HAIC in Combination with PD-1 Inhibitors and Lenvatinib for High Tumor Burden Advanced HCC (CHANCE2416)

NCT ID: NCT06631326

Last Updated: 2024-12-12

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

228 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-09-16

Study Completion Date

2025-12-30

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of hepatic arterial infusion chemotherapy (HAIC) in combination with PD-1 inhibitors and Lenvatinib in patients with high tumor burden advanced-stage hepatocellular carcinoma (HCC) with portal vein tumor thrombus (PVTT).

Detailed Description

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Conditions

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HCC - Hepatocellular Carcinoma Hepatic Arterial Infusion Chemotherapy BCLC Stage C Hepatocellular Carcinoma Lenvatinib PD-1 Inhibitors

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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HAIC plus Lenvatinib and PD-1 inhibitors

Each patient should receive at least 2 cycles of HAIC, 2 cycles of PD-1inhibitors and take at least 2 months of Lenvatinib. The interval between HAIC and Lenvatinib plus PD-1 inhibitors should be within 2 months.

hepatic artery infusion chemotherapy

Intervention Type PROCEDURE

Hepatic arterial infusion chemotherapy including FOLFOX and RALOX

Lenvatinib + PD-1 monoclonal antibody

Intervention Type DRUG

PD-1 inhibitors including Camrelizumab, Sintilimab, Tislelizumab

Lenvatinib plus PD-1 inhibitors

Each patient should receive at least 2 cycles of PD-1 inhibitors and 2 months of Lenvatinib.

Lenvatinib + PD-1 monoclonal antibody

Intervention Type DRUG

PD-1 inhibitors including Camrelizumab, Sintilimab, Tislelizumab

Interventions

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hepatic artery infusion chemotherapy

Hepatic arterial infusion chemotherapy including FOLFOX and RALOX

Intervention Type PROCEDURE

Lenvatinib + PD-1 monoclonal antibody

PD-1 inhibitors including Camrelizumab, Sintilimab, Tislelizumab

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age 18 to 80 years old;
2. Diagnosis of HCC was confirmed by histologic or cytologic analysis or clinical features according to the American Association for the Study of Liver Diseases (AASLD) guideline;
3. At least one measurable intrahepatic lesion as per the RECIST 1.1 criteria;
4. HCC staging of the patients are consistent with both the BCLC stage C and the CNLC stage IIIa.
5. Presence of PVTT;
6. Patients received a first-line lenvatinib+PD-1 (L+P) inhibitors combination or that of HAIC+lenvatinib+PD-1 inhibitors (H+L+P). More specifically, the administration of lenvatinib was concomitant with PD-1 inhibitors, and HAIC was performed either concurrently with, or up to 2 months before or after the L+P inhibitors combination therapy. Patients in the H+L+P group should undergo at least 2 cycles of HAIC, receive at least 2 cycles of PD-1 inhibiors and take at least 2 months of lenvatinib. Patients in the L+P group should receive at least 2 cycles of PD-1 inhibiors, and take at least 2 months of lenvatinib.
7. Child-Pugh class A or B7;
8. Tumor burden meets up to 7 out criteria.

Exclusion Criteria

1. Patients who took anti-tumor treatments before the combination therapy;
2. With other malignant tumors;
3. incomplete data.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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First Hospital of China Medical University

OTHER

Sponsor Role lead

Responsible Party

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Haibo Shao

Professor, MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Haibo Shao

Role: PRINCIPAL_INVESTIGATOR

First Hospital of China Medical University

Locations

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The first hospital of China medical university

Shenyang, Liaoning, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jiaxi Liu

Role: CONTACT

Phone: +8618940279150

Email: [email protected]

Facility Contacts

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Haibo Shao

Role: primary

References

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Liu J, Zhang S, Shao H. Hepatic arterial infusion chemotherapy plus lenvatinib and PD-1 inhibitors versus lenvatinib plus PD-1 inhibitors as first-line treatment for hepatocellular carcinoma with high tumour burden and portal vein tumour thrombus (CHANCE 2416): study protocol of a multicentre, retrospective, target trial emulation design. BMJ Open. 2025 Sep 9;15(9):e099510. doi: 10.1136/bmjopen-2025-099510.

Reference Type DERIVED
PMID: 40930561 (View on PubMed)

Other Identifiers

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CHANCE2416

Identifier Type: -

Identifier Source: org_study_id