Evaluation of the Interest to Combine a CD4 Th1-inducer Cancer Vaccine Derived From Telomerase and Atezolizumab Plus Bevacizumab in Unresectable Hepatocellular Carcinoma

NCT ID: NCT05528952

Last Updated: 2025-09-11

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

105 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-27

Study Completion Date

2030-02-27

Brief Summary

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The TERTIO trial will propose to determine the clinical interest and immunological efficacy of a treatment combining the CD4 helper T-inducer cancer anti-telomerase vaccine (UCPVax) with anti-PD-L1 therapy (atezolizumab) and bevacizumab in unresectable HCC by evaluation of the objective response rate at 6 months (randomized phase II, 10 centers, 105 patients)

Detailed Description

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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

NONE

Study Groups

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Experimental Arm (Arm A)

Atezolizumab + Bevacizumab + UCPVax

Group Type EXPERIMENTAL

Atezolizumab

Intervention Type DRUG

1200 mg IV every 3 weeks until disease progression or unacceptable toxicity

Bevacizumab

Intervention Type DRUG

15 mg/kg IV every 3 weeks until disease progression or unacceptable toxicity

UCPVax

Intervention Type DRUG

UCPVax vaccine (combined with Montanide ISA51 as adjuvant) at 0.5 mg subcutaneously

Control Arm (Arm B)

Atezoliumab + Bevacizumab

Group Type OTHER

Atezolizumab

Intervention Type DRUG

1200 mg IV every 3 weeks until disease progression or unacceptable toxicity

Bevacizumab

Intervention Type DRUG

15 mg/kg IV every 3 weeks until disease progression or unacceptable toxicity

Interventions

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Atezolizumab

1200 mg IV every 3 weeks until disease progression or unacceptable toxicity

Intervention Type DRUG

Bevacizumab

15 mg/kg IV every 3 weeks until disease progression or unacceptable toxicity

Intervention Type DRUG

UCPVax

UCPVax vaccine (combined with Montanide ISA51 as adjuvant) at 0.5 mg subcutaneously

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Signed informed consent
2. Histologically confirmed hepatocellular carcinoma
3. Locally advanced, metastatic, or unresectable disease
4. Patient who had not previously received systemic anti-cancer treatment
5. Age ≥ 18 years
6. Measurable disease defined according to mRECIST guidelines (Note: Previously irradiated lesions can be considered as measurable disease only if disease progression has been unequivocally documented at that site since radiation.)
7. Patients who have received previous chemoembolization, radioembolization and/or radiotherapy should have recovered from any treatment related toxicity, to a level of ≤ grade 1 (according to National Cancer Institute \[NCI\] common terminology criteria for adverse events, version 5 (CTCAE v5) with the exception of Grade 2 alopecia
8. Performance status \< 2
9. Child-Pugh Class A status
10. BCLC C stage or BCLC B stage not eligible to loco-regional therapy according to the Barcelona Clinic Liver Cancer (BCLC) staging system

Exclusion Criteria

Non-eligible to a clinical trial:

1. Patients previously exposed to anti-tumor immunotherapy as anti-PD-1, anti-PD-L1, or anti-CTLA4 agent or any immune therapy.
2. Diagnosis of additional malignancy within 3 years prior to the inclusion with the exception of curatively treated basal cell carcinoma of the skin and/or curatively resected in situ cervical or breast cancer
3. Patient with any medical or psychiatric condition or disease, which would make the patient inappropriate for entry into this study
4. Current participation in a study of an investigational agent or in the period of exclusion
5. Patient under guardianship, curatorship or under the protection of justice

6. Know fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC
7. Uncontrolled pleural effusion, pericardial effusion, ascites or symptomatic fistula
8. Uncontrolled tumor-related pain: exposing patients to risk of exposure to corticoids or iterative hospitalizations. Symptomatic lesions amenable to palliative radiotherapy should be treated prior to inclusion. Patients should be recovered from the effects of radiation. There is no required minimum recovery period
9. Known active central nervous system metastases and/or carcinomatous meningitis. Subject with previously treated brain metastases and with radiological and clinical stability are allowed

