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NCT Number: NCT07679061

First-Line Nivolumab Plus Ipilimumab in Unresectable Hepatocellular Carcinoma (J-PROMISE)

This study looks at how a combination of two medicines, nivolumab and ipilimumab, is used to treat people with advanced liver cancer that cannot be removed by surgery. The study will follow adults receiving this treatment in routine medical care in Japan to understand how safe it is, how well it works, and how it is used in standard clinical practice.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Mebix. Inc, Minato-ku, Tokyo, Japan

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Participants aged ≥ 18 years at the time of consent
  • Participants with unresectable hepatocellular carcinoma (uHCC), defined as disease not eligible for curative surgical and/or locoregional therapies, or progressive disease after surgical and/or locoregional therapies
  • Child-Pugh class A (total score 5-6)
  • Participants who have not received prior systemic drug therapy for uHCC
  • Participants who relapsed more than 6 months after completion of postoperative adjuvant therapy are eligible
  • Participants who received lenvatinib in combination with transarterial chemoembolization (TACE) are eligible if the treating physician determined they were eligible for TACE; participants are excluded if TACE eligibility at the time of lenvatinib initiation is unclear
  • Participants scheduled to initiate nivolumab plus ipilimumab combination therapy between March 1, 2026 and February 28, 2027
  • Nivolumab plus ipilimumab combination therapy is defined as nivolumab 80 mg and ipilimumab 3 mg/kg administered intravenously every 3 weeks for 4 cycles, followed by nivolumab monotherapy at 240 mg every 2 weeks or 480 mg every 4 weeks
  • Participants who provide written informed consent prior to initiation of nivolumab plus ipilimumab therapy

Exclusion criteria

  • Known fibrolamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, or mixed cholangiocarcinoma
  • Prior liver transplant
  • ECOG performance status ≥ 3
  • Uncontrolled comorbidities despite treatment
  • Other advanced cancers requiring systemic therapy
  • Prior immuno-oncology treatment
  • Participation in interventional clinical trials at enrollment
  • Deemed unsuitable by investigator

Treatment and study plan

Nivolumab plus ipilimumab

Combination Product

According to product label

Primary outcomes

  1. Number of participants with grade ≥3 immune-mediated liver injury (IMLI)

    Time frame: Up to 2 years

    Number of participants who experience grade 3-5 immune-mediated liver injury (IMLI), defined as treatment-related hepatic adverse events assessed according to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

  2. Time to onset of immune-mediated liver injury (IMLI)

    Time frame: Up to 2 years

    Time from first dose of nivolumab plus ipilimumab to first occurrence of immune-mediated liver injury (any grade).

  3. Time to resolution of immune-mediated liver injury (IMLI)

    Time frame: Up to 2 years

    Time from onset of immune-mediated liver injury to resolution, defined as recovery, recovery with sequelae, or improvement per clinician assessment.

  4. Number of participants with immune-mediated liver injury (IMLI) who achieve resolution (recovered, recovering, or recovered with sequelae)

    Time frame: Up to 2 years

  5. Treatment prescribed to participants for immune-mediated liver injury (IMLI)

    Time frame: Up to 2 years

  6. Objective response rate (ORR)

    Time frame: Up to 2 years

    Number of participants with complete response (CR) or partial response (PR) as best overall response among participants with baseline target lesions, assessed per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

  7. Best overall response (BOR)

    Time frame: Up to 2 years

    Distribution of best overall response categorized as complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD), or not evaluable (NE) among participants with baseline target lesions per RECIST v1.1.

  8. Disease control rate (DCR

    Time frame: Up to 2 years

    Number of participants with complete response (CR), partial response (PR), or stable disease (SD) as best overall response among participants with baseline target lesions per RECIST v1.1.

  9. Duration of nivolumab plus ipilimumab combination therapy

    Time frame: Up to 2 years

    Time from first dose of nivolumab plus ipilimumab to treatment discontinuation.

  10. Number of nivolumab plus ipilimumab treatment cycles per participant

    Time frame: Up to 2 years

    Total number of administered cycles of nivolumab plus ipilimumab given every 3 weeks, summarized per participant.

  11. Number of participants who discontinue treatment

    Time frame: Up to 2 years

    Number of participants who discontinue nivolumab plus ipilimumab.

  12. Reasons for treatment discontinuation

    Time frame: Up to 2 years

    Distribution of reasons, including disease progression, adverse events death, participant request, transfer, or other reasons as assessed by treating clinician.

