NCT04003636

Brief Summary

This is a study of pembrolizumab plus gemcitabine/cisplatin versus placebo plus gemcitabine/cisplatin as first-line therapy in participants with advanced and/or unresectable biliary tract carcinoma. The primary hypothesis is pembrolizumab plus gemcitabine/cisplatin is superior to placebo plus gemcitabine/cisplatin with respect to overall survival (OS).

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
1,069

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Sep 2019

Longer than P75 for phase_3

Geographic Reach
24 countries

185 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 28, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 1, 2019

Completed
3 months until next milestone

Study Start

First participant enrolled

September 24, 2019

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 15, 2022

Completed
1 year until next milestone

Results Posted

Study results publicly available

December 22, 2023

Completed
1.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2025

Completed
Last Updated

March 24, 2026

Status Verified

March 1, 2026

Enrollment Period

3.2 years

First QC Date

June 28, 2019

Results QC Date

December 6, 2023

Last Update Submit

March 4, 2026

Conditions

Keywords

Programmed cell death 1 (PD-1)PembrolizumabCholangiocarcinomaGallbladder cancerCheckpoint inhibitorImmunotherapyBiliaryKeytrudaBile Duct Cancer

Outcome Measures

Primary Outcomes (1)

  • Overall Survival (OS)

    Overall survival was defined as the time from randomization to death due to any cause.

    Up to approximately 38 months

Secondary Outcomes (5)

  • Progression-free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Response Evaluation Criteria in Solid Tumors Version 1.1 (BICR)

    Up to approximately 26 months

  • Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)

    Up to approximately 26 months

  • Duration of Response (DOR) Per RECIST 1.1 as Assessed by BICR

    Up to approximately 38 months

  • Number of Participants Who Experience One or More Adverse Events (AE)

    Up to approximately 65 months

  • Number of Participants Who Discontinued Study Intervention Due to an AE

    Up to approximately 63 months

Study Arms (2)

Arm A (Pembrolizumab+Chemotherapy)

EXPERIMENTAL

Participants receive pembrolizumab, 200 mg intravenous (IV) infusion, every 3 weeks (Q3W), Day 1 of each 3-week cycle for up to 35 cycles PLUS gemcitabine, 1000 mg/m\^2, IV infusion Q3W, Day 1 and Day 8 of each 3-week cycle until progressive disease or unacceptable toxicity PLUS cisplatin, 25 mg/m\^2 IV infusion, Q3W, Day 1 and Day 8 of each 3-week cycle for up to 8 cycles. Eligible participants who stop the initial course of pembrolizumab with stable disease (SD) or better but progress after discontinuation will initiate a second course of pembrolizumab 200 mg IV Q3W, Day 1 of each 3-week cycle for up to 17 cycles. Treatment with gemcitabine can be stopped at anytime in first or second course due to toxicity or disease progression.

Biological: PembrolizumabDrug: GemcitabineDrug: Cisplatin

Arm B (Placebo+Chemotherapy)

PLACEBO COMPARATOR

Participants receive placebo to pembrolizumab, 200 mg IV infusion, every 3 weeks (Q3W), Day 1 of each 3-week cycle for up to 35 cycles PLUS gemcitabine, 1000 mg/m\^2 IV infusion, Q3W, Day 1 and Day 8 of each 3-week cycle until progressive disease or unacceptable toxicity PLUS cisplatin, 25 mg/m\^2 IV infusion, Q3W, Day 1 and Day 8 of each 3-week cycle for up to 8 cycles.

Drug: GemcitabineDrug: CisplatinDrug: Placebo

Interventions

PembrolizumabBIOLOGICAL

Pembrolizumab by intravenous (IV) infusion

Also known as: MK-3475
Arm A (Pembrolizumab+Chemotherapy)

Gemcitabine by IV infusion

Also known as: Gemzar
Arm A (Pembrolizumab+Chemotherapy)Arm B (Placebo+Chemotherapy)

Cisplatin by IV infusion

Also known as: Platinol®, Platinol®-AQ
Arm A (Pembrolizumab+Chemotherapy)Arm B (Placebo+Chemotherapy)

