- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03298451
Study of Durvalumab and Tremelimumab as First-line Treatment in Patients With Advanced Hepatocellular Carcinoma (HIMALAYA)
A Randomized, Open-label, Multi-center Phase III Study of Durvalumab and Tremelimumab as First-line Treatment in Patients With Advanced Hepatocellular Carcinoma
Study Overview
Status
Conditions
Detailed Description
The study population includes patients 18 years of age or older with advanced HCC, Barcelona Clinic Liver Cancer stage B not eligible for locoregional therapy or stage C, and Child-Pugh A classification liver disease. Patients must not have received any prior systemic therapy for unresectable HCC.
Patients in all treatment arms may continue receiving their originally assigned treatment, at the Investigator's discretion, until progression
Patients in all arms with confirmed PD who, in the Investigator's opinion, continue to receive benefit from their assigned treatment and meet the criteria for treatment in the setting of PD may continue to receive their assigned treatment.
If a patient discontinues study drug(s) due to disease progression, the patient will enter survival follow-up. Patients who have discontinued treatment due to toxicity or symptomatic deterioration or who have commenced subsequent anticancer therapy, will have tumor assessments until confirmed PD and will be followed for survival
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Barretos, Brazil
- Research Site
-
Curitiba, Brazil
- Research Site
-
Florianópolis, Brazil
- Research Site
-
Porto Alegre, Brazil
- Research Site
-
Rio de Janeiro, Brazil
- Research Site
-
São Paulo, Brazil
- Research Site
-
-
-
-
Alberta
-
Calgary, Alberta, Canada, T2N 4N2
- Research Site
-
Edmonton, Alberta, Canada, T6G 1Z2
- Research Site
-
-
Ontario
-
Hamilton, Ontario, Canada, L8V 5C2
- Research Site
-
Kingston, Ontario, Canada, K7L 2V7
- Research Site
-
London, Ontario, Canada, N6A 4L6
- Research Site
-
Toronto, Ontario, Canada, M4N 3M5
- Research Site
-
-
Quebec
-
Montreal, Quebec, Canada, H2X 0A9
- Research Site
-
Québec, Quebec, Canada, G1R 2J6
- Research Site
-
Sherbrooke, Quebec, Canada, J1H 5N4
- Research Site
-
-
-
-
-
Beijing, China
- Research Site
-
Changchun, China
- Research Site
-
Changsha, China
- Research Site
-
Chengdu, China
- Research Site
-
Dalian, China
- Research Site
-
Fuzhou, China
- Research Site
-
Guangzhou, China
- Research Site
-
Hangzhou, China
- Research Site
-
Harbin, China
- Research Site
-
Hefei, China
- Research Site
-
Nanchang, China
- Research Site
-
Nanjing, China
- Research Site
-
Nanning, China
- Research Site
-
Shanghai, China
- Research Site
-
Suzhou, China
- Research Site
-
Wuhan, China
- Research Site
-
Xi'an, China
- Research Site
-
Zhengzhou, China
- Research Site
-
-
-
-
-
Clichy, France
- Research Site
-
Lille, France
- Research Site
-
Marseille, France
- Research Site
-
Montpellier, France
- Research Site
-
Nancy, France
- Research Site
-
Nantes, France
- Research Site
-
Nice, France
- Research Site
-
Pessac, France
- Research Site
-
Poitiers, France
- Research Site
-
Reims, France
- Research Site
-
Rouen, France
- Research Site
-
Saint-Etienne, France
- Research Site
-
Toulouse, France
- Research Site
-
Villejuif, France
- Research Site
-
-
-
-
-
Aachen, Germany
- Research Site
-
Cologne, Germany
- Research Site
-
Essen, Germany
- Research Site
-
Hanover, Germany
- Research Site
-
Heidelberg, Germany
- Research Site
-
Leipzig, Germany
- Research Site
-
Mainz, Germany
- Research Site
-
München, Germany
- Research Site
-
Tübingen, Germany
- Research Site
-
Ulm, Germany
- Research Site
-
-
-
-
-
Hong Kong, Hong Kong
- Research Site
-
-
-
-
-
Bangalore, India
- Research Site
-
Bhubneshwar, India
- Research Site
-
Chennai, India
- Research Site
-
Hubli, India
- Research Site
-
Hyderabad, India
- Research Site
-
Karmsad, India
- Research Site
-
Mumbai, India
- Research Site
-
Nashik, India
- Research Site
-
New Delhi, India
- Research Site
-
-
-
-
-
Benevento, Italy
- Research Site
-
Meldola, Italy
- Research Site
-
Milan, Italy
- Research Site
-
Naples, Italy
- Research Site
-
Perugia, Italy
- Research Site
-
Pisa, Italy
- Research Site
