Original Investigation

Durvalumab Plus Chemotherapy for Advanced Biliary Tract Cancer

JAMA Oncology 10.1001/jamaoncol.2026.2204

July 09, 2026 at 11:00 AM EDT

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After more than 4 years of follow-up, what are the efficacy and safety outcomes for participants with advanced biliary tract cancer treated with immunotherapy plus chemotherapy?In this post hoc analysis of the phase 3 TOPAZ-1 randomized clinical trial including 685 participants with advanced biliary tract cancer, when compared with placebo plus gemcitabine and cisplatin, durvalumab plus gemcitabine and cisplatin continued to demonstrate long-term survival benefit and a consistent safety profile after 4 years of follow-up.These findings continue to support durvalumab plus gemcitabine and cisplatin as a first-line treatment option for participants with advanced biliary tract cancer.

Corresponding Author: Do-Youn Oh, MD, PhD, Division of Medical Oncology, Department of Internal Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea (ohdoyoun@snu.ac.kr).

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