About this trial
This is a multicenter, open label, randomized, two-arm clinical study to observe and evaluate the efficacy and safety of adebrelimab combined with irinotecan liposomes, 5-fluorouracil, calcium folinate ± lenvatinib as first-line treatment for advanced intrahepatic cholangiocarcinoma (ICC).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age: 18 to 75 years old, male or female not limited;
Histologically confirmed unresectable locally advanced or metastatic intrahepatic cholangiocarcinoma with measurable tumor lesions (meeting RECIST 1.1 criteria);
Have not received systemic anti-tumor treatment in the past;
Patients who relapse more than 6 months after curative surgery or after completion of adjuvant therapy (chemotherapy and/or radiotherapy) meet the inclusion criteria;
Disqualifiers
Pregnant or lactating women, or those who have the ability to conceive but refuse to take contraceptive measures;
History of other malignant tumors within the past 5 years, excluding cervical carcinoma in situ or squamous cell carcinoma of the skin that has been adequately treated, or basal cell carcinoma of the skin that has been largely controlled;
Merge other serious uncontrolled diseases (such as individuals with a history of difficult to control mental illness or severe intellectual or cognitive impairment; severe heart failure, angina pectoris, myocardial infarction, arrhythmia, etc.);
Pulmonary fibrosis, interstitial pneumonia, pneumoconiosis, radiation pneumonitis, drug-related pneumonia, and severe impairment of lung function;
Trial design
Parallel
Treatments tested in this trial
Adebrelimab
DrugAdebrelimab, IV
Irinotecan liposomes
DrugIrinotecan liposomes, IV
Lenvatinib
DrugLenvatinib, po
5-Fluorouracil (5-FU)
Drug5-Fluorouracil (5-FU), IV
Calcium Folinate
DrugCalcium folinate, IV
Treatment groups
Trial outcomes
Primary outcomes
Progression-Free-Survival (PFS)
The time from enrollment until tumor progression or death from any cause, whichever occurred first
Secondary outcomes
Objective response rate (ORR)
The proportion of patients with a PR or CR, determined by RECIST v1.1 criteria
Disease control rate (DCR)
The proportion of patients with a PR, CR, or SD
Overall survival (OS)
The time calculated from enrollment until death from any cause, with living patients censored at the last known survival date
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Incidence and severity of adverse events graded according to the NCI CTCAE v5.0.
Sponsors and contacts
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