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Trial Title: HAIC Sequential TAE Combined With Tislelizumab and Surufatinib in Unresectable Intrahepatic Cholangiocarcinoma

NCT ID: NCT06239532

Condition: Intrahepatic Cholangiocarcinoma

Conditions: Official terms:
Cholangiocarcinoma
Tislelizumab

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: HAIC+TAE
Description: Procedure: HAIC+TAE After successful percutaneous hepatic artery cannulation for continuous pumping of drugs. Oxaliplatin(85 mg/m2); Raltitrexed (3 mg/m2) ,continuous infusion for 3 hours. HAIC was performed at an interval of at least 21 days.
Arm group label: TAE+HAIC+Tislelizumab+Surufatinib

Intervention type: Drug
Intervention name: Tislelizumab
Description: Drug: Tislelizumab(200 mg) will be administered by IV infusion every 3 weeks
Arm group label: TAE+HAIC+Tislelizumab+Surufatinib

Intervention type: Drug
Intervention name: Surufatinib
Description: Drug: Surufatinib was taken orally after meals, once a day, with 3-5 capsules (50mg/capsule) each time.
Arm group label: TAE+HAIC+Tislelizumab+Surufatinib

Summary: This is a single center, single arm, phase II, prospective study to evaluate the safety and effectiveness of HAIC combined with TAE plus an ICI and an TKI in adult patients (aged ≥18 years) with unresectable intrahepatic cholangiocarcinoma.

Detailed description: Compared with systemic intravenous chemotherapy, hepatic arterial infusion chemotherapy(HAIC) has the advantages of increasing local drug concentration and reducing systemic toxic and side effects. All patients were treated with HAIC (Oxaliplatin and Raltitrexed ). Surufatinib was taken orally after meals, once a day, with 3-5 capsules (50mg/capsule) each time; Tislelizumab was given 200mg every 3 weeks. The treatment continued until the patient developed the disease or met the other criteria for terminating the study.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Written informed consent for the trial. 2. Aged ≥18 years. 3. Histologically confirmed intrahepatic cholangiocarcinoma. 4. No other previous systematic treatment for BTC. 5. At least one measurable lesion (RECIST 1.1). 6. Eastern Cooperative Oncology Group performance status 0 or 1. 7. Life expectancy of 3 months or greater. 8. Child-Pugh classification score ≤7. Exclusion Criteria: 1. Recurrent patients. 2. Eastern Cooperative Oncology Group performance status ≥ 2. 3. Life expectancy of less than 3 months. 4. Child-Pugh classification score > 8. 5. History of hepatic encephalopathy or liver transplantation. 6. Known hypersensitivity to any of the study drugs, study drug classes, or excipients in the formulation. 7. Symptomatic pleural effusion, ascites, and pericardial effusion that require drainage. 8. Portal vein tumor thrombus (PVTT) involves both the main trunk and contralateral branch or upper mesenteric vein. Inferior vena cava tumor thrombus. 9. Prior treatment with immunotherapy agents (including, anti-PD-1, anti-PD-L1, anti-CTLA4, etc.). 10. History of (non-infectious) pneumonitis that required steroids, evidence of interstitial lung disease or active, non-infectious pneumonitis. 11. The researcher considers it inappropriate to enter this study.

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: Qilu Hospital of Shandong University

Address:
City: Jinan
Zip: 250012
Country: China

Status: Recruiting

Contact:
Last name: Zongli Zhang

Investigator:
Last name: Zongli Zhang
Email: Principal Investigator

Start date: September 27, 2022

Completion date: December 31, 2025

Lead sponsor:
Agency: Qilu Hospital of Shandong University
Agency class: Other

Collaborator:
Agency: BeiGene
Agency class: Industry

Source: Qilu Hospital of Shandong University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06239532

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