A Global Study to Evaluate Transarterial Chemoembolization (TACE) in Combination With Durvalumab and Bevacizumab Therapy in Patients With Locoregional Hepatocellular Carcinoma

NCT ID: NCT03778957

Last Updated: 2026-01-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

724 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-30

Study Completion Date

2026-08-31

Brief Summary

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A global study to evaluate transarterial chemoembolization (TACE) in combination with durvalumab and bevacizumab therapy in patients with locoregional hepatocellular carcinoma

Detailed Description

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This is a randomized, double-blind, placebo-controlled, multicenter, global Phase III study to determine the efficacy and safety of transarterial chemoembolization (TACE) treatment in combination with durvalumab monotherapy or TACE given with durvalumab plus bevacizumab therapy compared to TACE therapy alone in patients with locoregional hepatocellular carcinoma not amenable to curative therapy

Conditions

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Hepatocellular Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Arm A

Transarterial Chemoembolization (TACE) in combination with Durvalumab

Group Type EXPERIMENTAL

Durvalumab

Intervention Type DRUG

Durvalumab IV (intravenous)

Placebo

Intervention Type OTHER

Saline solution for Durvalumab and/or Bevacizumab masking (IV intravenous)

Transarterial Chemoembolization (TACE)

Intervention Type PROCEDURE

TACE (chemo and embolic agent injection into the hepatic artery)

Arm B

Transarterial Chemoembolization (TACE) in combination with Durvalumab and Bevacizumab

Group Type EXPERIMENTAL

Durvalumab

Intervention Type DRUG

Durvalumab IV (intravenous)

Bevacizumab

Intervention Type DRUG

Bevacizumab IV (intravenous)

Transarterial Chemoembolization (TACE)

Intervention Type PROCEDURE

TACE (chemo and embolic agent injection into the hepatic artery)

Arm C

Transarterial Chemoembolization (TACE) in combination with Placebos

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Saline solution for Durvalumab and/or Bevacizumab masking (IV intravenous)

Transarterial Chemoembolization (TACE)

Intervention Type PROCEDURE

TACE (chemo and embolic agent injection into the hepatic artery)

Interventions

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Durvalumab

Durvalumab IV (intravenous)

Intervention Type DRUG

Bevacizumab

Bevacizumab IV (intravenous)

Intervention Type DRUG

Placebo

Saline solution for Durvalumab and/or Bevacizumab masking (IV intravenous)

Intervention Type OTHER

Transarterial Chemoembolization (TACE)

TACE (chemo and embolic agent injection into the hepatic artery)

Intervention Type PROCEDURE

Other Intervention Names

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MEDI4736 AVASTIN

Eligibility Criteria

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Inclusion Criteria

* No evidence of extrahepatic disease
* Disease not amenable to curative surgery or transplantation or curative ablation but disease amenable to TACE
* Child-Pugh score class A to B7 and Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at enrollment
* Measurable disease by Modified Response Criteria in Solid Tumors (mRECIST) criteria
* Adequate organ and marrow function

Exclusion Criteria

* Any history of nephrotic or nephritic syndrome
* Clinically significant cardiovascular disease or history of arterioembolic event including a stroke or myocardial infarction, unstable angina, cerebrovascular accident, or transient ischemic attack within 6 months prior to randomization
* Any prior or current evidence of coagulopathy or bleeding diathesis or patients who had any kind of surgery in the past 28 days (biopsies are exempt from this exclusion)
* History of abdominal fistula or GI perforation, non healed gastric ulcer that is refractory to treatment, or active GI bleeding within 6 months prior to enrollment
* Patients with Vp3 and Vp4 portal vein thrombosis on baseline imaging are excluded
Minimum Eligible Age

18 Years

Maximum Eligible Age

110 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bruno Sangro, MD

Role: PRINCIPAL_INVESTIGATOR

Clinica Universidad de Navarra

Riccardo Lencioni, MD FSIR EBIR

Role: PRINCIPAL_INVESTIGATOR

University of Pisa / Miami Cancer Institute

Locations

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Costa Mesa, California, United States

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La Jolla, California, United States

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Orange, California, United States

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Washington D.C., District of Columbia, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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Honolulu, Hawaii, United States

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Chicago, Illinois, United States

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Shreveport, Louisiana, United States

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Detroit, Michigan, United States

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Rochester, Minnesota, United States

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St Louis, Missouri, United States

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Stony Brook, New York, United States

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Charlotte, North Carolina, United States

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Cleveland, Ohio, United States

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Portland, Oregon, United States

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Pittsburgh, Pennsylvania, United States

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Sioux Falls, South Dakota, United States

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Memphis, Tennessee, United States

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Dallas, Texas, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Milwaukee, Wisconsin, United States

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Benowa, , Australia

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Box Hill, , Australia

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Camperdown, , Australia

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Clayton, , Australia

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Herston, , Australia

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Liverpool, , Australia

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Melbourne, , Australia

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Barretos, , Brazil

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Florianópolis, , Brazil

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Porto Alegre, , Brazil

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Porto Alegre, , Brazil

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Porto Alegre, , Brazil

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Rio de Janeiro, , Brazil

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Santa Maria, , Brazil

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São José do Rio Preto, , Brazil

