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Clinical Trials List

Protocol NumberTTYTG1308
NCT Number(ClinicalTrials.gov Identfier)NCT02425137

2014-11-01 - 2016-10-31

Phase II

Terminated4

ICD-10C24.9

Malignant neoplasm of biliary tract, unspecified

ICD-10Z51.12

Encounter for antineoplastic immunotherapy

ICD-9156.9

Malignant neoplasm of biliary tract, part unspecified

A study of S-1 in combination with gemcitabine as first-line treatment in patients with advanced biliary tract cancer

  • Trial Applicant

    TTY Biopharm Company Limited

  • Sponsor

    TTY BIOPHARM COMPANY LIMITED

  • Trial scale

    Taiwan Multiple Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator Yee Chao Division of Radiation Therapy

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Completed

Principal Investigator Jen-Shi Chen Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Completed

Principal Investigator Yan-Shen Shan Division of General Surgery

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Completed

Principal Investigator Chiun Hsu Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Completed

Condition/Disease

advanced biliary tract cancer

Objectives

Primary Objective: To evaluate disease control rate (DCR) of S-1 in combination with gemcitabine in patients with advanced biliary tract cancer Secondary Objectives:  To evaluate overall response rate (ORR)  To evaluate progression-free survival (PFS)  To evaluate overall survival (OS)  To assess the safety profile

Test Drug

TS-1®

Active Ingredient

tegafur

Dosage Form

Capsule

Dosage

20,25

Endpoints

 Disease control rate (DCR)
 Overall response rate (ORR)
 Progression-free survival (PFS)
 Overall survival (OS)
 Safety profile

Inclution Criteria

Inclusion criteria:
To be eligible for inclusion, each subject must fulfill all of the following
criteria:
1. histologically confirmed biliary tract carcinoma (including
intrahepatic bile duct, extrahepatic bile duct, gallbladder, and
ampulla of vater);
2. metastatic or unresectable disease;
3. no history of chemotherapy or radiotherapy for biliary tract
cancer;
4. presence of at least one measurable tumor lesion which is
defined as lesions that can be accurately measured in at least 1
dimension with longest diameter (LD) ≥20 mm using conventional
techniques or ≥10 mm with spiral CT and MRI; measurable lymph
nodes must be ≥15 mm in the short axis;
5. adequate hematopoietic function which is defined as below:
a. hemoglobin level ≥ 9 g/dL;
b. absolute neutrophil count (ANC) ≥ 1,500/mm3;
c. platelet count ≥ 100,000/mm3
;
6. adequate hepatic function which is defined as below:
a. total bilirubin ≤ 1.5 times upper limit of normal (ULN) and < 2
mg/dL, or total bilirubin < 3 mg/dL if biliary drainage was
performed;
b. Alanine aminotransferase (ALT) ≤ 3 x ULN or ALT ≤ 5 x ULN in
the presence of liver metastasis;
7. adequate renal function: creatinine clearance rate (CCr) ≥ 60
mL/min ((based upon 24-hour urine collection or calculated by
Cockroft-Gault formula);
< Cockroft-Gault formula >
Male: ((140 - age) × weight [kg])/(72 × serum creatinine[mg/dL])
Female: 0.85 x estimate for male
8. age of 20 years or above;
9. ECOG performance status 0-1;
10. life expectancy of at least 12 weeks;
11. ability to take oral medication;
12. ability to understand and willingness to sign a written informed
consent document.

Exclusion Criteria

Exclusion Criteria:
Subjects who fulfill any of the following criteria will be excluded from
the trial:
1. other malignancy within the past 5 years except for adequately
treated basal or squamous cell skin cancer or cervical cancer in
situ;
2. history or known presence of brain metastasis;
3. presence of grade 2 or above ascites or pleural effusion;
4. presence of grade 2 or above diarrhea;
5. presence of mental disease or psychotic manifestation;
6. active or uncontrolled infection;
7. significant medical conditions that is contraindicated to study
medication or render patient at high risk from treatment
complications based on investigator’s discretion;
8. pregnant women or nursing mothers, or positive pregnancy test for
women of childbearing potential. Patients with childbearing
potential shall have effective contraception for both the patient and
his or her partner during the study.

The Estimated Number of Participants

  • Taiwan

    46 participants

  • Global

    46 participants