HAIC Combined With Lenvatinib and PD-1 Inhibitor in Infiltrative Hepatocellular Carcinoma

NCT ID: NCT06333561

Last Updated: 2025-02-06

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

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-01-01

Study Completion Date

2025-12-30

Brief Summary

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Hepatic arterial infusion chemotherapy (HAIC) plus lenvatinib and programmed cell death protein-1 (PD-1) inhibitor have shown promising results for advanced hepatocellular carcinoma (HCC). However, the evidence for infiltrative is limited. In this study, we aimed to describe the efficacy and safety of lenvatinib and PD-1 inhibitor with HAIC plus lenvatinib for infiltrative HCC.

Detailed Description

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This study is a multicenter, observational real-world study to explore the efficacy, safety of lenvatinib and PD-1 inhibitor with HAIC in advanced infiltrative hepatocellular carcinoma. This study focused on the management of locoregional therapy combined with lenvatinib and PD-1 inhibitor. This study will create a database that will provide clinical parameters and outcomes of patients undergoing HIAC combined lenvatinib and PD-1 inhibitor as standard of care in hopes of answering key clinical questions.

Conditions

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Hepatocellular Carcinoma Lenvatinib PD-1 Inhibitor Hepatic Arterial Infusion Chemotherapy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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HAIC+Len+PD-1 inhibitor group

HAIC combined with Lenatinib and PD-1 inhibitor group

Hepatic arterial infusion chemotherapy

Intervention Type PROCEDURE

Hepatic arterial infusion chemotherapy (HAIC) procedure was performed with FOLFOX regimen: 85 or 135 mg/m2 oxaliplatin from hour 0 to 2 on day 1400 mg/m2 leucovorin from hour 2 to 4 on day 1, and 400 mg/m2 fluorouracil bolus at hour 5 on the day 1; and 2400 mg/m2 fluorouracil over 46 h on days 1 and 2.

Lenvatinib

Intervention Type DRUG

12 mg (body weight ≥60 kg) , 8 mg (body weight \<60 kg) orally once a day

Tislelizumab

Intervention Type DRUG

200mg intravenously every 3 weeks

Toripalimab

Intervention Type DRUG

240mg intravenously every 3 weeks

Sintilimab

Intervention Type DRUG

200mg intravenously every 3 weeks

Camrelizumab

Intervention Type DRUG

200mg intravenously every 3 weeks

Len group

Lenvatinib alone

Lenvatinib

Intervention Type DRUG

12 mg (body weight ≥60 kg) , 8 mg (body weight \<60 kg) orally once a day

Interventions

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Hepatic arterial infusion chemotherapy

Hepatic arterial infusion chemotherapy (HAIC) procedure was performed with FOLFOX regimen: 85 or 135 mg/m2 oxaliplatin from hour 0 to 2 on day 1400 mg/m2 leucovorin from hour 2 to 4 on day 1, and 400 mg/m2 fluorouracil bolus at hour 5 on the day 1; and 2400 mg/m2 fluorouracil over 46 h on days 1 and 2.

Intervention Type PROCEDURE

Lenvatinib

12 mg (body weight ≥60 kg) , 8 mg (body weight \<60 kg) orally once a day

Intervention Type DRUG

Tislelizumab

200mg intravenously every 3 weeks

Intervention Type DRUG

Toripalimab

240mg intravenously every 3 weeks

Intervention Type DRUG

Sintilimab

200mg intravenously every 3 weeks

Intervention Type DRUG

Camrelizumab

200mg intravenously every 3 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. primary infiltrative HCC according to MRI or CT imaging characteristics.
2. Child-Pugh class A or B, and Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or 1.
3. Lenvatinib as initial treatment.
4. patients received HAIC and PD-1 inhibitor in HAIC+Len+PD-1 group, patients received Lenvatinib alone in Len group.
5. no history of other malignancies.
6. no tumor thrombus in the atrium or vena cava.

Exclusion Criteria

1. HCC with tumor capsule.
2. under 18 years or over 75 years.
3. TACE as initial treatment.
4. sorafenib or other systemic therapy with or without PD-1 inhibitor following HAIC.
5. incomplete tumor imaging data.
6. lost to follow-up after treatment within three months.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Zhou Qunfang

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Feng Duan, MD

Role: PRINCIPAL_INVESTIGATOR

Chinese PLA General Hospital

Locations

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Chinese PLA General hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Qunfang Zhou, MD

Role: CONTACT

86 19868000115

Feng Duan, MD

Role: CONTACT

86 13910984586

Facility Contacts

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Qunfang Zhou, Md

Role: primary

8619868000115

Feng Duan, MD

Role: backup

8613910984586

Other Identifiers

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Liver Project 7

Identifier Type: -

Identifier Source: org_study_id

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