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Study identifier: NCT07062263 Synced from ClinicalTrials.gov · July 29, 2026
● Recruiting

Trastuzumab Plus Chemotherapy vs Chemotherapy Alone in First-line HER2 Positive Advanced Biliary Tract Cancer Patients

Condition: Biliary Tract Cancer · HER2-positive Cancer · Advanced Cancer  ·  Sponsor: Tata Memorial Centre

PhasePhase 3
Planned participants220
Who can joinAll sexes, 18 Years to 99 Years
Healthy volunteersNo

About this study

This is a randomized, open-label, two-arm, Phase III clinical trial evaluating the efficacy and safety of trastuzumab plus chemotherapy versus chemotherapy alone as first-line treatment in patients with HER2-positive advanced or metastatic biliary tract cancers (BTC). HER2-positive BTCs represent a molecular subset of these rare cancers, associated with poor prognosis and limited treatment options. Eligible patients with histologically confirmed HER2-positive (IHC 3+ or IHC 2+ with FISH amplification) unresectable or metastatic biliary tract adenocarcinoma-including gallbladder cancer, intrahepatic, and perihilar cholangiocarcinoma-will be randomized in a 1:1 ratio. Participants in the intervention arm (Arm A) will receive either gemcitabine and cisplatin with or without nab-paclitaxel plus trastuzumab, while those in the control arm (Arm B) will receive chemotherapy alone (gemcitabine + cisplatin with or without nab-paclitaxel). Treatment will continue until disease progression, unacceptable toxicity, withdrawal of consent, or death. The primary endpoint is 6-month progression-free survival (PFS). Secondary endpoints include overall survival (OS), response rate (RR), quality of life (QOL), and adverse event (AE) profiles. The study aims to enroll 196 patients across a single center in India over a period of 5 years, with an additional 6-month follow-up. This trial builds on earlier Phase II findings suggesting improved outcomes with trastuzumab in HER2-positive BTC and aim…

This description comes directly from the study's public registry record.

Talk to the study team

Vikas S Ostwal, DM  ·  0222417000  ·  dr.vikas.ostwal@gmail.com

Anant Ramaswamy, DM  ·  0222417000  ·  anantr13@gmail.com

Always discuss trial participation with your own doctor first.

Locations (6)

Homi Bhabha Cancer Hospital and Research Centre, MuzaffarpurMuzaffarpur, Bihar, IndiaNot Yet Recruiting
Tata Memorial HospitalMumbai, Maharashtra, IndiaRecruiting
Institute of Medical Sciences & SUM HospitalBhubaneswar, Odisha, IndiaNot Yet Recruiting
Homi Bhabha Cancer Hospital and Research CentreMūllānpur, Punjab, IndiaRecruiting
Mahamana Pandit Madan Mohan Malviya Cancer Centre (MPMMC) and Homi Bhabha Cancer Hospital (HBCH)Varanasi, Uttar Pradesh, IndiaRecruiting
MAX Super Speciality Hospital, SAKETDelhi, IndiaNot Yet Recruiting

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Source record: clinicaltrials.gov/study/NCT07062263