TITRE (EN) A Phase 3 Study of Trastuzumab Deruxtecan (T-DXd) and Rilvegostomig Versus Standard-of-Care Gemcitabine, Cisplatin, and Durvalumab for First Line Locally Advanced or Metastatic HER2-expressing Biliary Tract Cancer
PROTOCOLE ID DESTINY-Biliary Tract Cancer-01
CLINICAL TRIAL.gov ID NCT06467357
TYPE(S) DE CANCER Voies biliaires
PHASE Phase III
TYPE D'ÉTUDE Clinique
INSTITUTION CUSM
1001 boul. Décarie
VILLE Montréal
INVESTIGATEUR(RICE) PRINCIPAL(E) Victoria Mandilaras
COORDONATEUR(RICE) Amanda McFarlan
amanda.mcfarlan@muhc.mcgill.ca
514-934-1934 poste 44205
STATUT  Actif en recrutement
CRITÈRES D'ÉLIGIBILITÉ (EN)
  • Participants must be ≥ 18 years of age at the time of screening. Other age restrictions may apply as per local regulations;
  • Male and female;
  • Unresectable, previously untreated, locally advanced or metastatic BTC. Prior treatment in the perioperative and/or adjuvant setting is permissible provided there is > 6 months (180 days) between the end of adjuvant treatment and the diagnosis of locally advanced or metastatic disease.
  • histologically confirmed HER2-expressing (IHC 3+ or IHC 2+) BTC;
  • Provision of FFPE tumor sample that is no older than 3 years;
  • At least one target lesion assessed by the Investigator based on RECIST v1.1 (randomized portion only);
  • WHO/ECOG performance status of 0 or 1;
  • Adequate organ and bone marrow function within 14 days before randomization;
  • Evidence of post-menopausal status or negative serum pregnancy test for females of childbearing potential;
CRITÈRES D'EXCLUSION (EN)
  • Prior exposure to other HER2 targeting therapies, ADCs, immune checkpoint inhibitors and therapeutic anticancer vaccines;
  • histologically confirmed ampullary carcinoma;
  • history of substance abuse or any other medical conditions such as clinically significant cardiac or psychological conditions;
  • spinal cord compression or clinically active central nervous system metastases, defined as untreated and symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms;
  • medical history of myocardial infarction within 6 months before randomization/enrollment, symptomatic congestive heart failure (New York Heart Association Class II to IV), unstable angina pectoris, clinically important cardiac arrhythmias, or a recent (< 6 months) cardiovascular event including stroke;
  • Serious chronic gastrointestinal conditions associated with diarrhea (eg, active inflammatory bowel disease); active non-infectious skin disease (including any grade rash, urticaria, dermatitis, ulceration, or psoriasis) requiring systemic treatment;
  • active autoimmune, connective tissue or inflammatory disorders that has required systemic treatment in the past 2 years, or where there is documented, or a suspicion of pulmonary involvement at the time of screening;
  • Corrected QT interval (QTcF) prolongation to > 470 msec (females) or > 450 msec (males) based on average of the screening triplicate 12-lead ECG;
  • History of (non-infectious) ILD/pneumonitis, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening;
  • Lung-specific intercurrent clinically significant illnesses including, but not limited to, any underlying pulmonary disorder;
  • Prior pneumonectomy (complete);
  • Uncontrolled infection requiring IV antibiotics, antivirals, or antifungals;
  • Active primary immunodeficiency, known uncontrolled active HIV infection or HCV;
  • Pregnant or breastfeeding female patients, or patients who are planning to become pregnant;
  • Participation in another clinical study with a study intervention or investigational medicinal device administered in the last 6 months prior to randomization, or concurrent enrollment in another clinical study, unless it is an observational (non-interventional) clinical study or during the follow-up period of an interventional study (only randomized portion).