-
Roma, Italy
- Research Site
-
Rozzano, Italy
- Research Site
-
-
-
-
-
Bunkyoku, Japan
- Research Site
-
Chiba, Japan
- Research Site
-
Fukuoka, Japan
- Research Site
-
Hiroshima, Japan
- Research Site
-
Iizuka, Japan
- Research Site
-
Kanazawa, Japan
- Research Site
-
Kumamoto, Japan
- Research Site
-
Kurume, Japan
- Research Site
-
Kōtoku, Japan
- Research Site
-
Matsuyama, Japan
- Research Site
-
Mitakashi, Japan
- Research Site
-
Musashino, Japan
- Research Site
-
Nagoya, Japan
- Research Site
-
Okayama, Japan
- Research Site
-
Osaka, Japan
- Research Site
-
Saga, Japan
- Research Site
-
Sapporo, Japan
- Research Site
-
Shiwa, Japan
- Research Site
-
Suntogun, Japan
- Research Site
-
Tsu, Japan
- Research Site
-
Yokohama, Japan
- Research Site
-
Ōgaki, Japan
- Research Site
-
Ōsaka-sayama, Japan
- Research Site
-
-
-
-
-
Moscow, Russia
- Research Site
-
Murmansk, Russia
- Research Site
-
Nizhny Novgorod, Russia
- Research Site
-
Novosibirsk, Russia
- Research Site
-
Obninsk, Russia
- Research Site
-
Omsk, Russia
- Research Site
-
Saint Petersburg, Russia
- Research Site
-
Ufa, Russia
- Research Site
-
-
-
-
-
Busan, South Korea, 49241
- Research Site
-
Daegu, South Korea, 41944
- Research Site
-
Seoul, South Korea, 6351
- Research Site
-
Seoul, South Korea, 5505
- Research Site
-
Seoul, South Korea, 3722
- Research Site
-
Seoul, South Korea, 3080
- Research Site
-
-
Gyeonggi-do
-
Ilsan, Gyeonggi-do, South Korea, 10408
- Research Site
-
Seongnam-si, Gyeonggi-do, South Korea, 13620
- Research Site
-
-
-
-
-
Barcelona, Spain
- Research Site
-
Madrid, Spain
- Research Site
-
Oviedo, Spain
- Research Site
-
Pamplona Madrid, Spain
- Research Site
-
Santander, Spain
- Research Site
-
-
-
-
-
Chiayi City, Taiwan
- Research Site
-
Kaohsiung City, Taiwan
- Research Site
-
Taichung, Taiwan
- Research Site
-
Tainan, Taiwan
- Research Site
-
Taipei, Taiwan
- Research Site
-
Taoyuan District, Taiwan
- Research Site
-
-
-
-
-
Bangkok, Thailand
- Research Site
-
Chang Mai, Thailand
- Research Site
-
Khon Kaen, Thailand
- Research Site
-
Phitsanulok, Thailand
- Research Site
-
Songkhla, Thailand
- Research Site
-
-
-
-
-
Dnipro, Ukraine
- Research Site
-
IvanoFrankivsk, Ukraine
- Research Site
-
Kharkiv, Ukraine
- Research Site
-
Kropyvnitskyi, Ukraine
- Research Site
-
Kyiv, Ukraine
- Research Site
-
Lviv, Ukraine
- Research Site
-
Odesa, Ukraine
- Research Site
-
Uzhhorod, Ukraine
- Research Site
-
-
-
-
California
-
Los Angeles, California, United States, 90048
- Research Site
-
Orange, California, United States, 92868
- Research Site
-
San Francisco, California, United States, 94158
- Research Site
-
-
District of Columbia
-
Washington D.C., District of Columbia, United States, 20007
- Research Site
-
-
Florida
-
Fort Myers, Florida, United States, 33916
- Research Site
-
Jacksonville, Florida, United States, 32224
- Research Site
-
-
Kansas
-
Westwood, Kansas, United States, 66205
- Research Site
-
-
Maryland
-
Baltimore, Maryland, United States, 21231
- Research Site
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48109
- Research Site
-
-
Minnesota
-
Rochester, Minnesota, United States, 55905
- Research Site
-
-
New York
-
New York, New York, United States, 10065
- Research Site
-
-
North Carolina
-
Charlotte, North Carolina, United States, 28262
- Research Site
-
-
Oregon
-
Portland, Oregon, United States, 97213
- Research Site
-
-
Pennsylvania
-
Pittsburgh, Pennsylvania, United States, 15237
- Research Site
-
-
Texas
-
Dallas, Texas, United States, 75235
- Research Site
-
Dallas, Texas, United States, 75216
- Research Site
-
Dallas, Texas, United States, 74235
- Research Site
-
Houston, Texas, United States, 77030
- Research Site
-
Houston, Texas, United States, 77090
- Research Site
-
-
Utah
-
Murray, Utah, United States, 84107
- Research Site
-
-
-
-
-
Hanoi, Vietnam
- Research Site
-
Hochiminh, Vietnam
- Research Site
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion criteria
- HCC based on histopathological confirmation
- No prior systemic therapy for HCC
- Barcelona Clinic Liver Cancer (BCLC) stage B (that is not eligible for locoregional therapy) or stage C
- Child-Pugh Score class A
