New drug cocktail shows promise for tough bile duct cancer
NCT ID NCT07619937
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This trial tested a three-drug combination—chemotherapy infused into the liver, an immunotherapy drug (tislelizumab), and a targeted pill (regorafenib)—as a first treatment for 31 people with advanced bile duct cancer that couldn't be removed by surgery. The goal was to see how many patients' tumors shrank and how long they lived without the cancer growing. Researchers also tracked side effects. The study is complete, but results are not yet published.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- hepatic arterial infusion chemotherapy, tislelizumab, and regorafenib
- What this could lead to
- If this combination works, it could offer a new first-line treatment option for people with advanced bile duct cancer, potentially shrinking tumors and extending life.
- What could go wrong
- This is a small, single-center, single-arm phase II trial with only 31 participants, so results may not apply broadly. The combination also carries risks of side effects from chemotherapy, immunotherapy, and targeted drugs.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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31 people
The number who actually took part.
- Started
-
Jul 2022
- Finished
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Sep 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 75 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age 18-75 years ; 2. Histologically or cytologically confirmed unresectable locally advanced or metastatic intra- or extrahepatic cholangiocarcinoma ; 3. Clinical stage III-IV according to the 8th edition of the AJCC TNM classification ; 4. No prior antitumor therapy; 5. Child-Pugh liver function class A or B ; 6. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2; 7. At least one measurable lesion per RECIST 1.1 ; 8. Adequate haematologic and hepatic/renal function; 9. Total bilirubin ≤ 2× upper limit of normal (patients who have undergone biliary drainage are eligible) ; 10. Adequate cardiac and pulmonary reserves to tolerate interventional procedures ; 11. Signed informed consent, good compliance, and ability to attend follow-up visits. Exclusion Criteria: 1. Contraindications to transarterial chemoembolization, targeted therapy, or immunotherapy ; 2. Prior antitumor treatment ; 3. Concurrent primary malignancies; 4. Child-Pugh class C; 5. Severe cardiac, pulmonary, or renal dysfunction ; 6. Active autoimmune disease or need for long-term immunosuppressive therapy ; 7. Hypersensitivity to contrast agents or study drugs ; 8. Pregnancy or lactation; 9. Anticoagulant or thrombolytic therapy within 3 months before enrollment or bleeding diathesis.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Burning away bile duct blockages: a new weapon against cholangiocarcinoma?
- Can a Three-Drug chemo cocktail before surgery stop biliary tract cancer from coming back?
- Can a targeted drug combo outsmart bile duct cancer?
- Cutting scans, keeping safety: a new streamlined approach to liver cancer treatment
- A new test could reveal how radiation affects the liver
- Can blood tests reveal how liver and bile duct cancers respond to treatment?