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临床试验/NCT07619937
NCT07619937已完成2 期

Efficacy and Safety of Hepatic Arterial Infusion Chemotherapy Combined With Tislelizumab and Regorafenib as First-Line Therapy for Advanced Cholangiocarcinoma: A Single-Centre, Single-Arm, Phase II Trial

The First Affiliated Hospital of Zhengzhou University1 个研究点 分布在 1 个国家目标入组 31 人开始时间: 2022年7月22日最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
31
试验地点
1

研究概览

简要总结

The goal of this clinical trial is to evaluate the efficacy and safety of hepatic arterial infusion chemotherapy (HAIC) combined with tislelizumab and regorafenib as first-line therapy in patients with locally advanced or metastatic cholangiocarcinoma.

The main questions it aims to answer are:

  1. What is the objective response rate (ORR) of this combination regimen according to RECIST 1.1 criteria
  2. What are the disease control rate (DCR), progression-free survival (PFS), overall survival (OS), and safety profile associated with this treatment

Participants will:Receive hepatic arterial infusion chemotherapy (HAIC)+ tislelizumab (PD-1 inhibitor)+regorafenib (oral multikinase inhibitor). Undergo regular imaging assessments to evaluate tumor response per RECIST 1.1.Be monitored for survival outcomes and adverse events throughout treatment and follow-up.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age 18-75 years ;
  • Histologically or cytologically confirmed unresectable locally advanced or metastatic intra- or extrahepatic cholangiocarcinoma ;
  • Clinical stage III-IV according to the 8th edition of the AJCC TNM classification ;
  • No prior antitumor therapy;
  • Child-Pugh liver function class A or B ;
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2;
  • At least one measurable lesion per RECIST 1.1 ;
  • Adequate haematologic and hepatic/renal function;
  • Total bilirubin ≤ 2× upper limit of normal (patients who have undergone biliary drainage are eligible) ;
  • Adequate cardiac and pulmonary reserves to tolerate interventional procedures ;
  • Signed informed consent, good compliance, and ability to attend follow-up visits.

排除标准

  • Contraindications to transarterial chemoembolization, targeted therapy, or immunotherapy ;
  • Prior antitumor treatment ;
  • Concurrent primary malignancies;
  • Child-Pugh class C;
  • Severe cardiac, pulmonary, or renal dysfunction ;
  • Active autoimmune disease or need for long-term immunosuppressive therapy ;
  • Hypersensitivity to contrast agents or study drugs ;
  • Pregnancy or lactation;
  • Anticoagulant or thrombolytic therapy within 3 months before enrollment or bleeding diathesis.

研究者

发起方
The First Affiliated Hospital of Zhengzhou University
申办方类型
Other
责任方
Principal Investigator
主要研究者

zhen li

Department of Interventional Radiology

The First Affiliated Hospital of Zhengzhou University

研究点 (1)

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