Biliary Tract CancerPhase 3FOENIX-BTCNCT07710885
Futibatinib (TAS-120) in Patients With Advanced Biliary Tract Cancer
A Phase 3 study testing Futibatinib, Zimberelimab and Durvalumab in people with Biliary Tract Cancer, run by Taiho Pharmaceutical Co., Ltd. at 21 sites in 4 countries.
Trial summary
To compare overall survival (OS) of patients in Futibatinib and Zimberelimab in Combination with Gemcitabine plus Cisplatin versus Durvalumab or Pembrolizumab in Combination with Gemcitabine plus Cisplatin for patients with first-line advanced biliary tract cancer 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?
- Futibatinib, Zimberelimab and Durvalumab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 784 participants
- Where
- 21 sitesin 4 countries
- Study dates
- 24 Jun 2026to 31 Dec 2031
- 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
- Has histologically confirmed unresectable or advanced biliary tract (i.e. intrahepatic bile duct, extrahepatic bile duct, or gallbladder) cancer that is adenocarcinoma or adenosquamous carcinoma;
- Has no history of prior treatment for locally advanced or metastatic Biliary Tract Cancer (BTC);
- Adjuvant or neoadjuvant chemotherapy is not considered as prior treatment if more than 6 months have passed since its completion.
- Has radiographically measurable disease per RECIST v1.1.
- Has a tumor tissue sample available for biomarker analysis in a quantity sufficient.
- Has an ECOG PS of 0 or 1 before administration of study treatment; Participants with a history of hepatitis B or hepatitis C can be enrolled if they meet study criteria.
Who cannot join
- History and/or current evidence of clinically significant nontumor-related alteration of calcium-phosphorus homeostasis;
- History and/or current evidence of clinically significant retinal disorder confirmed by retinal examination;
- Has prior Fibroblast Growth Factor Receptor (FGFR)-directed therapy including futibatinib
- Has prior treatment with an anti-Programmed Death Ligand 1 (PD-L1), anti-Programmed Cell Death Protein 1 (PD-1), anti-Cytotoxic T-Lymphocyte-Associated Protein 4 (CTLA-4), anti-T-cell immunoreceptor with Ig and ITIM domains (TIGIT), or other immune checkpoint inhibitor (ICI) or agonist as monotherapy or in combination.
- Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
Trial locations and contacts
21 sites in 4 countries. Contact the study team or a site near you to ask about taking part.
21 sites in 4 countries
Japan11 sites, 11 recruiting
- Not yet recruiting
Research Site
Aichi
- Recruiting
National Hospital Organization Kyushu Cancer Center
Fukuoka
- Not yet recruiting
Research Site
Fukuoka
- Not yet recruiting
Research Site
Hokkaido
- Not yet recruiting
Kanagawa Cancer Center
Kanagawa
- Not yet recruiting
Research Site
Miyagi
- Not yet recruiting
Research Site
Osaka
- Not yet recruiting
Research Site
Tokyo
- Recruiting
The Cancer Institute Hospital
Tokyo
- Recruiting
Toyama University Hopspital
Toyama
- Recruiting
Wakayama Medical University Hospital
Wakayama
Australia4 sites, 4 recruiting
- Not yet recruiting
Research Site
Brisbane
- Not yet recruiting
Research Site
Melbourne
- Not yet recruiting
Research Site
Perth
- Not yet recruiting
Research Site
Sydney
South Korea4 sites, 4 recruiting
- Not yet recruiting
Research Site
Busan
- Not yet recruiting
Research Site
Hwasun
- Not yet recruiting
Research Site
Seongnam
- Not yet recruiting
Research Site
Seoul
Thailand2 sites, 2 recruiting
- Not yet recruiting
Research Site
Bangkok
- Not yet recruiting
Research Site
Chiang Mai
About this study
Official title: A Phase 3, Randomized-Controlled, Open-Label, Multi-Regional, International Study of Futibatinib (TAS-120) and Zimberelimab (AB122) in Combination With Gemcitabine Plus Cisplatin Versus Durvalumab or Pembrolizumab in Combination With Gemcitabine Plus Cisplatin for Patients With First-Line Advanced Biliary Tract Cancers
To compare overall survival (OS) of patients in Futibatinib and Zimberelimab in Combination with Gemcitabine plus Cisplatin versus Durvalumab or Pembrolizumab in Combination with Gemcitabine plus Cisplatin for patients with first-line advanced biliary tract cancer
- Conditions
- Biliary Tract Cancer
- Being tested
- Futibatinib, Zimberelimab, Durvalumab, Pembrolizumab, Gemcitabine
- Keywords
- Futibatinib, Biliary Tract Cancer (BTC), TAS-120, Zimberelimab, AB122, Gemcitabine, Cisplatin, Durvalumab, Pembrolizumab, Phase 3, Fibroblast Growth Factor Receptor (FGFR), Programmed Cell Death Protein 1 (PD-1)
- Medical subject headings
- Biliary Tract Neoplasms, Acrocephalosyndactylia, Parkinson Disease 4, Autosomal Dominant Lewy Body
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FutibatinibDrug
Also called TAS-120
Futibatinib 20 mg will be administered orally once daily.
