June 22, 2026 · Journal of hepatology · DOI: 10.1016/j.jhep.2026.06.022

Hepatic artery infusion pump chemotherapy for unresectable intrahepatic cholangiocarcinoma: Pooled individual patient-level analysis of four clinical trials

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The authors aimed to assess long-term overall survival (OS) in patients with unresectable, liver-confined intrahepatic cholangiocarcinoma (iCCA) treated with hepatic artery infusion pump (HAIP) chemotherapy. By pooling individual patient data from four phase II trials involving 142 patients, they found a median OS of 26 months, with 3-year and 5-year OS rates of 28% and 15%, respectively. These results provide critical long-term survival benchmarks and support the evaluation of HAIP chemotherapy in future treatment strategies for this challenging condition.

Merve Rousian, Remo Alessandris, Lauren Schleimer, Hannah Kalvin, Omar Zaki, Louise Connell, James Harding, Eileen O'Reilly, Ghassan Abou-Alfa, Neeta Vachharajani, Majella Doyle, Benjamin Tan, Adeel Khan, Ryan Fields, Stijn Franssen, Wills Filipe, Florian Buisman, Bianca Mostert, Marjolein Homs, Michail Doukas, Britte Ten Haaft, Rutger-Jan Swijnenburg, Heinz-Josef Klümpen, Jeroen Hagendoorn, Nadia Haj Mohammad, Francesco Enrico D'Amico, Kevin Soares, Peter Kingham, Alice Wei, Michael D'Angelica, Mithat Gönen, William Chapman, Nancy Kemeny, Andrea Cercek, William Jarnagin, Bas Groot Koerkamp

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