Preliminary Antitumor Activity, Safety and Tolerability of Tislelizumab in Combination With Lenvatinib for Hepatocellular Carcinoma
A Phase 2 Study to Investigate the Preliminary Antitumor Activity, Safety and Tolerability of Tislelizumab in Combination With Lenvatinib in Patients With Unresectable Locally Advanced or Metastatic Hepatocellular Carcinoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Anhui
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Hefei, Anhui, China, 230000
- Anhui Provincial Hospital
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Beijing
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Beijing, Beijing, China, 100730
- Peking Union Medical College Hospital
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Guangdong
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Guangzhou, Guangdong, China, 510515
- Nanfang Hospital of Southern Medical University
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Guangzhou, Guangdong, China, 510060
- Sun Yat Sen University Cancer Center
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Heilongjiang
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Harbin, Heilongjiang, China, 150000
- Harbin Medical University Cancer Hospital
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Shaanxi
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Xian, Shaanxi, China, 710061
- The First Affiliated Hospital of Xian Jiaotong University
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Shanghai
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Shanghai, Shanghai, China, 200092
- Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
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Sichuan
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Chengdu, Sichuan, China, 610041
- West China Hospital, Sichuan University
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Zhejiang
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Hangzhou, Zhejiang, China, 310009
- Zhejiang University College of Medicine Second Affiliated Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Able to provide written informed consent and can understand and agree to comply with the requirements of the study and the schedule of assessments
- Unresectable locally advanced or metastatic HCC, which must be confirmed by histologically or cytologically. Fibrolamellar, sarcomatoid, or mixed cholangiocarcinoma histology confirmed by histologically or cytologically is excluded.
- Barcelona Clinic Liver Cancer (BCLC) Stage C disease or BCLC Stage B disease that is not amenable to or has progressed after loco-regional therapy and is not amenable to a curative treatment approach
- Did not receive any systemic treatment before and is unwilling to accept standard of care treatment or not suitable for standard of care treatment as judged by investigators
- At least 1 measurable lesion as defined by RECIST v1.1
- European Cancer Oncology Group (ECOG) Performance Status ≤ 1
- Child-Pugh A classification for liver function assessed within 7 days of first dose of study drugs
Key Exclusion Criteria:
- Active autoimmune diseases or history of autoimmune diseases that may relapse
- Any active malignancy ≤ 2 years before the first dose of study drugs except for specific cancer under investigation in this study and any locally recurring cancer that has been treated curatively (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast)
- Uncontrolled diabetes or > Grade 1 laboratory test abnormalities in potassium, sodium, or corrected calcium despite standard medical management, or ≥ Grade 3 hypoalbuminemia ≤ 14 days before the first dose of study drugs
- Any known brain or leptomeningeal metastases
- Concurrent participation in another therapeutic clinical study
NOT: Other protocol defined Inclusion/Exclusion criteria may apply NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Lenvatinib With Tislelizumab
Participants received lenvatinib based on baseline weight (12 milligrams [mg] or 8 mg once daily for participants with a baseline weight of >= 60 kilograms [kg] or < 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
|
Capsules administered orally once daily
200 mg intravenous (IV) infusion administered on Day 1 of each cycle
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Response Rate (ORR) as Assessed by Central Imaging Facility Based on RECIST v1.1
Time Frame: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months
|
ORR was defined as the percentage of participants achieving the best overall response (BOR) of complete response (CR) or partial response (PR).
The 95% confidence interval (CI) was estimated using the Clopper-Pearson method.
Per Response evaluation criteria in solid tumors (RECIST) version (v)1.1.,
CR was defined as disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
|
Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and TEAEs Leading to Treatment Discontinuation and Modification
Time Frame: From the date of the first dose of study drug up to 30 days after last dose of study drug (maximum time on treatment was 12 months)
|
A TEAE was defined as adverse event (AE) that had an onset date or a worsening in severity from baseline (pre-treatment) on or after the first dose of study drug(s) and up to 30 days following study drug(s) discontinuation or initiation of new anticancer therapy, whichever occurs first determined according to National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0.
SAE: any untoward medical occurrence at any dose: resulted in death; was life threatening; required prolong inpatient hospitalization; resulted in persistent or significant disability/incapacity; resulted in a congenital anomaly/birth defect or was considered a significant medical event by the investigator.
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From the date of the first dose of study drug up to 30 days after last dose of study drug (maximum time on treatment was 12 months)
|
|
Objective Response Rate (ORR) as Assessed by the Investigator Based on RECIST v1.1
Time Frame: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; i.e., up to 27 months
|
ORR was defined as the percentage of participants achieving the BOR of CR or PR.
The 95% CI was estimated using the Clopper-Pearson method.
Per RECIST v1.1.,
CR was defined as disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
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Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; i.e., up to 27 months
|
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Objective Response Rate (ORR) as Assessed by the Investigator and Central Site Imaging Facility Based on Modified Response Evaluation Criteria in Solid Tumors (mRECIST)
Time Frame: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months
|
ORR was defined as the percentage of participants achieving the BOR of CR or PR.
