IRB #

STUDY00016033

Title

A Phase II study of induction systemic mFOLFIRINOX followed by hepatic arterial infusion of Floxuridine and Dexamethasone given concurrently with systemic mFOLFIRI as a first-line therapy in patients with unresectable liver-dominant intrahepatic cholangiocarcinoma

Principal Investigator

Skye Mayo

Study Purpose

The purpose of this study is to evaluate the efficacy of systemic induction of mFOLFIRINOX, followed by HAI floxuridine-DEX administered concurrently with systemic mFOLFIRI, as measured by disease control rate (DCR) at 6 months and to assess safety of treatment with HAI floxuridine-DEX delivered concurrently with systemic mFOLFIRI.

Medical Condition(s)

Intrahepatic Cholangiocarcinoma

Eligibility Criteria

Inclusion
• Liver-dominant ICC, must comprise <70% of the liver parenchyma, as defined by CT liver segmental volumetrics.
• Disease must be considered technically unresectable or be multifocal in the liver at the time of preoperative evaluation
• ECOG 0 or 1 status (Karnofsky ≥ 60)

Exclusion
• Presence of extensive or multifocal metastatic extrahepatic or peritoneal disease.
• Prior treatment with floxuridine, oxaliplatin, or irinotecan.
• Prior external beam radiation therapy to the liver or hepatic arterial or venous delivery of internal radiation therapy such as Y-90.
• Current biliary obstruction requiring placement of endoscopic or transhepatic stents for biliary decompression.

Age Range

18 - 100

Healthy Volunteers Needed

No

Duration of Participation

Approximately 33 weeks + maintenance of the HAI pump

Minors Included

No

Contact

OHSU Knight Cancer Institute Information line 503-494-1080
trials@ohsu.edu

Sponsor

OHSU

Recruitment End

12/31/2030

Compensation Provided

No


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