A Phase 3 Study of Trastuzumab Deruxtecan (T-DXd) and Rilvegostomig versus Standard-of-Care Gemcitabine, Cisplatin, and Durvalumab for First Line Locally Advanced or Metastatic HER2-expressing Biliary Tract Cancer (DESTINY-BTC01)

ClinicalTrials.gov Identifier
NCT06467357
Institution Name
AstraZeneca AB
Full Institution Address


Södertälje

151 85
Sweden
Institution Phone
1-877-240-9479
Institution Website
https://www.astrazenecaclinicaltrials.com/
Additional Institutions
A complete list of global study sites is listed on ClinicalTrials.gov (study ID NCT06467357) https://clinicaltrials.gov/study/NCT05503797

Please call the AstraZeneca Clinical Study Information Center for more information. You will be asked to provide the ClinicalTrials.gov Study ID NCT06467357

AstraZeneca Clinical Study Information Center
Phone: 1-877-240-9479
Email: [email protected]
Principal Investigator
Please see below
Principal Investigator Phone
Please see below
Principal Investigator Email
Please see below
Additional Principal Investigators
A complete list of global study sites is listed on ClinicalTrials.gov (study ID NCT06467357)
https://clinicaltrials.gov/study/NCT06467357

Please call the AstraZeneca Clinical Study Information Center for more information. You will be asked to provide the ClinicalTrials.gov study ID NCT06467357

AstraZeneca Clinical Study Information Center
Phone: 1-877-240-9479
Email: [email protected]
Study Coordinator
Please see below
Study Coordinator Phone
Please see below
Study Coordinator Email
Please see below
Additional Study Coordinators
A complete list of global study sites is listed on ClinicalTrials.gov (study ID NCT06467357)
https://clinicaltrials.gov/study/NCT06467357

Please call the AstraZeneca Clinical Study Information Center for more information. You will be asked to provide the ClinicalTrials.gov study ID NCT06467357

AstraZeneca Clinical Study Information Center
Phone: 1-877-240-9479
Email: [email protected]
Study Overview
This study is a global research trial for people with biliary tract cancer (which includes cancers of the bile ducts and gallbladder) that cannot be removed by surgery or has already spread. The study focuses on patients whose cancer expresses a high level of a protein called Human epidermal growth factor receptor 2 (HER2).

This study is comparing the standard treatment (durvalumab in combination with gemcitabine and cisplatin chemotherapies with a new medicine combination, trastuzumab deruxtecan (T-DXd) and rilvegostomig, to find out if the new approach can help people live longer or keep their cancer under control for more time. Ultimately, the goal is to see if the new therapy is a safer and more effective option for people with this type of cancer.
Enrollment Information
620 total patients (globally)
Study Start Date
20240812
Study End Date
20290516
Study Purpose
The purpose of this study is to explore if T-DXd alone or in combination with rilvegostomig compared to standard of care treatment with gemcitabine, cisplatin, and durvalumab is effective in treating patients for first line locally advanced or metastatic HER2-expressing biliary tract cancer.
Inclusion Criteria
- be 18 years old or older and weigh at least 30 kg (about 66 pounds).
- have biliary tract cancer (in the bile ducts or gallbladder) that cannot be removed by surgery or has spread and not have had treatment for cancer that has spread (some earlier treatments are allowed if enough time has passed).
- have cancer that shows enough of a protein called HER2, proven by a recent tissue sample from their tumor.

There are other criteria to participate, which your study healthcare team will explain, evaluate, and answer any questions you may have.
Exclusion Criteria
- have already had certain cancer treatments such as other HER2 medicines or strong immune drugs.
- have a different type of cancer called ampullary carcinoma.
- have serious health, heart, gut, lung, or mental health problems that could make it unsafe to take part.
- have cancer that has spread to the brain or spinal cord and is causing problems or needs treatment right now.

There are other criteria which could prevent participation, which your study healthcare team will explain, evaluate, and answer any questions you may have.
Required Tests Prior to Study
If you are interested in participating, the study site will provide an informed consent form, which lists required tests prior to beginning study treatment.
Your study healthcare team will explain and answer any questions you may have.
Potential Side Effects
If you are interested in participating, the study site will provide an informed consent form, which lists detailed potential side effects of the study medications.
Your study healthcare team will explain and answer any questions you may have.
Financial Assistance Available
Yes