About this trial
The goal of this trial is to determine whether the combination of CISGEM and Rilvegostomig during the perioperative period works to improve outcomes of patient undergoing surgery of high-risk of intrahepatic cholangiocarcinoma
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years
WHO Performance Status 0-1
Body weight > 30kg
Histo/cytologically proven intrahepatic cholangiocarcinoma.
Disqualifiers
Existence of metastases or distant lymph node involvement considered as metastatic
Locally advanced disease considered as definitively non resectable
Cirrhosis with Child Pugh ≥ B7
Any history of liver decompensation: hepatic encephalopathy, presence of ascites
Trial design
Single group
Treatments tested in this trial
CISGEM + Rilvegostomig
DrugAdministration of 4 cycles pre-operative and 4 cycles post-operative of Cisplatine associated to Gemcitabine with rilvegostomig RILVEGOSTOMIG : For each cycle one administration at D1 every 3 weeks • 750 mg IV administration over 60 minutes (up to a total of 90 minutes). CISGEM: For each cycle administration at D1 and D8 every 3 weeks * Cisplatine 25 mg/m² in 1 hour IV in 1000 ml NaCl 0,9 % then 500 ml NaCl 0,9 % * Gemcitabine 1000 mg/m² en 30 mn IV dans 250 ml NaCl 0,9 %
Treatment groups
Trial outcomes
Primary outcomes
Percentage of patients alive without progression at 12 months
Progression was assessed by the investigator according to RECIST 1.1 criteria based on imaging studies performed every 9 weeks, Clinical progressions, not confirmed on imaging, were not be counted in the primary endpoint. Death for all causes is also an event.
Secondary outcomes
Overall survival
Overall survival is defined as the time from the date of inclusion to the patient's death (all causes). For alive patients, the date of the last news will be taken into account.
Sponsors and contacts
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