Sintilimab Plus Bevacizumab and SIRT for Intermediate-advanced HCC

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorSecond Affiliated Hospital of Guangzhou Medical University

About this trial

This study is conducted to evaluate the efficacy and safety of sintilimab, bevacizumab plus Y-90 selective internal radiation therapy (SIRT) for patients with unresectable intermediate-advanced hepatocellular carcinoma (HCC).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Unresectable HCC (BCLC stage B/C or CNLC II/III) with diagnosis confirmed by histology/cytology or clinically

At least one measurable untreated lesion

Intrahepatic tumors can be treated with 1-2 sessions of SIRT

Child-Pugh score 5-7

Disqualifiers

tumor extent ≥70% liver occupation

Tumor thrombus involving main portal vein or both the first left and right branches of portal vein

Vena cava invasion

Central nervous system metastasis

Trial design

Design model

Single group

Treatments tested in this trial

  • Sin-Bev-SIRT

    Drug

    Sintilimab 200mg I.V. q3w and bevacizumab 7.5mg/kg I.V. q3w will be started at 3-7 days after the first SIRT. Treatment of sintilimab and bevacizumab will last up to 24 months. Patients will be allowed to have sintilimab or bevacizumab as a sigle agent and will be still considered on study when the other drug cause intolerable toxicity.

Treatment groups

23 Participants
are divided into 1 treatment group
Group A: Sin-Bev-SIRTExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Progression free survival (PFS) according to mRECIST

The time from initiation of treatment until the first occurrence of disease progression or death from any cause, whichever occurs first.

Time frame
3 years

Secondary outcomes

1

Progression free survival (PFS) according to RECIST 1.1

The time from initiation of treatment until the first occurrence of disease progression or death from any cause, whichever occurs first.

Time frame
3 years
2

Objective response rate (ORR)

The percentage of patients who had a best overall tumor response rating of complete response (CR) or partial response (PR) according to mRECIST and RECIST 1.1

Time frame
3 years
3

Disease control rate (DCR)

The percentage of patients who had a tumor response rating of CR, PR, or stable disease (SD) according to mRECIST and RECIST 1.1

Time frame
3 years
4

Overall survival (OS)

The time from initiation of treatment until the date of death from any cause.

Time frame
3 years

Other outcomes

Sponsors and contacts

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