This clinical trial is focused on studying a type of cancer called cholangiocarcinoma, which affects the bile ducts. The study is specifically looking at cases where there is a change in the cancer cells known as FGFR2 rearrangement. The purpose of the study is to compare the effectiveness and safety of a medication called pemigatinib with a combination of two chemotherapy drugs, gemcitabine and cisplatin, in treating this cancer.
Participants in the study will be randomly assigned to receive either pemigatinib or the combination of gemcitabine and cisplatin. Pemigatinib is taken as a tablet by mouth, while gemcitabine and cisplatin are given as infusions, which means they are administered directly into the bloodstream through a vein. The study will last for a period of up to 12 months, during which the participants will receive their assigned treatment and be monitored regularly by the study team.
The study aims to gather information on how well the treatments work in controlling the cancer and their safety profiles. Participants will undergo various assessments, including imaging tests like MRI or CT scans, to evaluate the response of the cancer to the treatment. The study will also collect data on the quality of life of the participants and any side effects they may experience during the treatment period.



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