A Phase III, Multicenter, Randomized, Open-label, Study Evaluating the Efficacy and Safety of Nanvuranlat in Patients with Previously Treated Advanced Biliary Tract Cancer
Study Description
This study is designed to 1) select a dose regimen for continued development and 2) evaluate nanvuranlat versus Physicians Best Choice (PBC) (FOLFOX, FOLFIRI, or Best Supportive Care (BSC)) in participants aged 18 years and over with BTC. Participants enrolling in Part A the trial will be randomly assigned to receive 1 of 3 nanvuranlat dose regimens or PBC. In Part B, participants will be randomly assigned to receive nanvuranlat or PBC. Participants will receive treatment every 2 weeks for as long as they do not experience safety issues, or their cancer gets worse, and the study doctor feels they should stop treatment. Health measurements including physical examinations, vital signs, ECGs, and safety laboratory tests will be performed to monitor safety, and tumor imaging will be performed to monitor cancer response to treatment. Other exploratory makers will be measured to better understand how nanvuranlat works.
Eligibility
Inclusion Criteria
- at least 18 years of age inclusive at the time of signing the informed consent
-Histologic or cytologic diagnosis of Biliary Tract Cancer (BTC)
-Has received 1 prior appropriate platinum (cisplatin, carboplatin, or oxaliplatin)-based therapy for advanced disease (locally advanced or metastatic) with or without a mAB targeting PD-1 or PD-L1.
Exclusion Critieria
-Woman of child bearing potential who is pregnant, lactating, or discontinued lactation less than 12 weeks prior to screening, or who plans to become pregnant or initiate lactation during the study
-Received radiotherapy to metastatic sites within 2 weeks of Cylce 1 Day 1. Patients must have recovered from all radiation-related toxicities and not require corticosteroids. A 1-week washout is permitted for palliative radiation with a limited port less than or equal to 2 weeks of radiotherapy to non-CNS disease
-Underwent major surgery less than 3 weeks before screening and has not recovered adequately from the procedure and/or any complications from the surgery prior to starting study intervention.