Ireland
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Active, not recruiting Phase 2

Study of Novel Immunomodulators as Monotherapy and in Combination With Anticancer Agents in Participants With Advanced Hepatobiliary Cancer

NCT05775159 · tracked via the Priya Life Science South Korea tracker
Phase
Phase 2
Started
2023-04-24
Last updated
2026-08-24

Condition(s) studied

Hepatocellular CarcinomaBiliary Tract Cancer

Investigational drug(s) / intervention(s)

Volrustomig →Bevacizumab →Lenvatinib →Rilvegostomig →Gemcitabine →Cisplatin →

Volrustomig: CTLA-4/Anti-PD-1 Bispecific Antibody

Bevacizumab: 15 mg/kg, IV (in the vein) on day 1 of each 21 day cycle. Number of Cycles: until disease progression or unacceptable toxicity develops.

Lenvatinib: Daily use per oral (8 mg capsules/day for participants \< 60 kg or 12 mg/day for participants ≥ 60 kg) of 21 day cycle. Number of Cycles: until disease progression or unacceptable toxicity develops.

Rilvegostomig: anti- PD-1 and TIGIT bispecific antibody

Gemcitabine: 1000 mg/m2, IV infusion

Cisplatin: 25 mg/m2, IV infusion

Study summary

GEMINI-Hepatobiliary study will assess the efficacy, safety and tolerability of novel immunomodulators alone and in combination with other anticancer drugs in participants with specified advanced solid tumors.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Age ≥18 years at the time of signing the ICF. * Provision of a signed and dated written ICF. * Confirmed locally advanced or metastatic solid tumor specified in substudy based on histopathology. * Adequate organ and bone marrow function. * At least 1 measurable not previously irradiated lesion per RECIST 1.1 * Life expectancy of at least 12 weeks at the time of screening. * Willing and able to provide an adequate tumor sample. Exclusion Criteria: * History of allogeneic organ transplantation. * Active or prior documented autoimmune or inflammatory disorders. * Uncontrolled intercurrent illness. * History of another primary malignancy, leptomeningeal carcinomatosis, and active primary immunodeficiency. * Active infection, brain metastases or spinal cord compression. * Participants co-infected with HBV and hepatitis D virus (HDV). * Previous treatment in the present study. * For substudy 1, history of hepatic encephalopathy within 12 months prior to treatment allocation.

Primary outcome measure(s)

  • Objective response rate (ORR) — Through study completion, an average of 2 years
    ORR is defined as the proportion of participants who have a confirmed CR (complete response) or confirmed PR (partial response), determined by the Investigator at local site per RECIST 1.1 (For HCC sub-study 1)
  • The number of participants with adverse events/serious adverse events — Through study completion, an average of 2 years
    Number of participants with adverse events and with serious adverse events including abnormal clinical observations, abnormal Electrocardiogram (ECG) parameters, abnormal laboratory assessments and abnormal vital signs that changed from baseline.
  • Progression free survival (PFS) — Through study completion, an average of 2 years
    PFS is defined as the time from the start of studyintervention until progression per RECIST 1.1 as assessed by the Investigator at the local site or death due to any cause in the absence of progression, whichever occurs first. (For BTC sub-study 2)

Trial sites (46)

FacilityCityRegionStatus
Research Site Birmingham Alabama
Research Site Los Angeles California
Research Site Orange California
Research Site Kansas City Kansas
Research Site New York New York
Research Site Beijing China
Research Site Beijing China
Research Site Beijing China
Research Site Chengdu China
Research Site Chengdu China
Research Site Chongqing China
Research Site Fuzhou China
Research Site Guangzhou China
Research Site Guangzhou China
Research Site Harbin China
Research Site Nanning China
Research Site Shanghai China
Research Site Hong Kong Hong Kong
Research Site Shatin Hong Kong
Research Site Florence Italy
Research Site Milan Italy
Research Site Naples Italy
Research Site Rozzano Italy
Research Site Chūōku Japan
Research Site Kashiwa Japan
Research Site Yokohama Japan
Research Site Seongnam-si South Korea
Research Site Seoul South Korea
Research Site Seoul South Korea
Research Site Seoul South Korea
Research Site Seoul South Korea
Research Site Barcelona Spain
Research Site Barcelona Spain
Research Site Madrid Spain
Research Site Madrid Spain
Research Site Pamplona Spain
Research Site Kaohsiung City Taiwan
Research Site Kaohsiung City Taiwan
Research Site Taichung Taiwan
Research Site Tainan Taiwan

+ 6 more sites — see the full list on the official registry below.

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT05775159 on ClinicalTrials.gov ↗ ← All trials in South Korea