Neoadjuvant Triple Therapy for Resectable HCC

NCT ID: NCT06569498

Last Updated: 2024-10-15

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

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-09-30

Study Completion Date

2026-12-01

Brief Summary

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This study is a single-arm, multi-center, prospective phase II trial aimed at evaluating the efficacy and safety of neoadjuvant therapy with transarterial chemoembolization (TACE) combined with lenvatinib and camrelizumab (triple therapy) in patients with resectable hepatocellular carcinoma (HCC). The study plans to enroll 20 patients. The primary endpoints are major pathological response (MPR) rate and safety, while the secondary endpoints are recurrence-free survival (RFS), objective response rate (ORR), R0 resection rate, and overall survival (OS).

Detailed Description

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Conditions

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Resectable Hepatocellular Carcinoma

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

1. Voluntarily join the study and sign the informed consent form.
2. Male or female patients aged between 18 and 75 years.
3. Child-Pugh class A.
4. Indocyanine green 15-minute retention rate (ICGR-15) \< 15%.
5. ECOG performance status 0-1.
6. Diagnosed with hepatocellular carcinoma (HCC) according to the "Guidelines for Diagnosis and Treatment of Primary Liver Cancer (2022 Edition)."
7. BCLC stage A or B, with a single tumor larger than 5 cm or multiple tumors, and considered surgically resectable after multidisciplinary discussion.
8. According to RECIST 1.1 criteria, the patient has at least one measurable lesion (a measurable lesion with a long diameter ≥ 10 mm on CT/MRI scan, and the measurable lesion has not received local treatments such as radiotherapy or cryotherapy).
9. Blood routine: absolute neutrophil count ≥ 1.5 × 10\^9/L, Hb ≥ 8.5 g/L, PLT ≥ 75 × 10\^9/L.
10. No history of severe arrhythmia, heart failure, severe pulmonary ventilation disorders, or severe lung infections; no acute or chronic renal failure, and creatinine clearance rate \> 40 mL/min.
11. Women of childbearing potential must agree to use contraception during the medication period and for 6 months after the end of medication; have a negative serum or urine pregnancy test within 7 days prior to enrollment, and must not be breastfeeding. Men must agree to use contraception during the study period and for 6 months after the end of the study.

Exclusion Criteria

1. Tumor rupture with bleeding or suspected abdominal cavity metastasis.
2. Previous treatment with any antitumor therapies before enrollment, such as targeted drugs, PD-1/PD-L1/CTLA-4 monoclonal antibodies, surgery, TACE, FOLFOX systemic chemotherapy, radiotherapy, and Huaier granules.
3. History of allergy to lenvatinib, cadonilimab, or their components.
4. Presence of any active autoimmune disease or a history of autoimmune disease with expected recurrence (e.g., interstitial pneumonia, colitis, hepatitis, hypophysitis, vasculitis, nephritis, hyperthyroidism, hypothyroidism, including but not limited to these diseases and syndromes); hypothyroidism treated with stable doses of thyroid replacement hormone; type 1 diabetes mellitus treated with stable doses of insulin; excluding patients with vitiligo or childhood asthma/allergies that have resolved and require no intervention in adulthood.
5. History of immunodeficiency; patients using immunosuppressive drugs or systemic corticosteroids for immunosuppressive purposes and who have continued using them within 2 weeks before signing the informed consent form.
6. Known hereditary or acquired bleeding (e.g., coagulopathy) or thrombotic tendency, such as hemophilia; currently receiving or recently (within 10 days before the start of study treatment) receiving full-dose oral or injectable anticoagulants or thrombolytics for therapeutic purposes (prophylactic use of low-dose aspirin and low-molecular-weight heparin is allowed).
7. Severe infection within 4 weeks before the first use of the study drug (CTC AE grade \> 2), such as severe pneumonia requiring hospitalization, bacteremia, or infection complications; baseline chest imaging indicating active lung inflammation; symptoms and signs of infection within 2 weeks before the first use of the study drug or requiring oral or intravenous antibiotic treatment (excluding prophylactic antibiotic use).
8. Urinalysis indicating proteinuria ≥ 1+; if so, a 24-hour urine protein test is required; patients with 24-hour urine protein ≥ 1 g.
9. History of other malignancies within the past 5 years or concurrently, except for cured basal cell carcinoma of the skin, cervical carcinoma in situ, and papillary thyroid carcinoma.
10. Patients with concomitant psychiatric disorders; history of substance abuse, alcohol, or drug addiction.
11. Pregnant or breastfeeding women.
12. Patients with significant surgical contraindications, such as renal and cardiopulmonary insufficiency, as judged by the investigator, or any other reasons deemed unsuitable for participation in this trial by the investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fujian Provincial Hospital

OTHER

Sponsor Role lead

Responsible Party

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Mao-Lin Yan

Department of Hepatobiliary Pancreatic Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Fujian provincial hospital

Fuzhou, Fujian, China

Site Status RECRUITING

First Affiliated Hospital of Fujian Medical University

Fuzhou, Fujian, China

Site Status NOT_YET_RECRUITING

Mengchao Hepatobiliary Hospital of Fujian Medical University

Fuzhou, Fujian, China

Site Status NOT_YET_RECRUITING

Zhongshan Hospital of Xiamen University

Xiamen, Fujian, China

Site Status NOT_YET_RECRUITING

First Affiliated Hospital of Xiamen University

Xiamen, Fujian, China

Site Status NOT_YET_RECRUITING

Zhangzhou Affiliated Hospital of Fujian Medical University

Zhangzhou, Fujian, China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Mao-Lin Yan

Role: CONTACT

0591-88217140

Facility Contacts

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Mao-Lin Yan

Role: primary

0591-88217140

Zhi-Bo Zhang

Role: primary

13960986516

Yong-Yi Zeng

Role: primary

13805083802

Jian-Yin Zhou

Role: primary

13606097132

Bin Li

Role: primary

15259277788

Yu-Feng Chen

Role: primary

18906963008

Other Identifiers

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TALENP001

Identifier Type: -

Identifier Source: org_study_id

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