Placebo to pembrolizumab

Arm B (Placebo+Chemotherapy)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Has histologically confirmed diagnosis of advanced (metastatic) and/or unresectable (locally advanced) biliary tract cancer (intra-or extrahepatic cholangiocarcinoma or gallbladder cancer)
  • Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST 1.1), as determined by the site investigator
  • Participants with a history of hepatitis B or hepatitis C can be enrolled if they meet study criteria
  • Is able to provide archival tumor tissue sample or newly obtained core or excisional biopsy of a tumor lesion
  • Has a life expectancy of greater than 3 months
  • Has adequate organ function

You may not qualify if:

  • Has had previous systemic therapy for advanced (metastatic) or unresectable (locally advanced) biliary tract cancer (intra-or extra hepatic cholangiocarcinoma or gallbladder cancer)
  • Has ampullary cancer
  • Has small cell cancer, neuroendocrine tumors, lymphoma, sarcoma, mixed tumor histology and/or mucinous cystic neoplasms
  • Has received prior therapy with an anti-programmed cell death 1 (anti-PD-1), anti- programmed cell death ligand 1 or 2 (anti-PD-L1, anti-PD-L2) agent or with an agent directed to another stimulatory or coinhibitory T-cell receptor (e.g., cytotoxic T-lymphocyte-associated protein 4 \[CTLA-4\], OX-40, CD137)
  • Has a known history of, or any evidence of, central nervous system (CNS) metastases and/or carcinomatous meningitis, as assessed by local site investigator
  • Has had an allogenic tissue/solid organ transplant

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (185)

University of Alabama at Birmingham Comprehensive Cancer Ctr ( Site 0016)

Birmingham, Alabama, 35294, United States

Location

University of California San Diego Moores Cancer Center ( Site 0008)

La Jolla, California, 92093-0698, United States

Location

UCLA Hematology/Oncology - Santa Monica ( Site 0014)

Los Angeles, California, 90404, United States

Location

University of California - San Francisco ( Site 0030)

San Francisco, California, 94158, United States

Location

University of Colorado Hospital ( Site 0011)

Aurora, Colorado, 80045, United States

Location

Hartford Hospital ( Site 0057)

Hartford, Connecticut, 06102, United States

Location

Yale University ( Site 0053)

New Haven, Connecticut, 06510, United States

Location

Winship Cancer Institute of Emory University ( Site 0013)

Atlanta, Georgia, 30322-1013, United States

Location

Northwest Georgia Oncology Centers PC ( Site 0045)

Marietta, Georgia, 30060, United States

Location

Decatur Memorial Hospital ( Site 0056)

Decatur, Illinois, 62526, United States

Location

Winthrop University Hospital ( Site 0059)

Mineola, New York, 11501, United States

Location

Laura and Isaac Perlmutter Cancer Center at NYU Langone Health ( Site 0038)

New York, New York, 10016, United States

Location

Columbia University/Herbert Irving Cancer Center ( Site 0009)

New York, New York, 10032, United States

Location

University of Oklahoma- Stephenson Oklahoma Cancer Center ( Site 0055)

Oklahoma City, Oklahoma, 73104, United States

Location

OHSU Center for Health & Healing ( Site 0044)

Portland, Oregon, 97239, United States

Location

Charleston Oncology ( Site 0042)

Charleston, South Carolina, 29414, United States

Location

Saint Francis Health System ( Site 0051)

Greenville, South Carolina, 29607, United States

Location

Blue Ridge Cancer Care ( Site 0033)

Roanoke, Virginia, 24014, United States

Location

CEMIC ( Site 0581)

Buenos Aires, Buenos Aires F.D., C1431FWO, Argentina

Location

Fundacion Favaloro ( Site 0578)

Ciudad de Buenos Aires, Buenos Aires F.D., C1093AAS, Argentina

Location

Centro Medico San Roque ( Site 0579)

San Miguel de Tucumán, Tucumán Province, T4000IAK, Argentina

Location

Hospital Municipal de Gastroenterologia Dr. Bonorino Udaondo ( Site 0580)

CABA, C1264AAA, Argentina

Location

Centro Oncologico Riojano Integral ( Site 0584)

La Rioja, F5300COE, Argentina

Location

Liverpool Hospital ( Site 0707)

Liverpool, New South Wales, 2170, Australia

Location

Mid North Coast Cancer Institute ( Site 0708)

Port Macquarie, New South Wales, 2444, Australia

Location

Gallipoli Medical Research Foundation ( Site 0705)

