Biliary Tract CancerPhase 3NCT06109779
Rilvegostomig + Chemotherapy as Adjuvant Therapy for Biliary Tract Cancer After Resection (ARTEMIDE-Biliary01)
A Phase 3 study testing Rilvegostomig, Capecitabine and Gemcitabine/Cisplatin in people with Biliary Tract Cancer, run by AstraZeneca at 176 sites in 21 countries.
Trial summary
A global study to assess the efficacy and tolerability of rilvegostomig compared to placebo in combination with investigator's choice of chemotherapy in participants with BTC after surgical resection with curative intent. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Biliary Tract Cancer
- What is being tested?
- Rilvegostomig, Capecitabine and Gemcitabine/Cisplatin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 760 participants
- Where
- 176 sitesin 21 countries
- Study dates
- 4 Dec 2023to 3 May 2030
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed adenocarcinoma of the biliary tract (intrahepatic or extrahepatic cholangiocarcinoma (CCA) or muscle invasive gallbladder cancer (GBC)) after macroscopically complete resection (R0 or R1)
- Provision of a tumor sample collected at surgical resection.
- Randomization within 12 weeks after resection with adequate healing and removal of drains.
- Confirmed to be disease-free by imaging within 28 days prior to randomization.
- Eastern Cooperative Oncology Group performance status of 0 or 1
Who cannot join
- Participants with locally-advanced, unresectable, or metastatic disease at initial diagnosis.
- Ampullary cancer, neuroendocrine, mixed neuroendocrine and non-neuroendocrine neoplasms and nonepithelial tumors.
- Any anti-cancer therapy for BTC prior to surgery
- Active or prior documented autoimmune or inflammatory disorders or any severe or uncontrolled systemic disease
- Current or prior use of immunosuppressive medication within 14 days before the first dose
- Thromboembolic event within 3 months
- Active HBV or HCV infection unless treated.
Trial locations and contacts
176 sites in 21 countries.
176 sites in 21 countries
China29 sites
Research Site
Beijing, 100142
Research Site
Beijing, CN-100730
Research Site
Changchun, 130021
Research Site
Changsha, 410013
Research Site
Chengdu, 610000
Research Site
Chengdu, 610072
Research Site
Deyang, 618000
Research Site
Fuzhou, 350005
Research Site
Guangzhou, 510515
Research Site
Guiyang, 550044
Research Site
Hangzhou, 310009
Research Site
Harbin, 150081
Research Site
Hefei, 230001
Research Site
Hefei, 230601
Research Site
Kunming, 650101
Research Site
Lanzhou, 730000
Research Site
Lishui, 323000
Research Site
Nanchang, 330006
Research Site
Nanjing, 2100008
Research Site
Nanjing, 210029
Research Site
Nanning, 530021
Research Site
Shandong
Research Site
Shanghai, 201114
Research Site
Shenyang, 110004
Research Site
Tianjin, 300060
Research Site
Wuhan, 430071
Research Site
Wuhan, 430079
Research Site
Xi'an, 710061
Research Site
Zhengzhou, 450008
United States22 sites
Research Site
Atlanta, Georgia, 30322
Research Site
Aurora, Colorado, 80045
Research Site
Birmingham, Alabama, 35233
Research Site
Chicago, Illinois, 60637
Research Site
Commack, New York, 11725
Research Site
Dallas, Texas, 75246
Research Site
Grand Rapids, Michigan, 49503
Research Site
Iowa City, Iowa, 52242
Research Site
Jacksonville, Florida, 32224
Research Site
Kansas City, Kansas, 66160
Research Site
Lexington, Kentucky, 40506
Research Site
Littleton, Colorado, 80129
Research Site
Los Angeles, California, 90089
Research Site
Mineola, New York, 11501
Research Site
New Orleans, Louisiana, 70121
Research Site
Orange, California, 92868
Research Site
Philadelphia, Pennsylvania, 19144
Research Site
Phoenix, Arizona, 85054
Research Site
Rochester, Minnesota, 55905
Research Site
St Louis, Missouri, 63110
Research Site
Stanford, California, 94305
Research Site
Washington D.C., District of Columbia, 20007
Germany16 sites
Research Site
Berlin, 13353
Research Site
Bonn, 53127
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Dortmund, 44137
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Dresden, 01370
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Erlangen, 91054
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Esslingen A. N., 73730
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Frankfurt, 60488
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Hamburg, 22763
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Heidelberg, 69120
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Leipzig, 4103
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Lübeck, 23538
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München, 81377
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München, 81737
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Münster, 48129
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Tübingen, 72076
Research Site
Ulm, 89081
Japan15 sites
Research Site
Hiroshima, 734-8551
Research Site
Kashiwa, 227-8577
Research Site
Kitaadachi-gun, 362-0806
Research Site
Kōtoku, 135-8550
Research Site
Mitaka-shi, 181-8611
Research Site
Nagoya, 464-8681
Research Site
Nagoya, 466-8560
Research Site
Osaka, 541-8567
Research Site
Sendai, 980-8574
Research Site
