Ongoing first-line randomized phase II–III trials with ICI for advanced BTCs
Study name/number | Phase | Estimated sample size | Experimental treatment | Comparator | Primary endpoint | Secondary endpoints |
---|---|---|---|---|---|---|
IMbrave151NCT04677504 | II | 150 patients | Atezolizumab plus bevacizumab plus CisGem | Atezolizumab plus placebo plus CisGem | PFS per RECIST v1.1 by the investigator | OS, ORR, DOR, DCR per RECIST v1.1 by investigator, TTCD, safety, ADAs for atezolizumab |
NCT04066491 | II–III | 512 patient | Bintrafusp alfa (M7824) plus CisGem | Placebo plus CisGem | Safety run-in part: DLTs Double-blinded part: OS | ORR, DOR, PFS per RECIST v1.1 by investigator, safety, Bintrafusp alfa PK, ADAs for Bintrafusp alfa |
TOPAZ-1NCT03875235 | III | 757 patients | Durvalumab plus CisGem | Placebo plus CisGem | OS | PFS, ORR, DOR per RECIST v1.1 by ICR and by investigator, OS by PD-L1 expression, PK of durvalumab, ADAs for durvalumab, QoL |
KEYNOTE-966NCT04003636 | III | 1048 patients | Pembrolizumab plus CisGem | Placebo plus CisGem | OS | ORR, DOR, PFS per RECIST v1.1 by ICR, safety |
NCT03478488 | III | 480 patients | KN035 plus GEMOX | GEMOX | OS | PFS, ORR, DCR, DOR, TTP per RECIST v1.1 by ICR |
CisGem: cisplatin 25 mg/mq + gemcitabine 1000 mg/mq intravenously (i.v.) on day 1 and 8 on a 21-day cycle up to 8 cycles; 2GEMOX: gemcitabine 1000 mg/mq on day 1 and 8 and oxaliplatin 85 mg/mq i.v. on day 1 of a 21-day cycle up to 6 cycles. TTCD: time to clinical deterioration; ADAs: anti-drug antibodies; DLTs: dose-limiting toxicities; PK: pharmacokinetics; TTP: time to progression
MGP, LR, AC, AD and VZ contributed to conception and design of the work. All authors wrote the manuscript, contributed to manuscript revision, read and approved this submitted version.
LR received consulting fees from Amgen, ArQule, AstraZeneca, Basilea, Bayer, BMS, Celgene, Eisai, Exelixis, Genenta, Hengrui, Incyte, Ipsen, IQVIA, Lilly, MSD, Nerviano Medical Sciences, Roche, Sanofi, Servier, Zymeworks; lecture fees from AbbVie, Amgen, Bayer, Eisai, Gilead, Incyte, Ipsen, Lilly, Merck Serono, Roche, Sanofi; travel expenses from Ipsen; and institutional research funding from Agios, ARMO BioSciences, AstraZeneca, BeiGene, Eisai, Exelixis, Fibrogen, Incyte, Ipsen, Lilly, MSD, Nerviano Medical Sciences, Roche, Zymeworks. The other authors declare that they have no conflicts of interest.
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© The Author(s) 2021.