Brisbane, Queensland, 4120, Australia

Location

Eastern Health ( Site 0704)

Box Hill, Victoria, 3128, Australia

Location

Western Health-Sunshine Hospital ( Site 0709)

St Albans, Victoria, 3021, Australia

Location

UZA University Hospital Antwerp ( Site 0202)

Edegem, Antwerpen, 2650, Belgium

Location

Erasme Hospital ( Site 0204)

Brussels, Bruxelles-Capitale, Region de, 1070, Belgium

Location

Saint-Luc UCL ( Site 0200)

Brussels, Bruxelles-Capitale, Region de, 1200, Belgium

Location

Grand Hopital de Charleroi ( Site 0206)

Charleroi, Hainaut, 6000, Belgium

Location

CHU de Liege ( Site 0201)

Liège, Liege, 4000, Belgium

Location

UZ Gent ( Site 0203)

Ghent, Oost-Vlaanderen, 9000, Belgium

Location

UZ Leuven ( Site 0205)

Leuven, Vlaams-Brabant, 3000, Belgium

Location

Oncobio Servicos de Saude SA ( Site 0604)

Nova Lima, Minas Gerais, 34000-000, Brazil

Location

Hospital de Caridade de Ijui ( Site 0602)

Ijuí, Rio Grande do Sul, 98700-000, Brazil

Location

Associacao Hospitalar Moinhos de Vento ( Site 0599)

Porto Alegre, Rio Grande do Sul, 90035-001, Brazil

Location

Hospital de Clinicas de Porto Alegre ( Site 0610)

Porto Alegre, Rio Grande do Sul, 90035-903, Brazil

Location

Hospital Nossa Senhora da Conceicao ( Site 0601)

Porto Alegre, Rio Grande do Sul, 91350-200, Brazil

Location

Instituto COI de Pesquisa Educacao e Gestao ( Site 0606)

Rio de Janeiro, 22793-080, Brazil

Location

Instituto do Cancer do Estado de Sao Paulo - ICESP ( Site 0607)

São Paulo, 01246-000, Brazil

Location

Hospital Paulistano - Amil Clinical Research ( Site 0603)

São Paulo, 01321-001, Brazil

Location

Real e Benemerita Associacao Portuguesa de Beneficencia ( Site 0609)

São Paulo, 01321-001, Brazil

Location

A.C. Camargo Cancer Center ( Site 0600)

São Paulo, 01509-900, Brazil

Location

Tom Baker Cancer Centre ( Site 0184)

Calgary, Alberta, T2N 4N2, Canada

Location

Cross Cancer Institute ( Site 0183)

Edmonton, Alberta, T6G 1Z2, Canada

Location

Hamilton Health Sciences-Juravinski Cancer Centre ( Site 0182)

Hamilton, Ontario, L8V5C2, Canada

Location

Centre Hospitalier de l Universite de Montreal - CHUM ( Site 0180)

Montreal, Quebec, H2X 3E4, Canada

Location

McGill University Health Centre ( Site 0179)

Montreal, Quebec, H4A 3J1, Canada

Location

IC La Serena Research ( Site 0630)

La Serena, Coquimbo Region, 1720430, Chile

Location

Servicios Medicos Urumed ( Site 0621)

Rancagua, Lbtdr Gen Bernardo O Higgins, 2852424, Chile

Location

Fundacion Arturo Lopez Perez FALP ( Site 0623)

Santiago, Region M. de Santiago, 7500921, Chile

Location

Sociedad Oncovida S.A. ( Site 0626)

Santiago, Region M. de Santiago, 7510032, Chile

Location

Pontificia Universidad Catolica de Chile ( Site 0620)

Santiago, Region M. de Santiago, 8330032, Chile

Location

Centro Investigación del Cáncer James Lind ( Site 0622)

Temuco, Región de la Araucanía, 4780000, Chile

Location

Anhui Provincial Hospital ( Site 0140)

Hefei, Anhui, 230001, China

Location

Beijing Cancer Hospital ( Site 0138)

Beijing, Beijing Municipality, 100036, China

Location

Peking Union Medical College Hospital ( Site 0150)

Beijing, Beijing Municipality, 100730, China

Location

First Affiliated Hospital of The Third Military Medical University ( Site 0130)

Chongqing, Chongqing Municipality, 400038, China

Location

Fujian Provincial Cancer Hospital ( Site 0154)

