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NCT Number: NCT07324304

NWRD06 DNA Plasmid for HCC After Curative Resection.

This is a single-arm, open-label, multi-center Phase 2 clinical study to evaluate the efficacy and safety of Glypican3 (GPC3)-targeted DNA plasmid vaccine (NWRD06) in patients with GPC3-positive primary hepatocellular carcinoma after curative resection.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Beijing You'an Hospital, Capital Medical University, Beijing, Beijing Municipality, China

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About this study

Eligible subjects will receive three injections of 4 mg NWRD06 at Weeks 0, 4, and 8. All enrolled subjects will be assessed by tumor imaging at Weeks 12, 24, 36, 48, and 72 after the first dose. These assessments will continue until the first occurrence of any of the following: disease recurrence, meeting withdrawal criteria, initiation of new antitumor therapy, or the completion of Week 72.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Aged between 18 and 65 years (inclusive), regardless of gender.
  • Histologically or cytologically confirmed diagnosis of hepatocellular carcinoma (HCC).
  • GPC3 positive confirmed by immunohistochemistry (IHC).
  • Barcelona clinic liver cancer (BCLC) stage A/B or Chinese Hepatocellular carcinoma Stage (CNLC) Ib-IIIa.
  • Must have undergone curative treatment (surgical resection or local ablation) for HCC within 12 weeks prior to the first NWRD06 administration; The interval between radical resection and the first NWRD06 administration was less than 12 weeks, and the interval between hepatic artery interventional therapy and the first NWRD06 administration was more than 7 days.
  • No residual intrahepatic lesions, no lymph node metastasis, and no extrahepatic metastasis confirmed by imaging within 4 weeks prior to the first dose.
  • For patients who underwent radical resection, the following intraoperative criteria must be met: 1) No invasion of adjacent organs, no portal lymph node or distant metastasis.
  • Surgical margin negative. 8. No Vp4 macrovascular invasion, hepatic vein or inferior vena cava macrovascular invasion of any grade after radical resection; Notes: Patients with Vp1, Vp2, or Vp3 macrovascular invasion confirmed by imaging or pathology are eligible.
  • ECOG Performance Status of 0 or 1 within 1 week prior to the first dose. 10. Child-Pugh score A/B (≤7) within 1 week prior to the first dose. 11. Adequate organ function within 1 week prior to the first dose: 1) Blood routine: Hemoglobin (Hb) ≥90 g/L; Platelet count (PLT) ≥75×109/L; 2) Liver: Total bilirubin (TB) ≤3× upper limit of normal (ULN); Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤5×ULN; Plasma albumin ≥30g/L; 3) Coagulation: International Normalized Ratio (INR) ≤2.3. 4) Renal: Serum Creatinine (Scr) ≤1.5 × ULN, OR Creatinine Clearance ≥40 mL/min (if Scr >1.5 × ULN).
  • The expected survival time is more than 6 months; 13. Patients with non-viral primary HCC meet the inclusion criteria. For patients with Hepatitis B virus-related primary HCC(HBV-HCC) or Hepatitis C virus-related primary HCC(HCV-HCC), concurrent antiviral therapy is required.
  • Female subjects of childbearing potential must have a negative serum pregnancy test within 1 week prior to the first dose and must agree to use highly effective contraception from the start of the study treatment until the end of the study. Male subjects must be surgically sterile or must agree to use highly effective contraception during the same period.
  • Have fully understood the study and voluntarily signed the ICF, have good communication with the investigator, and are able to complete all treatments, examinations, and visits stipulated in the study protocol.

