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Trial Title: Clinical Transformation of Organoid Model to Predict the Efficacy of GC in the Treatment of Intrahepatic Cholangiocarcinoma

NCT ID: NCT05644743

Condition: Organoids
Intrahepatic Cholangiocarcinoma

Conditions: Official terms:
Cholangiocarcinoma
Gemcitabine

Conditions: Keywords:
Organoid

Study type: Observational

Overall status: Not yet recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Device
Intervention name: gemcitabine + cisplatin
Description: Gemcitabine intravenous drip, day 1, 8; Cisplatin intravenous drip, day 1; 3 weeks is a cycle, and 6 cycles are used continuously.

Summary: The clinical incidence of intrahepatic cholangiocarcinoma (ICC) is high and insidious, and the prognosis of advanced patients is poor. The clinical manifestations of traditional chemotherapy GC and emerging targeted therapy are different in most patients, and there is still no effective scheme to evaluate the differences in individual patient reactivity. Patient-derived tumor organoids (PDO) are 3D-cultured tissues based on tumor cell dryness that reproduce a variety of biological characteristics of parental tumors in vitro and have similar drug responsiveness to tumors in vivo. This project plans to use clinical cases and optimized organoid culture system to first construct relevant organoids from unresectable ICC patient puncture samples. Secondly, based on the organoid model of intrahepatic cholangiocarcinoma, the clinical efficacy of GC regimen was predicted, and in vitro and in vivo drug screening was conducted to explore the guidance of patient-derived tumor organoids for clinical treatment. Then, multi-omics data of organoids and in vitro and in vivo drug efficacy evaluation model were used to explore the drug resistance genes of intrahepatic cholangiocarcinoma, providing the basis for personalized drug screening and efficacy evaluation of intrahepatic cholangiocarcinoma.

Criteria for eligibility:

Study pop:
All patients were histologically or cytologically diagnosed with locally advanced inoperable radical resectable or metastatic intrahepatic cholangiocarcinoma.

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - Histologically confirmed intrahepatic cholangiocarcinoma They are between 18 and 80 years old Written informed and signed consent form Biopsy sample of the intrahepatic bile duct Exclusion Criteria: - Under 18, over 80 Informed consent cannot be given Biopsy samples were not available

Gender: All

Gender based: Yes

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Start date: January 2023

Completion date: December 2026

Lead sponsor:
Agency: Chengjun Sui,MD
Agency class: Other

Source: Eastern Hepatobiliary Surgery Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05644743

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