Unresectable, Metastatic Biliary Tract Carcinoma
Conditions
Keywords
unresectable, metastatic biliary tract carcinoma, Gemcitabine/Oxaliplatin (GEMOX), Erlotinib
Brief summary
The purpose of this study is to determine whether Gemcitabine/Oxaliplatin (GEMOX) with or without Erlotinib (Tarceva) is effective in the treatment of unresectable, metastatic biliary tract carcinoma.
Detailed description
This is a phase III study of Gemcitabine/Oxaliplatin (GEMOX) with or without Erlotinib in unresectable, metastatic biliary tract carcinoma.
Interventions
GEMOX: (Gemcitabine 100 mg/㎡ over 100-min, Oxaliplatin 100 mg/㎡ over 2h) q (every) 2 weeks
GEMOX + Tarceva: (Gemcitabine 1000 mg/㎡ over 100-min, Oxaliplatin 100 mg/㎡ over 2h) q 2weeks; Tarceva 100 mg qd
Sponsors
Study design
Eligibility
Inclusion criteria
1. age ≥ 18 2. histologically or cytologically confirmed adenocarcinoma of biliary tract 3. unresectable or metastatic 4. ECOG performance status of 0\ 2 5. measurable or evaluable lesion per RECIST criteria 6. adequate marrow, hepatic, renal and cardiac functions 7. no prior chemotherapy or molecularly targeted therapy for the advanced biliary carcinoma (prior adjuvant chemotherapy will be allowed if administered ≥ 6 months from the study entry) 8. provision of a signed written informed consent
Exclusion criteria
1. severe co-morbid illness and/or active infections 2. pregnant or lactating women 3. active CNS metastases not controllable with radiotherapy or corticosteroids 4. known history of hypersensitivity to study drugs 5. prior exposure to EGFR tyrosine kinase inhibitor
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression Free Survival | every 6 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Response rate | 24 months |
| Duration of response | 24 months |
| Safety profile | 24 months |
| Overall survival | 24 months |
| Correlative analyses: EGFR mutation, EGFR amplification, akt expression, EGFR polymorphism analyses | 24 months |
| Time to progression | 24 months |
Countries
South Korea