Fuzhou, Fujian, 350014, China

Location

900 Hospital of the Joint ( Site 0137)

Fuzhou, Fujian, 350025, China

Location

Guangdong Provincial People s Hospital ( Site 0161)

Guangzhou, Guangdong, 510080, China

Location

The Third Xiangya Hospital of Central South University ( Site 0157)

Changsha, Hainan, 410013, China

Location

Harbin Medical University Cancer Hospital ( Site 0133)

Harbin, Heilongjiang, 610000, China

Location

Hunan Provincial People Hospital ( Site 0142)

Changsha, Hunan, 410005, China

Location

Hunan Cancer Hospital ( Site 0132)

Changsha, Hunan, 410013, China

Location

The 81st Hospital of PLA ( Site 0128)

Nanjing, Jiangsu, 210031, China

Location

The First Hospital of Jilin University ( Site 0131)

Changchun, Jilin, 130021, China

Location

Zhongshan Hospital Fudan University ( Site 0129)

Shanghai, Shanghai Municipality, 200032, China

Location

Renji Hospital Shanghai Jiaotong University School of Medicine ( Site 0158)

Shanghai, Shanghai Municipality, 200127, China

Location

Fudan University Shanghai Cancer Center ( Site 0160)

Shanghai, Shanghai Municipality, 201315, China

Location

Tangdu Hospital ( Site 0146)

Xi’an, Shanxi, 710038, China

Location

The First Affiliated Hospital of Xi an Jiaotong University ( Site 0145)

Xi’an, Shanxi, 710048, China

Location

West China Hospital of Sichuan University ( Site 0147)

Chengdu, Sichuan, 610041, China

Location

Tianjin Medical University Cancer Institute & Hospital ( Site 0155)

Tianjin, Tianjin Municipality, 300060, China

Location

The First Affiliated Hospital Zhejiang University ( Site 0136)

Hangzhou, Zhejiang, 310003, China

Location

Zhejiang Cancer Hospital ( Site 0134)

Hangzhou, Zhejiang, 310022, China

Location

CHU Bordeaux Haut-Leveque Centre Francois Magendie ( Site 0245)

Pessac, Gironde, 33604, France

Location

A.P.H. Paris, Hopital Beaujon ( Site 0247)

Clichy, Hauts-de-Seine, 92110, France

Location

CHU de Montpellier - Hopital Saint-Eloi ( Site 0248)

Montpellier, Herault, 34295, France

Location

Centre Eugene Marquis ( Site 0242)

Rennes, Ille-et-Vilaine, 35042, France

Location

CHU Clermont-Ferrand - Site Estaing ( Site 0249)

Clermont-Ferrand, Puy-de-Dome, 63003, France

Location

Gustave Roussy ( Site 0244)

Villejuif, Val-de-Marne, 94805, France

Location

Universitaetsklinikum Ulm ( Site 0267)

Ulm, Baden-Wurttemberg, 89081, Germany

Location

Klinikum der Ludwig - Maximilian Universitat Munchen ( Site 0264)

Munich, Bavaria, 81377, Germany

Location

Krankenhaus Nordwest ( Site 0266)

Frankfurt am Main, Hesse, 60488, Germany

Location

Medizinische Hochschule Hannover ( Site 0265)

Hanover, Lower Saxony, 30625, Germany

Location

Universitaetsklinikum Aachen AOER ( Site 0275)

Aachen, North Rhine-Westphalia, 52074, Germany

Location

Universitaetsklinikum Koeln ( Site 0274)

Cologne, North Rhine-Westphalia, 50937, Germany

Location

Universitaetsklinikum Essen ( Site 0273)

Essen, North Rhine-Westphalia, 45147, Germany

Location

Staedtisches Klinikum Dresden ( Site 0272)

Dresden, Saxony, 01067, Germany

Location

Universitaetsklinikum Magdeburg A.o.R. ( Site 0271)

Magdeburg, Saxony-Anhalt, 39120, Germany

Location

Charite - Universtitatsmedizin Berlin CCM ( Site 0269)

Berlin, 10117, Germany

Location

Universitaetsklinikum Hamburg-Eppendorf ( Site 0268)

Hamburg, 20246, Germany

Location

Pamela Youde Nethersole Eastern Hospital ( Site 0857)

