Atezolizumab Plus Bevacizumab Plus Transarterial Chemoembolization and Hepatic Artery Infusion Chemotherapy for Unresectable Advanced Hepatocellular Carcinoma: a Single-arm Phase 2 Clinical Trial
Overview
- Phase
- Phase 2
- Intervention
- TACE-HACI, plus atezolizumab-bevacizumab
- Conditions
- Hepatocellular Carcinoma
- Sponsor
- Sun Yat-sen University
- Enrollment
- 55
- Locations
- 1
- Primary Endpoint
- Objective response rate
- Status
- Recruiting
- Last Updated
- 5 months ago
Overview
Brief Summary
Atezolizumab and bevacizumab was approve for advanced unresectable hepatocellular carcinoma (aHCC). Whether the additional of transartial chemobolization and hepatic artery infusion chemotherapy will improve the response rate for those patients is still unknown. This phase 2 clinical trial aims to investigate the objective response rate for unresectable advanced hepatocellular carcinoma.
Investigators
Yunfei Yuan
Professor
Sun Yat-sen University
Eligibility Criteria
Inclusion Criteria
- •(a) patients were diagnozied with unresectable advanced-stage HCC,
- •(b) Child-Pugh A or B liver function;
- •(d) Eastern Cooperative Oncology Group (ECOG) performance status 0-1;
- •(e) 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);
Exclusion Criteria
- •(a) severe underlying cardiac, pulmonary, or renal diseases;
- •(b) history of a second primary malignant tumor;
- •(c) contraindication to either atezolizumab and bevacizumab.
Arms & Interventions
TACE-HAIC plus atezolizumab-bevacizumab
transartery chemoembolization and hepatic artery infusion of FOLFOX, simultaneously followed by intravenous of 1200mg atezolizumab plus bevacizumab (15mg/kg)
Intervention: TACE-HACI, plus atezolizumab-bevacizumab
Outcomes
Primary Outcomes
Objective response rate
Time Frame: 12 months
objective response rate based on RECIST 1.1
Secondary Outcomes
- objective response rate based mRECIST(12 months)
- progress-free survival(12 months)
- overall survival(12 months)
- adverse event(12 months)