Treatment for Bile Duct Cancer in the Liver

NCT ID: NCT02167711

Last Updated: 2023-04-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-17

Study Completion Date

2023-02-08

Brief Summary

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The current standard treatment of inoperable intrahepatic cholangiocarcinoma (bile duct cancer in the liver) is chemotherapy, which is of limited efficacy. The use of selective internal radiotherapy treatment (SIRT-Y90) is proven efficacious in patients with intra-heptic tumor. Previous experience with SIRT is safe in patients with intrahepatic cholangiocarcinoma. This study aims to study the benefits of sequential administration of SIRT followed by standard chemotherapy for treatment of inoperable intrahepatic cholangiocarcinoma.

Detailed Description

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Conditions

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Cholangio Carcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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SIRT

Group Type EXPERIMENTAL

SIRT Yttrium-90

Intervention Type DRUG

Interventions

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SIRT Yttrium-90

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age\>18 years
* Histological or cytological diagnosis of cholangiocarcinoma
* Disease not amenable to surgery
* Predominant disease load in the liver (in case of extra-hepatic involvement, only patients with lymph nodes metastases are allowed)
* Naïve to locoregional or systemic treatment (but patients who develop recurrent disease after surgery are suitable)
* ECOG PS 0-1
* At least one measurable disease lesion according to RECIST v 1.1
* Life expectancy of 12 weeks or longer
* Adequate hematological, renal and hepatic function
* Platelet ≥100 x 109
* ANC ≥ 1.5 x 109
* Bilirubin ≤ 30µmol/L
* Albumin ≥ 30g/L
* ALT ≤ 3 ULN
* INR ≤ 1.5
* Serum creatinine ≤ 1.5 x ULN

Exclusion Criteria

* Prior malignancy except cervical carcinoma-in-situ or treated basal cell carcinoma. Any cancers treated curatively \> 5 years prior to study entry are permitted.
* Patients with extra-hepatic disease other than regional lymph node metastases.
* Evidence of ascites or cirrhosis, as determined by clinical or radiologic assessment
* Biliary obstruction with no possibility of drainage
* Non-malignant disease that would render the patient unsuitable for treatment according to the protocol
* Prior treatment of chemotherapy for the cholangiocarcinoma
* Prior radiation therapy to the upper abdomen
* Complete thrombosis of the main portal vein
* Tumor volume \> 50% of the normal liver volume
* Allergy to non-ionic contrast agents
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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CCTU

Comprehensive Clinical Trial Unit

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Stephen L Chan, FRCP

Role: PRINCIPAL_INVESTIGATOR

Department of Clinical Oncology, The Chinese University of Hong Kong

Locations

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Department of Clinical Oncology, Prince of Wales Hospital

Hong Kong, , Hong Kong

Site Status

Countries

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Hong Kong

Other Identifiers

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BTC001

Identifier Type: -

Identifier Source: org_study_id

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