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Amol Akhade Highlights GAIN Trial Results in Resectable BTC at ASCO25
May 24, 2025, 10:01

Amol Akhade Highlights GAIN Trial Results in Resectable BTC at ASCO25

Amol Akhade, Consultant Medical Oncologist at the Suyog Cancer Clinics, posted on X:

“BIG BTC Update from ASCO25.

The GAIN trial (Phase III) in resectable BTC (ICC/ECC/GBC) tested:

  • Arm A: Perioperative Gem+Cis
  • Arm B: Upfront surgery + adjuvant chemo

Here’s what they found: mOS:

  • Arm A = 27.8 mo
  • Arm B = 14.6 mo

HR 0.46 [0.22–0.96]; p = 0.04 R0 resection rate:

  • Arm A = 62.5%
  • Arm B = 33.3%

Postop mortality (30-day):

  • Arm A = 4.2%
  • Arm B = 24%
  • No increase in toxicity
  • Lower periop deaths
  • Higher curative resections

Conclusion: Neoadjuvant Gem+Cis nearly doubled survival and improved surgery outcomes in BTC!

Game-changer for localized disease?”

More posts featuring Amol Akhade on OncoDaily.