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São Paulo, , Brazil

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Vitória, , Brazil

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Beijing, , China

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Beijing, , China

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Beijing, , China

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Beijing, , China

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Changchun, , China

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Changsha, , China

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Chengdu, , China

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Fuzhou, , China

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Fuzhou, , China

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Guangzhou, , China

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Guangzhou, , China

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Guangzhou, , China

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Hangzhou, , China

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Harbin, , China

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Hefei, , China

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Nanchang, , China

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Nanjing, , China

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Nanjing, , China

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Nantong, , China

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Neijiang, , China

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Shanghai, , China

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Shanghai, , China

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Shenyang, , China

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Shenzhen, , China

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Tianjin, , China

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Wuhan, , China

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Wuhan, , China

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Xi'an, , China

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Zhengzhou, , China

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Zhuhai, , China

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Bobigny, , France

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Clichy, , France

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Grenoble, , France

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Montpellier, , France

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Nice, , France

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Paris, , France

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Pessac, , France

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Toulouse, , France

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Vandœuvre-lès-Nancy, , France

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Hong Kong, , Hong Kong

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Shatin, , Hong Kong

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Bangalore, , India

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Bengaluru, , India

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Hyderabad, , India

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Kolkata, , India

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Kolkata, , India

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Madurai, , India

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Mumbai, , India

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Nashik, , India

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Pune, , India

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Surat, , India

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Vijayawada, , India

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Visakhapatnam, , India

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Arezzo, , Italy

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Brescia, , Italy

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Milan, , Italy

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Milan, , Italy

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Pisa, , Italy

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Bunkyō City, , Japan

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Chiba, , Japan

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Chūōku, , Japan

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Fukuoka, , Japan

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Hiroshima, , Japan

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Kurume-shi, , Japan

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Musashino-shi, , Japan

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Nagoya, , Japan

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Okayama, , Japan

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Osaka, , Japan

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Osaka, , Japan

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Osakasayama-shi, , Japan

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Sapporo, , Japan

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Shiwa-gun, , Japan

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Tsu, , Japan

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Yokohama, , Japan

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Alc. Cuauhtémoc, , Mexico

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Culiacán, , Mexico

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Guadalajara, , Mexico

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Mérida, , Mexico

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México, , Mexico

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Monterrey, , Mexico

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Monterrey, , Mexico

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Tuxtla Gutiérrez, , Mexico

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Barnaul, , Russia

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Kazan', , Russia

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Moscow, , Russia

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Novosibirsk, , Russia

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Obninsk, , Russia

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Saint Petersburg, , Russia

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Yekaterinburg, , Russia

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Singapore, , Singapore

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Busan, , South Korea

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Daegu, , South Korea

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Goyang-si, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Córdoba, , Spain

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Madrid, , Spain

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Pamplona, , Spain

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San Sebastián(Guipuzcoa), , Spain

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Kaohsiung City, , Taiwan

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Liou Ying Township, , Taiwan

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Taichung, , Taiwan

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Taichung, , Taiwan

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Tainan, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Taoyuan, , Taiwan

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Bangkok, , Thailand

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Bangkok, , Thailand

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Bangkok, , Thailand

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Chiang Mai, , Thailand

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Hat Yai, , Thailand

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Khon Kaen, , Thailand

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Phisanulok, , Thailand

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Hanoi, , Vietnam

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Hanoi, , Vietnam

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Ho Chi Minh City, , Vietnam

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Ho Chi Minh City, , Vietnam

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Countries

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United States Australia Brazil Canada China France Hong Kong India Italy Japan Mexico Russia Singapore South Korea Spain Taiwan Thailand Vietnam

References

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Sangro B, Kudo M, Erinjeri JP, Qin S, Ren Z, Chan SL, Arai Y, Heo J, Mai A, Escobar J, Lopez Chuken YA, Yoon JH, Tak WY, Breder VV, Suttichaimongkol T, Bouattour M, Lin SM, Peron JM, Nguyen QT, Yan L, Chiu CF, Santos FA, Veluvolu A, Thungappa SC, Matos M, Zotkiewicz M, Udoye SI, Kurland JF, Cohen GJ, Lencioni R; EMERALD-1 Investigators. Durvalumab with or without bevacizumab with transarterial chemoembolisation in hepatocellular carcinoma (EMERALD-1): a multiregional, randomised, double-blind, placebo-controlled, phase 3 study. Lancet. 2025 Jan 18;405(10474):216-232. doi: 10.1016/S0140-6736(24)02551-0. Epub 2025 Jan 8.

Reference Type DERIVED
PMID: 39798579 (View on PubMed)

Kloeckner R, Galle PR, Bruix J. Local and Regional Therapies for Hepatocellular Carcinoma. Hepatology. 2021 Jan;73 Suppl 1:137-149. doi: 10.1002/hep.31424. Epub 2020 Nov 6. No abstract available.

Reference Type DERIVED
PMID: 32557715 (View on PubMed)

Other Identifiers

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2023-509053-32-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

2018-002134-20

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D933GC00001

Identifier Type: -

Identifier Source: org_study_id

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