each 14-day cycle
Maximum Dose
70 mg/m2 per day
Combination Treatment
Yes

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