Exclusion criteria

  • Recurrence or metastasis of HCC prior to the first dose.
  • Has not adequately recovered from toxicities and/or complications of the prior curative procedure.
  • Presence of hepatic encephalopathy.
  • Requires regular renal dialysis.
  • Uncontrolled pleural effusion, pericardial effusion, or clinically significant ascites (defined as ascites not easily controlled by diuretic therapy).
  • History of gastrointestinal bleeding within 28 days prior to screening, or active bleeding, or bleeding tendency.
  • Received any systemic anti-tumor therapy for HCC (including chemotherapy, molecular targeted therapy, bio-immunotherapy) within 28 days prior to screening.
  • Participation in another clinical trial within 28 days prior to screening or still within the observational follow-up period of another trial.
  • Continuous systemic corticosteroid therapy (dose equivalent to >10 mg/day prednisone) for more than one week within 28 days prior to screening (excluding hormone replacement therapy and inhaled corticosteroids).
  • History of immunodeficiency or active autoimmune diseases (e.g., rheumatoid arthritis, systemic lupus erythematosus, multiple sclerosis, etc.).
  • History of allogeneic stem cell, tissue, or solid organ transplantation (including bone marrow transplant).
  • Uncontrolled severe infection (> Grade 2 according to NCI-CTCAE v5.0).
  • Known history of human immunodeficiency virus (HIV) infection or syphilis.
  • Severe dysfunction of other major organs or cardiopulmonary diseases.
  • Epilepsy requiring medication (such as steroids or antiepileptic drugs).
  • History or presence of other malignancies, except for: adequately treated carcinoma in situ of the cervix, basal cell carcinoma of the skin, superficial bladder tumors, ductal carcinoma in situ of the breast, or any other malignancy cured for more than 5 years prior to study entry.
  • Known history of severe allergy, allergic diseases, or allergic constitution.
  • Severe psychiatric disorder.
  • History of drug abuse or alcohol addiction.
  • Pregnant or lactating women, or women with a positive pregnancy test.
  • Any other condition that, in the investigator's judgment, makes the subject unsuitable for participation in this study.

Treatment and study plan

NWRD06 administered by electroporation

Biological

DNA plasmid delivered via IM injection + electroporation using TERESA device

Primary outcomes

  1. Recurrence-free survival rate after treatment with NWRD06 in patients with resected hepatocellular carcinoma.

    Time frame: Week 72

    The number of participants who are recurrence-free at Week 72 after treatment with NWRD06.

Secondary outcomes

  1. Recurrence-free survival after treatment with NWRD06 in patients with resected hepatocellular carcinoma.

    Time frame: up to 72 weeks

    Duration of recurrence-free survival in hepatocellular carcinoma patients after curative resection and treatment with NWRD06.

  2. Incidence and severity of local and systemic adverse events (AEs).

    Time frame: up to 72 weeks

    Based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) V5.0, adverse events (AEs) and serious adverse events (SAEs) will be monitored.

  3. Incidence and severity of all serious adverse events (SAEs).

    Time frame: up to 72 weeks

    Incidence and severity of all serious adverse events (SAEs) during the study period (e.g., suspected unexpected serious adverse reactions, unexpected adverse device effects).

  4. Incidence of investigational product-related adverse events (AEs) leading to treatment discontinuation.

    Time frame: up to 72 weeks

    Incidence of AEs leading to discontinuation of study treatment that are related to the investigational product.

  5. Incidence of Grade 3 or higher adverse events (AEs) related to the investigational product.

    Time frame: up to 72 weeks

    Incidence of Grade 3 or higher adverse events (AEs) related to the investigational product.

    Systemic AEs graded per NCI-CTCAE v5.0.

  6. Levels of cellular immune responses.

    Time frame: Weeks 8, 12, 24, 48 and 72

    Levels of cellular immune responses measured by interferon-gamma enzyme-linked immunospot (IFN-γ ELISPOT) assay in peripheral blood mononuclear cells (PBMCs) of subjects at baseline and at weeks 8, 12, 24, 48 and 72 after first dose.

  7. Levels of serum anti-GPC3 antibody titers.

    Time frame: Weeks 8, 12, 24, 48 and 72

    Levels of serum anti-GPC3 antibody titers measured in peripheral blood samples collected at baseline and at weeks 8, 24, and 72 after initial vaccination.

Study contacts

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

Zhen Huang, M.D.

CONTACT

[email protected]

86-010-87787100

Sponsors and collaborators

Lead sponsor

Newish Technology (Beijing) Co., Ltd.

Industry

Registry information

Official study title

A Phase II Clinical Study to Evaluate the Efficacy and Safety of NWRD06 in Patients With Hepatocellular Carcinoma After Curative Resection.

Important dates

Study start
2025
Primary completion
2028
Study completion
2028
First posted
Jan 7, 2026
Registry last updated
Jan 7, 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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