Study to Evaluate Adverse Events, and Change in Disease Activity, When Intravenously (IV) Infused With Livmoniplimab in Combination With IV Infused Budigalimab in Adult Participants With Hepatocellular Carcinoma (HCC)

NCT ID: NCT05822752

Last Updated: 2025-08-14

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

PHASE2

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-21

Study Completion Date

2026-11-30

Brief Summary

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Hepatocellular carcinoma (HCC) is a common cancer worldwide and a leading cause of cancer-related death. The majority of participants first presenting with HCC have advanced unresectable or metastatic disease. The purpose of this study is to evaluate the optimized dose, adverse events, and efficacy of livmoniplimab in combination with budigalimab.

Livmoniplimab is an investigational drug being developed for the treatment of HCC. There are 3 treatment arms in this study and participants will be randomized in a 1:1:1 ratio. Participants will either receive livmoniplimab (at different doses) in combination with budigalimab (another investigational drug), lenvatinib, or sorafenib. Approximately 120 adult participants will be enrolled in the study across 60 sites worldwide.

In arm 1 (control), participants will receive the investigator's choice: lenvatinib as an oral capsule or sorafenib as an oral tablet, once daily. In arm 2, participants will receive intravenously (IV) infused livmoniplimab (dose A) in combination with IV infused budigalimab, every 3 weeks. In arm 3, participants will receive intravenously (IV) infused livmoniplimab (dose B) in combination with IV infused budigalimab, every 3 weeks. The estimated duration of the study is up to 2 years

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic and may require frequent medical assessments, blood tests, questionnaires, and scans.

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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Arm 1: Lenvatinib or Sorafenib

Participants will receive Lenvatinib or or Sorafenib, as part of an approximately 2 year treatment period.

Group Type ACTIVE_COMPARATOR

Lenvatinib

Intervention Type DRUG

Oral: Capsule

Sorafenib

Intervention Type DRUG

Oral: Tablet

Arm 2: Livmoniplimab Dose A + Budigalimab

Participants will receive Livmoniplimab Dose A in combination with budigalimab, as part of an approximately 2 year treatment period.

Group Type EXPERIMENTAL

Budigalimab

Intervention Type DRUG

Intravenous (IV) Infusion

Livmoniplimab

Intervention Type DRUG

Intravenous (IV) Infusion

Arm 3: Livmoniplimab Dose B + Budigalimab

Participants will receive Livmoniplimab Dose B in combination with budigalimab, as part of an approximately 2 year treatment period.

Group Type EXPERIMENTAL

Budigalimab

Intervention Type DRUG

Intravenous (IV) Infusion

Livmoniplimab

Intervention Type DRUG

Intravenous (IV) Infusion

Interventions

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Budigalimab

Intravenous (IV) Infusion

Intervention Type DRUG

Livmoniplimab

Intravenous (IV) Infusion

Intervention Type DRUG

Lenvatinib

Oral: Capsule

Intervention Type DRUG

Sorafenib

Oral: Tablet

Intervention Type DRUG

Other Intervention Names

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ABBV-181 ABBV-151

Eligibility Criteria

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Inclusion Criteria

* Child-Pugh A classification.
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1.
* Received an immune checkpoint inhibitor in first-line (1L) hepatocellular carcinoma (HCC) treatment regimen.
* Adequate hematologic and end-organ function.
* Tissue biopsy at screening.
* Disease that is not amenable to surgical and/or locoregional therapies, or progressive disease after surgical and /or locoregional therapies.

Exclusion Criteria

* Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases.
* Prior treatment with an approved tyrosine kinase inhibitor (for example sorafenib or Lenvatinib) in 1L HCC treatment regimen.
* History of malignancy other than hepatocellular carcinoma (HCC) within 5 years prior to screening.
* Hepatic encephalopathy or requirement for medications to prevent or control encephalopathy.
* Moderate or severe ascites requiring recurrent non-pharmacologic intervention to maintain symptomatic control.
* Coinfection with active HBV infection and active HCV infection.
* Prior history of grade 3 or higher immune-mediated adverse event or discontinuation due to immune-mediated adverse events.
* Prior history of recurrent grade 2 or higher interstitial lung disease/pneumonitis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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Arizona Oncology Associates, PC - NAHOA Prescott Valley /ID# 254313

Prescott Valley, Arizona, United States

Site Status

Highlands Oncology Group, PA /ID# 253158

Springdale, Arkansas, United States

Site Status

University of California, Los Angeles /ID# 253292

Los Angeles, California, United States

Site Status

UC Irvine /ID# 252707

Orange, California, United States

Site Status

California Pacific Medical Center - San Francisco - Webster Street /ID# 253291

San Francisco, California, United States

Site Status

Rocky Mountain Cancer Centers - Denver Midtwon /ID# 254163

Denver, Colorado, United States

Site Status

AdventHealth Orlando /ID# 252865

Orlando, Florida, United States

Site Status

The University of Chicago Medical Center /ID# 252870

Chicago, Illinois, United States

Site Status

Hematology/Oncology Clinic /ID# 253851

Baton Rouge, Louisiana, United States

Site Status

Dana-Farber Cancer Institute /ID# 252696

Boston, Massachusetts, United States

Site Status

Henry Ford Hospital /ID# 253342

Detroit, Michigan, United States

Site Status

Washington University-School of Medicine /ID# 252698

St Louis, Missouri, United States

Site Status

NYU Langone - Laura and Isaac Perlmutter Cancer Center /ID# 252708

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center-Koch Center /ID# 252705