Secondary outcomes

  1. Number of participants with immune-mediated adverse events (IMAEs)

    Time frame: Up to 2 years

    Number of participants experiencing IMAEs, defined as treatment-related adverse events with immune-mediated etiology, categorized by CTCAE v5.0 grade (1-5).

  2. Time to onset of immune-mediated adverse events (IMAEs)

    Time frame: Up to 2 years

    Time from treatment initiation to onset of immune-mediated adverse events.

  3. Time to resolution of immune-mediated adverse events (IMAEs)

    Time frame: Up to 2 years

    Time from onset of immune-mediated adverse events to resolution.

  4. Number of participants with immune-mediated adverse events (IMAEs) who achieve resolution (recovered, recovering, or recovered with sequelae)

    Time frame: Up to 2 years

  5. Treatment prescribed to participants for immune-mediated adverse events (IMAEs)

    Time frame: Up to 2 years

  6. Number of participants with of immune-mediated adverse events (IMAEs) leading to treatment discontinuation

    Time frame: Up to 2 years

  7. Number of participants with treatment-related adverse events (TRAEs)

    Time frame: Up to 2 years

    Number of participants experiencing treatment-related adverse events categorized by preferred term and CTCAE v5.0 grade.

  8. Time to onset of treatment-related adverse events (TRAEs)

    Time frame: Up to 2 years

    Time from treatment initiation to onset of immune-mediated adverse events.

  9. Time to resolution of treatment-related adverse events (TRAEs)

    Time frame: Up to 2 years

    Time from onset of immune-mediated adverse events to resolution.

  10. Number of participants with treatment-related adverse events (TRAEs) who achieve resolution (recovered, recovering, or recovered with sequelae)

    Time frame: Up to 2 years

  11. Number of participants with treatment-related adverse events (TRAEs) leading to treatment discontinuation

    Time frame: Up to 2 years

  12. Duration of response (DOR)

    Time frame: Up to 2 years

    Time from first documented complete response (CR) or partial response (PR) to disease progression per RECIST v1.1 or death from any cause, whichever occurs first

  13. Overall survival (OS

    Time frame: Up to 2 years

    Time from first dose of nivolumab plus ipilimumab to death from any cause.

  14. Progression-free survival (PFS)

    Time frame: Up to 2 years

    Time from first dose of nivolumab plus ipilimumab to first documented disease progression per RECIST v1.1 or death from any cause, whichever occurs first.

  15. Second progression-free survival (PFS2)

    Time frame: Up to 2 years

    Time from first dose of nivolumab plus ipilimumab to progression after second-line therapy or death from any cause, whichever occurs first.

  16. Depth of response (DpR)

    Time frame: Up to 2 years

    Maximum percentage reduction from baseline in the sum of diameters of target lesions among participants with measurable disease.

  17. Change from baseline in Child-Pugh score

    Time frame: Up to 2 years

    Change from baseline in Child-Pugh score (range 5-15), including classification into Class A, B, or C.

  18. Change from baseline in albumin-bilirubin (ALBI) and modified ALBI (mALBI) grades based on laboratory values.

    Time frame: Up to 2 years

  19. Number of participants receiving subsequent therapy

    Time frame: Up to 2 years

    Number of participants who receive any subsequent anticancer therapy after discontinuation of nivolumab plus ipilimumab

  20. Type of subsequent therapy received

    Time frame: Up to 2 years

    Distribution of subsequent therapies received after discontinuation of nivolumab plus ipilimumab, including transarterial chemoembolization (TACE), hepatic arterial infusion chemotherapy (HAIC), radiofrequency ablation (RFA), surgery, radiation therapy, and systemic therapies.

Study contacts

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

BMS Clinical Trials Contact Center www.BMSClinicalTrials.com

CONTACT

[email protected]

855-907-3286

First line of the email MUST contain NCT # and Site #.

CONTACT

Sponsors and collaborators

Lead sponsor

Bristol-Myers Squibb

Industry

Collaborators

  • Ono Pharmaceutical Co., Ltd.

Registry information

Official study title

Prospective Observational Study of First-Line Nivolumab Plus Ipilimumab in Patients With Unresectable Hepatocellular Carcinoma in Japan (J-PROMISE)

Important dates

Study start
2026
Primary completion
2028
Study completion
2028
First posted
Jul 1, 2026
Registry last updated
Jul 1, 2026

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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