- ECOG performance status of 0 or 1 at enrollment
Exclusion criteria
- Hepatic encephalopathy within past 12 months or requirement for medication to prevent or control encephalopathy
- Clinically meaningful ascites
- Main portal vein tumor thrombosis
- Active or prior documented GI bleeding (eg, esophageal varices or ulcer bleeding) within 12 months
- HBV and HVC co-infection, or HBV and Hep D co-infection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Arm 1
Durvalumab
|
Durvalumab IV (intravenous infusion).
Other Names:
|
|
Experimental: Arm 2
Durvalumab in combination with tremelimumab (Regimen 1)
|
Tremelimumab IV (intravenous infusion).
Durvalumab IV (intravenous infusion).
|
|
Experimental: Arm 3
Durvalumab in combination with tremelimumab (Regimen 2)
|
Tremelimumab IV (intravenous infusion).
Durvalumab IV (intravenous infusion).
|
|
Active Comparator: Arm 4
Sorafenib
|
Sorafenib, as per standard of care
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Survival (OS) - Treme 300 mg x1 Dose + Durva 1500 mg vs Sora 400 mg
Time Frame: From the date of randomization until death due to any cause, assessed up to the data cut-off date (27Aug2021, to a maximum of approximately 46 months).
|
OS was defined as the time from the date of randomization until death due to any cause, regardless of whether the participant withdrew from randomized therapy or received another anticancer therapy.
Any participant not known to have died at the DCO date was censored based on the last recorded date on which the participant was known to be alive.
If the last known date alive or if the date of death was after the DCO date, participants were censored at the DCO date.
This primary outcome measure presents OS analysis of Treme 300mg x1 dose + Durva 1500 mg vs Sora 400 mg at the time of the final analysis DCO (27Aug2021).
|
From the date of randomization until death due to any cause, assessed up to the data cut-off date (27Aug2021, to a maximum of approximately 46 months).
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Survival (OS) - Durva 1500 mg vs Sora 400 mg
Time Frame: From the date of randomization until death due to any cause, assessed up to the data cut-off date (27Aug2021, to a maximum of approximately 46 months).
|
OS was defined as the time from the date of randomization until death due to any cause, regardless of whether the participant withdrew from randomized therapy or received another anticancer therapy.
Any participant not known to have died at the DCO date was censored based on the last recorded date on which the participant was known to be alive.
If the last known date alive or if the date of death was after the DCO date, participants were censored at the DCO date.
This secondary outcome measure presents OS analysis of Durva 1500 mg vs Sora 400 mg at the time of the final analysis DCO (27Aug2021).
|
From the date of randomization until death due to any cause, assessed up to the data cut-off date (27Aug2021, to a maximum of approximately 46 months).
|
|
Overall Survival (OS) at 18, 24, and 36 Months After Randomization
Time Frame: At 18, 24, and 36 months post-randomization. Assessed at the final analysis DCO (27Aug2021).
|
Percentage of participants who were alive at fixed time points (18, 24, and 36 months) after randomization.
The estimated percentage of survival along with the 95% confidence interval were calculated using Kaplan-Meier technique on the full analysis set.
|
At 18, 24, and 36 months post-randomization. Assessed at the final analysis DCO (27Aug2021).
|
|
Progression Free Survival (PFS)
Time Frame: Tumor scans performed at baseline, every 8 weeks for the first 48 weeks following randomization, and every 12 weeks thereafter until RECIST 1.1-defined progression. Assessed up to DCO (27Aug2021, to a maximum of approximately 46 months)
|
PFS (per Response Evaluation Criteria in Solid Tumors, version 1.1 [RECIST 1.1] using Investigator assessments) was defined as the time from the date of randomization until the date of objective disease progression or death by any cause in the absence of progression, regardless of whether the patient withdrew from study treatment or received another anticancer therapy prior to progression.
