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Clinical Trials List

Protocol NumberJZP598-302
NCT Number(ClinicalTrials.gov Identfier)NCT06282575
Active

2024-06-11 - 2030-12-31

Phase III

Not yet recruiting2

Recruiting3

ICD-10C23

Malignant neoplasm of gallbladder

ICD-10Z51.12

Encounter for antineoplastic immunotherapy

ICD-9156.0

Malignant neoplasm of gallbladder

An Open-label Randomized Trial of the Efficacy and Safety of Zanidatamab With Standard-of-care Therapy Against Standard-of-care Therapy Alone for Advanced HER2-positive Biliary Tract Cancer

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/02/01

Investigators and Locations

Principal Investigator Chiun Hsu

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 陳彥仰

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator Jen-Shi Chen

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator Chia-Jui Yen

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Biliary Tract Cancer

Objectives

A comparison of the efficacy of zanidatamab plus cisplatin plus gemcitabine (CisGem) with or without a cell-programmed death 1 (PD-1) or cell-programmed death ligand 1 (PD-L1) inhibitor (PD-1/L1 inhibitor), with or without CisGem, in the treatment of participants with advanced or metastatic human epidermal growth factor receptor 2 (HER2)-positive biliary tract cancer (BTC).

Test Drug

靜脈點滴注射劑

Active Ingredient

Zanidatamab (JZP598)
1013007200
1012002100
1010000610
1013005400

Dosage Form

242

Dosage

300 mg

Endpoints

Progression-free survival (PFS) in solid tumor response assessment criteria version 1.1 (RECIST 1.1) in immunohistochemical (IHC) 3+ subpopulation

Inclution Criteria

Inclusion Criteria

Histologically- or cytologically-confirmed Biliary Tract Cancer (BTC), including Gallbladder Cancer (GBC), Intrahepatic Cholangiocarcinoma (ICC), or Extrahepatic Cholangiocarcinoma (ECC).
Locally advanced unresectable or metastatic BTC and not eligible for curative resection, transplantation, or ablative therapies.
Received no more than 2 cycles of systemic therapy which is limited to Cisplatin and Gemcitabine (CisGem) with or without a PD-1/L1 inhibitor (physician's choice of durvalumab or pembrolizumab, where approved under local regulations) for advanced unresectable or metastatic disease.
HER2-positive disease (defined as IHC 3+; or IHC 2+/ ISH+) by IHC and in situ Hybridization (ISH) assay (in participants with IHC 2+ tumors) at a central laboratory on new biopsy tissue or archival tissue from the most recent biopsy.
Assessable (measurable or non-measurable) disease as defined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1), per investigator assessment.
Male or female ≥ 18 years or age (or the legal age of adulthood per country-specific regulations).
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Adequate organ function
Females of childbearing potential must have a negative pregnancy test result.
Females of childbearing potential and males with a partner of childbearing potential must be willing to use 2 methods of birth control.

Exclusion Criteria

Exclusion Criteria

Prior treatment with a HER2-targeted agent
Prior treatment with checkpoint inhibitors, other than durvalumab or pembrolizumab
The following BTC histologic subtypes are excluded: small cell cancer, neuroendocrine tumors, lymphoma, sarcoma, mixed tumor histology, and mucinous cystic neoplasms detected in the biliary tract region.
Use of systemic corticosteroids.
Brain metastases
Severe chronic or active infections
History of allogeneic organ transplantation.
Active or prior autoimmune inflammatory conditions
History of interstitial lung disease or non-infectious pneumonitis.
Participation in another clinical trial with an investigational medicinal product within the last 3 months.
Females who are breastfeeding
Any other medical, social, or psychosocial factors that, in the opinion of the investigator, could impact safety or compliance with study procedures.
Use of phenytoin

The Estimated Number of Participants

  • Taiwan

    10 participants

  • Global

    286 participants