Hong Kong, Hong Kong

Location

Prince of Wales Hospital ( Site 0855)

Hong Kong, Hong Kong

Location

Princess Margaret Hospital. ( Site 0856)

Hong Kong, Hong Kong

Location

Queen Mary Hospital ( Site 0851)

Hong Kong, Hong Kong

Location

Queen Elizabeth Hospital. ( Site 0854)

Kowloon, Hong Kong

Location

Cork University Hospital ( Site 0538)

Cork, T12 DC4A, Ireland

Location

Bon Secours Hospital ( Site 0526)

Cork, T12 DV56, Ireland

Location

Tallaght University Hospital ( Site 0522)

Dublin, D24 NROA, Ireland

Location

St Vincents University Hospital ( Site 0521)

Dublin, DO4 YN63, Ireland

Location

Rambam Medical Center ( Site 0308)

Haifa, 3109601, Israel

Location

Hadassah Ein Karem - Sharett Institute of Oncology ( Site 0309)

Jerusalem, 9112001, Israel

Location

Rabin Medical Center ( Site 0307)

Petah Tikva, 4941492, Israel

Location

Sourasky Medical Center ( Site 0306)

Tel Aviv, 6423906, Israel

Location

Universita Cattolica del Sacro Cuore - Policlinico Gemelli ( Site 0329)

Rome, Abruzzo, 00168, Italy

Location

Policlinico S. Orsola-Malpighi ( Site 0333)

Bologna, 40138, Italy

Location

A.O. di Rilievo Nazionale e di alta Specializzazione Garibaldi ( Site 0330)

Catania, 95124, Italy

Location

ASST Grande Ospedale Metropolitano Niguarda ( Site 0332)

Milan, 20162, Italy

Location

Azienda Ospedaliero Universitaria Pisana ( Site 0326)

Pisa, 56127, Italy

Location

Policlinico Universitario Campus Biomedico ( Site 0328)

Roma, 00128, Italy

Location

Azienda Ospedaliera Universitaria di Verona ( Site 0334)

Verona, 37134, Italy

Location

Aichi Cancer Center Hospital ( Site 0080)

Nagoya, Aichi-ken, 464-8681, Japan

Location

National Cancer Center Hospital East ( Site 0081)

Kashiwa, Chiba, 277-8577, Japan

Location

Kobe City Medical Center General Hospital ( Site 0087)

Kobe, Hyōgo, 650-0047, Japan

Location

Kagawa University Hospital ( Site 0086)

Kita-gun, Kagawa-ken, 761-0793, Japan

Location

Kanagawa Cancer Center ( Site 0079)

Yokohama, Kanagawa, 241-8515, Japan

Location

Osaka University Hospital ( Site 0085)

Suita, Osaka, 565-0871, Japan

Location

Kyorin University Hospital ( Site 0077)

Mitaka, Tokyo, 181-8611, Japan

Location

National Hospital Organization Kyushu Cancer Center ( Site 0078)

Fukuoka, 811-1395, Japan

Location

Kyoto University Hospital ( Site 0083)

Kyoto, 606-8507, Japan

Location

Osaka International Cancer Institute ( Site 0084)

Osaka, 541-8567, Japan

Location

The Cancer Institute Hospital of JFCR ( Site 0082)

Tokyo, 135-8550, Japan

Location

Hospital Sultan Ismail ( Site 0772)

Johor Bahru, Johor, 81100, Malaysia

Location

University Malaya Medical Centre ( Site 0770)

Lembah Pantai, Kuala Lumpur, 59100, Malaysia

Location

Hospital Pulau Pinang ( Site 0773)

George Town, Pulau Pinang, 10990, Malaysia

Location

Institut Kanser Negara - National Cancer Institute ( Site 0767)

Putrajaya, Putrajaya, 62250, Malaysia

Location

Hospital Kuala Lumpur ( Site 0768)

Kuala Lumpur, 50586, Malaysia

Location

Pantai Hospital Kuala Lumpur ( Site 0771)

Kuala Lumpur, 59100, Malaysia

Location

Maastricht University Medical Centre ( Site 0347)

Maastricht, Limburg, 6229 HX, Netherlands

Location

AMC ( Site 0348)

Amsterdam, North Holland, 1105 AZ, Netherlands

Location

Erasmus University Medical Center ( Site 0352)