Progression (i.e., PD) was defined as a at least 20% increase in the sum of diameters of TLs, taking as reference the smallest previous sum of diameters (nadir) - this includes the baseline sum if that is the smallest on study.
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm from nadir.
|
Tumor scans performed at baseline, every 8 weeks for the first 48 weeks following randomization, and every 12 weeks thereafter until RECIST 1.1-defined progression. Assessed up to DCO (27Aug2021, to a maximum of approximately 46 months)
|
|
Time To Progression (TTP)
Time Frame: From the date of randomization until objective tumor progression, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
|
TTP was defined as the time from randomization until objective tumor progression in the absence of death.
If participants died without tumor progression, they were censored at the time of death.
|
From the date of randomization until objective tumor progression, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
|
|
Objective Response Rate (ORR)
Time Frame: From the date of randomization until objective tumor progression, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
|
ORR (per RECIST 1.1 as assessed by the Investigator) was defined as the number (%) of participants with at least 1 confirmed visit response of CR or PR until progression, or the last evaluable assessment in the absence of progression.
Participants who go off treatment without progression, receive a subsequent therapy, and then respond will not be included as responders in the ORR.
Complete response (ie., CR) was defined as disappearance of all target lesions (TLs) since baseline.
Any pathological lymph nodes selected as TLs must have a reduction in short axis diameter to <10 mm.
Partial response (ie., PR) was defined as at least a 30% decrease in the sum of the diameter of TL, taking as reference the baseline sum of diameters.
|
From the date of randomization until objective tumor progression, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
|
|
Disease Control Rate (DCR)
Time Frame: From the date of randomization until objective tumor progression or date of death, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
|
Number (%) of participants with a Best Objective Response (BoR) of CR, PR, or SD.
Complete response (ie., CR) was defined as disappearance of all target lesions (TLs) since baseline.
Any pathological lymph nodes selected as TLs must have a reduction in short axis diameter to <10 mm.
Partial response (ie., PR) was defined as at least a 30% decrease in the sum of the diameter of TL, taking as reference the baseline sum of diameters.
Stable disease (ie., SD) was defined as neither sufficient decrease in sum of diameters to qualify for PR nor sufficient increase to qualify for progression.
|
From the date of randomization until objective tumor progression or date of death, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
|
|
Duration of Objective Response (DoR)
Time Frame: From the date of first documented response until the first date of documented progression or death, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
|
Time from the date of first documented confirmed response (complete or partial response) until the first date of documented progression or death in the absence of disease progression.
Complete response (ie., CR) was defined as disappearance of all target lesions (TLs) since baseline.
Any pathological lymph nodes selected as TLs must have a reduction in short axis diameter to <10 mm.
Partial response (ie., PR) was defined as at least a 30% decrease in the sum of the diameter of TL, taking as reference the baseline sum of diameters.
|
From the date of first documented response until the first date of documented progression or death, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
|
|
Overall Survival (OS) by PD-L1
Time Frame: From the date of randomization until death due to any cause, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
|
Overall survival by baseline PD-L1 expression levels (positive vs. negative).
PD-L1 expression level is based on the Tumor and Immune Cell Positivity (TIP) score method as: PD-L1 Positive (TIP ≥ 1%) or PD-L1 Negative (TIP < 1%).
|
From the date of randomization until death due to any cause, assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
|
|
EORTC QLQ-C30 Time to Global Health Status/QoL Deterioration
Time Frame: At baseline and every 8 weeks for the first 48 weeks and then every 12 weeks thereafter until death or the final analysis DCO (27Aug2021), assessed up to approximately 46 months.
|
European Organisation for Research and Treatment of Cancer (EORTC) 30-item core quality of life questionnaire (QLQ-C30), which consists of 30 questions combined to produce a global health status/QoL scale.
Higher scores indicate better health.
A clinically meaningful deterioration is defined as a decrease in the score from baseline of ≥10.
