A Phase II Clinical Study of AK104/AK112 in Combination With TT-00420 Tablet for Advanced HCC.
NCT ID: NCT07052253
Last Updated: 2025-07-04
Study Results
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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NOT_YET_RECRUITING
PHASE2
100 participants
INTERVENTIONAL
2025-07-25
2027-12-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Cohort 1(Safety Lead-In Phase)
AK104 10mg/kg Q3W+TT-00420 10mg PO QD (n=3-6)
TT-00420 (tinengotinib)
oral
AK104
intravenous
Cohort 2(Safety Lead-In Phase)
AK112 20mg/kg Q3W + TT-00420 10mg PO QD(n=3-6)
TT-00420 (tinengotinib)
oral
AK112
intravenous
Cohort A(Expansion Cohort Phase)
AK104 10mg/kg Q3W + TT-00420 10mg PO QD(n=20-30)
TT-00420 (tinengotinib)
oral
AK104
intravenous
Cohort B(Expansion Cohort Phase)
AK112 20mg/kg Q3W + TT-00420 10mg PO QD(n=20-30)
TT-00420 (tinengotinib)
oral
AK112
intravenous
Cohort C(Expansion Cohort Phase)
TT-00420 10mg PO QD(n=20-30)
TT-00420 (tinengotinib)
oral
Interventions
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TT-00420 (tinengotinib)
oral
AK104
intravenous
AK112
intravenous
Eligibility Criteria
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Inclusion Criteria
2. Histologically or cytologically confirmed hepatocellular carcinoma, or meets the clinical diagnostic criteria for hepatocellular carcinoma.
3. Barcelona Clinic Liver Cancer (BCLC) stage C; or stage B and assessed by the investigator as unsuitable for curative topical treatment.
4. For cohorts A and B: No prior systemic anti-cancer treatment for hepatocellular carcinoma.
5. At least one measurable lesion according to RECIST v1.1 criteria.
6. Child-Pugh liver function score ≤7. ECOG performance status of 0 or 1.
7. Clinically controllable HBV or HCV infection.
8. Adequate organ and bone marrow function.
Exclusion Criteria
2. Diagnosed with another malignancy within 3 years.
3. History of hepatic encephalopathy.
4. Presence of clinically significant pericardial effusion; symptomatic pleural effusion requiring drainage or moderate to severe ascites uncontrolled by diuretics.
5. Concurrent infection with HBV and HCV.
6. Presence of central nervous system metastases or meningeal metastases.
7. Esophageal or gastric variceal bleeding within 6 months. Imaging (CT or MRI) shows extrahepatic metastasis invading major blood vessels or indistinct vascular boundaries, with high bleeding risk assessed by the researcher.
8. Liver tumor volume exceeding 50% of total liver volume; portal vein main trunk tumor thrombus or tumor thrombus in contralateral main branch of the portal vein, or mesenteric vein tumor thrombus; presence of inferior vena cava thrombus or involvement of the heart.
9. Received topical treatment for liver cancer, any systemic anti-tumor drugs, or other clinical trial drugs within 4 weeks prior to the first administration.
10. Unable to swallow, or has severe gastrointestinal disease or gastrointestinal dysfunction. History of intestinal obstruction or intestinal perforation within 6 months.
11. Uncontrolled hypertension, symptomatic heart failure, symptomatic or poorly controlled arrhythmia, myocarditis, cardiomyopathy, history of malignant arrhythmias.
12. Participants with severe bleeding tendencies or coagulation disorders.
13. Active pulmonary tuberculosis, active syphilis, or history of HIV infection.
14. Severe infection within 4 weeks prior to the first administration, or received systemic anti-infective treatment within 14 days.
15. Other conditions with high medical risk or secondary tumor symptoms, which, in the judgment of the researcher, make the participant unsuitable for participation in the study.
18 Years
75 Years
ALL
No
Sponsors
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TransThera Sciences (Nanjing), Inc.
INDUSTRY
Akeso
INDUSTRY
Responsible Party
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Locations
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Union Hospital Tongji Medical College Huazhong University of Science And Technology
Wuhan, , China
Countries
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Central Contacts
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Facility Contacts
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Xiaoping Chen, M.D.
Role: primary
Other Identifiers
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AK104-223
Identifier Type: -
Identifier Source: org_study_id
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