The 95% CI was estimated using the Clopper-Pearson method.
Per modified RECIST (mRECIST), CR was defined as the disappearance of any intratumoral arterial enhancement in all target lesions.
PR: at least a 30% decrease in the sum of diameters of viable (contrast enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions.
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Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months
|
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Objective Response Rate (ORR) as Assessed by the Investigator and Central Site Imaging Facility Based on Immune Related Response Evaluation Criteria in Solid Tumors (iRECIST)
Time Frame: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months
|
ORR was defined as the percentage of participants achieving the BOR of immune complete response (iCR) or partial response (iPR).
The 95% CI was estimated using the Clopper-Pearson method.
Per iRECIST, iCR was defined as disappearance of all target and non-target lesions and any pathological lymph nodes must be <10 mm in the short axis.
iPR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters.
iRECIST is a modification to RECIST that considers unique patterns of atypical response in immunotherapy and enables treatment beyond initial radiographic progression.
|
Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months
|
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Duration of Response (DOR) As Assessed by The Investigator Based on RECIST v1.1
Time Frame: From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)
|
DOR was defined as the time interval between the date of the earliest qualifying response (CR or PR) and the date of PD or death (whichever occurred earlier).
DOR was estimated using the Kaplan-Meier method.
Per RECIST v1.1.,
CR was defined as disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
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From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)
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Duration of Response (DOR) As Assessed by The Central Site Imaging Facility Based on RECIST v1.1
Time Frame: From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)
|
DOR was defined as the time interval between the date of the earliest qualifying response (CR or PR) and the date of PD or death (whichever occurred earlier).
DOR was estimated using the Kaplan-Meier method.
Per RECIST v1.1.,
CR was defined as disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
|
From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)
|
|
Duration of Response (DOR) As Assessed by The Investigator Based on mRECIST
Time Frame: From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)
|
DOR was defined as the time interval between the date of the earliest qualifying response (CR or PR) and the date of PD or death (whichever occurs earlier).
DOR was estimated using the Kaplan-Meier method.
Per mRECIST, CR was defined as the disappearance of any intratumoral arterial enhancement in all target lesions.
PR: at least a 30% decrease in the sum of diameters of viable (contrast enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions.
PD: an increase of at least 20% in the sum of the diameters of viable (enhancing) target lesions, taking as reference the smallest sum of the diameters of viable (enhancing) target lesions recorded since the treatment started.
|
From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)
|
|
Duration of Response (DOR) As Assessed by the Central Site Imaging Facility Based on mRECIST
Time Frame: From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)
|
DOR was defined as the time interval between the date of the earliest qualifying response (CR or PR) and the date of PD or death (whichever occurs earlier).
DOR was estimated using the Kaplan-Meier method.
Per mRECIST, CR was defined as the disappearance of any intratumoral arterial enhancement in all target lesions.
PR: at least a 30% decrease in the sum of diameters of viable (contrast enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions.
PD: an increase of at least 20% in the sum of the diameters of viable (enhancing) target lesions, taking as reference the smallest sum of the diameters of viable (enhancing) target lesions recorded since the treatment started.
|
From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)
|
|
Duration of Response (DOR) As Assessed by The Investigator Based on iRECIST
Time Frame: From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)
|
DOR was defined as the time interval between the date of the earliest qualifying response (iCR or iPR) and the date of confirmed progressive disease (iCPD) or death (whichever occurs earlier).
DOR was estimated using the Kaplan-Meier method.
Per iRECIST, iCR was defined as disappearance of all target and non-target lesions and any pathological lymph nodes must be <10 mm in the short axis.
iPR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters.
PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
iRECIST is a modification to RECIST that considers unique patterns of atypical response in immunotherapy and enables treatment beyond initial radiographic progression.
|
From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)
|
|
Duration of Response (DOR) As Assessed by The Central Site Imaging Facility Based on iRECIST
Time Frame: From the date of earliest response to the date of first documentation of disease progression or death, whichever occurs first (up to 35 months)
|
DOR was defined as the time interval between the date of the earliest qualifying response (iCR or iPR) and the date of confirmed progressive disease (iCPD) or death (whichever occurs earlier).
DOR was estimated using the Kaplan-Meier method.
Per iRECIST, iCR was defined as disappearance of all target and non-target lesions and any pathological lymph nodes must be <10 mm in the short axis.
iPR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters.
PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
iRECIST is a modification to RECIST that considers unique patterns of atypical response in immunotherapy and enables treatment beyond initial radiographic progression.
|
From the date of earliest response to the date of first documentation of disease progression or death, whichever occurs first (up to 35 months)
|
|
Disease Control Rate (DCR) As Assessed by The Investigator and Central Site Imaging Facility Based on RECIST v1.1
Time Frame: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months
|
DCR was defined as the percentage of participants with BOR of CR, PR or SD.
