Durvalumab Combined With GemCis Neoadjuvant Therapy of Resectable Intrahepatic Cholangiocarcinoma With High Recurrence Risk

Sponsor
Tianjin Medical University Cancer Institute and Hospital (Other)
Overall Status
Recruiting
CT.gov ID
NCT05672537
Collaborator
(none)
70
1
2
35.4
2

Study Details

Study Description

Brief Summary

This study is a randomized controlled study to evaluate the efficacy and safety of Durvalumab combined with GemCis for neoadjuvant treatment of high recurrence risk ICC

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Anticipated Enrollment :
70 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Duvalumab Combined With GemCis Neoadjuvant Therapy of Resectable Intrahepatic Cholangiocarcinoma With High Recurrence Risk, Phase II, Single Center, Randomized Controlled Study
Anticipated Study Start Date :
Jan 20, 2023
Anticipated Primary Completion Date :
Dec 31, 2024
Anticipated Study Completion Date :
Dec 31, 2025

Arms and Interventions

Arm Intervention/Treatment
Experimental: Durvalumab Combined with GemCis Neoadjuvant Therapy Group

Drug: Durvalumab
1500mg intravenous injection for 21d cycle

Drug: Gemcitabine
gemcitabine 1000mg/m2, D1&D8, 21d cycle.

Drug: Cisplatin
cisplatin 25mg/m2, D1&D8, 21d cycle.

Experimental: Surgical treatment group

Procedure: Surgery
Surgery

Outcome Measures

Primary Outcome Measures

  1. 1-year relapse free survival rate [1-year]

Secondary Outcome Measures

  1. 2-year relapse free survival rate [2-year]

  2. ORR [1-year]

  3. DCR [1-year]

  4. R0 resection rate [1-year]

  5. 30 day postoperative complication rate [30 day]

  6. Occurrence of adverse reactions [1-year]

  7. 1-year OS [1-year]

  8. 2-year OS [2-year]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 75 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  1. Age ≥ 18, male or female;

  2. Pathological diagnosis confirmed intrahepatic cholangiocarcinoma, which could be resected surgically; One of the following conditions shall be met:

2.1 Single tumor, diameter greater than 5cm (T1b) 2.2 Single tumor with vascular invasion (T2), multiple tumors ≤ 3 2.3 Tumor penetrating visceral peritoneum (T3) or directly invading surrounding organs (T4) 2.4 Suspicious lymph node metastasis in Zone 8, 12 or 13

  1. Can not received systemic treatment before participating in the study;

  2. ECOG PS score 0-1;

  3. The main organs function normally, and there is no serious blood, heart, lung, liver, kidney, bone marrow and other functional abnormalities and immune deficiency diseases.

  4. Laboratory inspection shall meet the following requirements:

Women of childbearing age must have a negative pregnancy test (serum or urine) within 14 days before enrollment, and voluntarily use appropriate methods of contraception during the observation period and within 8 weeks after the last administration of the study drug; For men, they should be surgically sterilized or agree to use appropriate methods of contraception during the observation period and within 8 weeks after the last administration of the study drug.

  1. The patient voluntarily participated and signed the informed consent form;

  2. It is expected that the compliance is good, and the efficacy and adverse reactions can be followed up according to the requirements of the scheme.

Exclusion Criteria:
  1. Patients who received PD-1, PD-L1, PD-L2, CTLA-4 before enrollment, or directly received another stimulatory or co inhibitory T cell receptor (such as CTLA-4, 0X40, CD137);

  2. Any other research drugs within 4 weeks before enrollment;

  3. Any active autoimmune disease or history of autoimmune disease (such as interstitial pneumonia, uveitis, enteritis, hepatitis, hypophysitis, vasculitis, myocarditis, nephritis, hyperthyroidism, hypothyroidism after hormone replacement therapy);

  4. Congenital or acquired immune function defects, such as human immunodeficiency virus (HIV) infection;

  5. Uncontrollable clinical cardiac symptoms or diseases, such as NYHA II and above heart failure unstable angina pectoris, myocardial infarction within one year, and clinically significant supraventricular or ventricular arrhythmia requiring clinical intervention;

  6. Severe infection (such as intravenous drip of antibiotics, antifungal or antiviral drugs) occurred within 4 weeks before the first drug administration, or fever of unknown cause>38.5 ° C occurred during screening/before the first drug administration;

  7. History of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation;

  8. Live attenuated vaccine shall be inoculated within 4 weeks before the first administration or planned during the study period;

  9. Suffered from or accompanied by other system malignant tumors in the last 5 years (except cured skin basal cell carcinoma, cervical carcinoma in situ and ovarian cancer);

  10. Allergic to any test drug;

  11. Pregnant and lactating women, fertile subjects are unwilling to take effective contraceptive measures;

  12. Uncontrollable psychosis;

  13. Other situations that the researcher thinks are not suitable for inclusion. If the patient has central nervous system metastasis, has serious laboratory examination abnormalities, and is accompanied by family or social factors, it will affect the safety of the subject, or the collection of data and samples.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Tianjin Medical University Cancer Institute and Hospital Tianjin Tianjin China 300060

Sponsors and Collaborators

  • Tianjin Medical University Cancer Institute and Hospital

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Tianjin Medical University Cancer Institute and Hospital
ClinicalTrials.gov Identifier:
NCT05672537
Other Study ID Numbers:
  • D20230101
First Posted:
Jan 5, 2023
Last Update Posted:
Jan 5, 2023
Last Verified:
Jan 1, 2023
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jan 5, 2023