CisPlatin plUs Gemcitabine and Nabpaclitaxel (GAP) as pReoperative Chemotherapy Versus Immediate Resection in patIents With resecTable BiliarY Tract Cancers (BTC) at High Risk for Recurrence
NCT06037980 · Status: RECRUITING · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 300
Last updated 2025-02-17
Summary
PURITY is a multicentre, randomized adaptive phase II/III trial aimed at comparing the triplet combination of gemcitabine, cisplatin and nabpaclitaxel as neoadjuvant treatment (ARM A) versus standard upfront surgery (ARM B) in terms of 12-month PFS rate (phase II part) and PFS (phase III part) in patients with resectable BTC at high risk for recurrence.
Conditions
- Biliary Tract Cancer
- Cholangiocarcinoma
Interventions
- DRUG
-
◦ Gemcitabine 800 mg/mq iv, day 1 and 8 of 21-day cycles, for 3 cycles
- DRUG
-
Nab paclitaxel
◦ Nab-paclitaxel 100 mg/mq, day 1 and 8 of 21-day cycles, for 3 cycles
- DRUG
-
◦ Cisplatin 25 mg/mq iv, day 1 and 8 of 21-day cycles, for 3 cycles
- PROCEDURE
-
Curative Surgery
Curative surgery on primary tumor
- DRUG
-
1250 mg/m2 given orally twice daily on days 1 to 14 of a 3 weekly cycle for a total of 8 cycles
Sponsors & Collaborators
-
Gruppo Oncologico del Nord-Ovest
lead OTHER
Principal Investigators
-
Monica Niger, MD · Fondazione IRCCS Istituto Nazionale dei Tumori di Milano
-
Monica Niger, MD · 02 2390 2919
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-11-07
- Primary Completion
- 2028-12-31
- Completion
- 2029-01-31
Countries
- Italy
Study Locations
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