Gallbladder Cancer Clinical Trials (2026): 32 Recruiting Interventional Studies
Last updated: March 10, 2026
Current Clinical Trial Landscape
About gallbladder cancer:
Gallbladder cancer is a rare but aggressive biliary tract cancer. Often diagnosed at advanced stages due to vague symptoms. Treatment options are limited, making clinical trials particularly important.
Active research areas in 2026:
- Immunotherapy combinations (checkpoint inhibitors + chemo)
- HER2-targeted therapy (~15-20% HER2+ gallbladder cancers)
- Neoadjuvant chemotherapy for locally advanced disease
- Hepatic arterial infusion chemotherapy (HAIC)
Standard of care: Resectable: surgery + adjuvant capecitabine. Unresectable/metastatic: gemcitabine + cisplatin ± durvalumab (TOPAZ-1).
Recruiting Trials by Treatment Setting
Neoadjuvant Therapy
Before surgery for locally advanced disease:
- NCT06712420 - Neoadjuvant chemotherapy for locally advanced gallbladder cancer (Phase 3)
First-Line Metastatic/Unresectable
For previously untreated advanced disease:
- NCT07221253 - Rilvegostomig or durvalumab + chemotherapy (Phase 3)
- NCT07265674 - Novel combination vs standard of care (Phase 3)
- NCT06529718 - Ivonescimab vs FOLFOX (Phase 2)
Second-Line and Beyond
After progression on first-line therapy:
- NCT07146646 - Trifluridine/tipiracil + oxaliplatin (Phase 2)
- NCT07025174 - Sequential anti-angiogenic therapy after immunotherapy
Trials by Treatment Approach
Immunotherapy Combinations
Checkpoint inhibitors with chemotherapy or other agents:
- NCT06423170 - Camrelizumab combination (Phase 2)
- NCT05757336 - Gemcitabine + albumin-paclitaxel + sintilimab + bevacizumab
HER2-Targeted Therapy
For HER2-positive gallbladder cancer (~15-20%):
- NCT06282575 - Zanidatamab + standard of care (Phase 3)
- NCT05786716 - Trastuzumab + pertuzumab (DETERMINE Trial)
- NCT06178445 - GemCis + trastuzumab + pembrolizumab (Phase 2)
KRAS-Targeted Therapy
- NCT07023731 - ARV-806 for KRAS G12D mutations (Phase 1/2)
Regional Therapies
Hepatic arterial infusion and radiation:
- NCT06852287 - GemOX hepatic arterial infusion + lenvatinib + PD-1 (Phase 2)
- NCT06214572 - Radiation therapy in unresectable gallbladder cancer
Novel Targeted Agents
View all 32 gallbladder cancer trials on ClinicalTrials.gov →
Trial listings from ClinicalTrials.gov. Page summaries generated by AI and may contain errors. Always verify with your healthcare provider.
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