Difference between revisions of "Gallbladder cancer - null regimens"

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!style="width: 20%"|[[Levels_of_Evidence#Comparative_efficacy|Comparative Efficacy]]
 
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|[https://www.clinicaltrials.gov/ct2/show/[https://clinicaltrials.gov/ct2/show/NCT04559139 Clinical Trial Registry] Awaiting publication (ECOG-ACRIN EA2197)]
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| style="background-color:#1a9851" |Phase 3 (C)
 
| style="background-color:#1a9851" |Phase 3 (C)

Revision as of 17:49, 2 June 2023

The purpose of this page is to provide references to "null therapy" such as placebo and observation. While not clinically relevant, these references provide further insight into the historical development of the treatment landscape. See the main gallbladder cancer page for current regimens.


Neoadjuvant therapy

No neoadjuvant therapy

Regimen

Study Dates of enrollment Evidence Comparator Comparative Efficacy
[https://clinicaltrials.gov/ct2/show/NCT04559139 Awaiting publication (ECOG-ACRIN EA2197) 2020-ongoing Phase 3 (C) GC In progress

No systemic therapy prior to surgery.

Subsequent treatment

References

  1. ECOG-ACRIN EA2197: Clinical Trial Registry

Adjuvant therapy

Observation

Regimen

Study Dates of enrollment Evidence Comparator Comparative Efficacy
Nakachi et al 2023 (ASCOT) 2013-09-09 to 2018-06-22 Phase 3 (C) S-1 Inferior OS

No systemic therapy after surgery.

Preceding treatment

References

  1. ASCOT: Nakachi K, Ikeda M, Konishi M, Nomura S, Katayama H, Kataoka T, Todaka A, Yanagimoto H, Morinaga S, Kobayashi S, Shimada K, Takahashi Y, Nakagohri T, Gotoh K, Kamata K, Shimizu Y, Ueno M, Ishii H, Okusaka T, Furuse J; Hepatobiliary and Pancreatic Oncology Group of the Japan Clinical Oncology Group (JCOG-HBPOG). Adjuvant S-1 compared with observation in resected biliary tract cancer (JCOG1202, ASCOT): a multicentre, open-label, randomised, controlled, phase 3 trial. Lancet. 2023 Jan 21;401(10372):195-203. PMID: 36681415. link to original article PubMed UMIN000011688

Metastatic or unresectable disease, all lines of therapy

Best supportive care

Regimen

Study Dates of enrollment Evidence Comparator Comparative Efficacy
Sharma et al. 2010 2006-2008 Randomized (C) 1. FUFA Did not meet primary endpoint of OS
2. mGEMOX Seems to have inferior OS

No active antineoplastic treatment.

References

  1. Sharma A, Dwary AD, Mohanti BK, Deo SV, Pal S, Sreenivas V, Raina V, Shukla NK, Thulkar S, Garg P, Chaudhary SP. Best supportive care compared with chemotherapy for unresectable gall bladder cancer: a randomized controlled study. J Clin Oncol. 2010 Oct 20;28(30):4581-6. Epub 2010 Sep 20. link to original article contains dosing details in abstract PubMed