New drug cocktail aims to stop bile duct cancer from returning after surgery

NCT ID NCT04669496

First seen Jun 25, 2026 · Last updated Jun 26, 2026 · Updated 1 time

Summary

This study tests whether giving a combination of an immunotherapy drug (toripalimab), a targeted therapy (lenvatinib), and chemotherapy (GEMOX) before surgery can improve outcomes for people with a high-risk type of bile duct cancer. The trial includes 178 patients whose cancer is removable but has features that make it likely to come back. The goal is to see if this pre-surgery treatment can delay or prevent recurrence and extend survival compared to surgery alone.

What this could mean

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

Active substance

Toripalimab (PD-1 antibody), lenvatinib, and GEMOX chemotherapy

What this could lead to

If successful, this combination given before surgery could lower the chance of bile duct cancer coming back and improve long-term survival for high-risk patients.

What could go wrong

This is an early-to-mid stage trial with only 178 participants, so results may not apply to everyone. The drug combo can cause significant side effects, and it's not yet proven to be better than standard surgery alone.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

cholangiocarcinoma intrahepatic cholangiocarcinoma

As listed by the trial registrant

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

Contacts and locations

Locations

  • Zhongshan hospital

    Shanghai, Shanghai Municipality, 200032, China