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Chemotherapy

CDX-1140 + CAPOX + Keytruda for Bile Duct Cancer

Phase 1 & 2
Recruiting
Led By Maria C Monge Bonilla, M.D.
Research Sponsored by National Cancer Institute (NCI)
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up study start - 5 years
Awards & highlights
No Placebo-Only Group

Summary

This trial tests a combo of drugs to treat advanced biliary tract cancer, aiming to improve PFS and response rate.

Who is the study for?
Adults over 18 with advanced Biliary Tract Carcinoma (BTC) that's worsened after treatment and can't be removed by surgery or improved with a liver transplant. They must have acceptable organ function, no recent major surgeries, not be pregnant, and agree to use contraception. People who've had certain vaccines recently, those with HIV or active CNS metastases, or a history of severe allergies to similar drugs are excluded.
What is being tested?
The trial is testing CDX-1140 in combination with Capecitabine (a pill), Oxaliplatin (intravenous), and Keytruda (intravenous) for BTC treatment. Participants will undergo cycles of these treatments: intravenous on days 1 and 8 for the first six cycles then day 1 only afterward; pills taken twice daily for two weeks each cycle but stopped after six cycles.
What are the potential side effects?
Possible side effects include reactions at the infusion site, fatigue, digestive issues like nausea or diarrhea from capecitabine and oxaliplatin; immune-related effects such as inflammation in organs from Keytruda; blood count changes could occur due to all drugs involved.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~study start - 5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and study start - 5 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Phase I: Safe dose of CDX-1140 in combination with CAPOX and Keytruda(R)
Phase II: 6-month progression free survival (PFS) probability
Phase II: Overall response rate (ORR)
Secondary study objectives
5-year overall survival
Safety of CDX-1140, CAPOX and Keytruda(R) in participants with advanced BTC as determined by toxicities experienced

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Group I: Phase IIExperimental Treatment4 Interventions
Keytruda, oxaliplatin, capecitabine and estimated safe dose of CDX-1140
Group II: Phase IExperimental Treatment4 Interventions
Keytruda, oxaliplatin, capecitabine and escalating doses of CDX-1140
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
oxaliplatin
2002
Completed Phase 3
~6370
capecitabine
2002
Completed Phase 3
~2360
Keytruda
2016
Completed Phase 1
~110
CDX-1140
2017
Completed Phase 2
~160

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)Lead Sponsor
13,927 Previous Clinical Trials
41,017,945 Total Patients Enrolled
5 Trials studying Biliary Cancers
448 Patients Enrolled for Biliary Cancers
Maria C Monge Bonilla, M.D.Principal InvestigatorNational Cancer Institute (NCI)
1 Previous Clinical Trials
36 Total Patients Enrolled

Media Library

Capecitabine (Chemotherapy) Clinical Trial Eligibility Overview. Trial Name: NCT05849480 — Phase 1 & 2
Biliary Cancers Research Study Groups: Phase I, Phase II
Biliary Cancers Clinical Trial 2023: Capecitabine Highlights & Side Effects. Trial Name: NCT05849480 — Phase 1 & 2
Capecitabine (Chemotherapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05849480 — Phase 1 & 2
~40 spots leftby Jun 2040