NCT07229625

Brief Summary

This study is a randomized, open-label, multicenter phase III clinical trial, aiming to evaluate the efficacy and safety of SHR-8068 combined with adbelimab and platinum-based chemotherapy in contrast to varicumab combined with platinum-based chemotherapy in the first-line treatment of patients with advanced BTC.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
604

participants targeted

Target at P75+ for phase_3

Timeline
43mo left

Started Jan 2026

Typical duration for phase_3

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Progress8%
Jan 2026Dec 2029

First Submitted

Initial submission to the registry

November 13, 2025

Completed
4 days until next milestone

First Posted

Study publicly available on registry

November 17, 2025

Completed
2 months until next milestone

Study Start

First participant enrolled

January 21, 2026

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2029

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2029

Last Updated

January 28, 2026

Status Verified

January 1, 2026

Enrollment Period

3.9 years

First QC Date

November 13, 2025

Last Update Submit

January 27, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Overall Survival (OS)

    Up to 15 months.

Secondary Outcomes (8)

  • Disease Control Rate (DCR)

    Up to 7 months.

  • Duration of Response (DoR)

    Up to 7 months.

  • Progression free Survival (PFS)

    Up to 7 months.

  • Objective Response Rate (ORR)

    Up to 7 months.

  • Time to Progression (TTP)

    Up to 7 months.

  • +3 more secondary outcomes

Study Arms (2)

SHR-8068 + Adebrelimab + Cisplatin and Gemcitabine Group

EXPERIMENTAL
Drug: SHR-8068 InjectionDrug: Adebrelimab InjectionDrug: Gemcitabine Hydrochloride for InjectionDrug: Cisplatin Injection

Durvalumab + Cisplatin and Gemcitabine Group

ACTIVE COMPARATOR
Drug: Gemcitabine Hydrochloride for InjectionDrug: Cisplatin InjectionDrug: Durvalumab Injection

Interventions

SHR-8068 injection.

SHR-8068 + Adebrelimab + Cisplatin and Gemcitabine Group

Adebrelimab injection.

SHR-8068 + Adebrelimab + Cisplatin and Gemcitabine Group

Gemcitabine Hydrochloride for injection.

Durvalumab + Cisplatin and Gemcitabine GroupSHR-8068 + Adebrelimab + Cisplatin and Gemcitabine Group

Cisplatin injection.

Durvalumab + Cisplatin and Gemcitabine GroupSHR-8068 + Adebrelimab + Cisplatin and Gemcitabine Group

Durvalumab injection.

Durvalumab + Cisplatin and Gemcitabine Group

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Locally advanced or recurrent/metastatic biliary adenocarcinoma that is inoperable and confirmed by histology or cytology;
  • No previous systemic anti-tumor treatment has been received;
  • At least one measurable lesion that complies with the RECIST v1.1 standard;
  • ECOG PS score: 0-1 point;
  • The expected survival period is ≥ 3 months;
  • Good organ function level;
  • Negative blood pregnancy (for women of childbearing age) and not in the lactation period, adhering to efficient contraceptive requirements;
  • Patients voluntarily joined this study and signed informed consent.

You may not qualify if:

  • Other pathological types of cholangiocarcinoma other than adenocarcinoma;
  • Malignant tumor of the ampulla;
  • Have had or concurrently suffered from other malignant tumors;
  • Those with concurrent biliary obstruction and at risk of biliary tract infection;
  • Those with any active or known autoimmune diseases.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The First Affiliated Hospital, College of Medicine, Zhejiang University

Hangzhou, Zhejiang, 310003, China

RECRUITING

MeSH Terms

Interventions

GemcitabineInjectionsCisplatindurvalumab

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingDrug Administration RoutesDrug TherapyTherapeuticsChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum Compounds

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 13, 2025

First Posted

November 17, 2025

Study Start

January 21, 2026

Primary Completion (Estimated)

December 1, 2029

Study Completion (Estimated)

December 1, 2029

Last Updated

January 28, 2026

Record last verified: 2026-01

Locations