Gemcitabine and Cisplatin Plus Polymeric Micellar Paclitaxel and Survival in Advanced Biliary Tract Cancer
JAMA Network Open 10.1001/jamanetworkopen.2025.34560October 01, 2025 at 11:00 AM EDT
Does the addition of taxane to standard gemcitabine plus cisplatin chemotherapy in advanced biliary tract cancer improve survival?In this phase 3 randomized clinical trial, 150 patients with previously untreated advanced biliary tract cancers were randomized to receive gemcitabine and cisplatin or gemcitabine and cisplatin plus a polymeric micellar paclitaxel. The addition of the micellar paclitaxel did not improve overall survival or progression-free survival and objective response rates.These results suggest that the addition of the micellar paclitaxel to standard gemcitabine and cisplatin does not improve survival compared with gemcitabine and cisplatin alone in patients with previously untreated advanced biliary tract cancer.
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