Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 18 to 75

Combination treatment for advanced cholangiocarcinoma

Official title: A Randomized, Double-blind, Multicenter Study of Lenvatinib, Temalizumab Combined with Gemcitabine and Cisplatin (GPLET) in the Treatment of Advanced Cholangiocarcinoma

Run by Second Affiliated Hospital, Zhejiang University, School of Medicine · NCT05823311 · Data updated 2026-11-12

This study is testing a new combination of four drugs to see if it can help people with advanced cholangiocarcinoma feel better and improve their treatment results.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment80 (estimated)
SponsorSecond Affiliated Hospital, Zhejiang University, School of Medicine
Academic / other
Drugs / interventionsimmunotherapy, Tislelizumab, Lenvatinib, chemotherapy
Locations1 site (Hangzhou, Zhejiang)
StatusRecruiting
StartedSeptember 1, 2023
Main results expectedDecember 31, 2026
Study endsDecember 31, 2027
Registry record updatedFebruary 10, 2025
Trial IDNCT05823311 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are patients with histologically proven, unresectable advanced or metastatic cholangiocarcinoma who have not previously received immunotherapy.

Probably not a fit

Patients with active autoimmune diseases, uncontrolled complications, or those who are pregnant or breastfeeding may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the safety and efficacy of a combination therapy using Lenvatinib, Tislelizumab, Gemcitabine, and Cisplatin for patients with advanced cholangiocarcinoma. The approach aims to leverage the synergistic effects of targeted therapy and immunotherapy to combat this aggressive cancer. By targeting the tumor microenvironment and enhancing anti-tumor immune responses, the study seeks to improve treatment outcomes for patients who are typically diagnosed at an advanced stage. Participants will receive the treatment regimen and be monitored for safety and efficacy outcomes.

Why it matters

Potential benefit: If successful, this treatment could provide a new effective option for patients with advanced cholangiocarcinoma, potentially improving survival rates and quality of life.

How similar studies have gone: Other studies have shown promising results with similar combinations of targeted therapies and immunotherapies in various cancers, suggesting potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Histologically proven, unresectable advanced or metastatic cholangiocarcinoma patients.
* Expected survival period \> 12 weeks.
* The World Health Organization (WHO) / ECOG physical status (PS) was 0 or 1.
* There was at least one target lesion that matched the RECIST 1.1 criteria at baseline.
* Not previously received immunotherapy, including but not limited to CTLA 4, PD-L1 or/and PD-1 inhibitors.
* Adequate organ and bone marrow function, defined as follows: Hemoglobin (Hb)≥9.0g/dL; Neutrophils (ANC) ≥ 1.5\* 10\^9/L; Platelet (Pt) ≥ 50\*10\^9/L; ALT≤2.5×ULN(Normal upper limit); AST≤2.5×ULN.
* Voluntary participation and signing of informed consent.

Exclusion Criteria:

* Active or previously documented autoimmune disease or inflammatory disease.
* Uncontrolled complications.
* History of other primary malignancies.
* Active infection.
* Women who are pregnant or breastfeeding.
* Patients with severe allergic history or specific constitution.
* Researchers consider it inappropriate to participate in the test.

Where it's running

  • The Second Affiliated Hospital, Zhejiang University School of Medicine
    Hangzhou, Zhejiang, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.