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NCT Number: NCT05489289

A Phase III Study of AK104 as Adjuvant Therapy in HCC With High Risk of Recurrence After Curative Resection

The efficacy and safety of AK104 as adjuvant therapy in hepatocellular carcinoma of high recurrence risk after curative resection.

Recruiting

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Zhongshan Hospital, Fudan University

Shanghai, Shanghai Municipality, 200032, China

Location status: Recruiting

Location contact

Jia Fan, Ph.D.

CONTACT

[email protected]

021-31587871

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Pathological diagnosis of HCC without any metastasis;
  • Receiving radical resection as the only anti-tumor treatment;
  • No evidence of residual cancer found during or after the operation;
  • Presence of any high risk factor of postoperative recurrence;
  • Child-Pugh grade: A;
  • ECOG score: 0;
  • Controlled underlying causes of HCC.

Exclusion criteria

  • Fibrolamellar hepatocellular carcinoma, sarcoma-like hepatocellular carcinoma, cholangiocarcinoma, etc;
  • Any anti-tumor treatment other than radical surgery before randomization;
  • Precarious liver function indicated by severe complications;
  • Recent procedures or medications leading to high risk of bleeding;
  • Poorly controlled or symptomatic hypertension, congestive heart failure, arrhythmia, etc;
  • Failure of performing enhanced CT or MRI scans of the liver;
  • Recent severe infections or systemic antibiotics use;
  • Active autoimmune diseases;
  • History of other incurable malignant tumors;
  • History of transplantation;
  • Pregnancy.

Treatment and study plan

AK104

Biological

Subjects will receive AK104 until disease progression or for a maximum of 16 cycles

Placebo

Biological

Subjects will receive placebo until disease progression or for a maximum of 16 cycles

Primary outcomes

  1. Recurrence free survival (RFS) by BICR

    Time frame: Up to 48 months

    The time comfirmed by BICR from randomization to recurrence or death.

Secondary outcomes

  1. 12-months recurrence free survival (RFS-12)

    Time frame: 12 months

    The proportion of patients without recurrence or death at 12 month.

  2. 24-months recurrence free survival (RFS-24)

    Time frame: 24 months

    The proportion of patients without recurrence or death at 24 month.

  3. Time to recurrence (TTR)

    Time frame: Up to 48 months

    The time from randomization to recurrence.

  4. Overall survival (OS)

    Time frame: Up to 48 months

    The time from randomization to death for any reason.

  5. Types and proportions of adverse events (AEs)

    Time frame: Up to 48 months

Study contacts

Contact information is provided by the study sponsor or research team.

Ting Liu, M.D.

CONTACT

[email protected]

(0760)89873999

Sponsors and collaborators

Lead sponsor

Akeso

Industry

Registry information

Official study title

A Randomized, Double-blind, Phase III Clinical Study on the Efficacy and Safety of AK104 Versus Placebo as Adjuvant Therapy for Hepatocellular Carcinoma With High Risk of Recurrence After Curative Resection

Important dates

Study start
2023
Primary completion
2026
Study completion
2027
First posted
Aug 5, 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.

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