Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
NCT06548412

CTX-009 With Gemcitabine, Cisplatin, and Durvalumab as First-line Therapy in Patients With Unresectable or Metastatic Biliary Tract Cancers

Led by M.D. Anderson Cancer Center · Updated on 2026-01-20

50

Participants Needed

1

Research Sites

222 weeks

Total Duration

On this page

Sponsors

M

M.D. Anderson Cancer Center

Lead Sponsor

C

Compass Therapeutics, Inc

Collaborating Sponsor

AI-Summary

What this Trial Is About

To evaluate combination therapy of adding CTX-009 to the standard therapy GCD as first-line therapy in patients with unresectable or mBTC.

CONDITIONS

Official Title

CTX-009 With Gemcitabine, Cisplatin, and Durvalumab as First-line Therapy in Patients With Unresectable or Metastatic Biliary Tract Cancers

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Ability to understand and willingly sign informed consent
  • Histologically or cytologically confirmed unresectable advanced, metastatic, or recurrent biliary tract cancer not previously treated in the metastatic setting
  • Measurable disease per RECIST v1.1 with at least one lesion measurable by imaging or clinical exam
  • ECOG performance status 0 to 2
  • Adequate organ and marrow function within 14 days before treatment, including specific blood counts and liver/kidney function
  • No active infections; HBV must be controlled or suppressed, HCV treated and cured or undetectable
  • Patients with prior or concurrent malignancies allowed if they do not interfere with study treatments
  • Women of childbearing potential and men must agree to use effective contraception during and for 4 months after treatment
  • Postmenopausal women or those with surgical sterilization are exempt from contraception requirements
Not Eligible

You will not qualify if you...

  • Previous treatment for the current malignancy in the metastatic setting (prior perioperative treatment allowed)
  • History of active interstitial lung disease or certain lung conditions
  • Major surgery within 28 days before treatment start (biliary stent procedures excluded)
  • Presence of percutaneous transhepatic biliary drains
  • Symptomatic or uncontrolled CNS metastasis (asymptomatic stable CNS metastases allowed)
  • Active infections requiring systemic therapy except controlled HBV or HCV
  • Known HIV positive status
  • History of significant bleeding disorders or serious gastrointestinal diseases
  • Active, uncontrolled autoimmune diseases requiring immunosuppressive treatment
  • Active, uncontrolled inflammatory bowel disease
  • Use of antiplatelet or anticoagulant drugs within 2 weeks before screening or expected need during the study
  • Significant cardiovascular diseases within the past 5 years
  • Significant vascular diseases within 6 months prior to treatment
  • History of hypersensitivity to study drug components
  • Use of other investigational agents
  • Receipt of live attenuated vaccines within 30 days before or during the study
  • Recent severe gastrointestinal bleeding
  • Diagnosis of hepatic encephalopathy or malignant bowel obstruction
  • Psychiatric or social conditions limiting compliance
  • Pregnancy or breastfeeding due to potential risks of study treatments

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

I

Ian Hu, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

2

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CTX-009 With Gemcitabine, Cisplatin, and Durvalumab as First-line Therapy in Patients With Unresectable or Metastatic Biliary Tract Cancers | DecenTrialz