About this trial
The Purpose of This Study is to Evaluate the Efficacy and Safety of Gemox combined with Anlotinib and Sintilimab as first-lineTherapy for Patients With advanced combined hepatocellular-cholangiocarcinoma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
.Age 18-75 years;
.Histologically or cytologically confirmed diagnosis of aCombined hepatocellular-cholangiocarcinoma;
.Non resectable or metastatic cHCC-ICC patients who have not received systemic treatment or first-line treatment progress (only non arotinib Targeted therapy or non GEMOX chemotherapy) in the past, and have at least one measurable lesion (RECIST v1.1);
.Life expectancy ≥ 3 months;
Disqualifiers
Has a history of severe allergic reactions to chimeric, human or humanized antibodies, or fusion proteins.
Pregnant or lactating women, men and women of childbearing age who are unwilling or unable to take effective contraceptive measures;
History of other malignant tumors in the past 5 years, except for malignant tumors that have received treatment for the purpose of cure, and have no known active diseases for ≥ 5 years before the first administration, and have a low potential risk of recurrence; Fully treated non Melanoma skin cancer or malignant lentigo without disease evidence; Fully treated Carcinoma in situ, no disease evidence;
Moderate or higher amounts of pleural and ascitic fluid with clinical symptoms;
Trial design
Single group
Treatments tested in this trial
gemcitabine ,oxaliplatin,anlotinib,Sintilimab
DrugGemox chemotherapy(gemcitabine 1g/m2 ivgtt d1,d8 +oxaliplatin 85g/m2 ivgtt d1,q3w,anlotinib (8mg po d1-14 q3w )and Sintilimab (200mg ivgtt d1 q3w)
Treatment groups
Trial outcomes
Primary outcomes
ORR
Objective Response Rate according to Response Evaluation Criteria in Solid Tumors (RECIST) version. 1.1
Secondary outcomes
Safety and tolerability
Incidence of Treatment-Emergent Adverse Events,Version 5.0 and AEs leading to dose interruption or discontinuation.
PFS
Progression-free survival is determined from the date of treatment to PD or death from any cause
OS
OS is the time interval from the start of treatment to death due to any reason or lost of follow-up
Locations
Sponsors and contacts
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