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NCT Number: NCT05319431

A Phase II Study of AK104 Plus Lenvatinib and TACE in HCC

To evaluate the efficacy and safety of AK104 plus lenvatinib combined with on-demand TACE in participants with unresectable, non-metastatic hepatocellular carcinoma

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

The First Hospital of Beijing University, Beijing, Beijing Municipality, China

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Signed written informed consent form voluntarily.
  • Histologically or cytologically documented hepatocellular carcinoma.
  • CNLC IIa IIb or IIIa
  • The main portal vein was not completely obstructed,
  • Child-Pugh A or B
  • At least one measurable lesion according to RECIST criteria
  • ECOG PS 0-1
  • Adequate organ function
  • Estimated life expectancy of ≥3 months
  • For women of childbearing potential: agreement to remain abstinent; For men: agreement to remain abstinent

Exclusion criteria

  • Histologically or cytologically documented fibrolamellar hepatocellular carcinoma, sarcoma-like hepatocellular carcinoma, cholangiocarcinoma, etc
  • For HCC lesions ≥ 10 cm in any dimension, imaging evaluation showed that there were more than 10 lesions
  • The main portal vein and the left and right primary branches were clogged with cancer thrombus
  • History of hepatic encephalopathy or liver transplantation
  • Any risk of bleeding; severe bleeding tendency or coagulation dysfunction, or under thrombolytic therapy.
  • Occurred arteriovenous thromboembolic events within 6 months before the first administration.
  • Inadequately controlled hypertension.
  • Attack of symptomatic congestive heart failure (LVEF<50%); History of congenital long QT syndrome.
  • Known presence or history of interstitial lung disease or required hormone treatment interstitial lung disease.
  • Severe infections.
  • Receipt of any anti-tumor treatment, chemotherapy, targeted therapy, immunotherapy,
  • Enrollment of another clinical study within 4 weeks prior to the first administration of study drugs.
  • Unable to receive an enhanced CT or MRI scan of the liver.

Treatment and study plan

AK104

Biological

Subjects will receive AK104 until disease progression or for a maximum of 24 months

Lenvatinib

Drug

Subjects will receive lenvatinib until disease progression or for a maximum of 24 months

TACE

Procedure

On demand TACE

Primary outcomes

  1. Progression-free survival (PFS)

    Time frame: Up to 2 years

    Progression-free survival is defined as the time from the start of treatment until the first documentation of disease progression or death due to any cause, which ever occurs first.

Secondary outcomes

  1. Objective response rate (ORR

    Time frame: Up to 2 years

    ORR is defined as the proportion of subjects with confirmed CR or PR, based on RECIST v1.1.

  2. Disease control rate (DCR)

    Time frame: Up to 2 years

    The DCR is defined as the proportion of subjects with CR, PR, or SD (subjects achieving SD will be included in the DCR if they maintain SD for ≥8 weeks) based on RECIST Version 1.1.

  3. Duration of response (DoR)

    Time frame: Up to 2 years

    Duration of response is defined as the duration from the first documentation of objective response to the first documented disease progression or death due to any cause, whichever occurs first

  4. Number of participants with adverse events (AEs)

    Time frame: the time of informed consent signed through 90 days after the last dose

    An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product temporally associated with the use of study treatment, whether or not considered related to the study treatment.

Sponsors and collaborators

Lead sponsor

Akeso

Industry

Registry information

Official study title

An Open Label, Multicenter Phase II Study to Evaluate the Efficacy and Safety of AK104 Plus Lenvatinib and TACE in the Treatment of Unresectable, Non-metastatic Hepatocellular Carcinoma

Important dates

Study start
2022
Primary completion
2023
Study completion
2025
First posted
Apr 8, 2022
Registry last updated
Mar 12, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.