Status:

RECRUITING

A Study of Rilvegostomig or Durvalumab Plus Chemotherapy for First-Line Treatment of Biliary Tract Cancer (ARTEMIDE-Biliary02)

Lead Sponsor:

AstraZeneca

Conditions:

Biliary Tract Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The purpose of this study is to measure the efficacy and safety of rilvegostomig with gemcitabine plus cisplatin vs. durvalumab with gemcitabine plus cisplatin as first line treatment for patients wit...

Eligibility Criteria

Inclusion

  • Key inclusion Criteria:
  • Histologically confirmed adenocarcinoma of the biliary tract, including intra-hepatic or extra-hepatic cholangiocarcinoma (CCA) and gallbladder carcinoma (GBC).
  • Unresectable locally advanced or metastatic BTC, previously untreated in the advanced disease setting
  • Known PD-L1 status assessed at a central laboratory using an acceptable tumor sample.
  • Measurable disease by RECIST 1.1 criteria using CT or MRI and is suitable for accurate repeated measurements.
  • ECOG Performance Status of 0 or 1 with no deterioration (ie, ECOG PS \> 1) over the previous 2 weeks prior to baseline at screening and prior to randomization.
  • Adequate bone marrow and organ function.
  • Key exclusion Criteria:
  • Ampullary carcinoma
  • Any prior systemic therapy received for unresectable, locally advanced or metastatic BTC.
  • Any prior exposure to any other therapy targeting immune-regulatory receptors or mechanisms.
  • Any concurrent chemotherapy, radiotherapy, immunotherapy, investigational, biologic, or hormonal therapy for cancer treatment other than those under investigation in this study.
  • Active or prior documented autoimmune or inflammatory disorders requiring chronic treatment with steroids or other immunosuppressive treatment.
  • Active or ongoing interstitial lung disease/pneumonitis (of any grade), serious chronic gastrointestinal conditions associated with diarrhea, or active non-infectious skin disease (including any grade rash, urticaria, dermatitis, ulceration, or psoriasis) requiring systemic treatment.

Exclusion

    Key Trial Info

    Start Date :

    December 4 2025

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    July 4 2029

    Estimated Enrollment :

    1100 Patients enrolled

    Trial Details

    Trial ID

    NCT07221253

    Start Date

    December 4 2025

    End Date

    July 4 2029

    Last Update

    January 8 2026

    Active Locations (162)

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    Page 1 of 41 (162 locations)

    1

    Research Site

    Birmingham, Alabama, United States, 35233

    2

    Research Site

    Phoenix, Arizona, United States, 85054

    3

    Research Site

    Tucson, Arizona, United States, 85719

    4

    Research Site

    Duarte, California, United States, 91010