New drug duo targets hard-to-treat bile duct cancer

NCT ID NCT05874414

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tests a combination of two drugs, GNS561 and trametinib, in people with advanced bile duct cancer that has a specific genetic change (KRAS mutation) and has not responded to standard first-line therapy. The trial has two phases: first to find the safest dose, then to see if the combination shrinks tumors. About 74 adults will take part across multiple centers.

What this could mean

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

Active substance

GNS561 (ezurpimtrostat) and trametinib

What this could lead to

If successful, this combination could offer a new treatment option for people with advanced bile duct cancer that has a KRAS mutation and has stopped responding to standard chemotherapy.

What could go wrong

This is an early-phase trial with only 74 participants, so the drug combination may not prove effective or safe enough for wider use. Side effects could be serious, and the cancer may still progress.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

bile duct neoplasm cholangiocarcinoma intrahepatic cholangiocarcinoma

As listed by the trial registrant

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

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Froedtert Hospital and the Medical College of Wisconsin

    RECRUITING

    Milwaukee, Wisconsin, 53226, United States

    Contact

  • Hospital of the University of Pennsylvania

    TERMINATED

    Philadelphia, Pennsylvania, 19104, United States

  • LACN Aneheim Flagship Office

    RECRUITING

    Los Angeles, California, 92805, United States

    Contact

  • Moffitt Cancer Center

    RECRUITING

    Tampa, Florida, 33612, United States

    Contact

  • Orlando Health

    RECRUITING

    Orlando, Florida, 32806, United States

    Contact

  • Pan American Center for Oncology Trials, LLC

    RECRUITING

    Rio Piedras, Puerto Rico, 00935, Puerto Rico

    Contact

  • Roswell Park Cancer Institute

    TERMINATED

    Buffalo, New York, 14263, United States

  • USC Norris Comprehensive Cancer Center

    RECRUITING

    Los Angeles, California, 90033, United States

    Contact

  • University Of Chicago Medical Center

    RECRUITING

    Chicago, Illinois, 60637, United States

    Contact

  • University of Texas, MD Anderson Cancer Center

    RECRUITING

    Houston, Texas, 77030, United States

    Contact

  • University of Virginia Comprehensive Cancer Center

    RECRUITING

    Charlottesville, Virginia, 22908, United States

    Contact