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切除不能肝外胆管癌に対する反復胆管内高周波アブレーション+デュルバルマブ、ゲムシタビン、シスプラチン

基本情報

NCT ID
NCT07235007
ステータス
募集中
試験のフェーズ
該当なし
試験タイプ
介入
目標被験者数
120
治験依頼者名
Aichi Medical University

概要

This international, multicenter, open-label randomized controlled trial evaluates whether repeated endobiliary radiofrequency ablation (EB-RFA) improves overall survival in patients with unresectable extrahepatic cholangiocarcinoma undergoing first-line systemic therapy with durvalumab plus gemcitabine and cisplatin (GCD). Eligible patients will be randomized 1:1 to EB-RFA with plastic stent placement or standard plastic stenting alone. A scheduled second endoscopic session will be performed at 3 months in both groups (repeat EB-RFA only in the EB-RFA arm). The primary endpoint is overall survival. Secondary endpoints include time to recurrent biliary obstruction, progression-free survival, adverse events, and technical/clinical success.

対象疾患

Extrahepatic Cholangiocarcinoma

介入

Endobiliary Radiofrequency Ablation (EB-RFA)(DEVICE)
Plastic Biliary Stent(DEVICE)

依頼者(Sponsor)

実施施設 (4)

名古屋市立大学医学部附属みどり市民病院

Aichi, Japan(RECRUITING)

日本赤十字社愛知医療センター名古屋第二病院

Aichi, Japan(RECRUITING)

岐阜大学医学部附属病院

Gifu, Japan(RECRUITING)

名古屋市立大学病院

Aichi, Japan(RECRUITING)