New York, New York, United States

Site Status

Messino Cancer Center - Asheville /ID# 253888

Asheville, North Carolina, United States

Site Status

University of North Carolina /ID# 252739

Chapel Hill, North Carolina, United States

Site Status

Lifespan Cancer Institute at Rhode Island Hospital /ID# 252699

Providence, Rhode Island, United States

Site Status

Duplicate_Texas Oncology - Medical City Dallas /ID# 254164

Dallas, Texas, United States

Site Status

Texas Oncology- Baylor Charles A. Sammons Cancer Center /ID# 252770

Dallas, Texas, United States

Site Status

Texas Oncology - Northeast Texas /ID# 254184

Tyler, Texas, United States

Site Status

Centre Hospitalier Universitaire de Bordeaux /ID# 252749

Pessac, Gironde, France

Site Status

CHU Montpellier - Hopital Saint Eloi /ID# 252760

Montpellier, Herault, France

Site Status

CHU Grenoble - Hopital Michallon /ID# 252755

La Tronche, Isere, France

Site Status

CHRU Lille - Hopital Claude Huriez /ID# 252748

Lille, Nord, France

Site Status

AP-HP - Hopital Paul-Brousse /ID# 253646

Villejuif, , France

Site Status

Hopital Beaujon /ID# 252758

Clichy, Île-de-France Region, France

Site Status

Azienda Ospedaliero Universitaria Careggi /ID# 254444

Florence, Firenze, Italy

Site Status

IRCCS Ospedale San Raffaele /ID# 252910

Milan, Milano, Italy

Site Status

P.O. Ospedale del Mare /ID# 253140

Naples, Napoli, Italy

Site Status

IRCCS AOU di Bologna Policlinico Sant Orsola Malpighi /ID# 253247

Bologna, , Italy

Site Status

Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone /ID# 253142

Palermo, , Italy

Site Status

Fondazione Policlinico Universitario Campus Bio-Medico /ID# 253141

Roma, , Italy

Site Status

Chiba University Hospital /ID# 255190

Chiba, Chiba, Japan

Site Status

National Cancer Center Hospital East /ID# 253419

Kashiwa-shi, Chiba, Japan

Site Status

Kanazawa University Hospital /ID# 254861

Kanazawa, Ishikawa-ken, Japan

Site Status

Yokohama City University Medical Center /ID# 255790

Yokohama, Kanagawa, Japan

Site Status

Kindai University Hospital /ID# 255106

Osakasayama-shi, Osaka, Japan

Site Status

CHA Bundang Medical Center /ID# 253054

Seongnam, Gyeonggido, South Korea

Site Status

Seoul National University Bundang Hospital /ID# 253412

Seongnam-si, Gyeonggido, South Korea

Site Status

Chonnam National University Hwasun Hospital /ID# 253133

Hwasun-gun, Jeonranamdo, South Korea

Site Status

Asan Medical Center /ID# 253044

Seoul, Seoul Teugbyeolsi, South Korea

Site Status

Samsung Medical Center /ID# 253411

Seoul, Seoul Teugbyeolsi, South Korea

Site Status

Hospital Universitario Marques de Valdecilla /ID# 253059

Santander, Cantabria, Spain

Site Status

Hospital Universitario Reina Sofia /ID# 253083

Córdoba, Cordoba, Spain

Site Status

Hospital Universitario Puerta de Hierro - Majadahonda /ID# 253078

Majadahonda, Madrid, Spain

Site Status

Clinica Universidad de Navarra - Pamplona /ID# 253073

Pamplona, Navarre, Spain

Site Status

Hospital Universitario Vall d'Hebron /ID# 253063

Barcelona, , Spain

Site Status

CLINICA UNIVERSIDAD DE NAVARRA-Madrid /ID# 254840

Madrid, , Spain

Site Status

Hospital Universitario Virgen del Rocio /ID# 253074

Seville, , Spain

Site Status

Hospital Universitario Miguel Servet /ID# 253071

Zaragoza, , Spain

Site Status

E-DA Cancer Hospital /ID# 260881

Kaohsiung City, Kaohsiung, Taiwan

Site Status

Kaohsiung Chang Gung Memorial Hospital /ID# 253675

Kaohsiung City, Kaohsiung, Taiwan

Site Status

National Taiwan University Hospital /ID# 253449

Taipei City, Taipei, Taiwan

Site Status

Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 253451

Kaohsiung City, , Taiwan

Site Status

China Medical University Hospital /ID# 253453

Taichung, , Taiwan

Site Status

Taichung Veterans General Hospital /ID# 253452

Taichung, , Taiwan

Site Status

National Cheng Kung University Hospital /ID# 253676

Tainan City, , Taiwan

Site Status

Taipei Veterans General Hosp /ID# 253450

Taipei, , Taiwan

Site Status

Linkou Chang Gung Memorial Hospital /ID# 253674

Taoyuan, , Taiwan

Site Status

Countries

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United States France Italy Japan South Korea Spain Taiwan

Related Links

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Other Identifiers

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2022-502948-13-00

Identifier Type: OTHER

Identifier Source: secondary_id

M24-147

Identifier Type: -

Identifier Source: org_study_id

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