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A Phase II Study of Gemcitabine With Oxaliplatin as First Line Chemotherapy in Advanced Biliary Tract Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00504192
Recruitment Status : Completed
First Posted : July 19, 2007
Last Update Posted : May 20, 2014
Information provided by:
Soonchunhyang University Hospital

Brief Summary:
The role of systemic chemotherapy in advanced biliary tract cancer (BTC) is known to be very limited although various single-agent or combination therapies had been tested. However, there is a possibility that palliative chemotherapy induce prolong survival and improve quality of life in advanced BTC based on several studies. A GERCOR study showed the promising result of gemcitabine in combination with oxaliplatin as first line chemotherapy in advanced BTC. Therefore, this phase II trial was planned to investigate efficacy and toxicity of combination chemotherapy with gemcitabine and dose adjusted oxaliplatin in patients with inoperable BTC in Korea.

Condition or disease Intervention/treatment Phase
Advanced Biliary Tract Adenocarcinoma Gemcitabine Oxaliplatin Combination Chemotherapy Efficacy Drug: Gemcitabine and Oxaliplatin Phase 2

Detailed Description:

Treatment scheme

:Gemcitabine 1000 mg/m2/d IV D1 as a 10mg/m2/min Oxaliplatin 85 mg/m2/d IV D2 as a 2 hours infusion

Each cycle is repeated every 2 weeks.

Repeated cycles of treatment will be given for this study unless there is confirmed disease progression or unacceptable toxicity. Subjects will be treated for at least 4 cycles unless there is documented disease progression, unacceptable adverse events or withdrawal of consent.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 40 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase II Study of Gemcitabine in Combination With Oxaliplatin as First Line Chemotherapy in Patients With Inoperable Biliary Tract Adenocarcinoma
Study Start Date : September 2006
Actual Primary Completion Date : March 2008
Actual Study Completion Date : March 2009

Intervention Details:
  • Drug: Gemcitabine and Oxaliplatin
    gemcitabine 1000mg/m2 IV on day 1 and oxaliplatin 85mg/m2 on day 2 every 2weeks

Primary Outcome Measures :
  1. 1) To estimate the overall response rate after treatment with gemcitabine and oxaliplatin in patients with advanced biliary tract adenocarcinoma [ Time Frame: every 4 cycles ]

Secondary Outcome Measures :
  1. 1) To evaluate the safety and tolerability of the treatment combination. 2) To estimate the time to progression and the duration of overall response. 3) To estimate overall tumor growth control rate (CR, PR plus SD). 4) To estimate overall survival. [ Time Frame: Overall survival is defined from the first day of treatment to the date of death. Time to progression is defined from the first day of treatment to the date of tumor progression assessed by CT scan or MRI. ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Patients with histologically or cytologically confirmed biliary tract adenocarcinoma
  2. Inoperable disease as defined by:

    • Localized disease in a portion of the liver that does not allow the possibility of complete surgical removal of the tumor with a clear resection margin.

      • Presence of metastatic lesion

        • Unresectable recurrent tumor after curative resection

          • anatomically resectable but inoperable associated with medical condition
  3. Biliary obstruction controlled
  4. Minimum life expectancy of 12 weeks.
  5. At least one measurable lesion according to the Response Evaluation Criteria in Solid Tumors (RECIST) or evaluable lesion present by imaging study
  6. Age over 18 years
  7. ECOG performance status of * 2.
  8. Adequate organ function as evidenced by the following; Absolute neutrophil count > 1.5 x 109/L; platelets > 100 x 109/L; total bilirubin ≤3xUNL; AST and/or ALT < 5x UNL; Creatinine< 1.5mg/dl or creatinine clearance >50 ml/mins
  9. Consent form signed and dated prior to study specific procedures.
  10. Subject able to comply with the scheduled follow-up and with the management of toxicities.

Exclusion Criteria:

  1. Decompensated Cirrhosis or stage C (Index > 10) according to the Child-Pugh Classification
  2. Prior systemic chemotherapy
  3. Subject with reproductive potential (M/F) not using adequate contraceptive measures.
  4. Pregnancy and breast-feeding.
  5. Other serious illness or medical condition, notably heart or lung failure, active uncontrolled infection (infection requiring antibiotics).
  6. Past or concurrent history of other neoplasm, except curatively treated basal cell skin cancer or adequately treated in-situ carcinoma of the cervix.
  7. Symptomatic or uncontrolled brain metastasis
  8. Other concomitant anticancer agent, including Tamoxifen and Interferon.
  9. Subjects who cannot be regularly followed up for psychological, social, familial or geographic reasons.
  10. Participation in another clinical study or within 30 days before inclusion.
  11. History of severe hypersensitivity reactions to gemcitabine or oxaliplatin

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00504192

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Korea, Republic of
Soonchunhyang University Bucheon Hospital
Bucheon, Kyunggi, Korea, Republic of, 420-767
Sponsors and Collaborators
Soonchunhyang University Hospital
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Principal Investigator: Dae Sik Hong, professor Soonchunhyang University Hospital
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Responsible Party: Dae Sik Hong, Soonchunhyang Bucheon Hospital Identifier: NCT00504192    
Other Study ID Numbers: SCH-GO-BTC1
First Posted: July 19, 2007    Key Record Dates
Last Update Posted: May 20, 2014
Last Verified: May 2009
Additional relevant MeSH terms:
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Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Antiviral Agents
Anti-Infective Agents
Enzyme Inhibitors
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs