Actively Recruiting
Study of Tislelizumab with S-1 for High-risk Recurrent Intrahepatic Cholangiocarcinoma after Surgery A Prospective, Multicenter Phase II Clinical Trial
Led by Anhui Provincial Hospital · Updated on 2025-01-10
60
Participants Needed
2
Research Sites
110 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This clinical trial investigates the effectiveness and safety of combining Tislelizumab with S-1 in patients who have high-risk recurrent intrahepatic cholangiocarcinoma after radical surgery. The study focuses on individuals aged 18 to 75 years who have undergone complete or near-complete tumor removal but possess high-risk factors such as positive margins, multiple tumors, or vascular invasion. The goal is to evaluate treatment outcomes over a one-year period, including the rate of recurrence-free survival at 12 months. Participants receive Tislelizumab at a dose of 200 mg through intravenous infusion every three weeks for one year. Alongside this, S-1 is administered orally twice daily for four weeks followed by two weeks of rest, completing four treatment cycles. This combined regimen is designed to assess the potential benefits and safety profile of the two drugs administered together in this specific patient population. During the study, participants will undergo regular assessments including imaging scans and laboratory tests to monitor tumor status and organ function. Researchers will track treatment adherence, side effects, and overall health status. The primary outcome is the recurrence-free survival rate at one year. Continuous safety monitoring will be conducted throughout the study to ensure participant well-being and to collect comprehensive data on the treatment's impact.
CONDITIONS
Official Title
Exploring the Efficacy and Safety of Tislelizumab in Combination With S-1 in the Treatment of Patients With Postoperative Recurrent High-risk Intrahepatic Cholangiocarcinoma
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age between 18 and 75 years, both male and female
- Pathologically confirmed intrahepatic cholangiocarcinoma after R0 or R1 resection with high-risk factors (positive margins, multiple tumor nodes, positive lymph nodes, positive perineural infiltration, tumor >5 cm, or combined vascular invasion)
- Enhanced CT scans of chest, abdomen, and pelvis within 30 days before surgery showing no distant metastases
- No chemotherapy, radiotherapy, immunotherapy, or interventional therapy within 3 months before surgery
- Child-Pugh grade A or B and ECOG performance status of 0-1
- Normal organ function before treatment, including specified blood counts and liver and kidney test limits
- Normal coagulation function within specified limits
- For hepatitis B or C infections, viral loads within defined safe limits and willingness to receive antiviral therapy during the study
- No major heart, lung, or kidney abnormalities
- No history of gastrointestinal bleeding
- Signed informed consent form
You will not qualify if you...
- Incomplete tumor resection or pathological diagnosis other than intrahepatic cholangiocarcinoma
- Pregnant or breastfeeding women
- Presence of other malignant tumors
- Active or history of autoimmune diseases
- Uncontrolled significant cardiac diseases such as congestive heart failure above NYHA II, unstable angina, recent myocardial infarction, or serious arrhythmias
- Congenital or acquired immunodeficiency
- Uncontrolled infections above grade 2
- Psychiatric disorders
- Participation in other clinical trials within the past 3 months
- Postoperative use of other targeted therapies, immunotherapy, or systemic chemotherapy
- Any condition making participation unsuitable as judged by the investigator
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Trial Site Locations
Total: 2 locations
1
No.2 People's Hospital of Fuyang city
Fuyang, Anhui, China, 236015
Actively Recruiting
2
Anhui province hospital
Hefei, Anhui, China, 230000
Actively Recruiting
Research Team
J
Ji-Zhou Wang
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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