Anti-PD-1/PD-L1 Combined With Anti-angiogenic Agents as First-line Treatment for Unresectable HCC

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorPeking University Cancer Hospital & Institute

About this trial

This is a multicenter, randomized, open-label clinical study to evaluate the efficacy and safety of Adebrelimab plus Apatinib (cohort 1), or Adebrelimab plus Bevacizumab (cohort 2), or Camrelizumab plus Apatinib (cohort 3) as first-line treatment of unresectable HCC.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Locally advanced or metastatic and/or unresectable Hepatocellular Carcinoma (HCC)

No prior systemic therapy for HCC. Previous use of herbal therapies/traditional Chinese medicines with anti-cancer activity included in the label is allowed.

BCLC stage B or C, and not suitable for surgical or local therapy, or has progressed following surgical and/or local therapy

At least one measurable lesion per RECIST v1.1

Disqualifiers

Known hepatocholangiocarcinoma, sarcomatoid HCC, mixed cell carcinoma and lamellar cell carcinoma; other active malignant tumor except HCC within 5 years or simultaneously

Moderate-to-severe ascites with clinical symptoms

History of gastrointestinal hemorrhage within 6 months prior to the start of study treatment or clear tendency of gastrointestinal hemorrhage

Abdominal fistula, gastrointestinal perforation or intraperitoneal abscess within 6 months prior to the start of study treatment

Trial design

Design model

Parallel

Treatments tested in this trial

  • Adebrelimab plus Apatinib

    Drug

    Adebrelimab 1200mg intravenously every 3 weeks plus Apatinib 250mg orally once daily

  • Adebrelimab plus Bevacizumab

    Drug

    Adebrelimab 1200mg intravenously plus Bevacizumab 15 mg/kg intravenously every 3 weeks

  • Camrelizumab plus Apatinib

    Drug

    camrelizumab 200mg intravenously every 2 weeks plus Apatinib 250mg orally once daily

Treatment groups

111 Participants
are divided into 3 treatment groups
Group A: 1Experimental treatment 1 intervention
Group B: 2Experimental treatment 1 intervention
Group C: 3Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

12-month overall survival rate

Time frame
Up to approximately 3 years

Secondary outcomes

1

ORR

Assessed by the investigator per RECIST v1.1 criteria

Time frame
Up to approximately 3 years
2

DCR

Assessed by the investigator per RECIST v1.1 criteria

Time frame
Up to approximately 3 years
3

DoR

Assessed by the investigator per RECIST v1.1 criteria

Time frame
Up to approximately 3 years
4

TTR

Assessed by the investigator per RECIST v1.1 criteria

Time frame
Up to approximately 3 years

Other outcomes

Sponsors and contacts

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