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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.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

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
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

Other trials in China

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

Other trials in United States

Germany16 sites
  • Research Site

    Berlin, 13353

  • Research Site

    Bonn, 53127

  • Research Site

    Dortmund, 44137

  • Research Site

    Dresden, 01370

  • Research Site

    Erlangen, 91054

  • Research Site

    Esslingen A. N., 73730

  • Research Site

    Frankfurt, 60488

  • Research Site

    Hamburg, 22763

  • Research Site

    Heidelberg, 69120

  • Research Site

    Leipzig, 4103

  • Research Site

    Lübeck, 23538

  • Research Site

    München, 81377

  • Research Site

    München, 81737

  • Research Site

    Münster, 48129

  • Research Site

    Tübingen, 72076

  • Research Site

    Ulm, 89081

Other trials in Germany

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

  • Research Site

    Wakayama, 641-8510

  • Research Site

    Yokohama, 236-0004

  • Research Site

    Yokohama, 241-8515

Other trials in Japan

Canada9 sites
  • Research Site

    Halifax, Nova Scotia, B3H 2Y9

  • Research Site

    Kingston, Ontario, K7L 2V7

  • Research Site

    London, Ontario, N6C 2R5

  • Research Site

    Montreal, Quebec, H4A 3J1

  • Research Site

    Ottawa, Ontario, K1H 8L6

  • Research Site

    Québec, Quebec, G1J 1Z4

  • Research Site

    Toronto, Ontario, M4N 3M5

  • Research Site

    Toronto, Ontario, M5G 2M9

  • Research Site

    Vancouver, British Columbia, VSZ 4E6

Other trials in Canada

Spain9 sites
  • Research Site

    Barcelona, 08036

  • Research Site

    Barcelona, 8035

  • Research Site

    L'Hospitalet de Llobregat, 08908

  • Research Site

    Madrid, 28007

  • Research Site

    Madrid, 28040

  • Research Site

    Madrid, 28041

  • Research Site

    Málaga, 29011

  • Research Site

    Pamplona, 31005

  • Research Site

    Santander, 39008

Other trials in Spain

Brazil8 sites
  • Research Site

    Natal, 59075-740

  • Research Site

    Porto Alegre, 90035-000

  • Research Site

    Porto Alegre, 91350-200

  • Research Site

    Santa Maria, 97015-450

  • Research Site

    Santo André, 09060-870

  • Research Site

    São Paulo, 01246-000

  • Research Site

    São Paulo, 01327-001

  • Research Site

    Vitória, 29043-260

Other trials in Brazil

France7 sites
  • Research Site

    Marseille, 13273

  • Research Site

    Montpellier, 34295

  • Research Site

    Pessac, 33604

  • Research Site

    Rennes, 35000

  • Research Site

    Strasbourg, 67033

  • Research Site

    Toulouse, 31059

  • Research Site

    Villejuif, 94800

Other trials in France

India7 sites
  • Research Site

    Delhi, 110088

  • Research Site

    Kolkata, 700094

  • Research Site

    Mumbai, 400012

  • Research Site

    Mysuru, 570017

  • Research Site

    New Delhi, 110076

  • Research Site

    New Delhi, 110085

  • Research Site

    Varanasi, 221005

Other trials in India

Italy7 sites
  • Research Site

    Florence, 50134

  • Research Site

    Milan, 20133

  • Research Site

    Milan, 20162

  • Research Site

    Padova, 35128

  • Research Site

    Pisa, 56126

  • Research Site

    Rozzano, 20089

  • Research Site

    Tricase, Lecce, 73039

Other trials in Italy

Taiwan7 sites
  • Research Site

    Kaohsiung City, 82445

  • Research Site

    Kaohsiung City, 83301

  • Research Site

    Taichung, 40447

  • Research Site

    Tainan, 70403

  • Research Site

    Taipei, 10002

  • Research Site

    Taipei, 112

  • Research Site

    Taoyuan, 333

Other trials in Taiwan

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

Other trials in South Korea

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

Other trials in Thailand

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

Other trials in Turkey (Türkiye)

United Kingdom6 sites
  • Research Site

    Cambridge, CB2 0QQ

  • Research Site

    Edgbaston, B15 2WB

  • Research Site

    Glasgow, Scotland, G12 0YN

  • Research Site

    London, NW3 2QG

  • Research Site

    Manchester, M20 4BX

  • Research Site

    Sutton, SM2 5PT

Other trials in United Kingdom

Poland5 sites
  • Research Site

    Bydgoszcz, 85-796

  • Research Site

    Krakow, 31-501

  • Research Site

    Lublin, 20-080

  • Research Site

    Przemyśl, 37-700

  • Research Site

    Warsaw, 02-034

Other trials in Poland

Australia4 sites
  • Research Site

    Camperdown, 2050

  • Research Site

    Clayton, 3168

  • Research Site

    Murdoch, 6150

  • Research Site

    Westmead, 2145

Other trials in Australia

Belgium4 sites
  • Research Site

    Brussels, 1070

  • Research Site

    Brussels, 1200

  • Research Site

    Edegem, 2650

  • Research Site

    Leuven, 3000

Other trials in Belgium

Denmark1 site
  • Research Site

    Herlev, 2730

Other trials in Denmark

Hong Kong1 site
  • Research Site

    Hong Kong, 999077

Other trials in Hong Kong

Norway1 site
  • Research Site

    Oslo, 0379

Other trials in Norway

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.

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 groups in NCT06109779
Study groupRoleWhat they receive
Arm AExperimentalRilvegostomig 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 BPlacebo comparatorPlacebo 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.

  1. 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)
  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.

  1. First posted31 Oct 2023
  2. Study start4 Dec 2023
  3. Primary completion2 Jan 2029 (estimated)
  4. Study completion3 May 2030 (estimated)

Resources

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)
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

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.

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