Title
Cetuximab + Gemox in Biliary Tract Cancer
Cetuximab Plus Gemcitabine-Oxaliplatin (GEMOX) in Patients With Unresectable Advanced or Metastatic Biliary Tract Cancer: a Phase II Study
Phase
Phase 2Study Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Locally Advanced Metastatic ...Intervention/Treatment
gemcitabine cetuximab oxaliplatin ...Study Participants
30The aim of this prospective single-centre phase II study is to investigate the therapeutic efficacy and safety of cetuximab in combination with Gemcitabine and Oxaliplatin (GEMOX) in the palliative first line treatment of biliary tract cancer (BTC) patients.
Primary Objective(s) The primary objective of the study is to evaluate the best overall response of cetuximab in combination with gemcitabine and oxaliplatin (GEMOX) as first line treatment in patients with advanced or metastatic biliary tract cancer.
Secondary Objectives
The secondary objectives of this study are as follows:
toxicity
secondary resection rate
progression-free survival (PFS)
overall survival (OS)
Cetuximab 500mg/m2, iv every two weeks Gemcitabine 1000mg/m2, iv every two weeks Oxaliplatin 100mg/m2, iv every two weeks
Inclusion Criteria: histologically or cytologically proven unresectable advanced or metastatic biliary tract cancer (including intrahepatic and extrahepatic CC and gallbladder cancer) age ≥ 18 years ECOG performance status ≤ 2 bidimensionally measurable disease per RECIST criteria no prior chemotherapy or targeted therapy for advanced disease adequate bone marrow reserve (neutrophil count > 1500 /µL, platelet count > 100,000 /µL) adequate renal function (serum creatinine ≤ 1.5 x the upper limit of normal) adequate hepatic function (serum bilirubin <2.5 x the upper limit of normal (ULN) and serum transaminase level of ≤ 5 x ULN) written informed consent Exclusion Criteria: prior palliative treatment resectable disease brain metastases serious or uncontrolled concurrent medical illness pregnancy or nursing history of other malignancies with the exception of excised cervical or basal skin/squamous cell carcinoma peripheral neuropathy (grade > 1)