Participants without post-baseline tumor assessment were considered as failure in DCR.
The 95% CI was estimated using the Clopper-Pearson method.
Per RECIST v1.1.,
CR was defined as disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
|
Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months
|
|
Disease Control Rate (DCR) As Assessed by The Investigator and Central Site Imaging Facility Based on mRECIST
Time Frame: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months
|
DCR was defined as the percentage of participants with BOR of CR, PR or SD.
Participants without post-baseline tumor assessment were considered as failure in DCR.
The 95% CI was estimated using the Clopper-Pearson method.
Per mRECIST, CR was defined as the disappearance of any intratumoral arterial enhancement in all target lesions.
PR: at least a 30% decrease in the sum of diameters of viable (contrast enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions.
Stable disease (SD): any cases that do not qualify for either partial response or progressive disease.
|
Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months
|
|
Disease Control Rate (DCR) As Assessed by The Investigator and Central Site Imaging Facility Based on iRECIST
Time Frame: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months
|
DCR was defined as the percentage of participants with BOR of iCR, iPR or immune stable disease (iSD).
Participants without post-baseline tumor assessment were considered a failure in DCR.
The 95% CI was estimated using the Clopper-Pearson method.
Per iRECIST, iCR was defined as disappearance of all target and non-target lesions and any pathological lymph nodes must be <10 mm in the short axis.
iPR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters.
iSD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
iRECIST is a modification to RECIST that considers unique patterns of atypical response in immunotherapy and enables treatment beyond initial radiographic progression.
|
Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months
|
|
Progression Free Survival (PFS) As Assessed by The Investigator Based on RECIST v1.1
Time Frame: From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)
|
PFS was defined as the time from the date of the first dose of study drug(s) to the date of the confirmed documentation of PD or death, whichever occurred first.
PFS was estimated using the Kaplan-Meier method.
Per RECIST v1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
|
From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)
|
|
Progression Free Survival (PFS) As Assessed by The Central Site Imaging Facility Based on RECIST v1.1
Time Frame: From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)
|
PFS was defined as the time from the date of the first dose of study drug(s) to the date of the confirmed documentation of PD or death, whichever occurred first.
PFS was estimated using the Kaplan-Meier method.
Per RECIST v1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
|
From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)
|
|
Progression Free Survival (PFS) As Assessed by The Investigator Based on mRECIST
Time Frame: From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)
|
PFS was defined as the time from the date of the first dose of study drug(s) to the date of the confirmed documentation of PD or death, whichever occurs first.
PFS was estimated using the Kaplan-Meier method.
Per mRECIST, PD was defined as an increase of at least 20% in the sum of the diameters of viable (enhancing) target lesions, taking as reference the smallest sum of the diameters of viable (enhancing) target lesions recorded since the treatment started.
|
From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)
|
|
Progression Free Survival (PFS) As Assessed by The Central Site Imaging Facility Based on mRECIST
Time Frame: From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)
|
PFS was defined as the time from the date of the first dose of study drug(s) to the date of the confirmed documentation of PD or death, whichever occurs first.
PFS was estimated using the Kaplan-Meier method.
Per mRECIST, PD was defined as an increase of at least 20% in the sum of the diameters of viable (enhancing) target lesions, taking as reference the smallest sum of the diameters of viable (enhancing) target lesions recorded since the treatment started.
|
From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)
|
|
Progression Free Survival (PFS) As Assessed by The Investigator Based on iRECIST
Time Frame: From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)
|
PFS was defined as the time from the date of the first dose of study drug(s) to the date of the confirmed documentation of progressive disease (iCPD) or death, whichever occurs first.
PFS was estimated using the Kaplan-Meier method.
Per iRECIST v1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
iRECIST is a modification to RECIST that considers unique patterns of atypical response in immunotherapy and enables treatment beyond initial radiographic progression.
|
From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)
|
|
Progression Free Survival (PFS) As Assessed by The Central Site Imaging Facility Based on iRECIST
Time Frame: From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)
|
PFS was defined as the time from the date of the first dose of study drug(s) to the date of the confirmed documentation of progressive disease (iCPD) or death, whichever occurs first.
PFS was estimated using the Kaplan-Meier method.
Per iRECIST v1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
iRECIST is a modification to RECIST that considers unique patterns of atypical response in immunotherapy and enables treatment beyond initial radiographic progression.
|
From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Study Director, BeiGene
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Neoplasms by Histologic Type
- Digestive System Neoplasms
- Digestive System Diseases
- Liver Diseases
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Liver Neoplasms
- Carcinoma
- Carcinoma, Hepatocellular
- Antineoplastic Agents, Immunological
- Antineoplastic Agents
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Protein Kinase Inhibitors
- Tislelizumab
- Lenvatinib
Other Study ID Numbers
Other Study ID Numbers
- BGB-A317-211
- CTR20200972 (Registry Identifier: ChinaDrugTrials)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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