New blood test could spare bile duct cancer patients unnecessary surgery
NCT ID NCT06381648
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a new blood test called LyMIC that looks for tiny particles (exosomes) released by cancer cells. The goal was to see if it could accurately tell whether bile duct cancer has spread to nearby lymph nodes before surgery. Researchers analyzed blood samples from 230 patients with intrahepatic cholangiocarcinoma. If successful, this test could help doctors choose the right treatment—like whether to remove lymph nodes—without needing invasive procedures.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- LyMIC (a panel of exosomal miRNAs measured in blood)
- What this could lead to
- If this blood test proves accurate, it could help doctors decide on the best treatment approach for intrahepatic cholangiocarcinoma without needing invasive surgery to check lymph nodes.
- What could go wrong
- This is a completed study, but the test's accuracy is still being evaluated. It may not be reliable enough for routine use, and further validation in larger, diverse groups is needed.
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.
- Participants
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230 people
The number who actually took part.
- Started
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Apr 2023
- Finished
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Jul 2025
- Lead sponsor
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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.
Who is studied
Individuals who were diagnosed with Intrahepatic cholangiocarcinoma
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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: * A histologically confirmed diagnosis of intrahepatic cholangiocarcinoma. * Received standard diagnostic and staging procedures as per local guidelines * Availability of at least one blood-derived sample, drawn before receiving any curative-intent treatment Exclusion Criteria: * Lack of or inability to provide informed consent * Synchronous Intrahepatic cholangiocarcinoma and non- Intrahepatic cholangiocarcinoma diagnosed at or before surgery * Secondary liver cancer
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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
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City of Hope Medical Center
Duarte, California, 91016, United States
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Department of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido University
Hokkaido, Sapporo, 060-8648, Japan
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Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
Fukuoka, 812-8582, Japan
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Department of Surgery, Tokushima University
Tokushima, 770-8503, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- 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?