Non-eligible to treatment:
10. History of encephalopathy
11. Prior bleeding event due to untreated or incompletely treated esophageal and/or gastric varices within 6 months prior to randomization
12. Inadequate organ functions: known cardiac failure of unstable coronaropathy, respiratory failure, or uncontrolled infection or another life-risk condition
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GERCOR - Multidisciplinary Oncology Cooperative Group

OTHER

Sponsor Role collaborator

PRODIGE

UNKNOWN

Sponsor Role collaborator

Centre Hospitalier Universitaire de Besancon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU de Besançon

Besançon, , France

Site Status RECRUITING

CH William Morey

Chalon-sur-Saône, , France

Site Status RECRUITING

Hôpital Henri Mondor

Créteil, , France

Site Status RECRUITING

Centre Georges François Leclerc

Dijon, , France

Site Status RECRUITING

Hôpital Nord Franche-Comté

Montbéliard, , France

Site Status RECRUITING

CHU de Montpellier

Montpellier, , France

Site Status RECRUITING

CH de Mulhouse

Mulhouse, , France

Site Status RECRUITING

Institut de Cancérologie de l'Ouest

Nantes, , France

Site Status NOT_YET_RECRUITING

Centre Hospitalier Paris St Joseph

Paris, , France

Site Status NOT_YET_RECRUITING

Groupe Hospitalier Paris Salpetrière

Paris, , France

Site Status RECRUITING

Hôpital BEAUJON

Paris, , France

Site Status RECRUITING

Institut Mutualiste Montsouris

Paris, , France

Site Status RECRUITING

CHU de Poitiers

Poitiers, , France

Site Status NOT_YET_RECRUITING

Hôpital Paul Brousse

Villejuif, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Borg Christophe, Pr

Role: CONTACT

+33 3 81 47 99 99

Angélique VIENOT, Dr

Role: CONTACT

Facility Contacts

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Christophe BORG, Pr

Role: primary

Pierre Verdier-Davioud, Dr

Role: primary

Hélène REGNAULT, Dr

Role: primary

François GHIRINGHELLI, Pr

Role: primary

Serge FRATTE, Dr

Role: primary

Eric ASSENAT, Pr

Role: primary

Stephanie HUSSON-WETZEL, Dr

Role: primary

Amélie MALLET, Dr

Role: primary

Eric RAYMOND, Pr

Role: primary

Manon ALLAIRE, Dr

Role: primary

Mohamed BOUATTOUR, Dr

Role: primary

Emilie SOULARUE, Dr

Role: primary

Valentin ROLLE, Dr

Role: primary

Pascal HAMMEL, Dr

Role: primary

Olivier ROSMORDUC, Dr

Role: backup

References

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Vienot A, Jacquin M, Rebucci-Peixoto M, Pureur D, Ghiringhelli F, Assenat E, Hammel P, Rosmorduc O, Stouvenot M, Allaire M, Bouattour M, Regnault H, Fratte S, Raymond E, Soularue E, Husson-Wetzel S, Di Martino V, Muller A, Clairet AL, Fagnoni-Legat C, Adotevi O, Meurisse A, Vernerey D, Borg C. Evaluation of the interest to combine a CD4 Th1-inducer cancer vaccine derived from telomerase and atezolizumab plus bevacizumab in unresectable hepatocellular carcinoma: a randomized non-comparative phase II study (TERTIO - PRODIGE 82). BMC Cancer. 2023 Jul 29;23(1):710. doi: 10.1186/s12885-023-11065-0.

Reference Type BACKGROUND
PMID: 37516867 (View on PubMed)

Other Identifiers

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2022/680

Identifier Type: -

Identifier Source: org_study_id

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