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NCT07691515Not yet recruitingPhase 3

Intraarterial Therapies Plus Tislelizumab Plus Lenvatinib Versus Tislelizumab Plus Gemcitabine-Cisplatin in Unresectable Intrahepatic Cholangiocarcinoma

Transcatheter Arterial Chemoembolization in Combination With Tislelizumab Plus Lenvatinib Versus Systemic Cisplatin Plus Gemcitabine in Combination With Tislelizumab for Unresectable Intrahepatic Cholangiocarcinoma: A Phase III, Multicenter, Randomized Controlled Trial

Source: ClinicalTrials.gov · Last updated 26 Oct 2026

Brief summary (registry, in English)

This is a phase III, multicenter, open-label, randomized controlled trial designed to evaluate the efficacy and safety of arterially directed therapy in combination with tislelizumab plus lenvatinib compared with gemcitabine and cisplatin (GEMCIS) in combination with tislelizumab as first-line treatment for patients with unresectable intrahepatic cholangiocarcinoma. Approximately 140 eligible patients with histologically confirmed unresectable intrahepatic cholangiocarcinoma without extrahepatic metastasis will be enrolled and randomized in a 1:1 ratio to receive either TACE plus tislelizumab and lenvatinib or GEMCIS plus tislelizumab. In the TACE-based treatment arm, hepatic arterial infusion chemotherapy with gemcitabine and cisplatin may be administered during or after TACE at the investigator's discretion according to the protocol. The primary endpoint is overall survival. Secondary endpoints include progression-free survival, time to progression, objective response rate, disease control rate, safety, and quality of life.

Status (registry)
Not yet recruiting
Phase (registry)
Phase 3
Study type
Interventional
Enrollment
140 (estimated)
First submitted
30 Jun 2026
Start date
Sept 2026
Primary completion date
Jan 2030
Lead sponsor
Zhejiang Cancer Hospital
NCT number
NCT07691515

What you commit to

  • Study type: Interventional · Phase 3
  • Planned participants: 140
  • From Sept 2026 to the primary completion date, Jan 2030
  • 21 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Patients with concurrent malignancies or other malignancies within 5 years before enrollment.
  • Psychiatric illness that may affect the informed consent process; Inability to take oral medications; Participation in another drug clinical trial within 12 months before enrollment.

Other illness

  • Allergy to intravenous contrast agent.
  • Patients with HIV or syphilis infection.
  • History of allogeneic organ transplantation.
  • Severe dysfunction of the heart, kidney, or other organs.
  • Severe clinically active infection \> grade 2 according to NCI-CTC v5.0.

Other

  • Diffuse infiltrative liver lesions.
  • Contraindications to TACE.
  • pregnant or breastfeeding women, or participants planning pregnancy within 2 years / unwilling to use effective contraception.

Who the study is looking for

  • Age ≥18 years.
  • Histologically confirmed intrahepatic cholangiocarcinoma that is unresectable or recurrent after curative treatment, without extrahepatic metastasis.
  • No prior systemic therapy or transarterial interventional therapy for intrahepatic cholangiocarcinoma.
  • At least one measurable intrahepatic lesion according to RECIST v1.1.
  • ECOG performance status of 0 or 1.
  • Child-Pugh class A liver function.
  • Life expectancy ≥3 months.
  • Adequate hematologic, hepatic, renal, and thyroid function within 14 days before study start, defined as:
    • Absolute neutrophil count ≥1.5 × 10⁹/L;
    • Platelet count ≥75 × 10⁹/L;
    • Hemoglobin ≥90 g/L;
    • Serum albumin ≥30 g/L;
    • Total bilirubin ≤1.5 × upper limit of normal;
    • AST and ALT \<1.5 × upper limit of normal, and ALP \<4 × upper limit of normal;
    • TSH \<1 × upper limit of normal, with T3 and T4 within the normal range;
    • Serum creatinine \<1.5 × upper limit of normal and creatinine clearance ≥60 mL/min.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (21)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
The Third Xiangya Hospital of Central South University
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ChangshaChinaUnknown status
The Second Xiangya Hospital of Central South University
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ChangshaChinaUnknown status
West China School of Medicine/West China Hospital, Sichuan University (WCSM/WCH, SCU)
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ChengduChinaUnknown status
Ganzhou Hospital-Nanfang Hospital, Southern Medical University
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GanzhouChinaUnknown status
The First Affiliated Hospital of Guangzhou University of Chinese Medicine
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GuangzhouChinaUnknown status
The Fifth Affiliated Hospital of Guangzhou Medical University
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GuangzhouChinaUnknown status
Guangdong Second People's Hospital
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GuangzhouChinaUnknown status
The Affiliated Panyu Central Hospital of Guangzhou Medical University
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GuangzhouChinaUnknown status
Jinshazhou Hospital of Guangzhou University of Chinese Medicine
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GuangzhouChinaUnknown status
The First Affiliated Hospital, Sun Yat-sen University
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GuangzhouChinaUnknown status
The Second Affiliated Hospital of Guangdong Medical University
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GuangzhouChinaUnknown status
Zhejiang Cancer Hospital
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HangzhouChinaUnknown status
Jiangmen Central Hospital
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JiangmenChinaUnknown status
Qilu Hospital of Shandong University
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JinanChinaUnknown status
Jinhua Municipal Central Hospital
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JinhuaChinaUnknown status
Lishui Central Hospital
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LishuiChinaUnknown status
Ningbo No.2 Hospital
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NingboChinaUnknown status
Ningbo Medical Center Lihuili Hospital
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NingboChinaUnknown status
The Affiliated Hospital of Qingdao University
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QingdaoChinaUnknown status
The First Teaching Hospital of Xinjiang Medical Univerisity
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ÜrümqiChinaUnknown status
Wuhan Union Hospital of China
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WuhanChinaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.