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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Adebrelimab plus Apatinib
DrugAdebrelimab 1200mg intravenously every 3 weeks plus Apatinib 250mg orally once daily
Adebrelimab plus Bevacizumab
DrugAdebrelimab 1200mg intravenously plus Bevacizumab 15 mg/kg intravenously every 3 weeks
Camrelizumab plus Apatinib
Drugcamrelizumab 200mg intravenously every 2 weeks plus Apatinib 250mg orally once daily
Treatment groups
Trial outcomes
Primary outcomes
12-month overall survival rate
Secondary outcomes
ORR
Assessed by the investigator per RECIST v1.1 criteria
DCR
Assessed by the investigator per RECIST v1.1 criteria
DoR
Assessed by the investigator per RECIST v1.1 criteria
TTR
Assessed by the investigator per RECIST v1.1 criteria
Sponsors and contacts
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