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Brief Title: An Early Access Study of Ivosidenib in Patients With a Pretreated Locally Advanced or Metastatic Cholangiocarcinoma
Official Title: An Open-Label Early Access Phase 3b Study of Ivosidenib in Patients With a Pretreated Locally Advanced or Metastatic Cholangiocarcinoma
Study ID: NCT05876754
Brief Summary: A Phase 3b research study to consolidate the data that ivosidenib is safe and effective in adult patients with previously treated, locally advanced, or metastatic cholangiocarcinoma (CCA). All patients who meet inclusion criteria will be enrolled to receive ivosidenib tablets orally once daily for 28 day cycles, continuing as long as clinical benefit and consent for participation is maintained. There will be a minimum of 6 study visits from screening until the final follow-up, if one cycle of treatment is completed and consent is maintained through 18 months of follow-up. Each additional cycle completed will add one study visit, on the first day of each cycle.
Detailed Description: Ivosidenib is approved in the United States and in EU for the treatment of advanced or metastatic CCA; this study is being conducted to conslidate the data related to the safety, efficacy, and impact on quality of life for patients. This is an open-label, single-arm study of ivosidenib, which means that all patients meeting eligibility criteria will receive two 250 mg ivosidenib tablets, totaling 500mg of drug, to be taken orally, once daily, for 28 consecutive days, also referred to as one cycle. Additional cycles can continue as long as clinical benefit is confirmed by an investigator, and consent is maintained. There will be a screening visit, study visit on day 1 of each cycle, withdrawal visit within 42 days of stopping treatment, and a follow-up visit every 6 months for up to 18 months after stopping treatment. This results in a minimum of 6 study visits for the completion of one 28-day cycle of ivosidenib. One additional study visit will be added on day one of each additional cycle of treatment. Study visits will include an electrocardiogram (ECG), physical exam, tumor assessment, according to local practive at a given site and blood and urine analyses. If at any point ivosidenib is made available as a medical prescription at the patient's site, patients will be withdrawn from the study treatment and patients will be followed to collect data on overall survival.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Royal brisbane & Women's Hospital, Brisbane, , Australia
St Vincent's Hospital, Fitzroy, , Australia
St John of God Hospital - Bendat Family Comprehensive Cancer Centre (BFCCC), Subiaco, , Australia
Kinghorn Cancer Centre, Sydney, , Australia
The Queen Elizabeth Hospital, Woodville, , Australia
Medizinische Universitaet Graz, Graz, , Austria
Ordensklinikum Linz GmbH, Linz, , Austria
Universitaetsklinik fuer Innere Medizin III, mit Hämatologie, internistischer Onkologie, Hämostaseologie, Infektiologie, Rheumatologie und Onkologisches Zentrum, Salzburg, , Austria
Medizinische Universitaet Wien Universitaetsklinik fuer Innere Medizin I, Wien, , Austria
Universite Libre de Bruxelles ULB -, Brussel, , Belgium
Universitair Ziekenhuis Gent UZ Gent, Gent, , Belgium
UZ Leuven, Leuven, , Belgium
Cliniques Univ St Luc - Gastro-Enterology, Woluwe-Saint-Lambert, , Belgium
Hôpital Privé Jean Mermoz, Lyon, , France
Hopital de la Timone, Marseille, , France
CHU Montpellier, Montpellier, , France
Centre Hospitalier Universitaire de Nantes CHU de Nantes, Nantes, , France
Institute Mutualiste Montsouris, Paris, , France
CHU Bordeaux, Hôpital Haut-Lévêque, Pessac, , France
CHU de Poitiers, Poitiers, , France
Charite Universittsmedizin Berlin, Berlin, , Germany
Universitaetsklinikum Carl-Gustav-Carus, Dresden, , Germany
Klinik für Gastroenterologie, Hepatologie und Infektiologie Universitätsklinikum Düsseldorf, Düsseldorf, , Germany
Universitaetsklinikum Frankfurt, Frankfurt, , Germany
Medizinische Fakultaet der Universitaet Freiburg, Freiburg, , Germany
Medizinische Hochschule Hannover, Hannover, , Germany
Klinikum der Universitaet Muenchen-Grosshadern, München, , Germany
Policlinico S. Orsola-Malpighi, Bologna, , Italy
AOU Careggi, Florence, , Italy
Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, , Italy
Ospedale San Raffaele, Milano, , Italy
Istituto Nazionale Tumori IRCCS Fondazione Pascale, Napoli, , Italy
IRCCS Arcispedale Santa Maria Nuova, Reggio Emilia, , Italy
Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, , Italy
Humanitas Research Hospital, Rozzano, , Italy
Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale Casa Sollievo della Sofferenza (CSS), San Giovanni Rotondo, , Italy
A.O.U. Città della Salute e della Scienza di Torino, Turin, , Italy
AOUI Verona - Ospedale Borgo Roma, Verona, , Italy
Amsterdam UMC, location AMC, Amsterdam, , Netherlands
Universiteit Maastricht UM - Maastricht University Medical Centre MUMC, Limburg, , Netherlands
Complejo Hospitalario Universitario A Coruña (CHUAC), A Coruña, , Spain
Hospital Universitari Vall d'Hebron/Vall Hebron Institute of Oncology (VHIO), Barcelona, , Spain
Hospital Universitario Reina Sofa, Córdoba, , Spain
Hospital General de Elche, Elche, , Spain
Hospital General Universitario Gregorio Maranon, Madrid, , Spain
Hospital Universitario 12 de octubre, Madrid, , Spain
Hospital Universitario Fundacion Jimenez Diaz, Madrid, , Spain
Hospital Universitario HM Sanchinarro, Madrid, , Spain
Hospital Universitario de Navarra, Pamplona, , Spain
Hospital Universitario Marqués de Valdecilla, Santander, , Spain
Sahlgrenska University Hospital, Gothenburg, , Sweden
Karolinska University Hospital, Stockholm, , Sweden
University Hospitals Birmingham (UHB) NHS Foundation Trust - Queen Elizabeth Hospital Birmingham (QEHB), Birmingham, , United Kingdom
The Beatson Institute West of Scotland Cancer Research, Glasgow, , United Kingdom
Imperial College London, London, , United Kingdom
University College London Hospital NHS Trust, London, , United Kingdom
The Christie NHS Foundation Trust, Manchester, , United Kingdom
The Newcastle Upon Tyne Hospitals, Newcastle Upon Tyne, , United Kingdom