Ignite Creation Date:
2026-03-26 @ 3:17 PM
Ignite Modification Date:
2026-03-31 @ 11:03 AM
Study NCT ID:
NCT07310069
Status:
ENROLLING_BY_INVITATION
Last Update Posted:
2025-12-30
First Post:
2025-12-01
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
Gemcitabine and Nab-Paclitaxel Combined With Iparomlimab and Tuvorilimab for Advanced Gallbladder Cancer
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2026-03-25'}, 'conditionBrowseModule': {'meshes': [{'id': 'D005706', 'term': 'Gallbladder Neoplasms'}], 'ancestors': [{'id': 'D001661', 'term': 'Biliary Tract Neoplasms'}, {'id': 'D004067', 'term': 'Digestive System Neoplasms'}, {'id': 'D009371', 'term': 'Neoplasms by Site'}, {'id': 'D009369', 'term': 'Neoplasms'}, {'id': 'D001660', 'term': 'Biliary Tract Diseases'}, {'id': 'D004066', 'term': 'Digestive System Diseases'}, {'id': 'D005705', 'term': 'Gallbladder Diseases'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'C520255', 'term': '130-nm albumin-bound paclitaxel'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE2'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'NA', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'SINGLE_GROUP', 'interventionModelDescription': 'Gemcitabine plus Nab-Paclitaxel (AG regimen) in combination with Iparomlimab and Tuvorilimab (a dual anti-PD-1/CTLA-4 bispecific antibody)'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 44}}, 'statusModule': {'overallStatus': 'ENROLLING_BY_INVITATION', 'startDateStruct': {'date': '2025-05-01', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-11', 'completionDateStruct': {'date': '2027-12-30', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-12-15', 'studyFirstSubmitDate': '2025-12-01', 'studyFirstSubmitQcDate': '2025-12-15', 'lastUpdatePostDateStruct': {'date': '2025-12-30', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2025-12-30', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2027-05-01', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'ORR', 'timeFrame': 'At the end of Cycle 6 (each cycle is 21 days)', 'description': 'The objective response rate (ORR) of this quadruplet regimen as first-line therapy'}, {'measure': 'Surgical Conversion Rate', 'timeFrame': 'At the end of Cycle 6 (each cycle is 21 days)', 'description': 'Proportion of patients who achieve successful conversion to radical resection (R0/R1) after systemic therapy.'}], 'secondaryOutcomes': [{'measure': 'Downstaging Rate', 'timeFrame': 'At the end of Cycle 6 (each cycle is 21 days)', 'description': 'Proportion of patients whose clinical stage is reduced after conversion therapy.'}, {'measure': 'Pathologic Response Rate', 'timeFrame': 'At the end of Cycle 6 (each cycle is 21 days)', 'description': 'Proportion of patients with pathologic downstaging or major pathologic response in resected specimens'}, {'measure': 'R0 Resection Rate', 'timeFrame': 'At the end of Cycle 6 (each cycle is 21 days)', 'description': 'Proportion of patients who undergo R0 resection among those who receive surgery.'}, {'measure': 'Disease Control Rate (DCR)', 'timeFrame': 'At the end of Cycle 6 (each cycle is 21 days)', 'description': 'Proportion of patients with CR, PR, or stable disease (SD) lasting ≥4 weeks.'}, {'measure': 'Recurrence-Free Survival (RFS)', 'timeFrame': 'up to 2 years', 'description': 'Proportion of patients without recurrence at 2 years after resection.'}, {'measure': 'Overall Survival (OS)', 'timeFrame': 'through study completion,up to 3 years', 'description': 'Time from enrollment to death from any cause.'}, {'measure': 'Adverse Events (AEs) / Serious AEs (SAEs)', 'timeFrame': 'through study completion, up to 30 days', 'description': 'Incidence and severity of AEs and SAEs graded by CTCAE v5.0.'}, {'measure': 'Surgical Safety', 'timeFrame': 'Perioperative', 'description': 'Incidence of surgery-related complications (e.g., infection, bleeding, organ dysfunction)'}]}, 'oversightModule': {'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['gallbladder cancer'], 'conditions': ['Gallbladder Cancer Unresectable']}, 'descriptionModule': {'briefSummary': 'This is a single-arm, multicenter, Phase II clinical trial evaluating the efficacy and safety of Gemcitabine plus Nab-Paclitaxel (AG regimen) in combination with Iparomlimab and Tuvorilimab (a dual anti-PD-1/CTLA-4 bispecific antibody) in patients with advanced unresectable gallbladder cancer.