Clinical trial Recruiting at 1 site Phase1; Phase2 Interventional Ages 18 and up

Adebrelimab plus gemcitabine, cisplatin, and simvastatin for advanced biliary tract cancer

Official title: A Single-Arm, Multicenter, Exploratory Clinical Study of Adebrelimab in Combination With Gemcitabine, Cisplatin, and Simvastatin for the Treatment of Patients With Locally Advanced or Metastatic Biliary Tract Malignancies

Run by Tongji Hospital · NCT07392541 · Data updated 2026-11-12

This trial tests whether adding adebrelimab and simvastatin to standard gemcitabine–cisplatin chemotherapy helps people with advanced biliary tract cancer.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment29 (estimated)
SponsorTongji Hospital
Academic / other
Drugs / interventionsadebrelimab, chemotherapy
Locations1 site (Wuhan, Hubei)
StatusRecruiting
StartedJanuary 30, 2026
Main results expectedJanuary 30, 2028
Study endsJanuary 30, 2028
Registry record updatedMarch 23, 2026
Trial IDNCT07392541 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with histologically confirmed unresectable, locally advanced, or metastatic biliary tract adenocarcinoma, ECOG 0–1, at least one measurable lesion, and no prior systemic therapy for advanced disease (or recurrence >6 months after adjuvant therapy) are ideal candidates.

Probably not a fit

Patients with ampullary carcinoma, active autoimmune or inflammatory disorders, severe organ dysfunction, known hypersensitivity to the study drugs, or ECOG performance status >1 are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This phase 1/2 interventional trial gives all participants a four-drug combination of adebrelimab, gemcitabine, cisplatin, and simvastatin. Phase 1 focuses on safety, tolerability, and dosing while phase 2 collects preliminary evidence of tumor response and disease control. Investigators will monitor tumor size by RECIST 1.1, record adverse events, and track progression-free and overall survival. The study is exploratory and aims to gather initial data on whether adding an investigational immunotherapy and a statin to standard chemotherapy is a promising approach for advanced biliary tract cancer.

Why it matters

Potential benefit: If successful, the combination could produce greater tumor shrinkage and longer progression-free survival than chemotherapy alone.

How similar studies have gone: Adding immune checkpoint inhibitors to gemcitabine–cisplatin has shown benefit in advanced biliary tract cancer in other trials (for example durvalumab combinations), while the specific addition of simvastatin remains more novel and less tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥ 18 years.
* Histologically confirmed unresectable, locally advanced, or metastatic biliary tract adenocarcinoma (including intrahepatic cholangiocarcinoma, extrahepatic cholangiocarcinoma, and gallbladder cancer).
* No prior systemic therapy for advanced disease if initially diagnosed as unresectable or metastatic. Disease recurrence occurring more than 6 months after radical surgery or adjuvant therapy is allowed.
* ECOG Performance Status of 0 or 1.
* At least one radiologically measurable lesion as defined by RECIST 1.1 criteria (tumor lesion with longest diameter ≥10 mm on CT scan, or lymph node with short axis ≥15 mm).
* No severe dysfunction of major organs (heart, lungs, brain, etc.).

Exclusion Criteria:

* Diagnosis of ampullary carcinoma.
* Presence of active or previously documented autoimmune or inflammatory disorders.
* Known hypersensitivity to any component of the study drugs (adebrelimab, gemcitabine, cisplatin, simvastatin).
* Severe liver dysfunction: laboratory tests within 14 days prior to enrollment showing total bilirubin \> 1.5 times the upper limit of normal (ULN), AND/OR alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \> 3 times ULN.
* Participation in another investigational drug or device clinical trial within 4 weeks prior to enrollment.
* Inability to comply with the study protocol for treatment or scheduled follow-up assessments.
* Any other condition deemed by the investigator as unsuitable for participation in the study.

Where it's running

  • Tongji Hospital
    Wuhan, Hubei, China
    Recruiting

Study contacts

  • Principal investigator: Wanguang Zhang, M.D. — Tongji Hospital
  • Study coordinator: Yang WU, M.D.
  • Email: 255001907@qq.com
  • Phone: 13636076910

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.