Time to deterioration is defined as the time from the date of randomization until the date of the first clinically meaningful deterioration that is confirmed at a subsequent visit or death by any cause in the absence of a clinically meaningful deterioration, regardless of whether the patient discontinues study drug(s) or receives another anticancer therapy.
|
At baseline and every 8 weeks for the first 48 weeks and then every 12 weeks thereafter until death or the final analysis DCO (27Aug2021), assessed up to approximately 46 months.
|
|
EORTC QLQ-HCC18 Time to Symptom (Abdominal Pain) Deterioration
Time Frame: At baseline and every 8 weeks for the first 48 weeks and then every 12 weeks thereafter until death or the final analysis DCO (27Aug2021), assessed up to approximately 46 months.
|
EORTC 18-item hepatocellular cancer health-related quality of life questionnaire (QLQ-HCC18) is an 18-item questionnaire design used along with the 30-item EORTC QLQ-C30, which includes 8 symptom scales such as fatigue, jaundice, body image, nutrition, pain, fever, sex life and abdominal swelling.
A high score for a symptom scale/item represents a high level of symptomatology/problem.
A clinically meaningful deterioration is defined as an increase in the score from baseline of ≥10.
Time to deterioration is defined as the time from the date of randomization until the date of the first clinically meaningful deterioration that is confirmed at a subsequent visit or death by any cause in the absence of a clinically meaningful deterioration, regardless of whether the patient discontinues study drug(s) or receives another anticancer therapy.
|
At baseline and every 8 weeks for the first 48 weeks and then every 12 weeks thereafter until death or the final analysis DCO (27Aug2021), assessed up to approximately 46 months.
|
|
EORTC QLQ-HCC18 Time to Symptom (Shoulder Pain) Deterioration
Time Frame: At baseline and every 8 weeks for the first 48 weeks and then every 12 weeks thereafter until death or the final analysis DCO (27Aug2021), assessed up to approximately 46 months.
|
EORTC 18-item hepatocellular cancer health-related quality of life questionnaire (QLQ-HCC18) is an 18-item questionnaire design used along with the 30-item EORTC QLQ-C30, which includes 8 symptom scales such as fatigue, jaundice, body image, nutrition, pain, fever, sex life and abdominal swelling.
A high score for a symptom scale/item represents a high level of symptomatology/problem.
A clinically meaningful deterioration is defined as an increase in the score from baseline of ≥10.
Time to deterioration is defined as the time from the date of randomization until the date of the first clinically meaningful deterioration that is confirmed at a subsequent visit or death by any cause in the absence of a clinically meaningful deterioration, regardless of whether the patient discontinues study drug(s) or receives another anticancer therapy.
|
At baseline and every 8 weeks for the first 48 weeks and then every 12 weeks thereafter until death or the final analysis DCO (27Aug2021), assessed up to approximately 46 months.
|
|
EORTC QLQ-HCC18 Time to Symptom (Abdominal Swelling) Deterioration
Time Frame: At baseline and every 8 weeks for the first 48 weeks and then every 12 weeks thereafter until death or the final analysis DCO (27Aug2021), assessed up to approximately 46 months.
|
EORTC 18-item hepatocellular cancer health-related quality of life questionnaire (QLQ-HCC18) is an 18-item questionnaire design used along with the 30-item EORTC QLQ-C30, which includes 8 symptom scales such as fatigue, jaundice, body image, nutrition, pain, fever, sex life and abdominal swelling.
A high score for a symptom scale/item represents a high level of symptomatology/problem.
A clinically meaningful deterioration is defined as an increase in the score from baseline of ≥10.
Time to deterioration is defined as the time from the date of randomization until the date of the first clinically meaningful deterioration that is confirmed at a subsequent visit or death by any cause in the absence of a clinically meaningful deterioration, regardless of whether the patient discontinues study drug(s) or receives another anticancer therapy.
|
At baseline and every 8 weeks for the first 48 weeks and then every 12 weeks thereafter until death or the final analysis DCO (27Aug2021), assessed up to approximately 46 months.
|
|
Presence of ADA for Durvalumab
Time Frame: Samples were collected on Day 1 (Week 0), Week 12 and at 3 months after the last dose of durvalumab. Assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
|
Number of participants with Anti-Drug Antibody (ADA) response to Durvalumab.
ADA positive post-baseline only was also referred to as treatment-induced ADA.
Treatment-emergent ADA was defined as the sum of treatment-induced ADA and treatment-boosted ADA.
Results are reported as number of participants with ADA responses to Durvalumab for each indicated category.
|
Samples were collected on Day 1 (Week 0), Week 12 and at 3 months after the last dose of durvalumab. Assessed until the final analysis DCO (27Aug2021, to a maximum of approximately 46 months).
|
|
Presence of ADA for Tremelimumab
Time Frame: Samples were collected on Day 1 (Week 0), Week 12 and at 3 months after the last dose of tremelimumab. Assessed up to approximately 46 months after the first randomization.
|
Number of participants with Anti-Drug Antibody (ADA) response to Tremelimumab.
