Study on Sequential Cryoablation, Relaforp Alpha, and Chemotherapy for Bile Duct Tumors
NCT07726446 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2026-07-24
Summary
This study is a prospective, multicenter, single-arm, open-label Phase II clinical trial, planned to enroll 30 patients with unresectable locally advanced or metastatic iCCA/GBC. Patients will first receive cryoablation treatment, and two weeks after ablation, they will receive 8 cycles of immunotherapy combined with chemotherapy (Relatlimab α plus GC chemotherapy, every 3 weeks). During the maintenance phase, patients will continue with Relatlimab α alone, every 3 weeks, for up to one year. During the combination treatment phase, efficacy will be evaluated every 6 weeks, and during the maintenance phase, every 6 to 9 weeks. From the date of randomization/enrollment, survival follow-ups will be conducted every 3 months (±14 days) for the first 2 years; afterwards, follow-ups will occur every 6 months (±28 days) until the participant dies, is lost to follow-up, or the study ends, whichever comes first.
Conditions
- Biliary Tract Cancer (BTC)
Interventions
- DRUG
-
PD-1 and chemotherapy
Rilapafup α: 1800 mg, intravenous infusion, every 3 weeks. Use Rilapafup α injection (same dose as above) for maintenance therapy until disease progression or unacceptable toxicity occurs. Chemotherapy: Gemcitabine 1000 mg/m² IV infusion over 30 minutes on days 1 and 8; Cisplatin 25 mg/m² IV infusion on days 1 and 8; repeat every 3 weeks.
- PROCEDURE
-
cryoablation
Cryoablation: Depending on the size and location of the tumor, a cryoprobe is inserted percutaneously into the center of the tumor under ultrasound guidance. Once the probe is in place, the tip is cooled down to -196℃, freezing the tumor for 15 minutes, then warmed up (to about 80℃) for 5 minutes, completing two freeze-thaw cycles.
Sponsors & Collaborators
-
Tianjin Medical University Cancer Institute and Hospital
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-10-31
- Primary Completion
- 2027-10-31
- Completion
- 2030-12-31
Countries
- China
Study Locations
More Related Trials
-
Radioembolization With Tremelimumab and Durvalumab for Locally Advanced Unresectable or Oligo-Metastatic Intrahepatic Cholangiocarcinoma
NCT06058663 ·Status: RECRUITING ·Phase: PHASE1
-
Cryoablation Combined With Lenvatinib Plus QL1706 (Iparomlimab/Tuvonralimab) in Patients With Advanced Intrahepatic Cholangiocarcinoma
NCT07070700 ·Status: RECRUITING ·Phase: PHASE2
-
Neoadjuvant Tislelizumab, Gemcitabine, Cisplatin and S-1 for Resectable High-risk Cholangiocarcinoma
NCT06903273 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Iparomlimab and Tuvonralimab Injection Combined With GemOX and Lenvatinib as Conversion Therapy for Initially Potentially Resectable Intrahepatic Cholangiocarcinoma and Gallbladder Cancer
NCT07263360 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Phase I Study of Gemcitabine or S-1 Adjuvant Therapy After Hemihepatectomy for Biliary Tract Cancer
NCT01291615 ·Status: COMPLETED ·Phase: PHASE1
-
A Single-arm, Multicenter, Exploratory Study of Adebrelimab Combined With Apatinib and Systemic Chemotherapy for Initially Unresectable Biliary Tract Cancer
NCT07135544 ·Status: RECRUITING ·Phase: PHASE2
-
A Study of S-1 in Combination With Gemcitabine as First-Line Treatment in Patients With Advanced Biliary Tract Cancer
NCT02425137 ·Status: COMPLETED ·Phase: PHASE2
-
Alternating HAIC and Systemic Chemotherapy With or Without Adebrelimab and Apatinib for Unresectable Biliary Tract Cancer
NCT07569679 ·Status: RECRUITING ·Phase: PHASE2
-
First-line Treatment for Unresectable Locally Advanced Distal Cholangiocarcinoma Combining Radiotherapy and HAIC
NCT06370663 ·Status: TERMINATED ·Phase: PHASE2
-
Ivonescimab in Combination With Liposomal Irinotecan and 5-FU/LV in Potentially Resectable Biliary Tract Malignancies
NCT06993025 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Cryoablation Combined With Cardonilizumab and Bevacizumab in Hepatocellular Carcinoma With Pulmonary Metastases
NCT06265350 ·Status: RECRUITING ·Phase: NA
-
Gemcitabine With Peptide Vaccine Therapy in Treating Patients With Bile Duct Cancer
NCT00624182 ·Status: SUSPENDED ·Phase: PHASE1
-
Study of Irinotecan Liposome Injection in Patients With Advanced Biliary Tract Cancer
NCT05009953 ·Status: TERMINATED ·Phase: PHASE2
-
A Prospective, Single-Arm, Exploratory Study of the Safety and Efficacy of Neoadjuvant Treatment With QL1706, an Anti-PD-1/Anti-CTLA-4 Bispecific Antibody, in Resectable Stage IB and IIA Hepatocellular Carcinoma With High Recurrence Risk
NCT07515469 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
A Study Investigating the Efficacy and Safety of Ociperlimab and Tislelizumab and BAT1706 Combinations in Patients With Advanced HCC
NCT04948697 ·Status: COMPLETED ·Phase: PHASE2
-
Selumetinib in Treating Patients With Biliary Cancer That Cannot Be Removed By Surgery
NCT00553332 ·Status: COMPLETED ·Phase: PHASE2
-
A Study to Evaluate the Association of Biliary Complications and Treatment Duration in Unresectable BTC Patients
NCT07101874 ·Status: COMPLETED
-
Thermal Ablation Followed by Immunotherapy for HCC
NCT03864211 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
A Study of Relatlimab in Combination With Nivolumab in Participants With Advanced Liver Cancer Who Have Never Been Treated With Immuno-oncology Therapy After Prior Treatment With Tyrosine Kinase Inhibitors
NCT04567615 ·Status: COMPLETED ·Phase: PHASE2
-
Exploring the Efficacy and Safety of Tislelizumab in Combination With S-1 in the Treatment of Patients With Postoperative Recurrent High-risk Intrahepatic Cholangiocarcinoma
NCT06664021 ·Status: RECRUITING ·Phase: PHASE2
-
Adjuvant Immunotherapy Combined With ChemoRadiation for Patients With High-risk Resectable Extrahepatic Cholangiocarcinoma(AICRC)
NCT06997913 ·Status: ENROLLING_BY_INVITATION
-
Cryoablation Combined With Sintilimab Plus Lenvatinib in Patients With Advanced Intrahepatic Cholangiocarcinoma
NCT05010668 ·Status: COMPLETED ·Phase: PHASE2
-
Cryoablation Combined With Sintilimab Plus Lenvatinib in 1L Treatment of Advanced ICC (CASTLE-ICC-Chemo-free)
NCT05835245 ·Status: RECRUITING ·Phase: PHASE2
-
Capecitabine and Y-90 Radioembolization in Treating Patients With Advanced Bile Duct Cancer in the Liver That Cannot Be Removed by Surgery
NCT03117855 ·Status: WITHDRAWN ·Phase: PHASE1
-
Safety of Biliary Intraductal Radiofrequency Ablation in Patients With Unresectable Extrahepatic Biliary Tract Cancer
NCT06274879 ·Status: RECRUITING ·Phase: PHASE2