Efficacy and Safety of Hepatic Arterial Infusion Chemotherapy Combined With Tislelizumab and Regorafenib as First-Line Therapy for Advanced Cholangiocarcinoma

May 27, 2026 updated by: zhen li, The First Affiliated Hospital of Zhengzhou University

Efficacy and Safety of Hepatic Arterial Infusion Chemotherapy Combined With Tislelizumab and Regorafenib as First-Line Therapy for Advanced Cholangiocarcinoma: A Single-Centre, Single-Arm, Phase II Trial

The goal of this clinical trial is to evaluate the efficacy and safety of hepatic arterial infusion chemotherapy (HAIC) combined with tislelizumab and regorafenib as first-line therapy in patients with locally advanced or metastatic cholangiocarcinoma.

The main questions it aims to answer are:

  1. What is the objective response rate (ORR) of this combination regimen according to RECIST 1.1 criteria
  2. What are the disease control rate (DCR), progression-free survival (PFS), overall survival (OS), and safety profile associated with this treatment

Participants will:Receive hepatic arterial infusion chemotherapy (HAIC)+ tislelizumab (PD-1 inhibitor)+regorafenib (oral multikinase inhibitor). Undergo regular imaging assessments to evaluate tumor response per RECIST 1.1.Be monitored for survival outcomes and adverse events throughout treatment and follow-up.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

31

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • China
    • Henan
      • Zhengzhou, Henan, China, 450052
        • the First Affiliated Hospital of Zhengzhou University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  1. Age 18-75 years ;
  2. Histologically or cytologically confirmed unresectable locally advanced or metastatic intra- or extrahepatic cholangiocarcinoma ;
  3. Clinical stage III-IV according to the 8th edition of the AJCC TNM classification ;
  4. No prior antitumor therapy;
  5. Child-Pugh liver function class A or B ;
  6. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2;
  7. At least one measurable lesion per RECIST 1.1 ;
  8. Adequate haematologic and hepatic/renal function;
  9. Total bilirubin ≤ 2× upper limit of normal (patients who have undergone biliary drainage are eligible) ;
  10. Adequate cardiac and pulmonary reserves to tolerate interventional procedures ;
  11. Signed informed consent, good compliance, and ability to attend follow-up visits.

Exclusion Criteria:

  1. Contraindications to transarterial chemoembolization, targeted therapy, or immunotherapy ;
  2. Prior antitumor treatment ;
  3. Concurrent primary malignancies;
  4. Child-Pugh class C;
  5. Severe cardiac, pulmonary, or renal dysfunction ;
  6. Active autoimmune disease or need for long-term immunosuppressive therapy ;
  7. Hypersensitivity to contrast agents or study drugs ;
  8. Pregnancy or lactation;
  9. Anticoagulant or thrombolytic therapy within 3 months before enrollment or bleeding diathesis.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: HAIC combined with tislelizumab and regorafenib
Drug: HAIC Combined with Tislelizumab and Regorafenib
A combination therapy including hepatic arterial infusion chemotherapy (HAIC), tislelizumab, and regorafenib for first-line treatment of advanced cholangiocarcinoma.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
objective response rate (ORR)
Time Frame: From first dose until disease progression, death, or up to approximately 24 months
From first dose until disease progression, death, or up to approximately 24 months

Secondary Outcome Measures

Outcome Measure
Time Frame
disease control rate (DCR)
Time Frame: From first dose until disease progression or last tumor assessment, whichever occurs first (up to approximately 24 months)
From first dose until disease progression or last tumor assessment, whichever occurs first (up to approximately 24 months)
Progression-Free Survival (PFS)
Time Frame: From first dose to disease progression or death from any cause, whichever occurs first (up to approximately 24 months)
From first dose to disease progression or death from any cause, whichever occurs first (up to approximately 24 months)
Overall Survival (OS)
Time Frame: From first dose to death from any cause (up to approximately 36 months)
From first dose to death from any cause (up to approximately 36 months)
adverse events
Time Frame: From first dose until 30 days after the last dose of study treatment
From first dose until 30 days after the last dose of study treatment

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

The First Affiliated Hospital of Zhengzhou University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

July 22, 2022

Primary Completion (Actual)

September 30, 2025

Study Completion (Actual)

September 30, 2025

Study Registration Dates

First Submitted

May 27, 2026

First Submitted That Met QC Criteria

May 27, 2026

First Posted (Actual)

June 2, 2026

Study Record Updates

Last Update Posted (Actual)

June 2, 2026

Last Update Submitted That Met QC Criteria

May 27, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • ChiECRCT20220109

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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