ZimberelimabDrug
Also called AB122
Zimberelimab 360 mg will be administered on Day 1 of each 3-week cycle (Q3W) by intravenous infusion.
DurvalumabDrug
Durvalumab 1500 mg will be administered on Day 1 of Q3W by intravenous infusion.
PembrolizumabDrug
Pembrolizumab 200 mg will be administered on Day 1 of Q3W by intravenous infusion.
GemcitabineDrug
Gemcitabine 1000 mg/m2 will be administered Days 1 and 8 of Q3W by intravenous infusion.
CisplatinDrug
Cisplatin 25 mg/m2 will be administered Days 1 and 8 of Q3W by intravenous infusion.
| Study group | Role | What they receive |
|---|---|---|
| Treatment Arm | Experimental | Futibatinib + Zimberelimab + Gemcitabine + Cisplatin Receives: Drug: Futibatinib; Drug: Zimberelimab; Drug: Gemcitabine; Drug: Cisplatin |
| Control Arm | Active comparator | Investigator's choice; Durvalumab or Pembrolizumab + Gemcitabine + Cisplatin Receives: Drug: Durvalumab; Drug: Pembrolizumab; Drug: Gemcitabine; Drug: Cisplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
- To compare OS of patients in Arm A versus Arm B for patients with first-line advanced BTC whose primary tumor site is intrahepatic or extrahepatic cholangiocarcinoma
- To compare OS of patients in Arm A versus Arm B for patients with first-line advanced BTC
Measured: Up to approximately 45 months
Secondary outcomes (5)
Progression-Free Survival (PFS) according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1 using Blinded Independent Central Review (BICR) and Investigator assessment
Measured: Up to approximately 45 months
6-months PFS rate according to RECIST v1.1 using BICR and Investigator assessments
Measured: Up to approximately 45 months
Objective response rate (ORR) according to RECIST v1.1 using BICR and Investigator assessments
Measured: Up to approximately 45 months
Duration of response (DoR) according to RECIST v1.1 using BICR and Investigator assessments
Measured: Up to approximately 45 months
Adverse events (AEs)
Measured: Up to approximately 45 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jul 2026
- Study start24 Jun 2026
- Primary completion30 Apr 2030 (estimated)
- Study completion31 Dec 2031 (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.
- 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
- None (open label)
- Enrolment
- 784 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Taiho Pharmaceutical Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Taiho Oncology, Inc.
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07710885
- Sponsor's protocol ID
- 10059040
- Other IDs
- jRCT2071260018
- Acronym
- FOENIX-BTC
- Status last verified
- Jul 2026
- First submitted
- 3 Jul 2026
- Last updated
- 17 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Taiho Group (Taiho) provides a platform for accepting researchers requests for sharing anonymized, patient-level, analyzable datasets from articles published in peer-reviewed journals about the primary results from Taiho-sponsored interventional clinical trials in patients in which the medicine and the indication has received marketing approval from regulatory authorities in the United States, the European Union, and/or Japan on or after January 15, 2018. Access to the clinical trial data is contingent upon approval of a proposed study protocol by an independent review panel and the execution of a data-sharing agreement with the researcher. See: https://www.taiho.co.jp/en/science/policy/clinical\_trial\_information\_disclosure\_policy/index.html
Study at a glance
From the registry record, last updated by the sponsor on 17 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized-Controlled, Open-Label, Multi-Regional, International Study of Futibatinib (TAS-120) and Zimberelimab (AB122) in Combination With Gemcitabine Plus Cisplatin Versus Durvalumab or Pembrolizumab in Combination With Gemcitabine Plus Cisplatin for Patients With First-Line Advanced Biliary Tract Cancers
- ClinicalTrials.gov ID
- NCT07710885
- Acronym / sponsor ID
- FOENIX-BTC / 10059040
- Conditions
- Biliary Tract Cancer
- Keywords
- Futibatinib, Biliary Tract Cancer (BTC), TAS-120, Zimberelimab, AB122, Gemcitabine, Cisplatin, Durvalumab
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 784 participants (estimated)
- Lead sponsor
- Taiho Pharmaceutical Co., Ltd.Industry (pharma, biotech, devices)
- Collaborators
- Taiho Oncology, Inc.
- Study start
- 24 Jun 2026 (actual)
- Primary completion
- 30 Apr 2030 (estimated)
- Study completion
- 31 Dec 2031 (estimated)
- First posted
- 17 Jul 2026 (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.
