New Indication: Durvalumab with CISplatin and Gemcitabine in Biliary Tract Cancers


  • Study

    Double-blind, placebo-controlled, phase 3 study
    Untreated unresectable or metastatic biliary tract cancer
    Gemcitabine – cisplatin plus Durvalumab (341) or placebo (344)



  • Efficacy

    24 month OS: 24.9% vs. 10.4%
    ORR: 26.7% vs. 18.7%
    mPFS: 7.2 mos vs. 5.7 mos (HR:0.75, P=0.001)
    DOR: 7.3 mos vs. 5.8 mos



  • Safety

    Any grade AEs: 99.4% vs 98.8%, anemia:48.2%-44.7%, nausea: 40.2%-34.2, neutropenia:31.7%-31%
    Grade ≥3 AEs: 75.7% vs 77.8%
    Deaths due to adverse events: 3.6% vs 4.1%
    Immune-mediated AEs: 12.7% – 4.7%



  • NEJM Evid 2022; 1 (8)

    {“Do-Youn Oh et al.”}Durvalumab plus Gemcitabine and Cisplatin in Advanced Biliary Tract Cancer

    http://doi.org/10.1056/EVIDoa2200015

    Reviewed by Hasan Cagri Yildirim, MD on Nov 26, 2022