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HAIC-TACE Plus Apatinib and Camrelizumab for Liver Cancer

16. maj 2026 opdateret af: Shanghai Zhongshan Hospital

MATCH-001: A Multicenter, Open-Label, Randomized Controlled Trial of Hepatic Arterial Infusion Chemotherapy Followed by Transarterial Chemoembolization Combined With Apatinib and Camrelizumab in Patients With Intermediate and Advanced Hepatocellular Carcinoma

To provide evidence-based medical evidence for the optimized combination strategy of local and systemic therapies.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

315

Fase

  • Fase 2
  • Fase 1

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria

  1. Age 18-80 years.
  2. Diagnosed with hepatocellular carcinoma (HCC) in accordance with the Standardization for Diagnosis and Treatment of Primary Hepatic Carcinoma (2024 Edition) issued by the National Health Commission of the People's Republic of China.
  3. BCLC stage B or C, with no indication or refusal of surgical treatment, and measurable lesions meeting the mRECIST (Modified Response Evaluation Criteria in Solid Tumors) criteria on baseline imaging.
  4. Child-Pugh liver function grade A or well-compensated grade B (score ≤7).
  5. ECOG Performance Status (PS) score 0-1.
  6. Expected survival time ≥12 weeks.

Exclusion Criteria

  1. Prior transarterial chemoembolization (TACE) or other local therapies for HCC (except bridging liver transplantation).
  2. Active viral hepatitis (hepatitis B or C) with pre-treatment viral load >100 IU/mL (positive for HCV RNA or HBV DNA) or without consistent antiviral therapy.
  3. Alcohol abuse or pregnancy.
  4. Concurrent other malignancies or history of other malignancies within the past 3 years.
  5. Renal dysfunction (creatinine [Cr] >2 mg/dL or creatinine clearance [CCr] <30 mL/min) or severe organic diseases of vital organs (heart, lung, brain, etc.).
  6. Inability to cooperate with interventional procedures.
  7. Presence of distant metastasis.
  8. Main portal vein tumor thrombus accompanied by impaired portal venous blood flow and collateral circulation.

Withdrawal Criteria

  1. Identification of non-compliance with the study protocol during the trial.
  2. Administration of radiotherapy or other interventions during the trial that prevent efficacy evaluation.
  3. Discontinuation of treatment due to severe adverse reactions (excluded from efficacy analysis but included in adverse reaction statistics).
  4. Patient or representative withdraws informed consent or requests to stop treatment.
  5. Loss to follow-up or death of the patient.

Key Terminology Notes

  • National Health Commission of the People's Republic of China: Official English name of the Chinese health authority, consistent with government documentation.
  • Standardization for Diagnosis and Treatment of Primary Hepatic Carcinoma (2024 Edition) : Translated title of the 2024 national guideline for HCC diagnosis and treatment, aligning with the 2022 edition's official English translation published in Cancer Research on Prevention and Treatment.
  • mRECIST: Abbreviation for Modified Response Evaluation Criteria in Solid Tumors, the standard for assessing treatment response in HCC, widely used in clinical trials.
  • BCLC Staging: Barcelona Clinic Liver Cancer staging system, a globally recognized framework for HCC prognosis and treatment decision-making.
  • Child-Pugh Score: A widely used tool to assess liver function in patients with cirrhosis, with grades A (5-6 points), B (7-9 points), and C (10-15 points).
  • ECOG PS Score: Eastern Cooperative Oncology Group Performance Status, a scale from 0 (fully active) to 5 (dead) used to evaluate a patient's ability to perform daily activities.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: HTAC Group
Patients will first undergo hepatic arterial infusion chemotherapy (HAIC) treatment. Subsequently, transarterial chemoembolization (TACE) will be administered sequentially following the completion of HAIC. This regimen will be combined with apatinib (a vascular endothelial growth factor receptor 2 [VEGFR-2] inhibitor) and camrelizumab (a programmed cell death protein 1 [PD-1] inhibitor) therapy.
Patients will first undergo hepatic arterial infusion chemotherapy (HAIC) treatment. Subsequently, transarterial chemoembolization (TACE) will be administered sequentially following the completion of HAIC. This regimen will be combined with apatinib (a vascular endothelial growth factor receptor 2 [VEGFR-2] inhibitor) and camrelizumab (a programmed cell death protein 1 [PD-1] inhibitor) therapy.
Eksperimentel: HAC Group
Patients will receive a combination therapy consisting of HAIC, apatinib, and camrelizumab.
Patients will receive a combination therapy consisting of HAIC, apatinib, and camrelizumab.
Eksperimentel: TAC Group
Patients will be treated with a regimen combining TACE, apatinib, and camrelizumab.
Patients will be treated with a regimen combining TACE, apatinib, and camrelizumab.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Progression-Free Survival (PFS) [Assessed by mRECIST Criteria]
Tidsramme: Up to 27 months.

Definition: The time from enrollment to tumor progression or death from any cause.

Assessment: Evaluated and judged by the investigator based on the mRECIST criteria.

Up to 27 months.

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Overall Survival (OS)
Tidsramme: Up to 27 months
The time from enrollment to death from any cause.
Up to 27 months
Objective Response Rate (ORR) [Assessed by mRECIST and RECIST Criteria]
Tidsramme: Up to 27 months
The proportion of patients with objective tumor response, as evaluated by the investigator using both mRECIST and RECICL criteria, including cases of complete response (CR) and partial response (PR).
Up to 27 months
Disease Control Rate (DCR) [Assessed by mRECIST and RECIST Criteria]
Tidsramme: Up to 27 months
The proportion of patients with controlled tumor disease, as evaluated by the investigator using both mRECIST and RECICL criteria, including cases of complete response (CR), partial response (PR), and stable disease (SD) (lasting for more than 4 weeks)
Up to 27 months
Duration of Response (DoR) [Assessed by RECIST and mRECIST Criteria]
Tidsramme: Up to 27 months

Definition: The time from the first assessment of complete response (CR) or partial response (PR) to the first assessment of progressive disease (PD) or death from any cause.

Assessment: Evaluated and judged by the investigator based on both RECICL and mRECIST criteria.

Up to 27 months
Progression-Free Survival (PFS) [Assessed by RECIST Criteria]
Tidsramme: Up to 27 months.

Definition: The time from enrollment to tumor progression or death from any cause.

Assessment: Evaluated and judged by the investigator based on the RECICL criteria.

Up to 27 months.

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Safety Indicators [Including Incidence and Severity of Adverse Events (AE), Serious Adverse Events (SAE), and Abnormal Laboratory Values]
Tidsramme: Up to 27 months.
Evaluation Standard: Judged in accordance with the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0.
Up to 27 months.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. juni 2026

Primær færdiggørelse (Anslået)

1. december 2029

Studieafslutning (Anslået)

1. december 2029

Datoer for studieregistrering

Først indsendt

8. maj 2026

Først indsendt, der opfyldte QC-kriterier

8. maj 2026

Først opslået (Faktiske)

14. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

20. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

16. maj 2026

Sidst verificeret

1. maj 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • MATCH-001

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