Trial Outcomes & Findings for Organ-specific Responses to Atezolizumab Plus Bevacizumab in Advanced HCC (NCT NCT04862949)

NCT ID: NCT04862949

Last Updated: 2025-12-12

Results Overview

Organ-specific response will be assessed at the lesion level according to RECIST 1.1 criteria. Up to two target lesions per organ (maximum of five total lesions per patient) will be selected and measured unidimensionally. Complete response (CR) is defined as disappearance of the lesion or lymph node short axis diameter \<1.0 cm. Partial response (PR) is defined as ≥30% reduction in lesion size. Progressive disease (PD) is defined as ≥20% increase in lesion size. Stable disease (SD) is defined as neither CR, PR, nor PD. New lesions are recorded in addition to original target lesions to determine the total tumor burden.

Recruitment status

COMPLETED

Target enrollment

131 participants

Primary outcome timeframe

From treatment initiation until last follow-up (median 10.1 months)

Results posted on

2025-12-12

Participant Flow

Participant milestones

Participant milestones
Measure
Atezolizumab Plus Bevacizumab
Atezolizumab plus bevacizumab Atezolizumab plus bevacizumab: Atezolizumab plus bevacizumab
Overall Study
STARTED
131
Overall Study
COMPLETED
131
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Organ-specific Responses to Atezolizumab Plus Bevacizumab in Advanced HCC

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Atezolizumab Plus Bevacizumab
n=131 Participants
Atezolizumab plus bevacizumab Atezolizumab plus bevacizumab: Atezolizumab plus bevacizumab
Age, Continuous
Age
62 years
n=26 Participants
Sex: Female, Male
Female
21 Participants
n=26 Participants
Sex: Female, Male
Male
110 Participants
n=26 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=26 Participants
Race (NIH/OMB)
Asian
0 Participants
n=26 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=26 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=26 Participants
Race (NIH/OMB)
White
0 Participants
n=26 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=26 Participants
Race (NIH/OMB)
Unknown or Not Reported
131 Participants
n=26 Participants
Region of Enrollment
South Korea
124 participants
n=26 Participants
Region of Enrollment
Hong Kong
7 participants
n=26 Participants

PRIMARY outcome

Timeframe: From treatment initiation until last follow-up (median 10.1 months)

Population: Organ-specific responses were assessed for 260 individual tumor lesions from 131 participants who received atezolizumab plus bevacizumab: 152 liver lesions, 42 lymph node lesions, 24 lung lesions, and 42 other metastatic lesions were evaluated.

Organ-specific response will be assessed at the lesion level according to RECIST 1.1 criteria. Up to two target lesions per organ (maximum of five total lesions per patient) will be selected and measured unidimensionally. Complete response (CR) is defined as disappearance of the lesion or lymph node short axis diameter \<1.0 cm. Partial response (PR) is defined as ≥30% reduction in lesion size. Progressive disease (PD) is defined as ≥20% increase in lesion size. Stable disease (SD) is defined as neither CR, PR, nor PD. New lesions are recorded in addition to original target lesions to determine the total tumor burden.

Outcome measures

Outcome measures
Measure
Atezolizumab Plus Bevacizumab
n=260 lesion
Atezolizumab plus bevacizumab Atezolizumab plus bevacizumab: Atezolizumab plus bevacizumab
Percentage of Lesions With Organ-specific Response
ORR for 260 individual tumor lesions
29.8 Percentage of Units (lesions)
Percentage of Lesions With Organ-specific Response
ORR for 152 liver lesions
28.3 Percentage of Units (lesions)
Percentage of Lesions With Organ-specific Response
ORR for 42 LNs lesions
40.5 Percentage of Units (lesions)
Percentage of Lesions With Organ-specific Response
ORR for 24 lungs lesions
29.1 Percentage of Units (lesions)
Percentage of Lesions With Organ-specific Response
ORR for other metastatic lesions
19.0 Percentage of Units (lesions)

Adverse Events

Atezolizumab Plus Bevacizumab

Serious events: 16 serious events
Other events: 108 other events
Deaths: 57 deaths

Serious adverse events

Serious adverse events
Measure
Atezolizumab Plus Bevacizumab
n=131 participants at risk
Atezolizumab plus bevacizumab Atezolizumab plus bevacizumab: Atezolizumab plus bevacizumab
Gastrointestinal disorders
Gastrointestinal bleeding (Grade ≥3)
4.6%
6/131 • Number of events 6 • From treatment initiation until last follow-up (median 10.1 months)
Adverse events were collected from the start of treatment until last follow-up, and were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0
Renal and urinary disorders
Proteinuria (Grade ≥3)
2.3%
3/131 • Number of events 3 • From treatment initiation until last follow-up (median 10.1 months)
Adverse events were collected from the start of treatment until last follow-up, and were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0
Vascular disorders
Hypertension (Grade ≥3)
2.3%
3/131 • Number of events 3 • From treatment initiation until last follow-up (median 10.1 months)
Adverse events were collected from the start of treatment until last follow-up, and were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0
General disorders
Other treatment-related SAEs
3.1%
4/131 • Number of events 4 • From treatment initiation until last follow-up (median 10.1 months)
Adverse events were collected from the start of treatment until last follow-up, and were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0

Other adverse events

Other adverse events
Measure
Atezolizumab Plus Bevacizumab
n=131 participants at risk
Atezolizumab plus bevacizumab Atezolizumab plus bevacizumab: Atezolizumab plus bevacizumab
Renal and urinary disorders
Proteinuria
11.5%
15/131 • Number of events 15 • From treatment initiation until last follow-up (median 10.1 months)
Adverse events were collected from the start of treatment until last follow-up, and were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0
General disorders
Fatigue
19.8%
26/131 • Number of events 26 • From treatment initiation until last follow-up (median 10.1 months)
Adverse events were collected from the start of treatment until last follow-up, and were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0
Metabolism and nutrition disorders
Decreased appetite
15.3%
20/131 • Number of events 20 • From treatment initiation until last follow-up (median 10.1 months)
Adverse events were collected from the start of treatment until last follow-up, and were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0
Gastrointestinal disorders
Diarrhea
12.2%
16/131 • Number of events 16 • From treatment initiation until last follow-up (median 10.1 months)
Adverse events were collected from the start of treatment until last follow-up, and were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0
Skin and subcutaneous tissue disorders
Rash
9.9%
13/131 • Number of events 13 • From treatment initiation until last follow-up (median 10.1 months)
Adverse events were collected from the start of treatment until last follow-up, and were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0
Skin and subcutaneous tissue disorders
Pruritus
9.2%
12/131 • Number of events 12 • From treatment initiation until last follow-up (median 10.1 months)
Adverse events were collected from the start of treatment until last follow-up, and were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0
Vascular disorders
Hypertension
13.7%
18/131 • Number of events 18 • From treatment initiation until last follow-up (median 10.1 months)
Adverse events were collected from the start of treatment until last follow-up, and were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0

Additional Information

Hong Jae Chon

CHA Bundang Medical Center

Phone: 82-31-780-3928

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place