New drug cocktail shows promise in Hard-to-Treat biliary cancers
NCT ID NCT02151084
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase II trial tests whether adding the targeted drug selumetinib to standard chemotherapy (cisplatin and gemcitabine) works better than chemotherapy alone for advanced biliary tract or gallbladder cancer. The study enrolls 57 adults who have not had prior treatment. Researchers are measuring tumor shrinkage, survival, and side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Selumetinib (a targeted cancer drug) combined with cisplatin and gemcitabine (standard chemotherapy)
- What this could lead to
- If successful, this could lead to a new treatment option that slows tumor growth and improves survival for people with advanced biliary cancer.
- What could go wrong
- This is a small, early-phase trial (Phase II) with only 57 participants, so results may not apply to everyone. Adding selumetinib may also increase side effects like fatigue or liver issues.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
57 people
The number who actually took part.
- Started
-
Nov 2014
- Expected to finish
-
Sep 2027
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Unresectable, recurrent or metastatic, measurable biliary tract cancer or gall bladder cancer * No prior systemic therapy * Performance status 0, 1, or 2 * Age 18 years or older * Estimated life expectancy \> 3 months * Adequate hematological, liver, renal function * No evidence of active uncontrolled infection * Capable of giving written consent * Acceptable recovery of previous side effects Exclusion Criteria: * Progressing within 3 or 6 months of receiving certain treatments * Prior chemotherapy for non-resectable or metastatic disease or a MEK inhibitor * Progressing within 6 months of adjuvant treatment. * May not have received prior chemotherapy for non-resectable/metastatic disease. * Prior MEK, RAS, or RAF inhibitors or history of hypersensitivity to study drugs. * Ampullary carcinoma * Incomplete recovery from previous surgery * Undergoing treatment with curative intent * Prior malignancy that could interfere with the response evaluation * Severe or uncontrolled systemic diseases or lab finding that makes it undesirable for patient to participate * Any psychiatric or other disorder likely to impact consent * Pregnant or breastfeeding * Patients with significant cardiac-related issues * History of eye-related issues. * Systemic disease, active infection, bleeding diatheses or renal transplant, including hep B, hep C or HIV * Receiving potent inhibitors or inducers of CYP3A4/5, CYP2C19 and CYP1A2 can continue with caution
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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
-
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can blood tests reveal how liver and bile duct cancers respond to treatment?
- Can matching drugs to tumor genes beat biliary cancer?