Biliary Tract Neoplasm Clinical Trial
Official title:
Phase II Study of S-1 in Combination With Oxaliplatin and Irinotecan in Patients With Advanced, Recurrent or Metastatic Biliary Tract Cancer
This study will conduct a phase II study of triple combination with oxaliplatin, irinotecan, and S-1 as the first-line chemotherapy in patients with advanced biliary tract cancer.
It is widely accepted that the efficacy of chemotherapy for patients with inoperable,
advanced, and metastatic biliary tract cancer is better than that compared to best supportive
care. In general, gemcitabine based combination chemotherapies are considered as the first
line treatment for patients with advanced biliary tract cancer, but these have some
limitations of inconvenience of administration and unsatisfactory efficacy.
S-1 monotherapy and combination with oxaliplatin have shown the objective response rate of
21-35% and 24.5%, respectively, and irinotecan combined with oxaliplatin has shown the
response rate of 18-20.5% in patients with advanced metastatic biliary tract cancer. So the
investigators had conducted the phase I study of three drugs (oxaliplatin, irinotecan, and
S-1) with modification of dosage and schedule and will conduct a phase II study with
recommended dose of triple chemotherapy from this phase I study.
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