What this study is
The purpose of this study is to evaluate the efficacy and safety of Zanidatamab plus CisGem (Cisplatin and Gemcitabine) with or without the addition of a programmed death protein 1/ligand-1 (PD-1/L1) inhibitor (physician's choice of either Durvalumab or Pembrolizumab, where approved under local regulations) as first line of treatment for participants with human epidermal growth factor receptor 2 (HER2)-positive biliary tract cancer.
What's being tested
- Zanidatamab
Intervention · DRUG
- Cisplatin
Intervention · DRUG
- Gemcitabine
Intervention · DRUG
- Pembrolizumab
Intervention · DRUG
- Durvalumab
Intervention · DRUG
All interventions
Administered intravenously (IV)
Study details
- Official title
- An Open-label Randomized Trial of the Efficacy and Safety of Zanidatamab With Standard-of-care Therapy Against Standard-of-care Therapy Alone for Advanced HER2-positive Biliary Tract Cancer
- Sponsor
- Jazz Pharmaceuticals
- Conditions
- Biliary Tract Cancer
- Enrolling
- 286 people
- Starts
- 2024-07-19
- Est. completion
- 2030-04-01
- Design
- Open-label, randomized, parallel groups, Phase 3
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years and overSex ALLHealthy volunteers Not acceptedYou may qualify if
- Histologically- or cytologically-confirmed Biliary Tract Cancer (BTC), including Gallbladder Cancer (GBC), Intrahepatic Cholangiocarcinoma (ICC), or Extrahepatic Cholangiocarcinoma (ECC).
- Locally advanced unresectable or metastatic BTC and not eligible for curative resection, transplantation, or ablative therapies.
- Received no more than 2 cycles of systemic therapy which is limited to Cisplatin and Gemcitabine (CisGem) with or without a PD-1/L1 inhibitor (physician's choice of durvalumab or pembrolizumab, where approved under local regulations) for advanced unresectable or metastatic disease.
- HER2-positive disease (defined as IHC 3+; or IHC 2+/ ISH+) by IHC and in situ Hybridization (ISH) assay (in participants with IHC 2+ tumors) at a central laboratory on new biopsy tissue or archival tissue from the most recent biopsy.
- Assessable (measurable or non-measurable) disease as defined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1), per investigator assessment.
- Male or female ≥ 18 years or age (or the legal age of adulthood per country-specific regulations).
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Adequate organ function
- Females of childbearing potential must have a negative pregnancy test result.
- Females of childbearing potential and males with a partner of childbearing potential must be willing to use 2 methods of birth control.
You can't join if
- Prior treatment with a HER2-targeted agent
- Prior treatment with checkpoint inhibitors, other than durvalumab or pembrolizumab
- The following BTC histologic subtypes are excluded: small cell cancer, neuroendocrine tumors, lymphoma, sarcoma, mixed tumor histology, and mucinous cystic neoplasms detected in the biliary tract region.
- Use of systemic corticosteroids.
- Brain metastases
- Severe chronic or active infections
- History of allogeneic organ transplantation.
- Active or prior autoimmune inflammatory conditions
- History of interstitial lung disease or non-infectious pneumonitis.
- Participation in another clinical trial with an investigational medicinal product within the last 3 months.
- Females who are breastfeeding
- Any other medical, social, or psychosocial factors that, in the opinion of the investigator, could impact safety or compliance with study procedures.
- Use of phenytoin
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (185)
69 openAdventHealth Hematology and Oncology
Orlando, Florida, United States
RecruitingNorton Cancer Institute - Audubon
Louisville, Kentucky, United States
RecruitingOregon Health and Science University
Portland, Oregon, United States
RecruitingCity of Hope(City of Hope National Medical Center, City of Hope Medical Center)
Duarte, California, United States
Active, not recruitingRocky Mountain Cancer Centers, LLP
Lone Tree, Colorado, United States
WithdrawnWinship Cancer Institute
Atlanta, Georgia, United States
CompletedThe University of Kansas Cancer Center - Westwood
Westwood, Kansas, United States
WithdrawnOchsner Clinic Foundation
New Orleans, Louisiana, United States
Active, not recruitingTufts Medical Center
Boston, Massachusetts, United States
WithdrawnUniversity of Michigan Hospital
Ann Arbor, Michigan, United States
CompletedHenry Ford Health System
Detroit, Michigan, United States
WithdrawnMinnesota Oncology Hematology, P.A.
