Cholangiocarcinoma Clinical Trial
Official title:
Combined Biological Treatment and Chemotherapy for Patients With Inoperable Cholangiocarcinoma
The purpose of this study is partly to continue the good experience the investigators have with chemotherapy and partly to optimize treatment of inoperable cholangiocarcinoma by adding a biological antibody to the treatment of patients with wild-type Kirsten rat sarcoma viral oncogene homolog (KRAS).
Cholangiocarcinoma is a relatively rare disease. In Denmark approximately 150 patients are
diagnosed each year. A small part of the patients can be offered surgery, but the operation
will rarely be radical, and most patients with cholangiocarcinoma are therefore candidates
for chemotherapy.
In Denmark the combination therapy of Gemcitabine, Oxaliplatin and Capecitabine has been used
in recent years. Based on experience with gastrointestinal tumors, however, there seems to be
an effect of new biological substances, including EGFR antibodies. There are casuistic
reports on the specific effect of a monoclonal antibody against EGFR in cholangiocarcinoma.
The effect of EGF is mediated through an intracellular pathway involving the KRAS protein. It
has been shown that a mutation of KRAS causes the EGF system to be constantly activated.
Effect in patients with a KRAS mutation is therefore not to be expected. Approximately 50% of
the patients present this mutation.
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