Rotterdam, South Holland, 3015 GD, Netherlands

Location

UMCG ( Site 0349)

Groningen, 9713 GZ, Netherlands

Location

Universitair Medisch Centrum Utrecht ( Site 0351)

Utrecht, 3584 CX, Netherlands

Location

Auckland City Hospital ( Site 0725)

Auckland, 1023, New Zealand

Location

Chonnam National University Hwasun Hospital ( Site 0837)

Hwasun Gun, Jeonranamdo, 58128, South Korea

Location

CHA Bundang Medical Center CHA University ( Site 0835)

Seongnam, Kyonggi-do, 13496, South Korea

Location

Seoul National University Bundang Hospital ( Site 0833)

Seongnam-si, Kyonggi-do, 13605, South Korea

Location

Ajou University Hospital, Clinical Research Center ( Site 0838)

Suwon, Kyonggi-do, 16499, South Korea

Location

Kyungpook National University Chilgok Hospital ( Site 0834)

Daegu, Taegu-Kwangyokshi, 41404, South Korea

Location

Chungnam National University Hospital ( Site 0840)

Daejeon, Taejon-Kwangyokshi, 35015, South Korea

Location

Severance Hospital Yonsei University Health System ( Site 0836)

Seoul, 03722, South Korea

Location

Asan Medical Center ( Site 0830)

Seoul, 05505, South Korea

Location

Samsung Medical Center ( Site 0831)

Seoul, 06351, South Korea

Location

The Catholic University of Korea. Seoul St. Mary s Hospital ( Site 0839)

Seoul, 06591, South Korea

Location

Korea University Guro Hospital ( Site 0832)

Seoul, 08308, South Korea

Location

Hospital Universitario General de Asturias ( Site 0434)

Oviedo, Principality of Asturias, 33011, Spain

Location

Hospital General Universitari Vall d Hebron ( Site 0432)

Barcelona, 08035, Spain

Location

Hospital General Universitario Gregorio Maranon ( Site 0433)

Madrid, 28009, Spain

Location

Hospital Universitario HM Sanchinarro ( Site 0435)

Madrid, 28050, Spain

Location

Hospital Regional Universitario Carlos Haya ( Site 0431)

Málaga, 29010, Spain

Location

Taipei Veterans General Hospital ( Site 0861)

Taipei,, Taipei, 112, Taiwan

Location

Chang Gung Medical Foundation. Kaohsiung Branch ( Site 0865)

Kaohsiung City, 833, Taiwan

Location

China Medical University Hospital ( Site 0862)

Taichung, 40447, Taiwan

Location

National Cheng Kung University Hospital ( Site 0864)

Tainan, 704, Taiwan

Location

National Taiwan University Hospital ( Site 0860)

Taipei, 10048, Taiwan

Location

Koo Foundation Sun Yat-Sen Cancer Center ( Site 0863)

Taipei, 112, Taiwan

Location

Chang Gung Medical Foundation. Linkou ( Site 0853)

Taoyuan District, 333, Taiwan

Location

King Chulalongkorn Memorial Hospital ( Site 0884)

Bangkok, Bangkok, 10330, Thailand

Location

Ramathibodi Hospital. ( Site 0889)

Bangkok, Bangkok, 10400, Thailand

Location

Siriraj Hospital ( Site 0888)

Bangkok, Bangkok, 10700, Thailand

Location

Sunpasithiprasong Hospital ( Site 0883)

Ubonratchathani, Changwat Ubon Ratchathani, 34000, Thailand

Location

Maharaj Nakorn Chiang Mai Hospital ( Site 0887)

Chiang Mai, 50200, Thailand

Location

Srinagarind Hospital ( Site 0885)

Khon Kaen, 40002, Thailand

Location

Udon Thani Cancer Hospital ( Site 0886)

Udon Thani, 41330, Thailand

Location

Inonu Universitesi Medical Fakultesi ( Site 0501)

Malatya, Adana, 44280, Turkey (Türkiye)

Location

Baskent University Adana Training Hospital ( Site 0499)

Adana, 01250, Turkey (Türkiye)

Location

Hacettepe University Faculty of Medicine ( Site 0498)

Ankara, 06100, Turkey (Türkiye)

Location

Abdurrahman Yurtaslan Onkoloji Hastanesi ( Site 0494)

