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NCT04306367

Study of Pembrolizumab and Olaparib in Bile Duct Cancer

Completed Phase 2 Results posted Last updated 17 February 2025
What this trial tests

Phase 2 trial testing Pembrolizumab in Cholangiocarcinoma in 14 participants. Completed in 19 December 2024.

Timeline
1 April 2020
Primary endpoint
16 July 2023
19 December 2024

Quick facts

Lead sponsorGeorgetown University
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment14
Start date1 April 2020
Primary completion16 July 2023
Estimated completion19 December 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Georgetown University

Who can join

18 and older, any sex, with Cholangiocarcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Objective Response Rate (ORR) Primary · up to 2 years

The objective response rate (ORR) is the number of subjects with confirmed Partial Response or Complete Response according to RECIST 1.1, for target lesions assessed by Computed tomography (CT) Scan.

GroupValue95% CI
Experimental2
Duration of Response Secondary · 3 years

Duration of response (DOR), number of months from first response to progression.

GroupValue95% CI
Experimental19.756.1 – 33.4
Progression Free Survival (PFS) Secondary · 3 years

Progression free survival (PFS) is the time from enrollment to progression or death from any cause.

GroupValue95% CI
Experimental5.451.25 – 7.82
Overall Survival (OS) Secondary · 3 years

overall survival (OS) of subjects from the time of enrollment to death from any cause.

GroupValue95% CI
Experimental7.214.5 – 13.77
Safety and Tolerability Secondary · 1 year

Number of participants with a treatment-related adverse events as assessed by an Investigator according to CTCAE v4.0

GroupValue95% CI
Experimental11

Adverse events — posted to ClinicalTrials.gov

Time frame: All AEs from the time of treatment through 30 days following cessation of study treatment and all AEs meeting serious criteria, from the time of treatment through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anticancer therapy, whichever is earlier. Up to 2.5 years. All-Cause Mortality monitored up to 3 years.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Experimental
Serious: 5/14 (36%)
Deaths: 10/14

Serious adverse events (7 terms)

ReactionSystemExperimental
Blood bilirubin increasedInvestigations
Abdominal painGastrointestinal disorders
Vaginal infectionInfections and infestations
Small intestinal obstructionGastrointestinal disorders
AnemiaBlood and lymphatic system disorders
Thromboembolic eventVascular disorders
Psychiatric disorders - Other, specifyPsychiatric disorders
Other adverse events (30 terms — click to expand)

ReactionSystemExperimental
AnemiaBlood and lymphatic system disorders
FatigueGeneral disorders
Abdominal painGastrointestinal disorders
DiarrheaGastrointestinal disorders
Blood bilirubin increasedInvestigations
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
Ear painEar and labyrinth disorders
Adrenal insufficiencyEndocrine disorders
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
ChillsGeneral disorders
FeverGeneral disorders
Non-cardiac chest painGeneral disorders
Hepatic infectionInfections and infestations
Infections and infestations - Other, specifyInfections and infestations
Papulopustular rashInfections and infestations
Urinary tract infectionInfections and infestations
FallInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Alkaline phosphatase increasedInvestigations
Creatinine increasedInvestigations
INR increasedInvestigations
AnorexiaMetabolism and nutrition disorders
DysphasiaNervous system disorders
AgitationPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders

Most-reported serious reactions: Blood bilirubin increased, Abdominal pain, Vaginal infection, Small intestinal obstruction, Anemia, Thromboembolic event, Psychiatric disorders - Other, specify.

Data from ClinicalTrials.gov NCT04306367 adverse events section.

Sponsor's own description

The investigators propose an open label, one-arm study to assess the safety and efficacy of olaparib and pembrolizumab in patients with cholangiocarcinoma who have progressed on or cannot tolerate gemcitabine-based therapy.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Combined PARP Inhibition and Immune Checkpoint Therapy in Solid Tumors.
    Peyraud F, Italiano A. · · 2020 · cited 163× · PMID 32526888 · DOI 10.3390/cancers12061502
  2. Therapy of Primary Liver Cancer.
    Feng M, Pan Y, Kong R, Shu S. · · 2020 · cited 71× · PMID 32914142 · DOI 10.1016/j.xinn.2020.100032
  3. The role of DNA damage repair (DDR) system in response to immune checkpoint inhibitor (ICI) therapy.
    Shi C, Qin K, Lin A, Jiang A, et al · · 2022 · cited 60× · PMID 36071479 · DOI 10.1186/s13046-022-02469-0
  4. Gallbladder cancer: current and future treatment options.
    Zhou Y, Yuan K, Yang Y, Ji Z, et al · · 2023 · cited 40× · PMID 37251319 · DOI 10.3389/fphar.2023.1183619
  5. Changing Landscape of Systemic Therapy in Biliary Tract Cancer.
    Woods E, Le D, Jakka BK, Manne A. · · 2022 · cited 31× · PMID 35565266 · DOI 10.3390/cancers14092137
  6. Biliary Tract Cancers: Treatment Updates and Future Directions in the Era of Precision Medicine and Immuno-Oncology.
    Manne A, Woods E, Tsung A, Mittra A. · · 2021 · cited 29× · PMID 34868996 · DOI 10.3389/fonc.2021.768009
  7. Immunotherapy in Biliary Tract Cancers: Current Standard-of-Care and Emerging Strategies.
    Lo JH, Agarwal R, Goff LW, Heumann TR. · · 2023 · cited 26× · PMID 37444422 · DOI 10.3390/cancers15133312
  8. The potential of PARP inhibitors in targeted cancer therapy and immunotherapy.
    Hunia J, Gawalski K, Szredzka A, Suskiewicz MJ, et al · · 2022 · cited 25× · PMID 36533080 · DOI 10.3389/fmolb.2022.1073797

Verify or expand the search:

Other trials of Pembrolizumab

Trials testing the same drug.

Other recruiting trials for Cholangiocarcinoma

Currently open trials in the same condition.

Other Georgetown University trials

Trials by the same sponsor.

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