ClinicalTrials.gg
RecruitingNCT06888063PUMP IVUpdated Sep 23, 2026

Additional Chemotherapy Administered Directly Into the Liver Using a Chemo Pump in Patients With Bile Duct Cancer Inside the Liver Treatable by Surgery

A Phase 2 interventional study of Hepatic Arterial Infusion Pump chemotherapy with floxuridin in Intrahepatic Bile Duct Cancer, Intrahepatic Cholangiocarcinoma (Icc) and Intrahepatic Bile Duct Carcinoma, sponsored by Erasmus Medical Center. Recruiting at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by Erasmus Medical Center · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2024; still recruiting 1 year 11 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 32 studies in Cholangiocarcinoma with a site in Netherlands — 11 open to participants now, 17 under way, 5 of them phase 3. Cholangiocarcinoma · Netherlands.

Planned enrollment
22nd of 27
40 · median 173
Started
2024
with 1 other
Phase 2
8 of 32
3 open now
Primary completion
2028-09
later than 12 of 16 live
Registered
26th of 32
by date
Lead sponsor
3 of 32
Erasmus Medical Center

Among the 32 studies in Cholangiocarcinoma with a site in Netherlands, this one is the 22nd largest by planned enrollment of the 27 interventional ones that give a count, is one of 2 that started in 2024, is one of 8 in phase 2, reaches primary completion later than 12 of the 16 other live ones, and was the 26th registered.

Cholangiocarcinoma

824 studies on the registry are indexed under Cholangiocarcinoma; 287 are open to participants now.

Browse Cholangiocarcinoma studies →

Open to participants now

11 of the 32 studies in Cholangiocarcinoma with a site in Netherlands are open now. Recruiting first, the newest first:

5 more — sign in →

All 11 open studies →

A study can be open while its sites in Netherlands have not opened yet or have stopped. Only those recruiting at a site in Netherlands →

Who these studies take

Of the 211 Cholangiocarcinoma studies recruiting now, 141 (67%) set no upper age limit and 49 (23%) stop at 75 or younger; 10 take children under 18; 14 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 32 studies in Cholangiocarcinoma with a site in Netherlands, or all of them as a file.
02

Study summary

The goal of this clinical trial is to learn if additional chemotherapy by means of a chemo pump can prevent return of disease in adult patients with bile duct cancer in the liver that can be treated with surgery. The main questions it aims to answer are:

  • Does addition of chemotherapy by means of a chemo pump lead to less return of disease within the liver two years after surgery?
  • Does addition of chemotherapy by means of a chemo pump lead to longer survival of patients?
  • Does addition of chemotherapy by means of a chemo pump lead to an increase in quality of life?

Participants will receive an implanted chemo pump, through which additional chemotherapy will be given to the liver in addition to surgery.

03

Conditions studied

  • Intrahepatic Bile Duct Cancer
  • Intrahepatic Cholangiocarcinoma (Icc)
  • Intrahepatic Bile Duct Carcinoma
  • Intrahepatic Cholangiocarcinoma

Keywords

  • PUMP
  • PUMP IV
  • Hepatic Arterial Infusion Chemotherapy
  • Hepatic Arterial Infusion Pump chemotherapy
  • HAIP
  • HAIC
  • Intrahepatic cholangiocarcinoma
  • iCCA
  • Floxuridin
  • Chemopump
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18 years or older
  • or WHO performance status 0 or 1
  • Diagnosis of resectable iCCA on imaging. No histological confirmation is needed before surgery, according to standard of care.
  • Patient is able to undergo a laparotomy.
  • Positioning of a catheter for HAIP chemotherapy is technically feasible based on a CT-scan with early arterial phase with 1mm cuts. The default site for the catheter insertion is the GDA. Accessory or aberrant hepatic arteries are no for catheter placement.
  • Adequate bone marrow, liver, and renal function before inclusion (values may be max. 30 days old)
  • (ANC) ≥ 1.5 x 10\^ 9/L
  • White blood cell count (WBC) ≥ 2.5 x 10\^9/L
  • ≥ 100 x 10\^9/L
  • (GFR) ≥ 30 ml/min
  • (Hb) ≥ 5.5 mmol/L
  • Total ≤ 25 µmol/L
  • Written must be given according to ICH/good clinical practice (GCP), and national/local regulations.

Exclusion criteria

Exclusion Criteria:

  • Presence of extrahepatic disease at the time of first presentation. Patients with locoregional lymph node disease or with small (≤ 1 cm) extrahepatic lesions that are too small to characterize or are eligible.
  • Second primary , except for adequately treated non-melanoma skin cancer, or other malignancy treated at least 3 years previously without evidence of recurrence or with a longer than 5 years.
  • Known homozygous dihydropyrimidine dehydrogenase (DPYD) deficiency
  • Prior hepatic radiation, ablation, or resection for iCCA.
  • Clinical evidence of portal hypertension (ascites, gastroesophageal varices, or portal vein thrombosis). Some postoperative ascites is allowed.
  • (Partial) portal vein thrombosis in future liver remnant.
  • Pregnant or lactating women.
  • History of psychiatric disability judged by the investigator to be , precluding or interfering with compliance for HAIP chemotherapy.
  • Serious concomitant systemic disorders that would compromise the safety of the patient or his/her ability to complete the study, at the discretion of the investigator.
  • Organ allografts requiring therapy.
  • Serious infections (uncontrolled or requiring treatment).
  • Participation in another interventional study for iCCA with survival as outcome.
  • Participation in another prospective study with an interventional medical product.
  • Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Surgery + chemo pump (Hepatic Arterial Infusion Pump chemotherapy)