Ankara, 06200, Turkey (Türkiye)

Location

Gazi Universitesi Tip Fakultesi ( Site 0496)

Ankara, 06500, Turkey (Türkiye)

Location

Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 0506)

Istanbul, 34098, Turkey (Türkiye)

Location

Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi-oncology ( Site 0495)

Istanbul, 34722, Turkey (Türkiye)

Location

Izmir Medical Park Hospital Department of Medical Oncology ( Site 0502)

Izmir, 35520, Turkey (Türkiye)

Location

Erciyes Universitesi Tip Fakultesi ( Site 0500)

Kayseri, 38039, Turkey (Türkiye)

Location

Aberdeen Royal Infirmary ( Site 0529)

Aberdeen, Aberdeen City, AB252ZN, United Kingdom

Location

Royal Free London NHS Foundation Trust ( Site 0520)

London, London, City of, NW3 2QG, United Kingdom

Location

Royal Marsden Hospital ( Site 0536)

London, London, City of, SW3 6JJ, United Kingdom

Location

Imperial College Healthcare NHS Trust - Hammersmith Hospital ( Site 0525)

London, London, City of, W12 0HS, United Kingdom

Location

Royal Marsden NHS Foundation Trust ( Site 0535)

Sutton, Surrey, SM2 5PT, United Kingdom

Location

Belfast City Hospital ( Site 0517)

Belfast, BT9 7AB, United Kingdom

Location

University Hospital Coventry and Warwickshire NHS Trust ( Site 0518)

Coventry, CV2 2DX, United Kingdom

Location

The Christie NHS Foundation Trust ( Site 0537)

Manchester, M20 4BX, United Kingdom

Location

Related Publications (4)

  • Kelley RK, Ueno M, Yoo C, Finn RS, Furuse J, Ren Z, Yau T, Klumpen HJ, Chan SL, Ozaka M, Verslype C, Bouattour M, Park JO, Barajas O, Pelzer U, Valle JW, Yu L, Malhotra U, Siegel AB, Edeline J, Vogel A; KEYNOTE-966 Investigators. Pembrolizumab in combination with gemcitabine and cisplatin compared with gemcitabine and cisplatin alone for patients with advanced biliary tract cancer (KEYNOTE-966): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2023 Jun 3;401(10391):1853-1865. doi: 10.1016/S0140-6736(23)00727-4. Epub 2023 Apr 16.

  • Jiang C, Zhou K, Shu P. Cost-effectiveness analysis of pembrolizumab plus chemotherapy as first-line treatment for advanced biliary tract cancer: perspectives from US and Chinese payers. BMJ Open. 2025 Apr 23;15(4):e094047. doi: 10.1136/bmjopen-2024-094047.

  • Luo X, Cai T, Wu J, Li X, Wang X, Ma H. Cost-effectiveness of pembrolizumab plus chemotherapy vs. chemotherapy as first-line treatment for advanced biliary tract cancer in China and the US. Front Pharmacol. 2024 Aug 14;15:1393559. doi: 10.3389/fphar.2024.1393559. eCollection 2024.

  • Keller HR, Fluke L, Forrester JA, Wolf RF. Identifying Indications for Neoadjuvant Therapy in Cholangiocarcinoma. Oncology (Williston Park). 2024 Apr 11;38(4):160-162. doi: 10.46883/2024.25921017.

Related Links

MeSH Terms

Conditions

Parkinson Disease 4, Autosomal Dominant Lewy BodyCholangiocarcinomaGallbladder NeoplasmsBile Duct Neoplasms

Interventions

pembrolizumabGemcitabineCisplatin

Condition Hierarchy (Ancestors)

AdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsBiliary Tract NeoplasmsDigestive System NeoplasmsNeoplasms by SiteBiliary Tract DiseasesDigestive System DiseasesGallbladder DiseasesBile Duct Diseases

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum Compounds

Results Point of Contact

Title
Senior Vice President, Global Clinical Development
Organization
Merck Sharp & Dohme LLC

Study Officials

  • Medical Director

    Merck Sharp & Dohme LLC

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 28, 2019

First Posted

July 1, 2019

Study Start

September 24, 2019

Primary Completion

December 15, 2022

Study Completion

April 1, 2025

Last Updated

March 24, 2026

Results First Posted

December 22, 2023

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will share

https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

More information

Locations