Suita-shi, 565-0871
Research Site
Toyama, 930-0194
Research Site
Ube, 755-8505
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Wakayama, 641-8510
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Yokohama, 236-0004
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Yokohama, 241-8515
Canada9 sites
Research Site
Halifax, Nova Scotia, B3H 2Y9
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Kingston, Ontario, K7L 2V7
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London, Ontario, N6C 2R5
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Montreal, Quebec, H4A 3J1
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Ottawa, Ontario, K1H 8L6
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Québec, Quebec, G1J 1Z4
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Toronto, Ontario, M4N 3M5
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Toronto, Ontario, M5G 2M9
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Vancouver, British Columbia, VSZ 4E6
Spain9 sites
Research Site
Barcelona, 08036
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Barcelona, 8035
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L'Hospitalet de Llobregat, 08908
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Madrid, 28007
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Madrid, 28040
Research Site
Madrid, 28041
Research Site
Málaga, 29011
Research Site
Pamplona, 31005
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Santander, 39008
Brazil8 sites
Research Site
Natal, 59075-740
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Porto Alegre, 90035-000
Research Site
Porto Alegre, 91350-200
Research Site
Santa Maria, 97015-450
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Santo André, 09060-870
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São Paulo, 01246-000
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São Paulo, 01327-001
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Vitória, 29043-260
France7 sites
Research Site
Marseille, 13273
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Montpellier, 34295
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Pessac, 33604
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Rennes, 35000
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Strasbourg, 67033
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Toulouse, 31059
Research Site
Villejuif, 94800
India7 sites
Research Site
Delhi, 110088
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Kolkata, 700094
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Mumbai, 400012
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Mysuru, 570017
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New Delhi, 110076
Research Site
New Delhi, 110085
Research Site
Varanasi, 221005
Italy7 sites
Research Site
Florence, 50134
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Milan, 20133
Research Site
Milan, 20162
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Padova, 35128
Research Site
Pisa, 56126
Research Site
Rozzano, 20089
Research Site
Tricase, Lecce, 73039
Taiwan7 sites
Research Site
Kaohsiung City, 82445
Research Site
Kaohsiung City, 83301
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Taichung, 40447
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Tainan, 70403
Research Site
Taipei, 10002
Research Site
Taipei, 112
Research Site
Taoyuan, 333
South Korea6 sites
Research Site
Seongnam-si, 13620
Research Site
Seoul, 03080
Research Site
Seoul, 03722
Research Site
Seoul, 05505
Research Site
Seoul, 06351
Research Site
Seoul, 06591
Thailand6 sites
Research Site
Hat Yai, 90110
Research Site
Khon Kaen, 40002
Research Site
Muang, 34000
Research Site
Muang, 50200
Research Site
Naimuang, 30000
Research Site
Si Sa Ket, 33000
Turkey (Türkiye)6 sites
Research Site
Ankara, 06100
Research Site
Ankara, 06230
Research Site
Antalya, 07100
Research Site
Erzurum, 25240
Research Site
Fatih-Istanbul, 34098
Research Site
Samsun, 55139
United Kingdom6 sites
Research Site
Cambridge, CB2 0QQ
Research Site
Edgbaston, B15 2WB
Research Site
Glasgow, Scotland, G12 0YN
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London, NW3 2QG
Research Site
Manchester, M20 4BX
Research Site
Sutton, SM2 5PT
Poland5 sites
Research Site
Bydgoszcz, 85-796
Research Site
Krakow, 31-501
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Lublin, 20-080
Research Site
Przemyśl, 37-700
Research Site
Warsaw, 02-034
Australia4 sites
Research Site
Camperdown, 2050
Research Site
Clayton, 3168
Research Site
Murdoch, 6150
Research Site
Westmead, 2145
Belgium4 sites
Research Site
Brussels, 1070
Research Site
Brussels, 1200
Research Site
Edegem, 2650
Research Site
Leuven, 3000
About this study
Official title: A Phase III, Randomized, Double-Blind, Placebo-Controlled, Multicenter, Global Study of Rilvegostomig in Combination With Chemotherapy as Adjuvant Treatment After Resection of Biliary Tract Cancer With Curative Intent (ARTEMIDE-Biliary01)
A global study to assess the efficacy and tolerability of rilvegostomig compared to placebo in combination with investigator's choice of chemotherapy in participants with BTC after surgical resection with curative intent.
