- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05582278
HAIC+Lenvatinib+Tislelizumab vs D-TACE+Lenvatinib+Tislelizumab for Unresectable HCC
October 14, 2022 updated by: Wen Li
HAIC Combined With Lenvatinib and Tislelizumab Versus D-TACE Combined With Lenvatinib and Tislelizumab in Advanced Unresectable Hepatocellular Carcinoma
Drug-eluting Bead-Transarterial chemoembolization (D-TACE) is the most widely used palliative treatment for hepatocellular carcinoma (HCC) patients.
While a number of studies demonstrate poor effect of D-TACE for patients in Advanced Unresectable HCC.
The investigators previous study also revealed similar results in Advanced Unresectable HCC patients treated with D-TACE.
Recently, the investigators previous study demonstrated that, compared with D-TACE, hepatic arterial infusion chemotherapy (HAIC) may improve tumor response in Advanced Unresectable HCC.
Thus, the investigators carried out this prospective nonrandomized control to demonstrate the superiority of HAIC-based combination therapy over D-TACE-based combination therapy.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
HCC is one of the most common malignant tumors with the worst prognosis.
At present, except for liver transplantation, surgical resection is the most effective therapy for patients with HCC.
However, many patients are found to have advanced cancer as soon as they were diagnosed and lose the opportunity of radical resection and treatments are limited.More and more clinical research failures have hit the investigators' hard, until a clinical study named IMbrave150, published in the New England Journal of Medicine in 2020.
It has opened up a new era of combination therapy, breaking the pattern of only a single mode of advanced liver cancer for more than ten years, making the investigators realize that for the treatment of patients with advanced liver cancer, the single treatment effect is often very limited, and combination therapy is the future.The investigators recent research showed that HAIC Combined With Lenvatinib and Tislelizumab brings good results to patients with advanced HCC.To identify a more effective and safety way for treating potentially resectable HCC patients, this study is designed to compare the safety and efficacy between HAIC-based combination therapy and D-TACE-based combination therapy for those patients in Advanced Unresectable HCC.
Study Type
Interventional
Enrollment (Anticipated)
60
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Wen Li, PHD
- Phone Number: 18870050597
- Email: lw1042@126.com
Study Contact Backup
- Name: Lu Fang, PHD
- Phone Number: 13507911672
- Email: fanglu@medmail.com.cn
Study Locations
-
-
Jiangxi
-
Nanchang, Jiangxi, China, 330000
- Recruiting
- The Second Affiliated Hospital of Nanchang University
-
Contact:
- Wen Li, PHD
- Phone Number: 18870050597
- Email: lw1042@126.com
-
Contact:
- Lu Fang, PHD
- Phone Number: 13507911672
- Email: fanglu@medmail.com.cn
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients with advanced unresectable hepatocellular carcinoma treated by D- TACE, or HAIC combined with Lenvatinib and Tislelizumab as initial treatment
- Age between 18 and 75 years
- Child-Pugh A or B liver function
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1
- Adequate hematologic blood counts (white blood cell count >3ⅹ109/L, absolute neutrophil count >1.5ⅹ109/L, platelet count >10ⅹ109/L, hemoglobin concentration >85 g/L
- No extrahepatic metastasis
Exclusion Criteria:
- Severe underlying cardiac, pulmonary, or renal diseases
- History of a second primary malignant tumor
- Incomplete medical data
- Loss to follow-up.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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: HAIC+lenvatinib+tislelizumab
Hepatic Arterial Infusion Chemotherapy Combined With lenvatinib and tislelizumab
|
FOLFOX-based regimen for hepatic arterial infusion chemotherapy: oxaliplatin, 100 mg/m2 infusion for 2 hours; calcium levofolinate, 200 mg/m2 infusion for 1 hours; and 5-FU, 400 mg/m2 bolus infusion and then 2400 mg/m2 continuous infusion over 46 h.
Other Names:
12 mg/d for bodyweight ⩾ 60 kg or 8 mg/d for bodyweight <60 kg
Other Names:
tislelizumab 200 mg, every 3 weeks.
Other Names:
|
Experimental: D-TACE+lenvatinib+tislelizumab
Transarterial chemoembolization with drug-eluting beads Combined With lenvatinib and tislelizumab
|
FOLFOX-based regimen for hepatic arterial infusion chemotherapy: oxaliplatin, 100 mg/m2 infusion for 2 hours; calcium levofolinate, 200 mg/m2 infusion for 1 hours; and 5-FU, 400 mg/m2 bolus infusion and then 2400 mg/m2 continuous infusion over 46 h.
Other Names:
12 mg/d for bodyweight ⩾ 60 kg or 8 mg/d for bodyweight <60 kg
Other Names:
CalliSpheres (100-300 µm) loaded with pirarubicin for transarterial chemombolization: Typically, one vial of the beads was loaded with 60 mg pirarubicin.
If blushed tumors is still visible after the embolization with one vial of beads, regular microspheres (8spheres) with diameters of 100-700 μm are additionally injected.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Tumor Response
Time Frame: 6-8 weeks
|
The tumor responses were evaluated by measuring the longest diameter of target lesions according to response evaluation criteria in solid tumors.(RECIST)
version 1.1
|
6-8 weeks
|
Overall survival
Time Frame: 24months
|
Overall survival (OS) was measured from the initiation of transarterial therapy to the date of death or the last follow-up.
|
24months
|
Progression-free survival
Time Frame: 24 months
|
Progression-free survival (PFS) was measured from the initiation of transarterial therapy to the time of progression or recurrence or last follow-up
|
24 months
|
Cancer embolism withdraws
Time Frame: 6-8 weeks
|
The degree of thrombosis withdrawal of the portal vein or hepatic vein(VP1-VP4 or I-IV).
|
6-8 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 1, 2021
Primary Completion (Anticipated)
January 1, 2024
Study Completion (Anticipated)
January 1, 2024
Study Registration Dates
First Submitted
October 12, 2022
First Submitted That Met QC Criteria
October 14, 2022
First Posted (Actual)
October 17, 2022
Study Record Updates
Last Update Posted (Actual)
October 17, 2022
Last Update Submitted That Met QC Criteria
October 14, 2022
Last Verified
October 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Adenocarcinoma
- Neoplasms, Glandular and Epithelial
- Digestive System Neoplasms
- Liver Diseases
- Liver Neoplasms
- Carcinoma
- Carcinoma, Hepatocellular
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Protein Kinase Inhibitors
- Lenvatinib
- Immune Checkpoint Inhibitors
Other Study ID Numbers
- 11011 (DAIDS ES Registry Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
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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