Status:

NOT_YET_RECRUITING

A Randomized Trial of Surgical Decision-Making Guided by TDTP-RECIST

Lead Sponsor:

Shanghai Zhongshan Hospital

Collaborating Sponsors:

Shanghai Geriatric Medical Center

Shanghai Jiao Tong University Affiliated Sixth People's Hospital

Conditions:

Intrahepatic Cholangiocarcinoma (Icc)

Conversion Therapy

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

This project aims to conduct a prospective, multicenter, randomized controlled clinical trial. The study plans to enroll 270 patients with locally advanced iCCA who have successfully undergone GOLP co...

Detailed Description

Intrahepatic cholangiocarcinoma (iCCA) is a highly aggressive malignancy with a poor prognosis, and a majority of patients are ineligible for curative surgery upon initial diagnosis. Although the GOLP...

Eligibility Criteria

Inclusion

  • \-
  • Subjects eligible to participate in this study must meet all of the following criteria:
  • Male or female aged 18-75 years;
  • Patients must provide signed informed consent prior to enrollment, demonstrating the ability to understand and willingness to sign the written informed consent form;
  • Pathologically confirmed diagnosis of intrahepatic cholangiocarcinoma;
  • Locally advanced disease, failure to achieve R0 resection, and absence of distant metastasis;
  • At least one measurable lesion;
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0;
  • Child-Pugh class A liver function;

Exclusion

  • \-
  • Subjects who meet any of the following exclusion criteria are not permitted to enroll in this study:
  • Pathologically diagnosed hepatocellular carcinoma, combined hepatocellular-cholangiocarcinoma, or other non-cholangiocarcinoma malignant components;
  • Patients with postoperative recurrence, or those who have previously received PD-1/PD-L1 antibodies, CTLA-4 antibodies, lenvatinib, or chemotherapy;
  • History or current diagnosis of other malignancies;
  • Active tuberculosis infection;
  • Active, known, or suspected autoimmune disease;
  • History of interstitial lung disease, or non-infectious pneumonitis requiring steroid treatment;
  • Significant clinically significant bleeding symptoms within 3 months prior to enrollment, or clear bleeding tendency;
  • Suspected allergy to the investigational drug(s).

Key Trial Info

Start Date :

December 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2028

Estimated Enrollment :

270 Patients enrolled

Trial Details

Trial ID

NCT07208526

Start Date

December 1 2025

End Date

December 31 2028

Last Update

October 6 2025

Active Locations (1)

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Zhongshan hospital, Shanghai

Shanghai, China, 200032

A Randomized Trial of Surgical Decision-Making Guided by TDTP-RECIST | DecenTrialz