Read the detailed description
This is a Phase III, randomized, double-blind, placebo-controlled, multicenter, global study to assess the efficacy and tolerability of rilvegostomig compared to placebo in combination with investigator's choice of chemotherapy (capecitabine, S-1(tegafur/ gimeracil/ oteracil) or gemcitabine/cisplatin) as adjuvant treatment in participants with BTC after resection with curative intent. This study will be conducted in patients with BTC who are at risk of recurrence after resection with curative intent.
- Conditions
- Biliary Tract Cancer
- Being tested
- Rilvegostomig, Placebo, Capecitabine, Gemcitabine/Cisplatin, S-1 [Tegafur/Oteracil/gimeracil]
- Keywords
- Adenocarcinoma of the biliary tract, Biliary tract Cancer, Gall bladder cancer, Intrahepatic Cholangiocarcinoma, Distal Cholangiocarcinoma, Perihilar Cholangiocarcinoma, Klatskin Tumors, Bile duct cancer, Immunotherapy, Cholangiocarcinoma, Rilvegostomig, S-1, Gemcitabine/cisplatin, Capecitabine
- Medical subject headings
- Biliary Tract Neoplasms, Gallbladder Neoplasms, Cholangiocarcinoma, Klatskin Tumor, Bile Duct Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RilvegostomigDrug
Rilvegostomig IV (intravenous) Q3W
PlaceboDrug
Placebo IV (intravenous) Q3W
CapecitabineDrug
Capecitabine (Oral) 1250 mg/m2 BID (twice daily) for 2 weeks on/1 week off in 21-day cycles or per local practice
Gemcitabine/CisplatinDrug
Gemcitabine/Cisplatin IV (Intravenous) 1000 mg/m2 plus cisplatin 25 mg/m2 on Day 1 and Day 8 of each 21-day cycle
S-1 [Tegafur/Oteracil/gimeracil]Drug
S-1 [Tegafur/Oteracil/gimeracil] (Oral) BSA (body surface area)-based (40, 50, or 60 mg) BID for 4 weeks on 2 weeks off in 42-day cycles
| Study group | Role | What they receive |
|---|---|---|
| Arm A | Experimental | Rilvegostomig IV infusion + Investigator choice of chemotherapy (Capecitabine or Gemcitabine/Cisplatin or S-1) Receives: Drug: Rilvegostomig; Drug: Capecitabine; Drug: Gemcitabine/Cisplatin; Drug: S-1 [Tegafur/Oteracil/gimeracil] |
| Arm B | Placebo comparator | Placebo IV infusion + Investigator choice of chemotherapy (Capecitabine or Gemcitabine/Cisplatin or S-1) Receives: Drug: Placebo; Drug: Capecitabine; Drug: Gemcitabine/Cisplatin; Drug: S-1 [Tegafur/Oteracil/gimeracil] |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recurrence free survival (RFS) for Arm A vs. Arm B
Recurrence-free survival (RFS) is defined as the time from randomization until the date of radiological recurrence guided by RECIST 1.1 or death due to any cause, whichever occurs first.
Measured: Approximately 5 years
Secondary outcomes (1)
Overall Survival (OS) for Arm A vs. Arm B
Overall survival is defined as the time from randomization until the date of death due to any cause.
Measured: up to 7 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Oct 2023
- Study start4 Dec 2023
- Primary completion2 Jan 2029 (estimated)
- Study completion3 May 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Biliary Tract CancerStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 760 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06109779
- Sponsor's protocol ID
- D7025C00001
- Other IDs
- 2023-506054-20-00, 2023
- Status last verified
- Oct 2026
- First submitted
- 26 Oct 2023
- Last updated
- 16 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
Study at a glance
From the registry record, last updated by the sponsor on 16 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomized, Double-Blind, Placebo-Controlled, Multicenter, Global Study of Rilvegostomig in Combination With Chemotherapy as Adjuvant Treatment After Resection of Biliary Tract Cancer With Curative Intent (ARTEMIDE-Biliary01)
- ClinicalTrials.gov ID
- NCT06109779
- Acronym / sponsor ID
- D7025C00001
- Conditions
- Biliary Tract Cancer
- Keywords
- Adenocarcinoma of the biliary tract, Biliary tract Cancer, Gall bladder cancer, Intrahepatic Cholangiocarcinoma, Distal Cholangiocarcinoma, Perihilar Cholangiocarcinoma, Klatskin Tumors, Bile duct cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 760 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- 4 Dec 2023 (actual)
- Primary completion
- 2 Jan 2029 (estimated)
- Study completion
- 3 May 2030 (estimated)
- First posted
- 31 Oct 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A global study to assess the efficacy and tolerability of rilvegostomig compared to placebo in combination with investigator's choice of chemotherapy in participants with BTC after surgical resection with curative intent.
