Study of HX008 in Combination With Bevacizumab or Lenvatinib for the Treatment of Advanced Hepatocellular Carcinoma (HCC)

NCT ID: NCT04741165

Last Updated: 2021-02-05

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-07

Study Completion Date

2022-10-30

Brief Summary

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This is a multi-center,open-label study to evaluate the efficacy and safety of anti-PD-1 antibody HX008 plus bevacizumab or lenvatinib in the first-line treatment of patients with unresectable hepatocellular carcinoma.

Detailed Description

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Conditions

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Hepatocellular Carcinoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental: HX008+Bevacizumab

Participants receive HX008 200 mg intravenous (IV) every 3 weeks (Q3W) plus bevacizumab 15 mg/kg, IV, Q3W.

Group Type EXPERIMENTAL

HX008

Intervention Type DRUG

200 mg administered as IV infusion on Day 1 of each 21-day cycle.

Bevacizumab

Intervention Type DRUG

15 mg/kg administered as IV infusion on Day 1 of each 21-day cycle.

Experimental: HX008+Lenvatinib

Participants receive HX008 200 mg intravenous (IV) every 3 weeks (Q3W) plus lenvatinib 12 mg (for participants with screening body weight ≥60 kg) or 8 mg (for participants with screening body weight \<60 kg) orally once a day (QD).

Group Type EXPERIMENTAL

HX008

Intervention Type DRUG

200 mg administered as IV infusion on Day 1 of each 21-day cycle.

Lenvatinib

Intervention Type DRUG

Administered orally once a day during each 21-day cycle

Interventions

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HX008

200 mg administered as IV infusion on Day 1 of each 21-day cycle.

Intervention Type DRUG

Bevacizumab

15 mg/kg administered as IV infusion on Day 1 of each 21-day cycle.

Intervention Type DRUG

Lenvatinib

Administered orally once a day during each 21-day cycle

Intervention Type DRUG

Other Intervention Names

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AVASTIN® LENVIMA®

Eligibility Criteria

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Inclusion Criteria

* Understood and signed an informed consent form.
* Age ≥ 18 and ≤ 75 years old, male or female.
* Has histologically- or cytologically-confirmed diagnosis of unresectable hepatocellular carcinoma.
* Has Barcelona Clinic Liver Cancer (BCLC) Stage C disease, or BCLC Stage B disease not amenable to locoregional therapy or refractory to locoregional therapy, and not amenable to a curative treatment approach.
* Child-Pugh class A and B (≤7 points).
* Has not received any systematic treatment for HCC.
* Has a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Score.
* Life expectancy ≥ 3 months.
* Has at least one measurable disease based on RECIST 1.1.
* Has adequate organ function as defined in the protocol.
* Female participants of childbearing potential should have a negative pregnancy within 7 days before the randomization. Male and female participants should agree to use an adequate method of contraception during the experiment and 1 year after the last administration of the test drugs.

Exclusion Criteria

* Histologically or cytologically documented fibrolamellar hepatocellular carcinoma, sarcoma-like hepatocellular carcinoma, cholangiocarcinoma, etc.
* Diagnosed additional malignancy within 3 years prior to the first dose of trial, with the exception of curatively treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin,curatively resected in situ cervical or non-muscle invasive bladder cancers.
* Has received locoregional therapy or surgery within 4 weeks prior to the first dose of trial treatment; received palliative radiotherapy or herbal medicine within 2 weeks prior to the first dose of trial treatment;
* Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
* HBV-DNA\>2000 IU/mL or 10\^4 copy/mL; HCV-RNA\>10\^3 copy/mL.
* Has had esophageal or gastric variceal bleeding within the last 6 months.
* Portal vein tumor thrombus (PVTT) involves both the main trunk and contralateral branch or upper mesenteric vein. Inferior vena cava tumor thrombus.
* Other obvious hemorrhagic tendency or evidence on important coagulation disorder.
* Serious cardiovascular and cerebrovascular diseases.
* Inability to swallow tablets, malabsorption syndrome or any other condition that affects gastrointestinal absorption.
* Serious, uncured wound, active ulcer or untreated bone fracture.
* Uncontrolled pericardial effusion, uncontrolled pleural effusion or clinically obvious moderate peritoneal effusion at screening.
* Has active autoimmune disease that has required systemic treatment in past 2 years.
* Has received a major surgery within 4 weeks prior to the first dose of tiral treatment.
* Has received system treatment with corticosteroids (dose \>10mg/day prednison or other therapeutic hormones) within 2 weeks prior to the first dose of trial treatment.
* Has a history of non-infectious pneumonitis that required steroids or has current pneumonitis.
* Has known active tuberculosis (Bacillus tuberculosis)
* Has a history of testing positive for human immunodeficiency virus (HIV), or known acquired immunodeficiency syndrome (AIDS), or stem cell transplantation or organ transplantation.
* Co-infection of HBV and HCV.
* Any serious acute and chronic infection within 4 weeks prior to the first dose of trial treatment, or infection requiring systemic antibacterial, antifungal or antiviral therapy within 2 weeks prior to the first dose of trial treatment.
* Has participated in other anticancer drug clinical trials within 4 weeks.
* Has received a live vaccine within 30 days prior to the first dose of trial treatment.
* According to the judgement of the investigators, there are other factors that may lead to the termination of the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Taizhou Hanzhong biomedical co. LTD

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The Fist Affiliated Hospital of USTC(Anhui Provincial hospital)

Hefei, Anhui, China

Site Status NOT_YET_RECRUITING

Cancer Hospital, Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Site Status RECRUITING

Beijing Yuhe Integrated Traditional Chinese and Western Medicine Rehabilitation Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Cancer Hospital Chinese Academy of Medical Sciences, shenzhen center

Shenzhen, Guangdong, China

Site Status NOT_YET_RECRUITING

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, China

Site Status RECRUITING

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status NOT_YET_RECRUITING

Hunan Provincial People's Hospital

Changsha, Hunan, China

Site Status RECRUITING

The First Affiliated University of Nanhua University

Hengyang, Hunan, China

Site Status RECRUITING

The Sixth People's Hospital of Shenyang

Shenyang, Liaoning, China

Site Status RECRUITING

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Site Status NOT_YET_RECRUITING

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status NOT_YET_RECRUITING

Tianjin Cancer Hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

The Central Hospital of Lishui City

Lishui, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jianqiang Cai

Role: CONTACT

010-67781331

Facility Contacts

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Lianxin Liu

Role: primary

Jianqiang Cai

Role: primary

Lianhai Zhang

Role: primary

Che Xu

Role: primary

Yuxian Bai

Role: primary

Jufeng Wang

Role: primary

Xiaohai Mao

Role: primary

Wenxiang Dai

Role: primary

Wei Wu

Role: primary

Jing Lv

Role: primary

Bo Li

Role: primary

Tianqiang Song

Role: primary

Jianfei Tu

Role: primary

Other Identifiers

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HX008-II-HCC-01

Identifier Type: -

Identifier Source: org_study_id

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