# ABC-07

Source: https://onco.cc/trials/abc-07/  
OnCo record `abc-07` (Trial). Data CC BY-NC 4.0, attribute "Data from OnCo (onco.cc)"; commercial use needs a licence.

## TL;DR

ABC-07 is the UK trial asking whether focused high-dose radiotherapy after chemotherapy helps people whose bile duct or gallbladder cancer has not spread but cannot be removed. Twelve UK centres took part and its final results are awaited.

## Summary

ABC-07 (ISRCTN10639376) is a randomised phase 2 in the UK ABC series for locally advanced biliary tract cancer. Patients receive six cycles of cisplatin and gemcitabine followed by stereotactic body radiotherapy (up to 50 Gy in 5 fractions or 67.5 Gy in 15 fractions) or eight cycles of cisplatin and gemcitabine; the primary outcome, updated in August 2026, is progression-free survival from randomisation to progression on CT or MRI by RECIST 1.1 or death. The target was 83 patients, the registry end date is 12 August 2026, and the radiotherapy quality assurance paper (Clinical Oncology 2026) reports that 12 UK centres recruited and 41 patients were randomised to the radiotherapy arm, with protocol deviations in 46 percent of plans, mostly unavoidable target coverage compromise because of the duodenum and other nearby organs. Sites listed include the Churchill Hospital Oxford, University College Hospital, the Royal Marsden, Mount Vernon, the Lister Hospital, the Royal Free, Velindre, St Bartholomew's, Hammersmith, Southampton General and Addenbrooke's. For gallbladder cancer with hilar involvement it is the UK counterpart of the Indian RUGB trial.

## Fields

- Kind: Trial
- Status: active
- Last checked: 2026-09-24
- Registry id: ISRCTN10639376
- Phase: 2
- Setting: Locally advanced, non-metastatic biliary tract cancer: six cycles of cisplatin and gemcitabine followed by stereotactic body radiotherapy versus eight cycles of cisplatin and gemcitabine, UK randomised phase 2, primary endpoint progression-free survival
- Sponsor: University College London (Cancer Research UK)
- Enrolled: 83

## Notes

- UK sites (registry): Churchill Hospital (Oxford); University College Hospital, Royal Marsden, Mount Vernon, Royal Free, St Bartholomew's and Hammersmith (London); Lister Hospital (Stevenage); Velindre (Cardiff); Southampton General; Addenbrooke's (Cambridge).

## Sources

- ISRCTN10639376: https://www.isrctn.com/ISRCTN10639376
- Radiotherapy plan quality assurance in the ABC-07 trial (Clinical Oncology 2026): https://doi.org/10.1016/j.clon.2025.103993
- Cancer Research UK trial page: ABC-07: https://www.cancerresearchuk.org/about-cancer/find-a-clinical-trial/a-trial-looking-chemotherapy-stereotactic-radiotherapy-people-locally-advanced-bile-duct-cancer-abc-07

## Connected records

- cancers: [Biliary tract cancer (all types)](https://onco.cc/cancers/biliary-tract-cancer/), [Biliary tract cancer (cholangiocarcinoma)](https://onco.cc/cancers/cholangiocarcinoma/), [Gallbladder cancer](https://onco.cc/cancers/gallbladder/)
- technologies: [Cytotoxic chemotherapy](https://onco.cc/technologies/cytotoxic-chemotherapy/), [Platinum agents](https://onco.cc/technologies/platinum/), [SBRT / SABR (stereotactic radiotherapy)](https://onco.cc/technologies/sbrt/)
- drugs: [Cisplatin](https://onco.cc/drugs/cisplatin/), [Gemcitabine](https://onco.cc/drugs/gemcitabine/), [Gemcitabine + cisplatin](https://onco.cc/drugs/gemcitabine-cisplatin/)
- institutions: [Cancer Research UK](https://onco.cc/institutions/cruk/), [The Royal Marsden](https://onco.cc/institutions/royal-marsden/), [University College London Hospitals / UCL Cancer Institute](https://onco.cc/institutions/uclh/)
- terms: [Gallbladder cancer in biliary tract cancer trials (eligibility and subgroups)](https://onco.cc/terms/gallbladder-cancer-in-biliary-trials/), [Radiotherapy](https://onco.cc/terms/radiotherapy/)

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