To compare overall survival (OS) of patients in Futibatinib and Zimberelimab in Combination with Gemcitabine plus Cisplatin versus Durvalumab or Pembrolizumab in Combination with Gemcitabine plus Cisplatin for patients with first-line advanced biliary tract cancer
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Treatment Arm | Experimental | Drug: Futibatinib, Drug: Zimberelimab, Drug: Gemcitabine, Drug: CisplatinFutibatinib + Zimberelimab + Gemcitabine + Cisplatin |
| Control Arm | Active comparator | Drug: Durvalumab, Drug: Pembrolizumab, Drug: Gemcitabine, Drug: CisplatinInvestigator's choice; Durvalumab or Pembrolizumab + Gemcitabine + Cisplatin |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Has histologically confirmed unresectable or advanced biliary tract (i.e. intrahepatic bile duct, extrahepatic bile duct, or gallbladder) cancer that is adenocarcinoma or adenosquamous carcinoma;
- Has no history of prior treatment for locally advanced or metastatic Biliary Tract Cancer (BTC);
- Has radiographically measurable disease per RECIST v1.1.
- Has a tumor tissue sample available for biomarker analysis in a quantity sufficient.
- Has an ECOG PS of 0 or 1 before administration of study treatment; Participants with a history of hepatitis B or hepatitis C can be enrolled if they meet study criteria.
Key exclusion criteria (5 listed)
- History and/or current evidence of clinically significant nontumor-related alteration of calcium-phosphorus homeostasis;
- History and/or current evidence of clinically significant retinal disorder confirmed by retinal examination;
- Has prior Fibroblast Growth Factor Receptor (FGFR)-directed therapy including futibatinib
- Has prior treatment with an anti-Programmed Death Ligand 1 (PD-L1), anti-Programmed Cell Death Protein 1 (PD-1), anti-Cytotoxic T-Lymphocyte-Associated Protein 4 (CTLA-4), anti-T-cell immunoreceptor with Ig and ITIM domains (TIGIT), or other immune checkpoint inhibitor (ICI) or agonist as monotherapy or in combination.
- Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
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 |
|---|---|---|
| FutibatinibAlso: TAS-120Futibatinib 20 mg will be administered orally once daily. | Drug | Treatment Arm |
| ZimberelimabAlso: AB122Zimberelimab 360 mg will be administered on Day 1 of each 3-week cycle (Q3W) by intravenous infusion. | Drug | Treatment Arm |
| DurvalumabDurvalumab 1500 mg will be administered on Day 1 of Q3W by intravenous infusion. | Drug | Control Arm |
| PembrolizumabPembrolizumab 200 mg will be administered on Day 1 of Q3W by intravenous infusion. | Drug | Control Arm |
| GemcitabineGemcitabine 1000 mg/m2 will be administered Days 1 and 8 of Q3W by intravenous infusion. | Drug | Control Arm, Treatment Arm |
| CisplatinCisplatin 25 mg/m2 will be administered Days 1 and 8 of Q3W by intravenous infusion. | Drug | Control Arm, Treatment Arm |
Primary outcome
Overall Survival (OS)
Time frame: Up to approximately 45 months
* To compare OS of patients in Arm A versus Arm B for patients with first-line advanced BTC whose primary tumor site is intrahepatic or extrahepatic cholangiocarcinoma * To compare OS of patients in Arm A versus Arm B for patients with first-line advanced BTC
5 secondary outcomes
Progression-Free Survival (PFS) according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1 using Blinded Independent Central Review (BICR) and Investigator assessment
Time frame: Up to approximately 45 months
6-months PFS rate according to RECIST v1.1 using BICR and Investigator assessments
Time frame: Up to approximately 45 months
Objective response rate (ORR) according to RECIST v1.1 using BICR and Investigator assessments
Time frame: Up to approximately 45 months
Duration of response (DoR) according to RECIST v1.1 using BICR and Investigator assessments
Time frame: Up to approximately 45 months
Adverse events (AEs)
Time frame: Up to approximately 45 months
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 17 Jul 2026.
- Individual participant dataSharing planned: Yes. Taiho Group (Taiho) provides a platform for accepting researchers requests for sharing anonymized, patient-level, analyzable datasets from articles published in peer-reviewed journals about the primary results from Taiho-sponsored interventional clinical trials in patients in which the medicine and the indication has received marketing approval from regulatory authorities in the United States, the European Union, and/or Japan on or after January 15, 2018. Access to the clinical trial data is contingent upon approval of a proposed study protocol by an independent review panel and the execution of a data-sharing agreement with the researcher. See: https://www.taiho.co.jp/en/science/policy/clinical_trial_information_disclosure_policy/index.html
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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.
21 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Futibatinib, Zimberelimab and Durvalumab in people with Biliary Tract Cancer, run by Taiho Pharmaceutical Co., Ltd. at 21 sites in 4 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 6 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 17 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 21 sites in Japan, Australia, South Korea, Thailand. 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. 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?
Contact Kotaro Suto (+81-3-3294-4527, th-FOENIX-BTC-Clin.Dev@taiho.co.jp), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (OS) (time frame: Up to approximately 45 months). 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 17 Jul 2026; AzTrials last refreshed its copy on 8 Nov 2026.