A US Study to Evaluate Transarterial Radioembolization (TARE) in Combination With Durvalumab and Bevacizumab Therapy in People With Unresectable Hepatocellular Carcinoma Amenable to TARE

NCT ID: NCT06040099

Last Updated: 2025-11-06

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-13

Study Completion Date

2026-10-23

Brief Summary

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The purpose of this study is to measure the efficacy and safety of durvalumab intravenous (IV) solution plus bevacizumab IV solution after transarterial radioembolization (Yttrium 90 glass microspheres TARE) in participants with unresectable hepatocellular carcinoma (HCC) amenable to embolization.

Detailed Description

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A Phase II single-arm study conducted in participants with unresectable Hepatocellular carcinoma (HCC) eligible for embolization and not eligible for or who have declined treatment with resection and/or ablation or liver transplant.

Participants with previous Transarterial Chemoembolization (TACE) or TARE associated with the curative setting are permitted with a 6-month washout.

Approximately 120 participants with unresectable but amenable to locoregional therapy HCC eligible for embolization will be screened in the study at approximately 20 sites in the US to enroll approximately 60 participants.

Conditions

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Hepatocellular Carcinoma (HCC)

Keywords

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TARE Durvalumab Bevacizumab Liver Cancer Y90

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Yttrium 90 glass microspheres TARE in combination with Durvalumab and Bevacizumab

Participants will undergo Yttrium 90 glass microspheres TARE according to the dosimetry recommendation.

Group Type EXPERIMENTAL

Durvalumab

Intervention Type DRUG

Durvalumab IV (intravenous)

Bevacizumab

Intervention Type DRUG

Bevacizumab IV (intravenous)

Transarterial Radioembolization (TARE)

Intervention Type PROCEDURE

Yttrium 90 glass microspheres will be administered

Interventions

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Durvalumab

Durvalumab IV (intravenous)

Intervention Type DRUG

Bevacizumab

Bevacizumab IV (intravenous)

Intervention Type DRUG

Transarterial Radioembolization (TARE)

Yttrium 90 glass microspheres will be administered

Intervention Type PROCEDURE

Other Intervention Names

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MEDI4736, IMFINZI AVASTIN, ZIRABEV TheraSphere

Eligibility Criteria

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Inclusion Criteria

* Participants with confirmed unresectable HCC
* Participants with Lung dose threshold for Yttrium 90 glass microspheres of 30 Gy (equal or less than 30 Gy per treatment for glass) and an estimated Future liver remnant volume (FLRV) ≥ 30% of whole liver volume.
* Participants with more than 1 prior embolization are permitted if more than 12 months ago, for a different primary lesion, and FLR \> 30%.
* Participants with no evidence of extrahepatic disease on any available imaging
* Participants with one or more measurable lesions, unilobar disease for participants with segmental or right anterior/posterior portal vein invasion (Vp1/Vp2) and eligible for Yttrium 90 glass microspheres TARE.
* Participants having Child-Pugh score class A.
* Participants having ECOG performance status of 0 or 1 at enrollment
* Adequate organ and marrow function

Exclusion Criteria

* Disease amenable to curative surgery, ablation or transplantation. Transplant patients are considered eligible if outside of Milan criteria and not currently listed for transplant.
* Participants co-infected with HBV and HDV
* Any history of nephrotic or nephritic syndrome.
* Clinically significant (eg, active) cardiovascular disease
* Participants with uncontrolled hypertension
* History of hepatic encephalopathy
* Known hereditary predisposition to bleeding or thrombosis; any prior or current evidence of bleeding diathesis.
* Receipt of more than 1 prior embolization (TACE or TARE) treatment/procedure
* Participant has received any prior anticancer systemic therapy for unresectable HCC.
* History of arterial thrombotic event, including myocardial infarction, unstable angina, cerebrovascular accident, or transient ischemic attack, within 6 months prior to enrollment.
* History of abdominal fistula or gastrointestinal (GI) perforation, non-healed gastric ulcer that is refractory to treatment, or active GI bleeding within 6 months prior to enrollment
Minimum Eligible Age

18 Years

Maximum Eligible Age

130 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

Locations

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Research Site

Aurora, Colorado, United States

Site Status RECRUITING

Research Site

Gainesville, Florida, United States

Site Status COMPLETED

Research Site

Miami, Florida, United States

Site Status WITHDRAWN

Research Site

Miami, Florida, United States

Site Status WITHDRAWN

Research Site

Orlando, Florida, United States

Site Status RECRUITING

Research Site

Atlanta, Georgia, United States

Site Status RECRUITING

Research Site

Atlanta, Georgia, United States

Site Status RECRUITING

Research Site

Chicago, Illinois, United States

Site Status RECRUITING

Research Site

Boston, Massachusetts, United States

Site Status RECRUITING

Research Site

Detroit, Michigan, United States

Site Status RECRUITING

Research Site

St Louis, Missouri, United States

Site Status RECRUITING

Research Site

Trenton, New Jersey, United States

Site Status RECRUITING

Research Site

Buffalo, New York, United States

Site Status RECRUITING

Research Site

New York, New York, United States

Site Status RECRUITING

Research Site

Rochester, New York, United States

Site Status WITHDRAWN

Research Site

Chapel Hill, North Carolina, United States

Site Status RECRUITING

Research Site

Columbus, Ohio, United States

Site Status RECRUITING

Research Site

Portland, Oregon, United States

Site Status RECRUITING

Research Site

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Research Site

Houston, Texas, United States

Site Status RECRUITING

Research Site

Charlottesville, Virginia, United States

Site Status RECRUITING

Research Site

Fairfax, Virginia, United States

Site Status WITHDRAWN

Research Site

Seattle, Washington, United States

Site Status RECRUITING

Research Site

Milwaukee, Wisconsin, United States

Site Status RECRUITING

Research Site

Milwaukee, Wisconsin, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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AstraZeneca Clinical Study Information Center

Role: CONTACT

Phone: 1-877-240-9479

Email: [email protected]

Other Identifiers

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D933GC00002

Identifier Type: -

Identifier Source: org_study_id