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Durvalumab plus Gemcitabine and Cisplatin in Advanced Biliary Tract Cancer

📅 June 1, 2022 👤 Do‐Youn Oh, Aiwu Ruth He, Shukui Qin et al. 📖 NEJM Evidence 📊 1,078 citations

🤖 Plain-English Summary

BACKGROUND: Patients with advanced biliary tract cancer have a poor prognosis, and first-line standard of care (gemcitabine plus cisplatin) has remained unchanged for more than 10 years. The safety profiles of the two treatment groups were similar.

🔑 Key Findings

  • The TOPAZ-1 trial evaluated durvalumab plus chemotherapy for patients with advanced biliary tract cancer.
  • METHODS: In this double-blind, placebo-controlled, phase 3 study, we randomly assigned patients with previously untreated unresectable or metastatic biliary tract cancer or with recurrent disease 1:1 to receive durvalumab or placebo in combination with gemcitabine plus cisplatin for up to eight cycles, followed by durvalumab or placebo monotherapy until disease progression or unacceptable toxicity.
  • The primary objective was to assess overall survival.

💡 Why This Matters

Understanding this could lead to better treatments, improved diagnostics, or a deeper grasp of how the human body works — benefiting patient care globally.

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📋 Article Details

Category 🧬 Medicine & Biology
Published Jun 01, 2022
Journal NEJM Evidence
Authors Do‐Youn Oh, Aiwu Ruth He, Shukui Qin, Li‐Tzong Chen, Takuji Okusaka
DOI 10.1056/evidoa2200015
Citations 1,078
Source OpenAlex

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