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Die klinische Studie NCT05775159 für Hepatozelluläres Karzinom, Gallenwegskrebs ist offene rekrutierung. In der Kartenansicht des Klinische Studien Radar und den KI-Entdeckungstools finden Sie alle Details. Oder stellen Sie hier Ihre Fragen.
Eine Studie entspricht den Filterkriterien
Kartenansicht

Study of Novel Immunomodulators as Monotherapy and in Combination With Anticancer Agents in Participants With Advanced Hepatobiliary Cancer Phase 2 294 Neuartig

Offene Rekrutierung
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Die klinische Studie NCT05775159 untersucht Behandlung im Zusammenhang mit Hepatozelluläres Karzinom, Gallenwegskrebs. Diese interventionsstudie der Phase 2 hat den Status offene rekrutierung und startete am 24. April 2023. Es ist geplant, 294 Teilnehmer aufzunehmen. Durchgeführt von AstraZeneca wird der Abschluss für 28. Oktober 2027 erwartet. Die Daten von ClinicalTrials.gov wurden zuletzt am 18. Februar 2026 aktualisiert.
Kurzbeschreibung
GEMINI-Hepatobiliary study will assess the efficacy, safety and tolerability of novel immunomodulators alone and in combination with other anticancer drugs in participants with specified advanced solid tumors.
Ausführliche Beschreibung
This Phase II, open-label, uncontrolled, multicentre study evaluating the preliminary efficacy and safety of Volrustomig or Rilvegostomig as monotherapy (MONO) and/or in combination with anticancer agents (COMBO) in participants with advanced hepatobiliary cancer (e.g., HCC, BTC, etc.).

This study has a modular design with independent substudies. In Substudy 1, Volrustomig and Rilvegostomig will be evaluated as mono...

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Offizieller Titel

A Phase II, Open-Label, Multi-Drug, Multi-Center, Master Protocol to Evaluate the Efficacy and Safety of Novel Immunomodulators as Monotherapy and in Combination With Anticancer Agents in Participants With Advanced Hepatobiliary Cancer (GEMINI-Hepatobiliary)