Maple Grove, Minnesota, United States
WithdrawnAtlantic Health System/Morristown Medical Center
Morristown, New Jersey, United States
WithdrawnLaura and Isaac Perlmutter Cancer Center at NYU Langone - Ambulatory Care Center
New York, New York, United States
CompletedMemorial Sloan Kettering Cancer Centers
New York, New York, United States
Active, not recruitingSaint Francis Cancer Center
Greenville, South Carolina, United States
WithdrawnSCRI Oncology Partners
Nashville, Tennessee, United States
WithdrawnTexas Oncology - DFW
Dallas, Texas, United States
WithdrawnUniversity of Texas Southwestern Medical Center
Dallas, Texas, United States
Active, not recruitingThe Univerrsity of Texas MD Anderson Cancer Center
Houston, Texas, United States
Active, not recruitingVirginia Commonwealth University, VCU Health
Richmond, Virginia, United States
Active, not recruiting
164 sites outside the US
Centro de Investigaciónes Clínicas - Clínica Viedma
Viedma, Río Negro Province, Argentina
RecruitingInstituto Médico de la Fundación Estudios Clínicos
Rosario, Santa Fe Province, Argentina
RecruitingCAIPO Centro para la Atención Integral del Paciente Oncológico
San Miguel de Tucumán, Tucumán Province, Argentina
RecruitingCentro Médico en Oncología Clínica EXELSUS S.R.L
San Miguel de Tucumán, Tucumán Province, Argentina
RecruitingImelda VZW
Bonheiden, Antwerpen, Belgium
RecruitingUZ Antwerpen
Edegem, Antwerpen, Belgium
RecruitingHospital Nossa Senhora Da Conceição/Centro Integrado de Pesquisa em Oncologia CIPO-GHC
Porto Alegre, Brazil
RecruitingPrincess Margaret Cancer Centre - University Health Network
Toronto, Ontario, Canada
RecruitingJames Lind Centro de Investigacion del Cancer
Temuco, Araucania, Chile
RecruitingCentro de Investigacion y Especialidades Medicas (CDIEM)
Santiago, Santiago Metropolitan, Chile
RecruitingOncovida
Santiago, Santiago Metropolitan, Chile
RecruitingBiocinetic Ltda
Santiago, Santiago Metropolitan, Chile
RecruitingHospital Clinico Universidad de Chile
Santiago, Santiago Metropolitan, Chile
RecruitingThe First Affiliated Hospital of USTC(Anhui Provincial Hospital)
Hefei, Anhui, China
RecruitingBeijing Cancer Hospital
Beijing, Beijing Municipality, China
RecruitingThe First Hospital of Lanzhou University
Lanzhou, Gansu, China
RecruitingHarbin Medical University Cancer Hospital
Harbin, Heilongjiang, China
RecruitingJilin Cancer Hospital
Changchun, Jilin, China
RecruitingWest China Hospital Sichuan University
Chengdu, Sichuan, China
RecruitingZhongshan Hospital Fudan University
Shanghai, China
RecruitingDocrates Cancer Center
Helsinki, Finland
RecruitingComprehensive Cancer Center, Helsinki University Hospital
Helsinki, Finland
RecruitingKuopio University Hospital
Kuopio, Finland
RecruitingCHU de Toulouse- (Toulouse University Hospital Center)
Toulouse, Cedex 9, France
RecruitingCHU de Bordeaux - Hôpital Haut Leveque
Pessac, Cedex, France
RecruitingCHU Poitiers
Poitiers, France
RecruitingUniversitätsklinikum Tübingen - Medizinische Universitätsklinik, Innere Medizin I
Tübingen, Baden-Wuttemberg, Germany
RecruitingKrankenhaus Nordwest - Institut für Klinisch-Onkologische Forschung (IFK)
Frankfurt am Main, Hesse, Germany
RecruitingMedizinische Hochschule Hannover - Klinik Fur Gastroenterologie, Hepatologie, Infektiologie und Endokrinologie
Hanover, Nieder-Sachsen, Germany
RecruitingTechnische Universität Dresden Medizinische Fakultät Carl Gustav Carus
Dresden, Saxony, Germany
RecruitingUniversitätsklinikum Schleswig-Holstein - Campus Lübeck, Medizinische Klinik I (MKI)
Lübeck, Schleswig-Holstein, Germany
