HAIC-TACE Plus Apatinib and Camrelizumab for Liver Cancer
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
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 2
- Fase 1
Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria
- Age 18-80 years.
- 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.
- 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.
- Child-Pugh liver function grade A or well-compensated grade B (score ≤7).
- ECOG Performance Status (PS) score 0-1.
- Expected survival time ≥12 weeks.
Exclusion Criteria
- Prior transarterial chemoembolization (TACE) or other local therapies for HCC (except bridging liver transplantation).
- 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.
- Alcohol abuse or pregnancy.
- Concurrent other malignancies or history of other malignancies within the past 3 years.
- 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.).
- Inability to cooperate with interventional procedures.
- Presence of distant metastasis.
- Main portal vein tumor thrombus accompanied by impaired portal venous blood flow and collateral circulation.
Withdrawal Criteria
- Identification of non-compliance with the study protocol during the trial.
- Administration of radiotherapy or other interventions during the trial that prevent efficacy evaluation.
- Discontinuation of treatment due to severe adverse reactions (excluded from efficacy analysis but included in adverse reaction statistics).
- Patient or representative withdraws informed consent or requests to stop treatment.
- 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.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Sperimentale: 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.
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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.
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Sperimentale: HAC Group
Patients will receive a combination therapy consisting of HAIC, apatinib, and camrelizumab.
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Patients will receive a combination therapy consisting of HAIC, apatinib, and camrelizumab.
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Sperimentale: TAC Group
Patients will be treated with a regimen combining TACE, apatinib, and camrelizumab.
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Patients will be treated with a regimen combining TACE, apatinib, and camrelizumab.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Progression-Free Survival (PFS) [Assessed by mRECIST Criteria]
Lasso di tempo: Up to 27 months.
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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.
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Overall Survival (OS)
Lasso di tempo: Up to 27 months
|
The time from enrollment to death from any cause.
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Up to 27 months
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Objective Response Rate (ORR) [Assessed by mRECIST and RECIST Criteria]
Lasso di tempo: Up to 27 months
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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).
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Up to 27 months
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Disease Control Rate (DCR) [Assessed by mRECIST and RECIST Criteria]
Lasso di tempo: Up to 27 months
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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)
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Up to 27 months
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Duration of Response (DoR) [Assessed by RECIST and mRECIST Criteria]
Lasso di tempo: Up to 27 months
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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
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Progression-Free Survival (PFS) [Assessed by RECIST Criteria]
Lasso di tempo: Up to 27 months.
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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.
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Altre misure di risultato
Altre misure di risultato
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Safety Indicators [Including Incidence and Severity of Adverse Events (AE), Serious Adverse Events (SAE), and Abnormal Laboratory Values]
Lasso di tempo: Up to 27 months.
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Evaluation Standard: Judged in accordance with the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0.
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Up to 27 months.
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Collaboratori e investigatori
Sponsor
Sponsor
Collaboratori
Collaboratori
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- MATCH-001
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