Unresectable hilar cholangiocarcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18-80 years, male and female; 2. Patients with cholangiocarcinoma confirmed by percutaneous biliary puncture biopsy or ERCP biopsy; 3. Patients who can not be resected surgically and have not received chemotherapy, radiotherapy or biliary stent implantation; 4. ECOG PS 0-2; 5. The main organs function normally and meet the following requirements: (1) Routine blood tests should be complied with (no blood transfusion within 14 days): A. Hb (> 90g/L); B. ANC (> 1.5 *10^9/L); C. PLT (> 80 *10^9/L); (2) Biochemical indicators should meet the following criteria: A. BIL < 1.5 times the upper limit of normal value (ULN) or transbiliary drainage (PTCD) reached this standard. B. ALT and AST < 2.5*ULN; ALT and AST < 5*ULN if liver metastasis occurs; C. Serum Cr < 1*ULN; 6. The estimated survival time is more than 3 months; 7. The patients joined the study voluntarily and signed the informed consent.
Exclusion criteria
Exclusion criteria: 1. Pathologically confirmed patients with intrahepatic cholangiocarcinoma, gallbladder cancer and ampullary cancer; 2. Patients with hypertension who could not be reduced to normal range by antihypertensive drugs (SBP > 140 mmHg/DBP > 90 mmHg) suffered from coronary heart disease, arrhythmia and cardiac insufficiency of grade II or above. 3. There are many factors affecting oral drug absorption (such as inability to swallow, nausea and vomiting, chronic diarrhea and intestinal obstruction). 4. Coagulation dysfunction (PT > 1.5 * ULN, APTT > 1.5 * ULN), with a tendency to bleed; 5. Symptomatic central nervous system metastasis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety; | — |
Secondary
| Measure | Time frame |
|---|---|
| PFS;OS;ORR;DCR; | — |
Countries
China
Contacts
People's Hospital of Inner Mongolia Autonomous Region