ADA positive post-baseline only was also referred to as treatment-induced ADA.
Treatment-emergent ADA was defined as the sum of treatment-induced ADA and treatment-boosted ADA.
Results are reported as number of participants with ADA responses to Tremelimumab for each indicated category.
|
Samples were collected on Day 1 (Week 0), Week 12 and at 3 months after the last dose of tremelimumab. Assessed up to approximately 46 months after the first randomization.
|
|
Summary of Durvalumab Concentration Over Time
Time Frame: To evaluate the PK of Durvalumab, samples were collected pre-dose at week 4 and week 12 and post-dose at week 12. Assessed at the final analysis DCO (27Aug2021).
|
Blood sample were collected at pre-specified timepoints and Durvalumab concentrations in serum (ug/mL) were reported over time.
|
To evaluate the PK of Durvalumab, samples were collected pre-dose at week 4 and week 12 and post-dose at week 12. Assessed at the final analysis DCO (27Aug2021).
|
|
Summary of Tremelimumab Concentration Over Time
Time Frame: To evaluate the PK of Tremelimumab, samples were collected at week 0 (post-dose), week 4, and week 12. Assessed at the final analysis DCO (27Aug2021).
|
Blood sample were collected at pre-specified timepoints and Tremelimumab concentrations in serum (ug/mL) were reported over time.
|
To evaluate the PK of Tremelimumab, samples were collected at week 0 (post-dose), week 4, and week 12. Assessed at the final analysis DCO (27Aug2021).
|
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Adverse events
Time Frame: From the time of signature of informed consent, throughout the treatment period, and up to the follow-up period, assessed up to 4 years
|
From the time of signature of informed consent, throughout the treatment period, and up to the follow-up period, assessed up to 4 years
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Rimassa L, Chan SL, Sangro B, Lau G, Kudo M, Reig M, Breder V, Ryu MH, Ostapenko Y, Sukeepaisarnjaroen W, Varela M, Tougeron D, Crysler OV, Bouattour M, Van Dao T, Tam VC, Faccio A, Furuse J, Jeng LB, Kang YK, Kelley RK, Paskow MJ, Ran D, Xynos I, Kurland JF, Negro A, Abou-Alfa GK. Five-year overall survival update from the HIMALAYA study of tremelimumab plus durvalumab in unresectable HCC. J Hepatol. 2025 Oct;83(4):899-908. doi: 10.1016/j.jhep.2025.03.033. Epub 2025 Apr 11.
- Lau G, Abou-Alfa GK, Cheng AL, Sukeepaisarnjaroen W, Van Dao T, Kang YK, Thungappa SC, Kudo M, Sangro B, Kelley RK, Furuse J, Park JW, Sunpaweravong P, Fasolo A, Yau T, Kawaoka T, Azevedo S, Reig M, Assenat E, Yarchoan M, He AR, Makowsky M, Gupta C, Negro A, Chan SL. Outcomes in the Asian subgroup of the phase III randomised HIMALAYA study of tremelimumab plus durvalumab in unresectable hepatocellular carcinoma. J Hepatol. 2025 Feb;82(2):258-267. doi: 10.1016/j.jhep.2024.07.017. Epub 2024 Jul 31.
- Sangro B, Galle PR, Kelley RK, Charoentum C, De Toni EN, Ostapenko Y, Heo J, Cheng AL, Wilson Woods A, Gupta C, Abraham J, McCoy CL, Patel N, Negro A, Vogel A, Abou-Alfa GK. Patient-Reported Outcomes From the Phase III HIMALAYA Study of Tremelimumab Plus Durvalumab in Unresectable Hepatocellular Carcinoma. J Clin Oncol. 2024 Aug 10;42(23):2790-2799. doi: 10.1200/JCO.23.01462. Epub 2024 May 28.
- Abou-Alfa GK, Lau G, Kudo M, Chan SL, Kelley RK, Furuse J, Sukeepaisarnjaroen W, Kang YK, Van Dao T, De Toni EN, Rimassa L, Breder V, Vasilyev A, Heurgue A, Tam VC, Mody K, Thungappa SC, Ostapenko Y, Yau T, Azevedo S, Varela M, Cheng AL, Qin S, Galle PR, Ali S, Marcovitz M, Makowsky M, He P, Kurland JF, Negro A, Sangro B. Tremelimumab plus Durvalumab in Unresectable Hepatocellular Carcinoma. NEJM Evid. 2022 Aug;1(8):EVIDoa2100070. doi: 10.1056/EVIDoa2100070. Epub 2022 Jun 6.
