New cocktail of Liver-Directed chemo and immunotherapy targets deadly bile duct cancer

NCT ID NCT07646717

First seen Jun 27, 2026 ยท Last updated Jun 27, 2026

Summary

This phase 2 trial tests a combination of liver-directed chemotherapy (irinotecan liposome plus 5-FU/LV) with targeted therapy (lenvatinib) and immunotherapy (PD-1 inhibitors) as a first treatment for advanced intrahepatic cholangiocarcinoma, a rare and aggressive bile duct cancer. The study enrolls 30 adults with unresectable or metastatic disease. The goal is to see if this approach can shrink tumors and improve outcomes, while monitoring side effects.

What this could mean

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

Active substance
irinotecan liposome, 5-FU/LV, lenvatinib, and PD-1 inhibitors
What this could lead to
If successful, this combination could offer a new first-line treatment option to shrink tumors and improve survival for people with advanced bile duct cancer.
What could go wrong
This is a small, early-phase trial with only 30 participants, so results may not apply to everyone. The combination therapy also carries risks of serious side effects from chemotherapy, targeted therapy, and immunotherapy.

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Conditions

The condition(s) this trial relates to.

cholangiocarcinoma Cirrhosis, Familial, with Pulmonary Hypertension intrahepatic cholangiocarcinoma

As listed by the trial registrant

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

Contacts and locations

Locations

  • Tianjin Medical University Cancer Institute and Hospital

    Tianjin, Tianjin Municipality, 300060, China

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