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A Trial of Casdozokitug in Combination With Toripalimab Plus Bevacizumab in Participants With Unresectable and/or Locally Advanced or Metastatic Hepatocellular Carcinoma

Phase 2
Recruiting
Conditions
Hepatocellular Carcinoma
Interventions
Registration Number
NCT06679985
Lead Sponsor
Coherus Biosciences, Inc.
Brief Summary

The main goals of this study are to evaluate the safety and efficacy of casdozokitug in combination with toripalimab plus bevacizumab and to define a recommended dose for casdozokitug in combination with toripalimab plus bevacizumab.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
72
Inclusion Criteria
  • Unresectable locally advanced or metastatic HCC with diagnosis confirmed by histology/cytology or clinically by American Association for the Study of Liver Diseases criteria in cirrhotic participants.
  • Disease that is not amenable to curative surgical and/or locoregional therapies or progressive disease (PD) after surgical and/or locoregional therapies.
  • ≥ 1 measurable lesion (per RECIST v1.1) that is untreated.
Exclusion Criteria
  • Has received prior systemic therapy for HCC.
  • Has previously received an anti-IL-27 antibody (Ab) or anti-IL-27-targeted therapy.
  • Has known fibrolamellar HCC histology, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC.
  • Has moderate or severe ascites.
  • Has uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures (once monthly or more frequently).

Additional protocol-defined inclusion/exclusion criteria apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm A: Casdozokitug Lower Dose + Toripalimab + BevacizumabCasdozokitug-
Arm A: Casdozokitug Lower Dose + Toripalimab + BevacizumabToripalimab-
Arm A: Casdozokitug Lower Dose + Toripalimab + BevacizumabBevacizumab-
Arm B: Casdozokitug Higher dose + Toripalimab + BevacizumabToripalimab-
Arm B: Casdozokitug Higher dose + Toripalimab + BevacizumabBevacizumab-
Arm C: Toripalimab + BevacizumabToripalimab-
Arm C: Toripalimab + BevacizumabBevacizumab-
Arm B: Casdozokitug Higher dose + Toripalimab + BevacizumabCasdozokitug-
Primary Outcome Measures
NameTimeMethod
Number of Participants with Treatment-emergent Adverse Events (TEAEs)From date of first dose to 90 days after date of last dose (Up to approximately 27 months)
Objective Response Rate (ORR) by Investigator Review According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Up to approximately 2 years
Secondary Outcome Measures
NameTimeMethod
Disease Control Rate (DCR) by Investigator Review According to RECIST v1.1Up to approximately 2 years
DCR by Investigator Review According to HCC mRECISTUp to approximately 2 years
Overall Survival (OS)Up to approximately 2 years
Maximum Concentration (Cmax)Up to approximately 25 months
Minimum Concentration (Cmin)Up to approximately 25 months
Time to Cmax (Tmax)Up to approximately 25 months
Duration of Response (DoR) by Investigator Review According to RECIST v1.1Up to approximately 2 years
DoR by Investigator Review According to HCC mRECISTUp to approximately 2 years
Progression-free Survival (PFS) by Investigator Review According to RECIST v1.1Up to approximately 2 years
PFS by Investigator Review According to HCC mRECISTUp to approximately 2 years
ORR by Investigator Review According to HCC Modified RECIST (mRECIST)Up to approximately 2 years

Trial Locations

Locations (9)

Beverly Hills Cancer Center

🇺🇸

Beverly Hills, California, United States

City of Hope at Irvine Lennar

🇺🇸

Irvine, California, United States

Christus St. Vincent Regional Medical Center

🇺🇸

Santa Fe, New Mexico, United States

Virginia Oncology Associates

🇺🇸

Norfolk, Virginia, United States

City of Hope

🇺🇸

Duarte, California, United States

Cancer & Blood Specialty Clinic

🇺🇸

Lakewood, California, United States

Sarcoma Oncology Center

🇺🇸

Santa Monica, California, United States

Mountain States Tumor Institute at St. Luke's Regional Medical Center

🇺🇸

Boise, Idaho, United States

University of Wisconsin - Carbone Cancer Center

🇺🇸

Madison, Wisconsin, United States

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