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Trial · NCT04163900

Comparing NUC-1031 Plus Cisplatin to Gemcitabine Plus Cisplatin in Patients With Advanced Biliary Tract Cancer

NCT04163900, Phase 3, Terminated, NuCana plc; results first posted 2023-05-24

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Comparing NUC-1031 Plus Cisplatin to Gemcitabine Plus Cisplatin in Patients With Advanced Biliary Tract Cancer. Trials, record NCT04163900. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04163900

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Comparing NUC-1031 Plus Cisplatin to Gemcitabine Plus Cisplatin in Patients With Advanced Biliary Tract Cancer
NCT number
NCT04163900
Status
Terminated
Phases
Phase 3
Enrollment
773 participants, actual
Lead sponsor
NuCana plc
Conditions
Biliary Tract Cancer
Interventions
NUC-1031, Gemcitabine, Cisplatin
First posted
2019-11-15
Last updated
2023-05-24
Other registries' IDs
eudract:2019-001025-28
Results first posted
2023-05-24
Limitations and caveats
At Interim Analysis 1, the futility boundary for OS was crossed and the study was closed on 02 Mar 2022. Following study closure, data from the 05 April 2022 final data cut-off (30 day follow-up post the last patient last visit) were analysed. In general, the analyses performed on this final database were those that were scheduled to take place at Interim Analysis 2. However, any p-values or CIs obtained are only viewed as descriptive as the study was stopped for futility.

Source ClinicalTrials.gov

Registered outcomes2

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryObjective Response Rate (ORR)
Evaluated at Screening (baseline) then every 9 weeks from treatment start (C1D1), or every 12 weeks if treatment is stopped with no evidence of progression, until disease progression or death from any cause up to the end of study, an average of 6 months.
Percentage of patients achieving a confirmed complete response (CR) or partial response (PR) to treatment as assessed by blinded independent review according to RECIST v1.1 criteria. ORR = patients with CR + patients with PR, where" CR = disappearance of all target lesions PR = at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters This outcome was assessed in the population of patients with measurable disease at baseline who were also randomized ≥28 weeks before the data cut-off (ITTMD28). Patients were to receive a confirmatory scan 28-42 days after response is first observed.
PrimaryOverall Survival (OS)From the date of randomization until the date of death from any cause, assessed up to 12 months on average
The median time, in months, from the date of randomization to the date of death from any cause. For patients who were alive at the time of a data cut-off or were permanently lost to follow up, duration of OS was censored at the date at which they were last known to be alive.

Outcomes2

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYObjective Response Rate (ORR)
Evaluated at Screening (baseline) then every 9 weeks from treatment start (C1D1), or every 12 weeks if treatment is stopped with no evidence of progression, until disease progression or death from any cause up to the end of study, an average of 6 months.
Intent-to-treat with measurable disease at baseline randomized ≥28 weeks before the data cut-off (ITTMD28)ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYOverall Survival (OS)From the date of randomization until the date of death from any cause, assessed up to 12 months on averageIntent-to-treatMonthsMEDIAN

Results by group4

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Objective Response Rate (ORR)A - NUC-1031 and Cisplatin53Participants
Objective Response Rate (ORR)B - Gemcitabine and Cisplatin34Participants
Overall Survival (OS)A - NUC-1031 and Cisplatin9.295% Confidence Interval 8.3 to 10.4Months
Overall Survival (OS)B - Gemcitabine and Cisplatin12.695% Confidence Interval 11.0 to 15.1Months

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDA - NUC-1031 and Cisplatin388
Overall StudySTARTEDB - Gemcitabine and Cisplatin385
Overall StudyReceived Study Treatment (Safety Population)A - NUC-1031 and Cisplatin383
Overall StudyReceived Study Treatment (Safety Population)B - Gemcitabine and Cisplatin378
Overall StudyCOMPLETEDA - NUC-1031 and Cisplatin0
Overall StudyCOMPLETEDB - Gemcitabine and Cisplatin0
Overall StudyNOT COMPLETEDA - NUC-1031 and Cisplatin388
Overall StudyNOT COMPLETEDB - Gemcitabine and Cisplatin385

Adverse events472

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersA - NUC-1031 and Cisplatin167383
otherNauseaGastrointestinal disordersB - Gemcitabine and Cisplatin142378
otherAlanine aminotransferase increasedInvestigationsA - NUC-1031 and Cisplatin142383
otherAlanine aminotransferase increasedInvestigationsB - Gemcitabine and Cisplatin62378
otherFatigueGeneral disordersA - NUC-1031 and Cisplatin139383
otherFatigueGeneral disordersB - Gemcitabine and Cisplatin114378
otherAspartate aminotransferase increasedInvestigationsA - NUC-1031 and Cisplatin121383
otherAspartate aminotransferase increasedInvestigationsB - Gemcitabine and Cisplatin57378
otherConstipationGastrointestinal disordersA - NUC-1031 and Cisplatin105383
otherConstipationGastrointestinal disordersB - Gemcitabine and Cisplatin102378

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityA - NUC-1031 and Cisplatin188388
Total, all-cause mortalityB - Gemcitabine and Cisplatin135385
Total, other adverse eventsA - NUC-1031 and Cisplatin370383
Total, other adverse eventsB - Gemcitabine and Cisplatin369378
Total, serious adverse eventsA - NUC-1031 and Cisplatin175383
Total, serious adverse eventsB - Gemcitabine and Cisplatin126378

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
32374623DERIVEDPubMed
39978598DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
A - NUC-1031 and Cisplatin vs B - Gemcitabine and Cisplatin: Objective Response Rate (ORR)Trial comparisons
A - NUC-1031 and Cisplatin vs B - Gemcitabine and Cisplatin: deaths from any causeTrial comparisons
A - NUC-1031 and Cisplatin vs B - Gemcitabine and Cisplatin: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04163900

GET https://conductscience.org/api/trials/v1/NCT04163900/events?page=2