RecruitingAsklepios Tumorzentrum Hamburg, Asklepios Klinik Altona - Onkologie und Palliativmedizin mit Sektionen Hamatologie und Rheumatologie
Hamburg, Germany
RecruitingTata Memorial Hospital
Mumbai, Maharashtra, India
RecruitingMahamana Pandit Madan Mohan Malviya Cancer Centre
Varanasi, Uttar Pradesh, India
RecruitingIRCCS Ospedale Policlinico San Martino
Genova, Italy
RecruitingFondazione IRCCS Istituto Nazionale per lo studio e la cura dei Tumori
Milan, Italy
RecruitingIstituto Clinico Humanitas
Rozzano, Italy
RecruitingAzienda Ospedaliera Universitaria Integrata Verona
Verona, Italy
RecruitingChiba Cancer Center
Chiba, Chiba, Japan
RecruitingNational Cancer Center Hospital East
Kashiwa, Chiba, Japan
RecruitingHokkaido University Hospital
Sapporo, Hokkaidô, Japan
RecruitingKanazawa University Hospital
Kanazawa, Ishikawa-ken, Japan
RecruitingKyoto University Hospital
Kyoto, Kyôto, Japan
RecruitingNiigata University Medical and Dental Hospital
Niigata, Niigata, Japan
RecruitingOsaka Prefectural Hospital Organization Osaka International Cancer Institute
Osaka, Osaka, Japan
RecruitingThe University of Tokyo Hospital
Bunkyo-ku, Tokyo, Japan
RecruitingThe Cancer Institute Hospital of Japanese Foundation For Cancer Research
Koto-Ku, Tokyo, Japan
RecruitingKyorin University Hospital
Mitaka-shi, Tokyo, Japan
RecruitingOsaka University Hospital
Suita-Shi, Ôsaka, Japan
RecruitingUnidade Local de Saude de Coimbra, EPE - Hospitais da Universidade de Coimbra
Coimbra, Portugal
RecruitingHospital Oncologico, Puerto Rico Medical Center
Rio Piedras, Puerto Rico
RecruitingSpital Clinic Judetean de Urgenta Bihor
Oradea, Bihor County, Romania
RecruitingAsan Medical Center
Seoul, South Korea
RecruitingSamsung Medical Center
Seoul, South Korea
RecruitingHospital Regional Universitario de Malaga
Málaga, Spain
RecruitingClinica Universidad de Navarra
Pamplona, Spain
RecruitingOnkologiska mottagningen, Sahlgrenska Universitetssjukhuset
Gothenburg, Sweden
RecruitingCancerstudieenheten Huddinge, Karolinska Universitetssjukhuset Huddinge
Huddinge, Sweden
RecruitingKaohsiung Medical University - Chung-Ho Memorial Hospital
Kaohsiung City, Taiwan
RecruitingChang Gung Memorial Hospital Linkou Branch of the Chang Gung Medical Foundation
Taoyuan, Taiwan
RecruitingIstanbul University Cerrahpasa Medical Faculty Hospital/Clinical Research Center
Istanbul, Fatih, Turkey (Türkiye)
RecruitingAkdeniz University Medical Faculty Hospital
Antalya, Turkey (Türkiye)
RecruitingTrakya University Faculty of Medicine
Edirne, Turkey (Türkiye)
RecruitingMount Vernon Cancer Centre
London, England, United Kingdom
RecruitingThe Christie NHS Foundation Trust
Manchester, England, United Kingdom
RecruitingRoyal Marsden Hospital NHS Foundation Trust
Surrey, England, United Kingdom
RecruitingHospital Italiano de Buenos Aires
Ciudad Autónoma de Buenos Aires (caba), Buenos Altes, Argentina
Active, not recruitingFundación ARS Médica
San Salvador de Jujuy, Jujuy Province, Argentina
CompletedHospital Provincial Del Centenario
Rosario, Santa Fe Province, Argentina
CompletedCentro Médico Privado CEMAIC
Córdoba, Argentina
CompletedUZ Leuven
Leuven, Vlaams-Brabant, Belgium
Active, not recruitingLiga Norte Riograndense Contra O Cancer
Natal, Rio Grande do Norte, Brazil
Active, not recruitingHospital de Clinicas de Porto Alegre - HCPA
Porto Alegre, Rio Grande do Sul, Brazil
CompletedIrmandade Da Santa Casa de Misericordia de Porto Alegre - ISCMPA
Porto Alegrev, Rio Grande do Sul, Brazil
Active, not recruitingFundação Pio XII Hospital de Amor de Barretos