- Addendum 1: Society for Immunotherapy of Cancer (SITC) clinical practice guideline on immunotherapy for the treatment of hepatocellular carcinoma. J Immunother Cancer. 2023 Sep;11(9):e002794add1. doi: 10.1136/jitc-2021-002794add1. No abstract available.
- Patel TH, Brewer JR, Fan J, Cheng J, Shen YL, Xiang Y, Zhao H, Lemery SJ, Pazdur R, Kluetz PG, Fashoyin-Aje LA. FDA Approval Summary: Tremelimumab in Combination with Durvalumab for the Treatment of Patients with Unresectable Hepatocellular Carcinoma. Clin Cancer Res. 2024 Jan 17;30(2):269-273. doi: 10.1158/1078-0432.CCR-23-2124.
- Chan SL, Kudo M, Sangro B, Kelley RK, Kim JH, Pham B, Hong JY, Waldschmidt DT, Marino D, Joycelyn Lee JX, Gerolami R, Burgoyne AM, Li Q, Nakamura H, Sun P, Baur B, Rimassa L. Early Safety Results from the Phase 3b SIERRA Study of Durvalumab and Tremelimumab as First-Line Treatment for Participants with Unresectable Hepatocellular Carcinoma and a Poor Prognosis. Liver Cancer. 2025 Dec 18. doi: 10.1159/000549955. Online ahead of print.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
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
- Organic Chemicals
- Pyridines
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Hydrocarbons
- Hydrocarbons, Cyclic
- Hydrocarbons, Aromatic
- Amides
- Benzene Derivatives
- Urea
- Acids, Heterocyclic
- Phenylurea Compounds
- Niacinamide
- Nicotinic Acids
- Sorafenib
- durvalumab
- tremelimumab
Other Study ID Numbers
- D419CC00002
- 2016-005126-11 (EudraCT Number)
- 2024-512212-21-00 (Registry Identifier: CTIS (EU))
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.
Clinical Trials on Hepatocellular Carcinoma
-
Roswell Park Cancer InstituteNational Comprehensive Cancer NetworkCompletedAdvanced Adult Hepatocellular Carcinoma | Localized Non-Resectable Adult Hepatocellular Carcinoma | Stage IIIA Hepatocellular Carcinoma | Stage IIIB Hepatocellular Carcinoma | Stage IIIC Hepatocellular Carcinoma | Stage IVA Hepatocellular Carcinoma | Stage IVB Hepatocellular Carcinoma | Stage III... and other conditionsUnited States
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)CompletedUnresectable Hepatocellular Carcinoma | Advanced Adult Hepatocellular Carcinoma | Stage IIIB Hepatocellular Carcinoma AJCC v7 | Stage IIIC Hepatocellular Carcinoma AJCC v7 | BCLC Stage C Hepatocellular Carcinoma | Stage IV Hepatocellular Carcinoma AJCC v7 | Stage III Hepatocellular Carcinoma AJCC... and other conditionsUnited States
-
Academic and Community Cancer Research UnitedNational Cancer Institute (NCI)TerminatedUnresectable Hepatocellular Carcinoma | Stage III Hepatocellular Carcinoma AJCC v8 | Stage IIIA Hepatocellular Carcinoma AJCC v8 | Stage IV Hepatocellular Carcinoma AJCC v8 | Stage IVA Hepatocellular Carcinoma AJCC v8 | Stage IVB Hepatocellular Carcinoma AJCC v8 | BCLC Stage B Hepatocellular Carcinoma and other conditionsUnited States
-
City of Hope Medical CenterNational Cancer Institute (NCI)Active, not recruitingUnresectable Hepatocellular Carcinoma | Stage III Hepatocellular Carcinoma AJCC v8 | Stage IIIA Hepatocellular Carcinoma AJCC v8 | Stage IV Hepatocellular Carcinoma AJCC v8 | Stage IVA Hepatocellular Carcinoma AJCC v8 | Stage IVB Hepatocellular Carcinoma AJCC v8 | BCLC Stage B Hepatocellular Carcinoma and other conditionsUnited States
-
