Ignite Creation Date:
2024-10-26 @ 3:43 PM
Last Modification Date:
2024-10-26 @ 3:43 PM
Study NCT ID:
NCT06648057
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-10-07
Brief Title:
Investigation of Predictive Biomarkers in Patients With Advanced BTC Treated With Lenvatinib Plus Pembrolizumab
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Investigation of Predictive Biomarkers in Patients With Advanced Biliary Tract Cancer Treated With Lenvatinib Plus Pembrolizumab
Status:
RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this observational study is to evaluate the clinical efficacy and safety of lenvatinib plus pembrolizumab combination therapy in patients with advanced biliary tract cancer BTC This study aims to identify potential biomarkers that may predict treatment response by analyzing genetic data from blood and tissue samples The study will focus on real-world clinical outcomes and the exploratory discovery of biomarkers associated with the efficacy of this treatment regimen
Detailed Description:
Biliary tract cancers BTCs have a higher prevalence in Asia compared to Western countries with South Korea ranking second globally in BTC incidence According to data from the Central Cancer Registry in 2023 the 5-year survival rate for BTC from 2017 to 2021 was 289 significantly lower than other cancers such as gastric cancer 779 colorectal cancer 743 and breast cancer 938
Surgery is the primary treatment for BTC but only 40-50 of patients are eligible for curative resection For patients with unresectable advanced or metastatic BTC the standard first-line treatment has been gemcitabine plus cisplatin GP since the results of the ABC-02 Phase 3 trial in 2010 Recently two Phase 3 trials-TOPAZ-1 in 2022 and KEYNOTE-966 in 2023-demonstrated significant survival benefits with the addition of immune checkpoint inhibitors durvalumab or pembrolizumab to GP therapy establishing these combination regimens as the new first-line standard treatment for advanced BTC These combinations have been approved for use in South Korea
However for patients who fail first-line GP therapy the most commonly selected second-line treatment FOLFOX 5-FU leucovorin oxaliplatin offers only a modest survival extension of about one month compared to supportive care This highlights the clinical unmet need for more effective second-line treatments A multicenter Phase 2 trial has demonstrated the efficacy of lenvatinib plus pembrolizumab as a promising treatment option for these patients
This prospective observational study aims to evaluate the clinical efficacy and safety of lenvatinib plus pembrolizumab combination therapy in real-world clinical practice for advanced BTC Additionally the study seeks to explore potential predictive biomarkers through genetic analyses of blood and tissue samples to better understand which patients are most likely to benefit from this treatment
Surgery is the primary treatment for BTC but only 40-50 of patients are eligible for curative resection For patients with unresectable advanced or metastatic BTC the standard first-line treatment has been gemcitabine plus cisplatin GP since the results of the ABC-02 Phase 3 trial in 2010 Recently two Phase 3 trials-TOPAZ-1 in 2022 and KEYNOTE-966 in 2023-demonstrated significant survival benefits with the addition of immune checkpoint inhibitors durvalumab or pembrolizumab to GP therapy establishing these combination regimens as the new first-line standard treatment for advanced BTC These combinations have been approved for use in South Korea
However for patients who fail first-line GP therapy the most commonly selected second-line treatment FOLFOX 5-FU leucovorin oxaliplatin offers only a modest survival extension of about one month compared to supportive care This highlights the clinical unmet need for more effective second-line treatments A multicenter Phase 2 trial has demonstrated the efficacy of lenvatinib plus pembrolizumab as a promising treatment option for these patients
This prospective observational study aims to evaluate the clinical efficacy and safety of lenvatinib plus pembrolizumab combination therapy in real-world clinical practice for advanced BTC Additionally the study seeks to explore potential predictive biomarkers through genetic analyses of blood and tissue samples to better understand which patients are most likely to benefit from this treatment
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None