Clinical trial Recruiting at 3 sites Observational Ages 18 and up

Monitoring tumor changes and treatment response in bile duct and liver cancer patients

Official title: BILe Duct and LIver Cancer: ON-treatment Surveillance of Tumor Evolution And Response to Systemic Treatment

Run by Region Skane · NCT06877637 · Data updated 2026-11-12

This study is testing how different factors affect treatment responses in people with bile duct or liver cancer by looking at their blood and tumor samples during and after their treatment.

More Hepatocellular Carcinoma (HCC) trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment150 (estimated)
SponsorRegion Skane
Academic / other
Locations3 sites (Kristianstad and 2 other locations)
StatusRecruiting
StartedMay 15, 2025
Main results expectedDecember 31, 2026
Study endsDecember 31, 2029
Registry record updatedAugust 3, 2026
Trial IDNCT06877637 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults over 18 years old diagnosed with intrahepatic or extrahepatic cholangiocarcinoma or hepatocellular carcinoma who are recommended for locoregional intervention.

Probably not a fit

Patients under 18 years old or those with severe comorbidities 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

The BILLIONSTARS study is a prospective observational study that aims to understand how individual and tumor-related factors influence treatment responses in patients diagnosed with hepatocellular carcinoma (HCC) or cholangiocarcinoma (CCC). Participants will undergo locoregional interventions such as surgery, ablation, or transarterial chemoembolization, and their blood samples will be analyzed for circulating tumor DNA and other biomarkers before, during, and after treatment. Additionally, tumor tissue may be collected for further analysis, and patients will complete quality of life questionnaires at various intervals throughout the study. A total of 150 patients will be enrolled at Skåne University Hospital and Central Hospital in Kristianstad.

Why it matters

Potential benefit: If successful, this study could lead to improved understanding of treatment responses and personalized approaches for patients with bile duct and liver cancers.

How similar studies have gone: While this study employs a novel approach to monitoring treatment response, similar studies have shown promise in utilizing circulating tumor DNA for tracking cancer evolution.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* \> 18 years of age
* Clinically diagnosed intrahepatic Cholangiocarcinoma (iCCC), perihilar Cholangiocarcinoma (pCCC), distal Cholangiocarcinoma (dCCC), gall bladder carcinoma (GBC) or mixed Hepatocellular carcinoma/Cholangiocarcinoma planned to undergo surgery
* Histologically or cytologically confirmed Cholangiocarcinoma (iCCC, pCCC, dCCC, GBC, mixed HCC/CCC) for patients planned to receive palliative systemic treatment or
* Clinically diagnosed Hepatocellular carcinoma (HCC) planned for surgery, ablation or transarterial chemo-embolization. For patients planned to receive systemic treatment histological or cytological confirmation is required except for patients with LI-RADS 5 lesions.

Exclusion Criteria:

* \< 18 years of age
* Severe comorbidities
* Inability to comprehend study information

Where it's running

  • Onkologimottagning Central Hospital in Kristianstad
    Kristianstad, Sweden
    Recruiting
  • VE Onkologi Skåne University Hospital
    Lund, Sweden
    Recruiting
  • VO kirurgi och gastroenterologi Skåne University Hospital
    Lund, Sweden
    Recruiting

Study contacts

  • Principal investigator: Karin Jirström, PhD, MD, professor — Region Skane
  • Study coordinator: Karin Jirström, PhD, MD, professor
  • Email: karin.jirstrom@med.lu.se
  • Phone: +46462220829

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.