Clinical trial · Observational
Deep Learning Radiogenomics For Individualized Therapy in Unresectable Gallbladder Cancer
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The goal of this observational study is to learn about deep learning radiogenomics for individualized therapy in unresectable gallbladder cancer. The main questions it aims to answer are: (i) whether a deep learning radiomics (DLR) model can be used for identification of HER2status and prediction of response to anti-HER2 directed therapy in unresectable GBC. (ii) validation of the deep learning radiomics (DLR) model for identification of HER2 status and prediction of response to anti-HER2 directed therapy in unresectable GBC. Participants will be asked to 1. Undergo biopsy of the gallbladder mass after a baseline CT scan 2. Based on the results of the biopsy, patients will be given chemotherapy either targeted (if Her2 positive) or non-targeted 3. Response to treatment will be assessed with a CT scan at 12 weeks of chemotherapy
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Gallbladder Cancer | Malignant Gallbladder Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| CT scan | Diagnostic Test | — | UNRESOLVED |
Design
Arms and outcomes
Arms (0)
[]Primary outcomes (2)
- measure
- Develop and validate a deep learning radiomics (DLR) model for identification of HER2 status in unresectable gallbladder cancer (GBC) on computed tomography (CT)
- timeFrame
- 8 months
- description
- The DLR model identifying HER2 status in unresectable GBC will be developed using contrast enhanced CT scans of 150 patients (retrospective data). The accuracy of DLR will be validated a in a prospective contrast enhanced CT data of 75 patients.
- measure
- Predict response to anti-HER2 directed therapy using DLR
- timeFrame
- 12 weeks
- description
- DLR will be used to predict response to targeted therapy in prospective cohort of HER2+ GBC patients on follow up CT at 12 weeks using RECIST 1.1
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
- Maximum age
- 70 Years
Show eligibility criteria text
Inclusion Criteria: 1. Patients with unresectable mass-forming GBC 2. Patients willing to give informed consent Exclusion Criteria: 1. Patients with prior chemotherapy for GBC 2. Patients with deranged RFTs 3. Patients with contrast allergy
References
Publications (12)
- BACKGROUNDBoddapati SB, Lal A, Gupta P, Kalra N, Yadav TD, Gupta V, Dass A, Srinivasan R, Singhal M. Contrast enhanced ultrasound versus multiphasic contrast enhanced computed tomography in evaluation of gallbladder lesions. Abdom Radiol (NY). 2022 Feb;47(2):566-575. doi: 10.1007/s00261-021-03364-6. Epub 2021 Dec 7. PMID 34874479
- BACKGROUNDGupta P, Dutta U, Rana P, Singhal M, Gulati A, Kalra N, Soundararajan R, Kalage D, Chhabra M, Sharma V, Gupta V, Yadav TD, Kaman L, Irrinki S, Singh H, Sakaray Y, Das CK, Saikia U, Nada R, Srinivasan R, Sandhu MS, Sharma R, Shetty N, Eapen A, Kaur H, Kambadakone A, de Haas R, Kapoor VK, Barreto SG, Sharma AK, Patel A, Garg P, Pal SK, Goel M, Patkar S, Behari A, Agarwal AK, Sirohi B, Javle M, Garcea G, Nervi F, Adsay V, Roa JC, Han HS. Gallbladder reporting and data system (GB-RADS) for risk stratification of gallbladder wall thickening on ultrasonography: an international expert consensus. Abdom Radiol (NY). 2022 Feb;47(2):554-565. doi: 10.1007/s00261-021-03360-w. Epub 2021 Dec 1. PMID 34851429
- BACKGROUNDRana P, Gupta P, Kalage D, Soundararajan R, Kumar-M P, Dutta U. Grayscale ultrasonography findings for characterization of gallbladder wall thickening in non-acute setting: a systematic review and meta-analysis. Expert Rev Gastroenterol Hepatol. 2022 Jan;16(1):59-71. doi: 10.1080/17474124.2021.2011210. Epub 2022 Jan 17. PMID 34826262
- BACKGROUNDGupta P, Rana P, Ganeshan B, Kalage D, Irrinki S, Gupta V, Yadav TD, Kumar R, Das CK, Gupta P, Endozo R, Nada R, Srinivasan R, Kalra N, Dutta U, Sandhu M. Computed tomography texture-based radiomics analysis in gallbladder cancer: initial experience. Clin Exp Hepatol. 2021 Dec;7(4):406-414. doi: 10.5114/ceh.2021.111173. Epub 2021 Dec 2. PMID 35402717
- BACKGROUNDGupta P, Marodia Y, Bansal A, Kalra N, Kumar-M P, Sharma V, Dutta U, Sandhu MS. Imaging-based algorithmic approach to gallbladder wall thickening. World J Gastroenterol. 2020 Oct 28;26(40):6163-6181. doi: 10.3748/wjg.v26.i40.6163. PMID 33177791