\n\nThe study aims to assess the surgical conversion rate and objective response rate (ORR) as primary endpoints. Secondary endpoints include R0 resection rate, disease control rate (DCR), progression-free survival (PFS), overall survival (OS), and safety profiles.\n\nA total of 44 participants will be enrolled across three centers in China. The study is scheduled to run from May 2025 to April 2027.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'maximumAge': '75 Years', 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': "Inclusion Criteria:\n\n* Signed informed consent.\n* Age 18-75 years.\n* ECOG performance status 0-2, Child-Pugh class A.\n* Histologically or cytologically confirmed advanced gallbladder cancer, deemed unresectable for R0 resection.\n* Adequate organ function:\n* ANC ≥1.5×10⁹/L, platelets ≥75×10⁹/L, hemoglobin ≥90 g/L.\n* Serum creatinine ≤1.2 mg/dL or creatinine clearance ≥60 mL/min.\n* Total bilirubin ≤1.5×ULN (≤3×ULN if liver metastases); AST/ALT ≤3×ULN (≤5×ULN if liver metastases).\n* Life expectancy ≥3 months.\n* Non-pregnant, non-lactating women and willingness to use contraception during and for 3 months after treatment.\n\nExclusion Criteria:\n\n* Severe systemic infection or uncontrolled comorbidities (e.g., heart failure, thyroid disease, psychiatric disorders); active autoimmune disease requiring medication.\n* Known allergy or intolerance to chemotherapy agents.\n* Prior antitumor therapy (chemotherapy, radiotherapy, immunotherapy) within the past year, or history of other malignancies (except cured cervical carcinoma in situ or non-melanoma skin cancer).\n* Pregnancy, lactation, or unwillingness to use contraception.\n* Participation in another clinical trial within 30 days before the first dose.\n* Unwillingness to participate or inability to provide informed consent.\n* Any other condition that, in the investigator's judgment, may affect patient safety or compliance"}, 'identificationModule': {'nctId': 'NCT07310069', 'acronym': 'TRANSFORM-GBC', 'briefTitle': 'Gemcitabine and Nab-Paclitaxel Combined With Iparomlimab and Tuvorilimab for Advanced Gallbladder Cancer', 'organization': {'class': 'OTHER', 'fullName': 'Xinhua Hospital, Shanghai Jiao Tong University School of Medicine'}, 'officialTitle': 'A Phase II, Single-Arm, Multicenter Study of Gemcitabine and Nab-Paclitaxel in Combination With Iparomlimab and Tuvorilimab in Patients With Advanced Gallbladder Cancer', 'orgStudyIdInfo': {'id': 'XHEC-C-2025-111-4'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Treatment :Gemcitabine plus Nab-Paclitaxel (AG regimen) in combination with Iparomlimab and Tuvorili', 'description': 'Treatment :Gemcitabine plus Nab-Paclitaxel (AG regimen) in combination with Iparomlimab and Tuvorili', 'interventionNames': ['Drug: Treatment :Gemcitabine plus Nab-Paclitaxel (AG regimen) in combination with Iparomlimab and Tuvorili']}], 'interventions': [{'name': 'Treatment :Gemcitabine plus Nab-Paclitaxel (AG regimen) in combination with Iparomlimab and Tuvorili', 'type': 'DRUG', 'description': 'Treatment :Gemcitabine plus Nab-Paclitaxel (AG regimen) in combination with Iparomlimab and Tuvorili', 'armGroupLabels': ['Treatment :Gemcitabine plus Nab-Paclitaxel (AG regimen) in combination with Iparomlimab and Tuvorili']}]}, 'contactsLocationsModule': {'locations': [{'zip': '200092', 'city': 'Shanghai', 'state': 'Shanghai Municipality', 'country': 'China', 'facility': 'Xinhua hospital', 'geoPoint': {'lat': 31.22222, 'lon': 121.45806}}], 'overallOfficials': [{'name': 'Wei Gong', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Xinhua Hospital, Shanghai Jiao Tong University School of Medicine'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Xinhua Hospital, Shanghai Jiao Tong University School of Medicine', 'class': 'OTHER'}, 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'MD.', 'investigatorFullName': 'Wei Gong', 'investigatorAffiliation': 'Xinhua Hospital, Shanghai Jiao Tong University School of Medicine'}}}}