New hope for bile duct cancer: triple therapy shows promise after chemo fails

NCT ID NCT04834674

First seen Jun 25, 2026 · Last updated Jun 25, 2026

Summary

This Phase 2 trial tested a combination of three treatments—local chemotherapy delivered via beads into the liver, a targeted drug called apatinib, and an immunotherapy (PD-1 antibody)—in 20 patients with advanced bile duct cancer that had worsened after standard first-line chemotherapy. The goal was to see if this approach could shrink tumors and delay progression. The study is completed, and results will show whether this combination is safe and effective enough to become a new second-line option.

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Contacts and locations

Locations

  • Sichuan Cancer Hospital and Research Institute

    Chengdu, Sichuan, 610041, China

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

combination of drug-eluting beads transarterial chemoembolization (DEB-TACE), apatinib, and a PD-1 antibody

What this could lead to

If successful, this combination could offer a new second-line treatment option for patients with advanced bile duct cancer who have run out of standard options.

What could go wrong

This is a small Phase 2 trial with only 20 participants, so results may not apply to everyone. The combination therapy also carries risks like liver damage, bleeding, and immune-related side effects.

Conditions

The condition(s) this trial relates to.

cholangiocarcinoma

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.