Detailed description
This is a Phase III, randomized, double-blind, placebo-controlled, multicenter, global study to assess the efficacy and tolerability of rilvegostomig compared to placebo in combination with investigator's choice of chemotherapy (capecitabine, S-1(tegafur/ gimeracil/ oteracil) or gemcitabine/cisplatin) as adjuvant treatment in participants with BTC after resection with curative intent. This study will be conducted in patients with BTC who are at risk of recurrence after resection with curative intent.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A | Experimental | Drug: Rilvegostomig, Drug: Capecitabine, Drug: Gemcitabine/Cisplatin, Drug: S-1 [Tegafur/Oteracil/gimeracil]Rilvegostomig IV infusion + Investigator choice of chemotherapy (Capecitabine or Gemcitabine/Cisplatin or S-1) |
| Arm B | Placebo comparator | Drug: Placebo, Drug: Capecitabine, Drug: Gemcitabine/Cisplatin, Drug: S-1 [Tegafur/Oteracil/gimeracil]Placebo IV infusion + Investigator choice of chemotherapy (Capecitabine or Gemcitabine/Cisplatin or S-1) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Histologically confirmed adenocarcinoma of the biliary tract (intrahepatic or extrahepatic cholangiocarcinoma (CCA) or muscle invasive gallbladder cancer (GBC)) after macroscopically complete resection (R0 or R1)
- Provision of a tumor sample collected at surgical resection.
- Randomization within 12 weeks after resection with adequate healing and removal of drains.
- Confirmed to be disease-free by imaging within 28 days prior to randomization.
- Eastern Cooperative Oncology Group performance status of 0 or 1
Key exclusion criteria (7 listed)
- Participants with locally-advanced, unresectable, or metastatic disease at initial diagnosis.
- Ampullary cancer, neuroendocrine, mixed neuroendocrine and non-neuroendocrine neoplasms and nonepithelial tumors.
- Any anti-cancer therapy for BTC prior to surgery
- Active or prior documented autoimmune or inflammatory disorders or any severe or uncontrolled systemic disease
- Current or prior use of immunosuppressive medication within 14 days before the first dose
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RilvegostomigRilvegostomig IV (intravenous) Q3W | Drug | Arm A |
| PlaceboPlacebo IV (intravenous) Q3W | Drug | Arm B |
| CapecitabineCapecitabine (Oral) 1250 mg/m2 BID (twice daily) for 2 weeks on/1 week off in 21-day cycles or per local practice | Drug | Arm A, Arm B |
| Gemcitabine/CisplatinGemcitabine/Cisplatin IV (Intravenous) 1000 mg/m2 plus cisplatin 25 mg/m2 on Day 1 and Day 8 of each 21-day cycle | Drug | Arm A, Arm B |
| S-1 [Tegafur/Oteracil/gimeracil]S-1 [Tegafur/Oteracil/gimeracil] (Oral) BSA (body surface area)-based (40, 50, or 60 mg) BID for 4 weeks on 2 weeks off in 42-day cycles | Drug | Arm A, Arm B |
Primary outcome
Recurrence free survival (RFS) for Arm A vs. Arm B
Time frame: Approximately 5 years
Recurrence-free survival (RFS) is defined as the time from randomization until the date of radiological recurrence guided by RECIST 1.1 or death due to any cause, whichever occurs first.
1 secondary outcome
Overall Survival (OS) for Arm A vs. Arm B
Time frame: up to 7 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Oct 2026.
- Individual participant dataSharing planned: Yes. Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
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RecruitingPhase 2
At-Home Cancer Directed Therapy Versus in Clinic for the Treatment of Patients With Advanced Cancer
Advanced Anal Carcinoma, Advanced Biliary Tract Carcinoma
RecruitingObservational study
Tissue Procurement and Natural History Study of Patients With Malignant Mesothelioma
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Active, not recruitingPhase 2
Durvalumab and Tremelimumab in Combination With Propranolol and Chemotherapy for Treatment of Advanced Hepatopancreabiliary Tumors (BLOCKED)
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Not yet recruitingPhase 3
Hepatic Arterial Infusion Chemotherapy Versus Capecitabine as Adjuvant Therapy for Resected Biliary Tract Cancer
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
176 sites in 21 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Rilvegostomig, Capecitabine and Gemcitabine/Cisplatin in people with Biliary Tract Cancer, run by AstraZeneca at 176 sites in 21 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 16 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 176 sites in China, United States, Germany, Japan, Canada and 16 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Recurrence free survival (RFS) for Arm A vs. Arm B (time frame: Approximately 5 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Oct 2026.