Erkrankungen
Hepatozelluläres KarzinomGallenwegskrebs
Weitere Studien-IDs
  • D7987C00001
NCT-Nummer
Studienbeginn (tatsächlich)
2023-04-24
Zuletzt aktualisiert
2026-02-18
Studienende (vorauss.)
2027-10-28
Geplante Rekrutierung
294
Studientyp
Interventionsstudie
PHASE
Phase 2
Status
Offene Rekrutierung
Stichwörter
Hepatobiliary cancer
Hepatocellular carcinoma
Biliary tract cancer
GEMINI-Hepatobiliary
MEDI5752
AZD2936
Bispecific antibody
Volrustomig
Rilvegostomig
Primäres Ziel
Behandlung
Zuteilungsmethode
Nicht randomisiert
Interventionsmodell
Einarmige Studie
Verblindung
Keine (offene Studie)
Studienarme/Interventionen
Teilnehmergruppe/StudienarmIntervention/Behandlung
ExperimentellCohort 1A
Volrustomig monotherapy
Volrustomig
CTLA-4/Anti-PD-1 Bispecific Antibody
ExperimentellCohort 1B
Volrustomig combination with bevacizumab
Volrustomig
CTLA-4/Anti-PD-1 Bispecific Antibody
Bevacizumab
15 mg/kg, IV (in the vein) on day 1 of each 21 day cycle. Number of Cycles: until disease progression or unacceptable toxicity develops.
ExperimentellCohort 1C
Volrustomig combination with lenvatinib
Volrustomig
CTLA-4/Anti-PD-1 Bispecific Antibody
Lenvatinib
Daily use per oral (8 mg capsules/day for participants \< 60 kg or 12 mg/day for participants ≥ 60 kg) of 21 day cycle. Number of Cycles: until disease progression or unacceptable toxicity develops.
ExperimentellCohort 2A
Rilvegostomig combination with Gemcitabine and Cisplatin
Rilvegostomig
anti- PD-1 and TIGIT bispecific antibody
Gemcitabine
1000 mg/m2, IV infusion
Cisplatin
25 mg/m2, IV infusion
ExperimentellCohort 2B
Volrustomig combination with Gemcitabine and Cisplatin
Volrustomig
CTLA-4/Anti-PD-1 Bispecific Antibody
Gemcitabine
1000 mg/m2, IV infusion
Cisplatin
25 mg/m2, IV infusion
ExperimentellCohort 1D
Volrustomig combination with rilvegostomig and bevacizumab
Volrustomig
CTLA-4/Anti-PD-1 Bispecific Antibody
Bevacizumab
15 mg/kg, IV (in the vein) on day 1 of each 21 day cycle. Number of Cycles: until disease progression or unacceptable toxicity develops.
Rilvegostomig
anti- PD-1 and TIGIT bispecific antibody
ExperimentellCohort 1E
Rilvegostomig combination with bevacizumab
Bevacizumab
15 mg/kg, IV (in the vein) on day 1 of each 21 day cycle. Number of Cycles: until disease progression or unacceptable toxicity develops.
Rilvegostomig
anti- PD-1 and TIGIT bispecific antibody
Hauptergebnismessungen
ErgebnismessungBeschreibung der MessungZeitrahmen
Objective response rate (ORR)
ORR is defined as the proportion of participants who have a confirmed CR (complete response) or confirmed PR (partial response), determined by the Investigator at local site per RECIST 1.1 (For HCC sub-study 1)
Through study completion, an average of 2 years
The number of participants with adverse events/serious adverse events
Number of participants with adverse events and with serious adverse events including abnormal clinical observations, abnormal Electrocardiogram (ECG) parameters, abnormal laboratory assessments and abnormal vital signs that changed from baseline.
Through study completion, an average of 2 years
Progression free survival (PFS)
PFS is defined as the time from the start of studyintervention until progression per RECIST 1.1 as assessed by the Investigator at the local site or death due to any cause in the absence of progression, whichever occurs first. (For BTC sub-study 2)
Through study completion, an average of 2 years
Nebenergebnismessungen
ErgebnismessungBeschreibung der MessungZeitrahmen
Duration Of Response (DOR)
DoR is defined as the time from the date of first documented confirmed response until date of documented progression per RECIST 1.1 by the Investigator at local site or death due to any cause in the absence of disease progression, whichever occurs first.
Through study completion, an average of 2 years
Disease Control Rate (DCR)
DCR at 12 and 24 weeks is defined as the percentage of participants who have a Complete response (CR) or Partial response (PR) in the first 13 and 25 weeks or who have Stable disease (SD) for at least 11 and 23 weeks after the date of first dose respectively, per RECIST 1.1 as assessed by the investigator at local site and derived from the raw tumour data.
At 12 and 24 weeks
Progression free survival (PFS)
PFS is defined as the time from the start of study intervention until progression per RECIST 1.1 as assessed by the Investigator at the local site or death due to any cause in the absence of progression, whichever occurs first.
Through study completion, an average of 2 years
Overall Survival (OS)
OS is defined as the time from the start of study intervention until the date of death due to any cause, whichever occurs first.
Through study completion, an average of 2 years
Anti Drug Antibody (ADA)
Incidences of ADAs against novel immunomodulators in serum.
Through study completion, an average of 2 years
Pharmacokinetics of novel immunomodulators: Maximum plasma concentration of the study drug (Cmax)
Maximum observed plasma concentration of the study drug
From the first dose of study intervention, at predefined intervals throughout the administration of novel immunomodulators ( approx 2 years )
Pharmacokinetics of novel immunomodulators: Time to maximum plasma concentration of the study drug (T-max)
Time to maximum observed plasma concentration of the study drug
From the first dose of study intervention, at predefined intervals throughout the administration of novel immunomodulators ( approx 2 years )
lmmunogenicity of novel immunomodulators
The number and percentage of participants who develop ADAs.
From the first dose of study intervention, at predefined intervals throughout the administration of novel immunomodulators ( approx 2 years)
Objective response rate (ORR)
ORR is defined as the proportion of participants who have a confirmed CR (complete response) or confirmed PR (partial response), determined by the Investigator at local site per RECIST 1.1
Through study completion, an average of 2 years
Teilnahme-Assistent
Eignungskriterien

Zugelassene Altersgruppen
Erwachsene, Ältere Erwachsene
Mindestalter
18 Years
Zugelassene Geschlechter
Alle
  • Age ≥18 years at the time of signing the ICF.
  • Provision of a signed and dated written ICF.
  • Confirmed locally advanced or metastatic solid tumor specified in substudy based on histopathology.
  • Adequate organ and bone marrow function.
  • At least 1 measurable not previously irradiated lesion per RECIST 1.1
  • Life expectancy of at least 12 weeks at the time of screening.
  • Willing and able to provide an adequate tumor sample.

