Gemcitabine and Cisplatin With or Without CPI-613 (Devimistat)as First Line Therapy for Patients With Advanced Unresectable Biliary Tract Cancer (BilT-04)

ClinicalTrials.gov Identifier
NCT04203160
Institution Name
University of Michigan Rogel Cancer Center
Institution Address (Street)
1500 E Medical Center Dr.
Institution City
Ann Arbor
Institution State
Michigan
Institution ZIP Code
48109
Institution Country
United States
Institution Phone
(800) 865-1125
Institution Website
https://clinicaltrials.gov/ct2/show/NCT04203160
Additional Institutions
  • University of Texas Southwestern
  • University of Washington
Principal Investigator
Vaibhav Sahai, MBBS, MS
Principal Investigator Phone
(800) 865-1125
Principal Investigator Email
CancerAnswerLine@med.umich.edu
Additional Principal Investigators
  • Muhammad Shalaan Beg, MD at UT Southwestern
  • David Zhen, MD at University of Washington
Study Coordinator
Meghan Johnson
Study Coordinator Phone
(800) 865-1125
Study Coordinator Email
CancerAnswerLine@med.umich.edu
Study Overview
Patients with advanced biliary cancer (gallbladder or cholangiocarcinoma) previously untreated with systemic chemotherapy will receive gemcitabine + cisplatin + CPI-613 (targets enzymes that are involved in cancer cell energy metabolism).
Enrollment Information
78
Study Start Date
20200601
Study End Date
20250630
Study Purpose
  • Improve survival of patients with advanced biliary cancer
  • Identify safe dose of CPI-613 (devimistat) when given in combination with gemcitabine and cisplatin
Inclusion Criteria
  • Tissue diagnosis of advanced, surgically inoperable biliary cancer
  • No prior systemic chemotherapy for advanced cancer
  • May have previously undergone radiation, liver directed therapy or surgery
  • Must have measurable disease on CT or MR scans
  • Age >= 18 years
  • Performance status ECOG 0 or 1
  • Must be able to tolerate CT or MRI scans
  • Adequate organ function (per protocol)
Exclusion Criteria
  • No brain metastasis unless treated and stable for 3 months
  • Underwent a major surgical procedure < 4 weeks prior to enrollment
  • No prior organ transplantation
  • No ongoing or uncontrolled infection
  • Must not be pregnant or breast feeding
  • No other active cancer (with some exceptions such as localized skin cancer)
  • No active heart disease including symptomatic heart failure (NYHA class 3 or 4), unstable angina pectoris, uncontrolled cardiac arrhythmia or interstitial lung disease
  • No prisoners or subjects who are involuntarily incarcerated, or compulsorily detained
  • Prolonged QTcF interval >480 msec on ECG
  • Psychiatric illness, other significant medical illness, or social situation which may limit compliance
Required Tests Prior to Study
  • Blood tests, CT or MR scans
Potential Side Effects
  • Tiredness (fatigue)
  • Low blood counts (e.g. anemia)
  • Nausea (usually mild to moderate) from cisplatin and/or gemcitabine
  • Potential for kidney damage from cisplatin and/or gemcitabine
  • Potential for hearing loss / ringing in ears from cisplatin
  • Low appetite from gemcitabine and/or cisplatin
Financial Assistance Available
No