Using radiation and your own immune cells to boost immunotherapy for intrahepatic bile-duct (liver) cancer

Radiation and dendritic cell combination to improve immunotherapy response in intrahepatic cholangiocarcinoma

NIH-funded research Mayo Clinic Rochester · NIH-11142663

This approach combines focused liver radiation, injections of your own dendritic immune cells, and two immune drugs to try to help people with unresectable intrahepatic bile-duct cancer live longer without the disease getting worse.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionMayo Clinic Rochester NIH-funded
Lab location1 site (Rochester, United States)
Project IDNIH-11142663 on NIH RePORTER

What this research studies

If you have intrahepatic cholangiocarcinoma that cannot be removed by surgery, doctors would give high‑dose targeted radiation to the liver tumor to cause tumor cells to release antigens. Right after radiation, your own dendritic immune cells would be injected into the tumor to help the immune system capture and present those tumor antigens. You would also receive two immune drugs (atezolizumab and tiragolumab) that block PD‑L1 and TIGIT to strengthen the anti‑tumor T cell response. Early pilot work showed partial responses in some patients, including one lasting response at 48 months, but this combined approach remains experimental and is being tested further.

Who could benefit from this research

Good fit: Ideal candidates are people with unresectable intrahepatic cholangiocarcinoma who can undergo high‑dose liver radiation, intratumoral injections, and checkpoint immunotherapy.

Not a fit: Patients with cancers that can be removed by surgery, those with other tumor types, or people unable to tolerate radiation, invasive tumor injections, or immune checkpoint drugs are unlikely to benefit from this approach.

Why it matters

Potential benefit: If successful, this strategy could extend the time patients with unresectable intrahepatic cholangiocarcinoma live without their cancer progressing and produce longer-lasting tumor responses.

How similar studies have performed: A small pilot of the radiation plus dendritic‑cell approach produced promising partial responses including a durable 48‑month response, but adding dual PD‑L1/TIGIT blockade is a newer, experimental combination.

Where this research is happening

Rochester, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.