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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | Second Affiliated Hospital, Zhejiang University, School of Medicine Academic / other |
| Drugs / interventions | immunotherapy, Tislelizumab, Lenvatinib, chemotherapy |
| Locations | 1 site (Hangzhou, Zhejiang) |
| Status | Recruiting |
| Started | September 1, 2023 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2027 |
| Registry record updated | February 10, 2025 |
| Trial ID | NCT05823311 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
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The Second Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, China Recruiting
Study contacts
- Study coordinator: Weilin Wang, doctor
- Email: wam@zju.edu.cn
- Phone: +86 0571 87783820
Similar studies
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.