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

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-25

Study Completion Date

2027-12-31

Brief Summary

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An Open-label, Multicenter, Phase II Clinical Study of AK104/AK112 in Combination with TT-00420 Tablet in Patients with Advanced Hepatocellular Carcinoma(HCC).

Detailed Description

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Conditions

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Hepatocellular Carcinoma (HCC)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

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)

Group Type EXPERIMENTAL

TT-00420 (tinengotinib)

Intervention Type DRUG

oral

AK104

Intervention Type DRUG

intravenous

Cohort 2(Safety Lead-In Phase)

AK112 20mg/kg Q3W + TT-00420 10mg PO QD(n=3-6)

Group Type EXPERIMENTAL

TT-00420 (tinengotinib)

Intervention Type DRUG

oral

AK112

Intervention Type DRUG

intravenous

Cohort A(Expansion Cohort Phase)

AK104 10mg/kg Q3W + TT-00420 10mg PO QD(n=20-30)

Group Type EXPERIMENTAL

TT-00420 (tinengotinib)

Intervention Type DRUG

oral

AK104

Intervention Type DRUG

intravenous

Cohort B(Expansion Cohort Phase)

AK112 20mg/kg Q3W + TT-00420 10mg PO QD(n=20-30)

Group Type EXPERIMENTAL

TT-00420 (tinengotinib)

Intervention Type DRUG

oral

AK112

Intervention Type DRUG

intravenous

Cohort C(Expansion Cohort Phase)

TT-00420 10mg PO QD(n=20-30)

Group Type EXPERIMENTAL

TT-00420 (tinengotinib)

Intervention Type DRUG

oral

Interventions

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TT-00420 (tinengotinib)

oral

Intervention Type DRUG

AK104

intravenous

Intervention Type DRUG

AK112

intravenous

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 18 and ≤ 75 years.
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

1. Previous histologically or cytologically confirmed fibrolamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, cholangiocarcinoma, etc.
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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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TransThera Sciences (Nanjing), Inc.

INDUSTRY

Sponsor Role collaborator

Akeso

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Union Hospital Tongji Medical College Huazhong University of Science And Technology

Wuhan, , China

Site Status

Countries

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China

Central Contacts

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Ting Liu, M.D.

Role: CONTACT

(0760)89873999

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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