Status:

WITHDRAWN

The Safety and Efficacy of CD-801 in Patients With Advanced Intrahepatic Cholangiocarcinoma

Lead Sponsor:

Shanghai Changzheng Hospital

Conditions:

Intrahepatic Cholangiocarcinoma

Eligibility:

All Genders

18+ years

Phase:

EARLY_PHASE1

Brief Summary

The goal of this clinical trial is to learn about the safety of CD-801, a lipid nanoparticle-encapsulated self-replicating RNA encoding hepatocyte nuclear factor 4α (HNF4α) in treating patients with a...

Eligibility Criteria

Inclusion

  • Males or females, aged 18 years or older.
  • Histologically or cytologically confirmed intrahepatic cholangiocarcinoma patients.
  • Patients with intrahepatic cholangiocarcinoma not suitable for surgical resection, liver transplantation, or ablation therapy, or those with post-surgical recurrence and/or metastasis.
  • Patients not suitable for local or systemic treatment, or those who have progressed after at least one chemotherapy regimen containing gemcitabine/fluoropyrimidine/platinum, etc..
  • Life expectancy of 12 weeks or more.
  • Subjects must have an Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 to 2.
  • Males with fertility and females of childbearing potential are willing to use a highly effective method of contraception for the entire study period and for 6 months after study drug discontinuation. Females of childbearing age, including premenopausal females and within 2 years after menopause, must have a negative serum pregnancy test result within 7 days prior to the first dose of study treatment.
  • Subjects who had a voluntary agreement to provide written informed consent and the willingness and ability to comply with all aspects of the protocol.

Exclusion

  • Patients with any of the following criteria were excluded from participation in this study:
  • Inadequate liver function:Albumin (ALB) \< 25 g/L, or total bilirubin \> 5 × the upper limit of normal (ULN), or aspartate aminotransferase (AST), alkaline phosphatase (ALP), or alanine aminotransferase (ALT) \>10 × ULN.
  • Inadequate renal function defined as creatinine \>1.5 × ULN or calculated creatinine clearance \< 40 mL/min.
  • Absolute neutrophil count (ANC) \< 1.0×109/L, or Platelets \< 30×109/L, or Hemoglobin \< 8.5 g/dL.
  • International normalized ratio (INR) \> 2.3.
  • Poorly controlled hypertension, diabetes or other serious heart or lung diseases, or with serious dysfunction.
  • Patients who have received local or systemic anti-tumor treatments such as ablation, Transhepatic Arterial Chemotherapy and Embolization (TACE), local radiotherapy of the liver, immunotherapy, targeted therapy, etc., within 4 weeks, or chemotherapy, other trial drugs, or radiotherapy of metastatic lesions within 2 weeks, except for treatment regimens assessed as disease progression according to mRECIST or RECIST 1.1.
  • Patients with uncurable brain metastasis.
  • All toxicities related to prior locoregional or systemic anti-tumor treatments are still grade 2 or more (except for hair loss and other events that have been judged tolerable by researchers).
  • Complication histories of liver cirrhosis or HCC such as gastrointestinal hemorrhage, overt hepatic encephalopathy, or refractory ascites within 2 weeks prior to the first dose of study treatment.
  • Uncontrolled active infection (eg, lung infections, or abdominal infections).
  • History of malignancy other than HCC within 5 years prior to screening, with the exception of malignancies with a negligible risk of metastasis or death (e.g., 5-year overall survival rate \> 90%), such as adequately treated early gastric carcinoma, carcinoma in situ of the cervix, non-melanoma skin carcinoma, or localized prostate cancer.
  • Hepatitis B virus DNA greater than 500 copies/mL, or hepatitis C virus RNA greater than 15 U/mL.
  • Positive for human immunodeficiency virus (HIV).
  • Allergic to contrast agents.
  • Pregnant/lactating women, or women with the possibility of pregnancy.
  • Any medical conditions which, in the opinion of the investigator, would preclude participation in this clinical trial.

Key Trial Info

Start Date :

August 28 2024

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 31 2026

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT06572189

Start Date

August 28 2024

End Date

July 31 2026

Last Update

June 29 2025

Active Locations (1)

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1

Wen-Ping Xu

Shanghai, Shanghai Municipality, China, 200003