Clinical trial No longer in our active list Phase 2 Interventional Ages 19 and up

Combination treatment for advanced biliary tract cancer

Official title: A Phase II Study to Evaluate the Safety and the Efficacy of GEN-001 in Combination With Pembrolizumab for Patients With Advanced Refractory Biliary Tract Cancer

Run by Genome & Company · NCT05998447 · Data updated 2026-05-14

This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.

This study is testing a new combination treatment for patients with advanced biliary tract cancer who haven't responded to other therapies to see if it can help them.

Quick facts

PhasePhase 2
Study typeInterventional
Ages19 Years and up
SexAll
Enrollment148 (estimated)
SponsorGenome & Company
Industry-sponsored
Drugs / interventionspembrolizumab
Locations6 sites (Seoul and 5 other locations)
Trial IDNCT05998447 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 19 and older with advanced biliary tract adenocarcinoma that is unresectable or metastatic.

Probably not a fit

Patients who have previously received certain immune checkpoint inhibitors or those with specific immune-related adverse events may not benefit from this study.

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

What this trial studies

This phase II, multicenter, open-label study evaluates the safety and efficacy of GEN-001 in combination with pembrolizumab, and potentially with mFOLFOX, for patients with advanced refractory biliary tract cancer who have not responded to prior therapies. The study includes a safety run-in phase before the main trial to assess initial safety outcomes. Eligible patients must have a confirmed diagnosis of unresectable, recurrent, or metastatic biliary tract adenocarcinoma and have progressed after one or two standard treatments.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced biliary tract cancer who have limited treatment choices.

How similar studies have gone: While there have been studies on similar combinations, this specific approach is novel and has not been extensively tested in this patient population.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* The patient (or legally acceptable representative if applicable) provides written informed consent for the trial.
* Be ≥19 years of age on day of signing informed consent.
* Patient with histologically or cytologically confirmed diagnosis of unresectable, recurrent, or metastatic advanced biliary tract adenocarcinoma of the gallbladder or biliary tree (either intrahepatic or extrahepatic cholangiocarcinoma)

Exclusion Criteria:

* A WOCBP who has a positive urine pregnancy test (within 72 hours) prior to treatment. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required.
* Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (Cohort 1 only), and was discontinued from the previous IO therapy due to a Grade 3 or higher immune-related AE (irAE) (Cohort 2 and Cohort 3).
* Is currently participating and receiving study treatments or has participated in a study of an investigational agent and received the study therapy or has used an investigational device within 4 weeks prior to the first dose of study treatment.
* Has had an allogeneic tissue/solid organ transplan

Where it's running

  • Seoul National University Hospital
    Seoul, Korea, Republic of
    Recruiting
  • Severance Hospital
    Seoul, Korea, Republic of
    Recruiting
  • Asan Medical Center
    Seoul, Korea, Republic of
    Recruiting
  • Samsung Medical Center.
    Seoul, Korea, Republic of
    Recruiting
  • Korea University Guro Hospital
    Seoul, Korea, Republic of
    Recruiting
  • Ajou University Medical Center
    Suwon, Korea, Republic of
    Recruiting

Study contacts

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.