QL1706 As Second-line Treatment in Patients with Advanced Hepatocellular Carcinoma

NCT ID: NCT06822985

Last Updated: 2025-02-12

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: PHASE1
• Total Enrollment: 21 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-02-01
• Study Completion Date: 2026-08-01

Brief Summary

This is a phase I trial to assess the safety and preliminary efficacy of QL1706 in Treating Advanced Hepatocellular Carcinoma Patients refractory to prior immunotherapy.

Detailed Description

Immune checkpoint inhibitors (ICIs) have produced encouraging results in patients with hepatocellular carcinoma (HCC). Nonetheless, single-agent ICIs are effective in only 15% to 20% of HCC patients. According to the phase 3 LEAP-002 trial, lenvatinib combined with pembrolizumab provides a limited survival advantage over lenvatinib. In China, local treatments combined with tyrosine kinase inhibitors (TKIs) and anti-PD-1 antibodies have been used as the first-line treatment of advanced HCC. However, due to the heterogeneity of cancer, patient responses to monotherapy or combination therapy vary considerably, and only some patients benefit from such therapy. Hence, there is an unmet need to investigate the appropriate treatment for the rapidly expanding group of patients with advanced HCC who had tumor progression on prior anti-PD-1 therapies. QL1706 (PSB205) is a single bifunctional MabPair (a novel technical platform) product consisting of two engineered monoclonal antibodies (anti-PD-1 IgG4 and anti-CTLA-4 IgG1), with a shorter elimination half-life (t1/2) for CTLA-4. The Single-arm, single-center study aims to evaluate the safety and efficacy of QL1706 in treating advanced HCC refractory to prior PD-1 immune checkpoint inhibitors.

Conditions

HCC - Hepatocellular Carcinoma

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Experimental: QL1706

Drug: QL1706

Group Type: EXPERIMENTAL

QL1706

Intervention Type: DRUG

Drug: QL1706 7.5 mg/kg administered as IV infusion on Day 1 of each 21-day cycle

Interventions

QL1706

Drug: QL1706 7.5 mg/kg administered as IV infusion on Day 1 of each 21-day cycle

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

1. Subjects participate voluntarily and sign informed consent.

2. 18 years ≤ age ≤ 75 years;

3. Child-Pugh liver function score ≤ 7;

4. ECOG PS 0-1;

5. No serious organic diseases of heart, lung, brain, kidney and other organs;

6. Enhanced MRI examination confirmed advanced hepatocellular carcinoma (CNLC stage II and above, Barcelona stage B and above);

7. Puncture biopsy confirming the pathologic type as hepatocellular carcinoma;

8. Disease progression after receiving first-line therapy(Progressed on/relapsed after at least one prior anti-PD-1 treatment).

Exclusion Criteria

1. Pregnant and lactating women;

2. Suffering from diseases that affect the absorption, distribution, metabolism or clearance of the study drug (e.g., severe vomiting, chronic diarrhea, intestinal obstruction, absorption disorders, etc.);

3. A history of gastrointestinal bleeding within the previous 4 weeks or a definite predisposition to gastrointestinal bleeding (e.g., known locally active ulcer lesions, fecal occult blood of ++ or more, or gastroscopy if persistent fecal occult blood of +) that has not been treated in a targeted manner, or any other condition that may have caused gastrointestinal bleeding (e.g., severe fundal/esophageal varices) as determined by the investigator;

4. Active infections, including: HIV (HIV1/2 antibody) positive; active hepatitis B (HBsAg positive and abnormal liver function); active hepatitis C (HCV antibody positive or HCV RNA ≥103 copies/ml and abnormal liver function); active tuberculosis; and other uncontrolled active infections (CTCAE V5.0 >2 level);

5. Other significant clinical and laboratory abnormalities that, in the opinion of the investigator, affect the safety evaluation, e.g., uncontrolled diabetes mellitus, immunodeficiency disorders, chronic kidney disease, grade II or higher peripheral neuropathy (CTCAE V5.0), and abnormal thyroid function;

6. Prior use of anti-CTLA-4 antibody drugs.

7. Inability to follow the study protocol to receive treatment or follow up as scheduled.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Qilu Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role: collaborator

Wan-Guang Zhang

OTHER

Sponsor Role: lead

Responsible Party

Wan-Guang Zhang

Professor

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China

Wuhan, Hubei, China

Countries

China

Central Contacts

WanGuang Zhang WanGuang Zhang

Role: CONTACT

wgzhang@tjh.tjmu.edu.cn

13886195965

Xiaoping Chen Xiaoping Chen

Role: CONTACT

chenxpchenxp@163.com

02783663400

Facility Contacts

WanGuang Zhang WanGuang Zhang

Role: primary

wgzhang@tjh.tjmu.edu.cn

13886195965

Xiaoping Chen Xiaoping Chen

Role: backup

chenxpchenxp@163.com

02783663400

Other Identifiers

QLMA-HCC-IIT-101

Identifier Type: -

Identifier Source: org_study_id