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Clinical Trial ● Currently Recruiting Phase III NCT06467357

Phase 3 Study of T-DXd and Rilvegostomig Versus SoC in Advanced HER2-expressing Biliary Tract Cancer

Phase 3 Study of T-DXd and Rilvegostomig Versus SoC in Advanced HER2-expressing Biliary Tract Cancer — Recruiting • Phase III • Oncology • NCT06467357.

📅 16 Apr 2026 ⏱ 2 min read
Currently Recruiting
This trial is actively seeking participants in the UK. Discuss eligibility with your patient before referring.
Status
Currently Recruiting
Phase
Phase III
NCT ID
NCT06467357
Sponsor
AstraZeneca
Start
2024-08-12
ClinicaliQ Trial Snapshot
  • Phase 3 Study of T-DXd and Rilvegostomig Versus SoC in Advanced HER2-expressing Biliary Tract Cancer — Recruiting • Phase III • Oncology • NCT06467357.
  • What is being tested: T-DXd (trastuzumab deruxtecan) combined with rilvegostomig or as monotherapy, compared against standard-of-care gemcitabine plus cisplatin with durvalumab in treatment-Phase IIIïve patients with advanced HER2-expressing biliary tract cancer.
  • Patient eligibility overview: The trial enrolls treatment-Phase IIIïve patients with advanced HER2-expressing biliary tract cancer; this represents a defined population with specific molecular characteristics (HER2 expression) who have not previously received systemic therapy.
Use This Page For
  • Quick orientation before opening the registry record.
  • Checking recruitment status, phase and sponsor at a glance.
  • Connecting this trial to nearby guidelines, Drug Science and education.
What This Trial Is Studying

The purpose of this study is to measure the efficacy and safety of T-DXd with rilvegostomig or T-DXd monotherapy compared with gemcitabine plus cisplatin and durvalumab in patients with advanced treatment naïve HER2-expressing BTC.

Eligibility Snapshot
  • Key Inclusion Criteria: * Male and female patients must be at least 18 years of age at the time of signing the informed consent. Other age restrictions may apply as per local regulations. * Unresectable, previously untreated, locally advanced or metastatic biliary tract adenocarcinoma. Prior treatment in the perioperative and/or adjuvant setting is permissible provided there is > 3 months (90 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. * Patients must provide an FFPE tumor sample that is no older than 3 years for tissue-based IHC staining to centrally determine HER2 expression, PD-L1 status, and other correlatives. * Has 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 with no deterioration over the previous 2 weeks prior to baseline or day of first dosing. * 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. * Minimum life expectancy of 12 weeks. Key

Use the source registry for the full inclusion and exclusion criteria before discussing referral or enrolment.

Full Trial Details
View this trial on the source registry
Eligibility criteria, protocol, and results when available
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