Barretos, São Paulo, Brazil
CompletedFundação Doutor Amaral Carvalho - Hospital Amaral Carvalho
Jaú, São Paulo, Brazil
Active, not recruitingFundação Faculdade Regional de Medicina de São José do Rio Preto (FUNFARME)
São José do Rio Preto, São Paulo, Brazil
CompletedInstituto Nacional de Cancer - INCA
Rio de Janeiro, Brazil
Active, not recruitingLondon Health Sciences Centre
London, Ontario, Canada
Active, not recruitingCentre Hospitalier de l'Universite de Montreal (CHUM)
Montreal, Quebec, Canada
CompletedServicios Médicos URUMED SpA
Rancagua, Libertador Gen Bernardo O Higgins, Chile
CompletedClinica Puerto Montt
Port Montt, Los Lagos Region, Chile
CompletedFundación Arturo López Pérez (FALP)
Santiago, Santiago Metropolitan, Chile
CompletedHunan Provincial People's Hospital
Changsha, Hunan, China
CompletedShandong Provincial Third Hospital
Jinan, Shandong, China
CompletedSichuan Cancer Hospital
Chengdu, Sichuan, China
CompletedFakultní nemocnice Brno, Interní hematologická a onkologická klinika
Brno, Czechia
WithdrawnFakultni nemocnice Hradec Kralove, Klinika onkologie a radioterapie
Hradec Králové, Czechia
WithdrawnFakultni nemocnice v Motole, Onkologicka klinika
Prague, Czechia
WithdrawnCHU Besancon
Besançon, Cedex, France
WithdrawnCHU Brest Hôpital de la Cavale Blanche
Brest, France
Active, not recruitingCHU Estaing
Clermont-Ferrand, France
Active, not recruitingHospital Beaujon University
Clichy, France
Active, not recruitingHopital Henri Mondor
Créteil, France
Active, not recruitingCHU Montepellier - Hôpital Saint Eloi
Montpellier, France
CompletedInstitut de Cancérologie de l'Ouest
Saint-Herblain, France
CompletedGustave Roussy
Villejuif, France
CompletedUniversitätsklinikum Freiburg - Klinik für Innere Medizin II,
Freiburg im Breisgau, Baden-Wurttemberg, Germany
CompletedNationales Centrum für Tumorerkrankungen (NCT) Heidelberg
Heidelberg, Baden-Wurttemberg, Germany
CompletedLMU Universitätsklinikum München, Campus Großhadern, Medizinische Klinik und Poliklinik III - Hämatologie und Onkologie
München, Bavaria, Germany
CompletedCharité - Universitätsmedizin Berlin - Campus Virchow Klinikum, Medizinische Klinik mit Schwerpunkt Hamatologie und Tumorimmunologie
Berlin, Germany
Active, not recruitingKLES Dr Prabhakar Kore Hospital and Medical Research Centre
Belagavi, Karnataka, India
Active, not recruitingChopda Medicare & Research Centre Pvt. Ltd - Magnum Heart Institute
Nashik, Maharashtra, India
CompletedAIG Hospitals (A Unit of Asian Institute of Gastroenterology)
Hyderabad, Telangana, India
CompletedPi Health Cancer Hospital
Hyderabad, Telangana, India
CompletedMax Super Speciality Hospital - Saket (a unit of Devki Devi foundation)
New Delhi, India
CompletedRajiv Gandhi Cancer Institute And Research Centre
New Delhi, India
CompletedRambam Health Care Campus
Haifa, Israel
Active, not recruitingThe Hadassah University Medical Center, Ein Kerem Hospital
Jerusalem, Israel
Active, not recruitingRabin Medical Center, Bellinson Hospital
Petah Tikva, Israel
CompletedThe Chaim Sheba Medical Center, Tel Hashomer
Ramat Gan, HaMerkaz, Israel
Active, not recruitingTel Aviv Sourasky Medical Center (Ichilov)
Tel Aviv, Israel
CompletedAzienda Ospedaliero Universitaria di Cagliari Presidio Ospedaliero Duilio Casula
Monserrato, Cagliari, Italy
Active, not recruitingInstituo di Candiolo, Fondazione del Piemonte per l'Oncologia (IRCCS)
Candiolo, Torino, Italy
CompletedAOU dell'Universit~ degli Studi della Campania Luigi Vanvitelli
Naples, Italy
CompletedVeneto Institute of Oncology IOV - I.R.C.C.S.
