Use of Immune Checkpoint Inhibitors in Patients With Advanced Hepatocellular Carcinoma : Efficacy and Outcomes

NCT ID: NCT07321067

Last Updated: 2026-01-06

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

Total Enrollment

75 participants

Study Classification

OBSERVATIONAL

Study Start Date

2026-01-01

Study Completion Date

2027-11-01

Brief Summary

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the Objectives of this study are:

• Primary Objective: To prospectively evaluate overall survival (OS), ICI-specific survival (OS-ICI), and progression-free survival (PFS) in patients with advanced HCC treated with immune checkpoint inhibitors.

the main question it aims to answer is: What are the clinical outcomes (overall survival, progression-free survival, and OS-ICIs) of immune checkpoint inhibitor therapy in patients with advanced hepatocellular carcinoma? Participants already taking immune checkpoint inhibitors as part of their regular medical care.

Detailed Description

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Objectives • Primary Objective: To prospectively evaluate overall survival (OS), ICI-specific survival (OS-ICI), and progression-free survival (PFS) in patients with advanced HCC treated with immune checkpoint inhibitors.

• Secondary Objectives: To assess the incidence, type, and severity of irAEs. To identify clinical predictors of survival outcomes, including ALBI grade, prior LRT, SBRT or resection.

To guide personalized therapy for Tailoring immunotherapy to individual patients, reducing unnecessary toxicity and cost.

Conditions

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Advanced Hepatocellular Carcinoma (HCC)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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all patients diagnosed with advanced hepatocellular carcinoma eligible for ICIs

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Adults (≥18 years) with radiologically or histologically confirmed advanced HCC
* Candidates for systemic immune checkpoint inhibitors (e.g., atezolizumab-bevacizumab, durvalumab-tremelimumab).
* Patients with preserved liver function. ( up to G2 using ALBI score or up to B (7 ) using Child-Pugh socring system) .

Exclusion Criteria

* Child-Pugh C liver function.
* Prior liver transplantation.
* patients with concurrent malignancies other than HCC.
* Active autoimmune disease requiring systemic immunosuppression.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ahmed Karam Helmy

OTHER

Sponsor Role lead

Responsible Party

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Ahmed Karam Helmy

Use of immune checkpoint inhibitors in patients with advanced hepatocellular carcinoma : efficacy and outcomes

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Sohag university hospitals

Sohag, Sohag Governorate, Egypt

Site Status

sSohag oncology centre

Sohag, Sohag Governorate, Egypt

Site Status

Countries

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Egypt

Central Contacts

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Ahmed Karam Helmy, MSc

Role: CONTACT

2+01090784895

Facility Contacts

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Ahmed Karam, MSc

Role: primary

2+01090784895

Ahmed Karam Helmy, MSc

Role: primary

2+01090784895

Ahmed Karam Helmy, MSc

Role: backup

References

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10. Cheng, A. L., Rimassa, L., Ducreux, M., et al. (2022). J Hepatol, 76, 862-873.

Reference Type BACKGROUND

9. Yau, T., Cheng, A. L., Rimassa, L., et al. (2025). Lancet, 405, 1851-1864.

Reference Type BACKGROUND

8. Llovet, J. M., Yau, T., Cheng, A. L., et al. (2008). N Engl J Med, 359, 378-390.

Reference Type BACKGROUND

7. Reig, M., Llovet, J. M., Yau, T., et al. (2021). J Hepatol, 76, 681-693.

Reference Type BACKGROUND

6. Singal, A. G., Reig, M., Llovet, J. M., et al. (2023). Hepatology, 78, 1922-1965.

Reference Type BACKGROUND

El-Serag HB. Hepatocellular carcinoma: recent trends in the United States. Gastroenterology. 2004 Nov;127(5 Suppl 1):S27-34. doi: 10.1053/j.gastro.2004.09.013.

Reference Type BACKGROUND
PMID: 15508094 (View on PubMed)

Kalligeros M, Henry L, Younossi ZM. Metabolic dysfunction-associated steatotic liver disease and its link to cancer. Metabolism. 2024 Nov;160:156004. doi: 10.1016/j.metabol.2024.156004. Epub 2024 Aug 23.

Reference Type BACKGROUND
PMID: 39182603 (View on PubMed)

3. Liu, Y., Kalligeros, M., El-Serag, H. B., et al. (2022). Cancer Med, 11, 1310-1323.

Reference Type BACKGROUND

2. McGlynn, K. A., Liu, Y., Kalligeros, M., et al. (2021). Hepatology, 73, 4-13.

Reference Type BACKGROUND

1. Siegel, R. L., McGlynn, K. A., Liu, Y., et al. (2024). CA Cancer J Clin, 74, 12-49.

Reference Type BACKGROUND

Other Identifiers

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Soh-Med--25-12-8MD

Identifier Type: -

Identifier Source: org_study_id

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