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Recruiting Phase 1, Phase 2 NCT06956716

Personalized Tumor Neoantigen mRNA Therapy for Advanced Intrahepatic Cholangiocarcinoma

Trial Parameters

Condition Advanced Intrahepatic Cholangiocarcinoma
Sponsor Zhejiang University
Study Type INTERVENTIONAL
Phase Phase 1, Phase 2
Enrollment 30
Sex ALL
Min Age 18 Years
Max Age 75 Years
Start Date 2025-04-09
Completion 2027-04-01
Interventions
individualized anti-tumor new antigen iNeo-Vac-R01 injectionGemcitabine + cisplatin (GP)Sintilimab injection

Brief Summary

The main purpose of this study is to evaluate the feasibility and safety of personalized tumor neoantigen mRNA therapy iNeo-Vac-R01 combined with PD-1 monoclonal antibody and standard chemotherapy regimen for the treatment of patients with advanced intrahepatic cholangiocarcinoma.

Eligibility Criteria

Inclusion Criteria: * (1) Subjects who meet all the following inclusion criteria will enter the pre-screening stage of this study and undergo the lesion puncture process: 1. Voluntarily sign the informed consent form; 2. Aged ≥18 years and ≤75 years, regardless of gender; 3. Imaging assessment of unresectable advanced intrahepatic cholangiocarcinoma; 4. Have not received systemic or local treatment. 5. According to the solid tumor efficacy evaluation criteria (RECIST 1.1), the investigators assess the lesions as measurable. 6. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1; 7. Adequate fresh tumor tissue samples can be obtained for exome and transcriptome sequencing analysis; 8. Normal function of the main organs of the heart, liver and kidney: 1. QTc (corrected QT interval) in the electrocardiogram: ≤450 milliseconds for men, or ≤470 milliseconds for women; 2. Coagulation function: international normalized ratio (INR) ≤1.5×ULN; activated partial thrombopl

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