Durvalumab: IV infusion every 3 weeks with gemcitabine plus cisplatin up to 8 cycles followed by monotherapy every 4 weeks until disease progression or other discontinuation criteria.
Placebo: IV infusion every 3 weeks with gemcitabine plus cisplatin up to 8 cycles followed by monotherapy every 4 weeks until disease progression or other discontinuation criteria.
Study summary
Durvalumab or Placebo in Combination With Gemcitabine/Cisplatin in Patients With 1st Line Advanced Biliary Tract Cancer (TOPAZ-1).
Eligibility
Sex
ALL
Min age
18 Years
Max age
130 Years
Healthy volunteers
No
Inclusion
1. Histologically confirmed, unresectable advanced or metastatic biliary tract, including cholangiocarcinoma (intrahepatic or extrahepatic) and gallbladder carcinoma.
2. Patients with previously untreated disease if unresectable or metastatic at initial diagnosis will be eligible.
3. Patient with recurrent disease \>6 months after curative surgery or \>6 months after the completion of adjuvant therapy (chemotherapy and/or radiation) will be eligible.
4. WHO/ECOG PS of 0 or 1
Exclusion
1. History of another primary malignancy
2. Brain metastases or spinal cord compression
3. Uncontrolled intercurrent illness
4. Major surgical procedure within 28 days prior to the first dose of IP.
5. Prior locoregional therapy such as radioembolization
Primary outcome measure(s)
Overall Survival (OS) — From date of randomization until death due to any cause. Assessed up to maximum of approximately 27 months (from date of randomization to primary analysis data cut-off) Overall Survival (OS) was defined as the time from the date of randomization until death due to any cause. Any patient not known to have died at the time of analysis was censored based on the last recorded date on which the patient was known to be alive. Median OS was calculated using the Kaplan-Meier technique. The second interim analysis was pre-specified after approximately 397 OS events occurred in both arms (59% maturity).
Overall Survival (OS) Rate at 18 Months — From date of randomization until death due to any cause. Calculated at 18 months using the Kaplan-Meier technique. Overall Survival (OS) was defined as the time from the date of randomization until death due to any cause. Any patient not known to have died at the time of analysis was censored based on the last recorded date on which the patient was known to be alive. Median OS was calculated using the Kaplan-Meier technique. The second interim analysis was pre-specified after approximately 397 OS events occurred in both arms (59% maturity).
Overall Survival (OS) Rate at 24 Months — From date of randomization until death due to any cause. Calculated at 24 months using the Kaplan-Meier technique. Overall Survival (OS) was defined as the time from the date of randomization until death due to any cause. Any patient not known to have died at the time of analysis was censored based on the last recorded date on which the patient was known to be alive. Median OS was calculated using the Kaplan-Meier technique. The second interim analysis was pre-specified after approximately 397 OS events occurred in both arms (59% maturity).
Trial sites (126)
Facility
City
Region
Status
Research Site
Los Angeles
California
Research Site
Orange
California
Research Site
Washington D.C.
District of Columbia
Research Site
Fort Myers
Florida
Research Site
St. Petersburg
Florida
Research Site
Westwood
Kansas
Research Site
Louisville
Kentucky
Research Site
Burlington
Massachusetts
Research Site
St Louis
Missouri
Research Site
Chapel Hill
North Carolina
Research Site
Portland
Oregon
Research Site
Philadelphia
Pennsylvania
Research Site
Chattanooga
Tennessee
Research Site
Nashville
Tennessee
Research Site
Seattle
Washington
Research Site
Buenos Aires
Argentina
Research Site
CABA
Argentina
Research Site
CABA
Argentina
Research Site
Ciudad de Buenos Aires
Argentina
Research Site
Ciudad de Buenos Aires
Argentina
Research Site
Rosario
Argentina
Research Site
San Salvador de Jujuy
Argentina
Research Site
Burgas
Bulgaria
Research Site
Sofia
Bulgaria
Research Site
Sofia
Bulgaria
Research Site
Sofia
Bulgaria
Research Site
Varna
Bulgaria
Research Site
Santiago
Chile
Research Site
Temuco
Chile
Research Site
Baoding
China
Research Site
Beijing
China
Research Site
Beijing
China
Research Site
Bengbu
China
Research Site
Chongqing
China
Research Site
Foshan
China
Research Site
Guangzhou
China
Research Site
Hangzhou
China
Research Site
Hangzhou
China
Research Site
Harbin
China
Research Site
Hefei
China
+ 86 more sites — see the full list on the official registry below.
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.
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