  • History of allogeneic organ transplantation.
  • Active or prior documented autoimmune or inflammatory disorders.
  • Uncontrolled intercurrent illness.
  • History of another primary malignancy, leptomeningeal carcinomatosis, and active primary immunodeficiency.
  • Active infection, brain metastases or spinal cord compression.
  • Participants co-infected with HBV and hepatitis D virus (HDV).
  • Previous treatment in the present study.
  • For substudy 1, history of hepatic encephalopathy within 12 months prior to treatment allocation.
Zentrale Studienkontakte
Kontakt: AstraZeneca Clinical Study Information Center, 1-877-240-9479, [email protected]
60 Studienstandorte in 9 Ländern

Alabama

Research Site, Birmingham, Alabama, 35233, United States
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California

Research Site, Costa Mesa, California, 92627, United States
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Research Site, Los Angeles, California, 90089, United States
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Research Site, Orange, California, 92868, United States
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Florida

Research Site, Miami Beach, Florida, 33140, United States
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Indiana

Research Site, Dyer, Indiana, 46311, United States
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Kansas

Research Site, Kansas City, Kansas, 66103, United States
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New York

Research Site, New York, New York, 10065, United States
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Texas

Research Site, Dallas, Texas, 75251, United States
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Virginia

Research Site, Fairfax, Virginia, 22031, United States
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Research Site, Beijing, 100050, China
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Research Site, Beijing, 100142, China
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Research Site, Beijing, 101100, China
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Research Site, Chengdu, 610000, China
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Research Site, Chengdu, 610041, China
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Research Site, Chongqing, 400030, China
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Research Site, Fuzhou, 350007, China
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Research Site, Guangzhou, 510060, China
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Research Site, Guangzhou, 510515, China
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Research Site, Harbin, 150081, China
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Research Site, Hefei, 230001, China
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Research Site, Hefei, 230022, China
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Research Site, Hefei, 230601, China
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Research Site, Nanchang, 330006, China
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Research Site, Nanning, 530021, China
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Research Site, Shandong, China
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Research Site, Shanghai, 200032, China
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Research Site, Xi'an, 710038, China
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Research Site, Zhengzhou, 450008, China
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Research Site, Hong Kong, 999077, Hong Kong
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Research Site, Shatin, 00000, Hong Kong
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Research Site, Florence, 50134, Italy
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Research Site, Milan, 20132, Italy
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Research Site, Naples, 80131, Italy
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Research Site, Rozzano, 20089, Italy
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Research Site, Chūōku, 104-0045, Japan
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Research Site, Kashiwa, 277-8577, Japan
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Research Site, Yokohama, 241-8515, Japan
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Research Site, Seongnam-si, 463-712, South Korea
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Research Site, Seoul, 03080, South Korea
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Research Site, Seoul, 03722, South Korea
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Research Site, Seoul, 05505, South Korea
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Research Site, Seoul, 06351, South Korea
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Research Site, Barcelona, 08036, Spain
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Research Site, Barcelona, 8035, Spain
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Research Site, Madrid, 28007, Spain
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Research Site, Madrid, 28040, Spain
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Research Site, Pamplona, 31008, Spain
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Research Site, Kaohsiung City, 80756, Taiwan
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Research Site, Kaohsiung City, 833, Taiwan
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Research Site, Liuying, 736, Taiwan
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Research Site, Taichung, 40705, Taiwan
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Research Site, Tainan, 70403, Taiwan
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Research Site, Taipei, 10002, Taiwan
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Research Site, Taipei, 11259, Taiwan
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Research Site, Taoyuan District, 333, Taiwan
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Research Site, Cambridge, CB2 0QQ, United Kingdom
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Research Site, Edinburgh, EH4 2XU, United Kingdom
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Research Site, London, NW3 2QG, United Kingdom
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Research Site, Manchester, M20 4BX, United Kingdom
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