Actively Recruiting

Age: 18Years +
All Genders
NCT06849193

Dynamic Prediction Model for Patients with Unresectable Biliary Malignancies Receiving Systemic Chemotherapy Combined with Immunotherapy: a Multicenter, Observational Study

Led by Zhongda Hospital · Updated on 2025-02-27

332

Participants Needed

2

Research Sites

69 weeks

Total Duration

On this page

Sponsors

Z

Zhongda Hospital

Lead Sponsor

E

Eastern Hepatobiliary Surgery Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

This study focused on the longitudinal tumor burden profile (tumor macro features, histopathological types and imaging features, etc.), liver function, health status, tumor biomarkers, and serological indicators of patients with unresectable biliary malignancies before chemotherapy combined with immunotherapy to build a dynamic prediction model. Based on this model, risk stratification of BTC patients was realized to explore which specific populations could safely initiate combination therapy. By constructing a risk stratification model, it can help clinicians to screen the best treatment population and provide a basis for safe treatment of high-risk patients.

CONDITIONS

Official Title

Dynamic Prediction Model for Patients with Unresectable Biliary Malignancies Receiving Systemic Chemotherapy Combined with Immunotherapy: a Multicenter, Observational Study

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Confirmed biliary malignancy by pathology or clinical diagnosis according to CSCO guidelines
  • Diagnosed with unresectable biliary malignancy and undergoing chemotherapy combined with immunotherapy
  • Liver function classified as Child-Pugh class A or B
  • Age 18 years or older, any gender
  • Expected survival time of 3 months or more
  • ECOG Performance Status score of 2 or less
  • Laboratory results meeting specified blood, liver, and kidney function requirements: neutrophil count 6 1.0�d710�b9/L; platelet count 6 50�d710�b9/L; hemoglobin 6 90 g/L; INR less than 1.7 or prothrombin time prolongation within 4 seconds; ALT/AST not exceeding 5 times the upper normal limit; total bilirubin 4 210 bcmol/L; albumin 6 28 g/L; serum creatinine not exceeding 1.5 times the upper normal limit
Not Eligible

You will not qualify if you...

  • Presence of malignant tumors other than biliary tract cancer
  • Moderate to severe ascites reaching Child-Pugh score of 3
  • Any local cancer treatment or surgery within 4 weeks before starting systemic chemotherapy and immunotherapy
  • Incomplete or poor-quality laboratory, imaging, or prognostic data
  • Severe liver dysfunction such as decompensated cirrhosis
  • Severe comorbid conditions including refractory hypertension, persistent arrhythmia grade 2 or above, any atrial fibrillation, prolonged QTc interval, or renal insufficiency
  • HIV infection or AIDS
  • Pregnant or breastfeeding women
  • Acute or chronic mental disorders affecting participation, treatment, or follow-up

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 2 locations

1

Zhongda Hospital,

Nanjing, Jiangsu, China

Actively Recruiting

2

Zhongda Hospital

Nanjing, Jiangsu, China

Active, Not Recruiting

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Research Team

G

Gao-Jun Teng, M.D

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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Dynamic Prediction Model for Patients with Unresectable Biliary Malignancies Receiving Systemic Chemotherapy Combined with Immunotherapy: a Multicenter, Observational Study | DecenTrialz