Title
GAMBIT Trial: Cisplatin Plus Irinotecan in the Treatment of Gallbladder or Biliary Tract Cancer
GAMBIT Trial: A Randomized,Non-comparative, Open-label Clinical Trial Evaluating Cisplatin Plus Irinotecan in the Treatment of Gallbladder or Biliary Tract Cancer
Phase
Phase 2Lead Sponsor
Hospital de Cancer de Barretos - Fundacao Pio XIIStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Biliary CancerIntervention/Treatment
irinotecan gemcitabine cisplatin ...Study Participants
48To evaluate safety and efficacy of the combination cisplatin plus irinotecan in the treatment of biliary tract cancer.
Irinotecan 65mg/m² D1 and D8 q21 days, until disease progression or unacceptable toxicity. Given in association with standard hydration and anti-emetics.
Cisplatin 60mg/m² D1 q 21 days, until disease progression or unacceptable toxicity. Given in association with standard hydration and anti-emetics.
Cisplatin 25mg/m² D1 and D8 every 21 days, until disease progression or unacceptable toxicity. , with standard hydration and antiemetics. Given in association with standard hydration and anti-emetics.
Gemcitabine 1000mg/m² D1 and D8 every 21 days, until disease progression or unacceptable toxicity. Given in association with standard hydration and anti-emetics.
Irinotecan 65mg/m² D1 and D8 q21 days plus Cisplatin 60mg/m² D1 q 21 days, until disease progression or unacceptable toxicity, with standard hydration and antiemetics.
Gemcitabine 1000mg/m² D1 and D8 every 21 days plus cisplatin 25mg/m² D1 and D8 every 21 days, until disease progression or unacceptable toxicity, with standard hydration and antiemetics.
Inclusion Criteria: biopsy-proven gallbladder or biliary tract cancer; Recurrent, metastatic or unresectable disease; Chemo-naïve. Not candidates to curative-intent treatment, such as surgery or radiation-therapy; Measurable disease according to RECIST 1.1; ECOG 0-2; Adequate hematologic and biochemistry tests; Creatinine clearance >= 60ml/min. Exclusion Criteria: Known hypersensibility or previous therapy with cisplatin, gemcitabine or irinotecan; Chronic immunosuppressive therapy; Known CNS metastasis; Previous diagnosis of other cancer; Chronic or acute active infection, except asymptomatic HIV infection; Active bleeding; Any severe medical condition; Pregnant or lactating women, or with childbearing potential;