Could alternating chemo drugs boost survival in biliary cancer?

NCT ID NCT07062536

First seen Jun 27, 2026 · Last updated Aug 14, 2026 · Updated 1 time

Summary

This phase 2 trial tests whether alternating between two chemotherapy regimens (mFOLFOX and mFOLFIRI) works better than using just one (mFOLFOX) as a second-line treatment for advanced biliary tract cancer. The study will enroll 130 adults whose cancer has progressed after first-line treatment. The main goal is to see if the alternating approach improves 6-month survival rates.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
chemotherapy drugs (oxaliplatin, 5FU, leucovorin, irinotecan)
What this could lead to
If successful, this could offer a more effective second-line chemotherapy option for people with advanced biliary tract cancer, potentially improving survival.
What could go wrong
This is a phase 2 trial with only 130 participants, so results are preliminary. Chemotherapy has significant side effects, and the alternating regimen may not prove better than standard treatment.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Asan Medical Center

    RECRUITING

    Seoul, Seoul, 05505, South Korea

  • CHA Bundang Medical Center

    RECRUITING

    Seongnam-si, Gyeonggi-do, 13496, South Korea

  • Chonnam National University Hwasun Hospital

    RECRUITING

    Hwasun, Jeollanam-do, 58128, South Korea

  • Chungbuk National University Hospital

    RECRUITING

    Cheongju-si, North Chungcheong, 28644, South Korea

  • Dong-A University Hospital

    RECRUITING

    Busan, Busan, 49201, South Korea

  • Gachon University Gil Medical Center

    RECRUITING

    Incheon, Incheon, 21565, South Korea

  • Gangneung Asan Hospital

    RECRUITING

    Gangneung, Gangwon-do, 25457, South Korea

  • Keimyung University Dongsan Hospital

    RECRUITING

    Daegu, Daegu, 42601, South Korea

  • Seoul Metropolitan Government Seoul National University Boramae MedicalCenter

    RECRUITING

    Seoul, Seoul, 07061, South Korea

  • Seoul National University Bundang Hospital

    RECRUITING

    Seongnam-si, Out of US, 13605, South Korea

  • Yonsei University Health System, Severance Hospital

    RECRUITING

    Seoul, Seoul, 03722, South Korea

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