About this trial
Study Design: Multicenter, open-label, Single Group Study Population: Patients with locally advanced or recurrent metastatic extrahepatic cholangiocarcinoma who are inoperable or unwilling to undergo surgery.
Primary Research Objective: To preliminarily evaluate the efficacy of photodynamic therapy (PDT) with sodium protoporphyrin combined with gemcitabine and cisplatin (GC regimen) chemotherapy in patients with advanced extrahepatic cholangiocarcinoma complicated by biliary obstruction.
Secondary Study Objective: To preliminarily evaluate the safety and tolerability of photodynamic therapy (PDT) with heme porphyrin sodium combined with gemcitabine and cisplatin (GC regimen) chemotherapy in patients with advanced extrahepatic cholangiocarcinoma with biliary obstruction.
Primary endpoint: 6-month overall survival rate (6m-OS rate)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All subjects or their legal representatives must voluntarily sign an ethics committee-approved informed consent form in writing prior to initiating any screening procedures;
Age ≥ 18 years, no gender restrictions;
Patients with histologically or cytologically confirmed, locally advanced or recurrent metastatic extrahepatic cholangiocarcinoma who are inoperable or unwilling to undergo surgery;
No prior systemic therapy during the recurrent or metastatic stage;
Disqualifiers
Patients with ampullary cancer;
Known hypersensitivity to sodium porphyrin or other photosensitizing agents;
Diffuse liver metastases or liver tumor burden exceeding 50% of liver volume;
Known or suspected brain metastases, leptomeningeal metastases, or spinal cord compression (including asymptomatic cases and those adequately treated);
Trial design
Single group
Treatments tested in this trial
Cosiporfin Sodium for injection, DVDMS
DrugDosage: 0.2 mg/kg Storage: 2-8°C. Protect from light. Specifications: 10mg per bottle
Gemcitabine Hydrochloride for Injection
DrugSpecifications: 1.0g/vial, 5 vials/box Storage: Store at room temperature (15-30°C) Dosage: 1000mg/m²
Cisplatin for injection
DrugSpecifications: 20mg/vial, 8 vials/box Storage: Store in a light-protected, tightly closed container (10-30°C) Dosage: 25mg/m²
Treatment groups
Trial outcomes
Primary outcomes
6-month overall survival rate (6m-OS rate)
Secondary outcomes
Objective Response Rate (ORR)
Disease Control Rate (DCR)
Progression-Free Survival (PFS)
Duration of Response (DoR)
Sponsors and contacts
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Shanghai Guangsheng Biopharmaceutical Co., Ltd
Lead sponsor
Peking University Cancer Hospital & Institute
Collaborator