    Surgery + chemo pump

    Combination Product: Hepatic Arterial Infusion Pump chemotherapy with floxuridin

Interventions

  • Combination productHepatic Arterial Infusion Pump chemotherapy with floxuridin

    Participants in this arm will receive in addition to standard care (surgery) a chemo pump. This pump will provide participants with 4 cycles of treatment with chemotherapy (Floxuridin), each lasting 4 weeks. Total treatment with chemotherapy will last 16 weeks (approx. 4 months)

    Also known as: HAIP, HAIC with floxuridin, PUMP chemotherapy

06

What researchers measure

Primary outcomes

  1. Two-year hepatic recurrence free survival (hRFS)

    The percentage of patients who do not have return of disease in the liver two years after surgery. The time frame is defined as the period between pump implantation and return of disease in the liver. A recurrence is defined as a biopsy-proven recurrent lesion or radiological evidence with cross-sectional imaging in combination with an elevated CA19.9 or CEA level in the blood samples.

    Time frame: From pump implantation until 2 years after that surgery

Secondary outcomes

  1. Overall recurrence free survival (RFS)

    The percentage of patients who do not have return of disease in the given time frame. A recurrence is defined as a biopsy-proven recurrent lesion or radiological evidence with cross-sectional imaging in combination with an elevated CA19.9 or CEA level in the blood samples.

    Time frame: From pump implantation until the earliest return of disease in the body during the study (up to 5 years after inclusion)

  2. Overall survival (OS)

    OS is defined as the interval between pump implantation and the date of death (by any cause) or date of last follow-up

    Time frame: From pump implantation until death or lost to follow-up during the study (up to 5 years after inclusion)

  3. Post-operative complications

    All complications rated Clavien-Dindo grade 3 or higher are recorded for the first 90 days after surgery.

    Time frame: From pump implantation until 90 days after surgery

  4. Chemotherapy related adverse events (AEs)

    Chemotherapy related adverse events (AEs) will be collected if they are grade III or higher according to CTCAE version 5.0

    Time frame: From inclusion until 4 weeks after the end of treatment with chemotherapy

  5. Proportion of patients started with HAIP chemotherapy

    The number of patients that could receive at least 1 cycle of HAIP chemotherapy with floxuridin

    Time frame: From pump implantation until the first cycle of HAIP chemotherapy, on average between 4 and 16 weeks after implantation of the HAIP chemopump

  6. Quality of life: EORTC QLQ-30

    After study inclusion and every 3 months (+/- 30 days) thereafter patients will be asked to complete the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30). This validated instrument includes 30 items covering functional domains, symptom scales, and global health status. Scores range from 0 to 100, with higher scores on the global health and functional scales indicating better quality of life. After 1 year of follow-up, the questionnaires will be taken annually until a maximum of 5 years.

    Time frame: From inclusion until 5 years after surgery

  7. Quality of life: EQ-5D

    After study inclusion and every 3 months (+/- 30 days) thereafter patients will be asked to complete the EuroQol 5-Dimension (EQ-5D) questionnaire, a standardized measure of health-related quality of life. The EQ-5D includes five dimensions-mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The resulting health state is converted into an index score ranging from 0 (equivalent to death) to 1 (perfect health), though negative scores are possible. After 1 year of follow-up, the questionnaires will be taken annually until a maximum of 5 years.

    Time frame: From inclusion until 5 years after surgery

  8. Cost-effectiveness

    An assessment of the cost-effectiveness of HAIP chemotherapy for patients with iCCA will be made

    Time frame: From implantation of the chemo pump until 2 years after (=timeframe of the primary outcome)

  9. Predictive biomarkers in the blood for efficacy of HAIP chemotherapy

    A total of five additional blood samples will be collected. These samples will be collected: * On the day of surgery before the incision is made. * During surgery (directly from the hepatic vein). * Before the start of HAIP chemotherapy. * After the last cycle of HAIP chemotherapy. * At one year after surgery or at recurrence

    Time frame: From implantation of the chemo pump until 1 year after surgery or return of disease (whichever comes first)

  10. Predictive biomarkers from liver tissue for efficacy of HAIP chemotherapy

    Additionally, tumor tissue will be collected from the removed part of the liver during the surgery. These tissue samples will be stored for further research into biomarkers.

    Time frame: From resection until 25 years after (conform applicable laws)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided — The decision on sharing IPD has not been made within the trial team. Once this decision is made, we will update this part.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2024 (actual). Primary completion is estimated for Sep 2028, 46 months after the start.

Of 147 non-industry phase 2 interventional studies under Cholangiocarcinoma, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 65. This study's planned 46 months is close to that.

Counting every sponsor, half of 173 studies reached it within 46 months; a quarter within 29 and three quarters within 65.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 5, 2025
First posted
Mar 21, 2025
StartActual
Nov 20, 2024
Primary completionEst.
Sep 2028
CompletionEst.
Sep 2033
Last update
Sep 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06888063
Collaborators
Koningin Wilhelmina Fonds
Responsible party
Bas Groot Koerkamp, MD, PhD (Principal Investigator and Professor of Pancreato-Biliary Surgery, Erasmus Medical Center) — Principal investigator
First posted
Mar 21, 2025
Start date
Nov 20, 2024
Primary completion
Sep 2028 (estimated)
Completion
Sep 2033 (estimated)
Last update
Sep 23, 2026

Study contacts

Bas Groot Koerkamp, MD, PhD
Contact
b.grootkoerkamp@erasmusmc.nl
+31(0)107031810
Thomas C Zwaan, MD
Contact
t.zwaan@erasmusmc.nl
+31(0)621218051
Bas Groot Koerkamp, MD, PhD
principal investigator · Erasmus Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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