Padova, Italy
CompletedAzienda Ospedaliero - Universitaria Pisana
Pisa, Italy
CompletedFondazione Policlinico Universitario Gemelli-IRCCS
Roma, Italy
Active, not recruitingAzienda Sanitaria Universitaria Friuli Centrale - P.O. S. Maria della Misericordia
Udine, Italy
CompletedAichi Cancer Center
Nagoya, Aichi-ken, Japan
Active, not recruitingNational Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, Japan
Active, not recruitingNational Hospital Organization Kyushu Cancer Center
Fukuoka, Fukuoka, Japan
CompletedKagoshima University Hospital
Kagoshima, Kagoshima-ken, Japan
Active, not recruitingKanagawa Cancer Center
Yokohama, Kanagawa, Japan
CompletedMie University Hospital
Tsu, Mie-ken, Japan
Active, not recruitingTohoku University Hospital
Sendai, Miyagi, Japan
Active, not recruitingNational Cancer Center Hospital
Chuo-Ku, Tokyo, Japan
Active, not recruitingYamaguchi University Hospital
Ube-Shi, Yamaguchi, Japan
Active, not recruitingUnidade Local de Saude de Almada-Seixal, E.P.E. - Hospital Garcia de Orta
Almada, Portugal
Active, not recruitingUnidade Local de Saúde de São José - Hospital de Santo António dos Capuchos
Lisbon, Portugal
Active, not recruitingChampalimaud Clinical Center
Lisbon, Portugal
Active, not recruitingInstituto Português de Oncologia Do Porto Francisco Gentil, EPE
Porto, Portugal
Active, not recruitingCentrul De Oncologie "SF. Nectarie" S.R.L.
Craiova, Dolj, Romania
WithdrawnInstitutul Clinic Fundeni
Bucharest, Romania
WithdrawnCentrul de Oncologie Euroclinic SRL
Iași, Romania
WithdrawnUniversity Clinical Center of Serbia, Clinic for Gastroenterohepatology
Belgrade, Serbia
WithdrawnMilitary Medical Academy, Clinic for Gastroenterology and Hepatology
Belgrade, Serbia
WithdrawnOncology Institute of Vojvodina, Internal Oncology Clinic
Kamenitz, Serbia
WithdrawnCHA Bundang Medical Center, CHA University
Bundang-Gu, Seongnam-Si, Gyeonggi-do, South Korea
Active, not recruitingNational Cancer Center
Ilsandong-gu, Goyang-si, Gyeonggi-do, South Korea
Active, not recruitingSeoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, South Korea
Active, not recruitingPusan National University Hospital
Busan, South Korea
CompletedKorea University Anam Hospital
Seoul, South Korea
Active, not recruitingSeoul National University Hospital
Seoul, South Korea
Active, not recruitingSeverance Hospital, Yonsei University Health System
Seoul, South Korea
Active, not recruitingHanyang University Seoul Hospital
Seoul, South Korea
WithdrawnKorea University Guro Hospital
Seoul, South Korea
CompletedComplejo Hospitalario Universitario de Santiago -Hospital Clinico Universitario de Santiago
Santiago de Compostela, A Coruna, Spain
CompletedHospital Clinic de Barcelona
Barcelona, Spain
Active, not recruitingVall d'Hebron Institute of Oncology/Hospital Universitari de Vall d'Hebron
Barcelona, Spain
CompletedHospital Universitario Reina Sofia
Córdoba, Spain
WithdrawnHospital Universitario Fundacion Jimenez Diaz
Madrid, Spain
CompletedHospital Universitario 12 de Octubre
Madrid, Spain
CompletedHospital Universitario La Paz
Madrid, Spain
Active, not recruitingHospital Universitario Virgen Macarena
Seville, Spain
Active, not recruitingHospital Universitario y Politecnico La Fe
Valencia, Spain
WithdrawnHospital Universitario Miguel Servet
Zaragoza, Spain
Active, not recruitingOnkologiska mottagningen, Skånes Universitetssjukhus Malmö
Malmö, Sweden
WithdrawnChang Gung Memorial Hospital Kaohsiung Branch of the Chang Gung Medical Foundation
Kaohsiung City, Taiwan
Active, not recruitingNational Cheng Kung University Hospital
Tainan, Taiwan
CompletedNational Taiwan University Cancer Center
Taipei, Taiwan
Active, not recruitingHacettepe University Cancer Institute
Ankara, Sihhiye, Turkey (Türkiye)
CompletedNHS Foundation Trust Royal Marsden Hospital
London, England, United Kingdom
Active, not recruitingWestern General Hospital, Edinburgh Cancer Centre
Edinburgh, Scotland, United Kingdom
Active, not recruiting
Study team
Sponsor
Jazz Pharmaceuticals
Study ID JZP598-302
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.