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
- Contact Person Email
- friedrich.foerster@unimedizin-mainz.de
- 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
- Contact Person Email
- Christoph.Roderburg@med.uni-duesseldorf.de
- 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
- Contact Person Email
- maria.gonzalez-carmona@ukbonn.de
- 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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