NUC-1031/cisplatin vs gemcitabine/cisplatin in untreated locally advanced/metastatic biliary tract cancer (NuTide:121)

Mairead Mcnamara, Lipika Goyal, Mark Doherty, Christoph Springfeld, David Cosgrove, Katrin Marie Sjoquist, Joon Oh Park, Helena Verdaguer, Chiara Braconi, Paul J Ross, Aimery De Gramont, John Raymond Zalcberg, Daniel H Palmer, Juan Valle, Jennifer J Knox

Research output: Contribution to journalArticlepeer-review

Abstract

Gemcitabine/cisplatin (GemCis) is standard of care for first-line treatment of patients with advanced biliary tract cancer (aBTC); new treatments are needed. NUC-1031 is designed to overcome key cancer resistance mechanisms associated with gemcitabine. The tolerability/efficacy signal of NUC-1031/cisplatin in the phase Ib ABC-08 study suggested this combination may represent a more efficacious therapy than GemCis for patients with aBTC, leading to initiation of the global NuTide:121 study which will include 828 patients ≥18 years with untreated histologically/cytologically-confirmed aBTC (including cholangiocarcinoma, gallbladder, or ampullary cancer); randomised (1:1) to NUC‑1031 (725mg/m2)/cisplatin (25mg/m2) or gemcitabine (1000mg/m2)/cisplatin (25mg/m2), on days 1/8, Q21-days. Primary objectives are OS and ORR. Secondary objectives: PFS, safety, pharmacokinetics, patient‑reported quality of life, and correlative studies.
Original languageEnglish
JournalFuture oncology (London, England)
Publication statusAccepted/In press - 9 Apr 2020

Keywords

  • Advanced biliary tract cancer; Pancreatic cancer; Biliary obstruction; Biliary stent; Stent-related event
  • first-line treatment
  • cisplatin
  • gemcitabine
  • NUC-1031
  • overall survival
  • objective response rate

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