Roswell Park Cancer InstituteMerck Sharp & Dohme LLCCompletedAdvanced Adult Hepatocellular Carcinoma | Child-Pugh Class A | Stage III Hepatocellular Carcinoma | Stage IIIA Hepatocellular Carcinoma | Stage IIIB Hepatocellular Carcinoma | Stage IIIC Hepatocellular Carcinoma | Stage IV Hepatocellular Carcinoma | Stage IVA Hepatocellular Carcinoma | Stage IVB Hepatocellular...United States
-
Academic and Community Cancer Research UnitedNational Cancer Institute (NCI); Genentech, Inc.RecruitingUnresectable Hepatocellular Carcinoma | Stage III Hepatocellular Carcinoma AJCC v8 | Stage IIIA Hepatocellular Carcinoma AJCC v8 | Stage IV Hepatocellular Carcinoma AJCC v8 | Stage IVA Hepatocellular Carcinoma AJCC v8 | Stage IVB Hepatocellular Carcinoma AJCC v8 | Stage IIIB Hepatocellular Carcinoma... and other conditionsUnited States
-
National Cancer Institute (NCI)CompletedUnresectable Hepatocellular Carcinoma | Advanced Adult Hepatocellular Carcinoma | Recurrent Hepatocellular Carcinoma | Stage IIIB Hepatocellular Carcinoma AJCC v7 | Stage IIIC Hepatocellular Carcinoma AJCC v7 | Stage IV Hepatocellular Carcinoma AJCC v7 | Stage III Hepatocellular Carcinoma AJCC v7 and other conditionsUnited States, Canada, Puerto Rico
-
Roswell Park Cancer InstituteSuspendedAdvanced Hepatocellular Carcinoma | Recurrent Hepatocellular Carcinoma | Stage III Hepatocellular Carcinoma AJCC v8 | Stage IV Hepatocellular Carcinoma AJCC v8 | Refractory Hepatocellular Carcinoma | Metastatic Hepatocellular CarcinomaUnited States
-
Edward KimBristol-Myers Squibb; National Cancer Institute (NCI)TerminatedUnresectable Hepatocellular Carcinoma | Stage III Hepatocellular Carcinoma AJCC v8 | Stage IIIA Hepatocellular Carcinoma AJCC v8 | Stage IV Hepatocellular Carcinoma AJCC v8 | Stage IVA Hepatocellular Carcinoma AJCC v8 | Stage IVB Hepatocellular Carcinoma AJCC v8 | Stage IIIB Hepatocellular Carcinoma... and other conditionsUnited States
-
Mayo ClinicNational Cancer Institute (NCI)CompletedAdvanced Hepatocellular Carcinoma | BCLC Stage B Hepatocellular Carcinoma | BCLC Stage C Hepatocellular Carcinoma | Metastatic Hepatocellular Carcinoma | BCLC Stage A Hepatocellular CarcinomaUnited States
Clinical Trials on Durvalumab
-
Amit MahipalExelixisNot yet recruitingHepatocellular Carcinoma | Liver CancerUnited States
-
Yonsei UniversityNot yet recruitingAdvanced Cancer | Biliary Tract Neoplasms | ImmunotherapySouth Korea
-
AmgenRecruitingSmall Cell Lung CancerUnited States, Turkey (Türkiye)
-
IDEAYA BiosciencesRecruitingSmall-cell Lung Cancer | Neuroendocrine Carcinomas | Solid Tumor Show to Express DLL3United States, Australia, Canada, Spain, Brazil, South Korea, Japan
-
Riboscience, LLC.RecruitingAdvanced Unresectable Hepatocellular CarcinomaUnited States
-
Institut für Klinische Krebsforschung IKF GmbH...AstraZenecaNot yet recruitingEsophagogastric AdenocarcinomaGermany, Spain
-
Bristol-Myers SquibbBioNTech SERecruitingNon-small Cell Lung Cancer (NSCLC)United States, Taiwan, Switzerland, Japan, United Kingdom, Australia, China, South Korea, Germany, Argentina, Austria, Belgium, Brazil, Bulgaria, Canada, Chile, France, Greece, Hong Kong, Hungary, India, Ireland, Italy, Mexico, Netherlands and more
-
AstraZenecaRecruitingSolid TumoursAustralia, Poland, Georgia, Taiwan, South Korea
-
Alliance Foundation Trials, LLC.AstraZenecaRecruitingSmall Cell Lung Cancer (SCLC)United States
-
Jazz PharmaceuticalsJazz Pharmaceuticals Ireland LimitedNot yet recruitingExtensive-stage Small-cell Lung CancerUnited States