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This combination therapy is an investigational regimen developed by Sun Yat-sen University for the treatment of advanced or unresectable intrahepatic cholangiocarcinoma (ICC). The regimen integrates systemic chemotherapy (GemOx: gemcitabine and oxaliplatin), the multikinase inhibitor lenvatinib, and the anti-PD-1 monoclonal antibody toripalimab, supplemented by Hepatic Arterial Infusion Chemotherapy (HAIC) using oxaliplatin. This multimodal approach aims to leverage the cytotoxic effects of chemotherapy, the anti-angiogenic and anti-proliferative properties of lenvatinib, and the immune-restoring capabilities of toripalimab. The addition of HAIC provides a localized, high-concentration delivery of chemotherapy directly to the liver via the hepatic artery, potentially improving local tumor control and overall survival in patients with advanced ICC.
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