Blocking blood flow before surgery may help remove inoperable bile duct cancer
NCT ID NCT07326189
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether blocking the artery that feeds a bile duct tumor before surgery can make it possible to remove the cancer safely. It includes 33 adults with advanced bile duct cancer that currently cannot be operated on. The main goal is to see how many patients are alive one year after the procedure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Preoperative right hepatic artery embolization (a procedure to block the artery feeding the tumor)
- What this could lead to
- If it works, this could offer a surgical option for patients with advanced bile duct cancer that is currently considered inoperable.
- What could go wrong
- This is a small, early-phase study with only 33 people, so results may not apply widely. The procedure carries risks like bleeding or infection, and the cancer may still return.
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
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 33 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2029
An estimate. End dates often move.
- 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.
- Ages
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18 to 80 years
- 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: * Signed informed consent. * Age 18-80 years. * Clinical diagnosis of Bismuth IIIb or IV perihilar cholangiocarcinoma, deemed suitable for radical resection via left hepatectomy or left trisectionectomy. * Imaging (CTA/MRA) confirms tumor invasion of the right hepatic artery (RHA) that is assessed as "unable to be safely reconstructed after resection" (e.g., involvement of RHA branches or requiring vascular graft for reconstruction). * Portal vein on the side of the future liver remnant is not invaded or is reconstructable. * ECOG performance status 0-1. * Child-Pugh score ≤ 7 (Class A or B). * Adequate organ function (bone marrow, liver, kidney) as per protocol-defined laboratory values. * Expected survival ≥ 12 weeks. Exclusion Criteria: * Evidence of distant metastasis (M1). * History of other malignancies within the past 5 years (except cured basal cell carcinoma or cervical carcinoma in situ). * Severe cardiac, pulmonary, renal, or cerebrovascular disease as specified in the protocol (e.g., recent myocardial infarction, severe COPD, chronic renal failure stage ≥ III). * Uncontrolled active infection or diabetes. * Pregnancy or lactation. * Allergy to iodinated contrast media. * Postoperative pathology confirms non-cholangiocarcinoma.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Burning away bile duct blockages: a new weapon against cholangiocarcinoma?
- Can a Pre-Surgery drug combo boost bile duct cancer survival?
- Can blood tests reveal how liver and bile duct cancers respond to treatment?
- Can a One-Two punch of heat and drainage tame inoperable bile duct cancer?
- Triple attack on bile duct cancer: chemo, targeted drug, and immunotherapy aim to make the inoperable operable