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临床试验/NCT04444167
NCT04444167已完成1 期

An Open-Label Multi-Center Phase Ib/II Study of Anti-PD-1/CTLA-4 Bispecific Antibody AK104 in Combination With Lenvatinib As the First-Line Therapy for Patients With Advanced Hepatocellular Carcinoma

Akeso1 个研究点 分布在 1 个国家目标入组 59 人开始时间: 2020年7月7日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
发起方
入组人数
59
试验地点
1
主要终点
Objective response rate (ORR)

研究概览

简要总结

An open-label multi-center phase Ib/II study to evaluate the efficacy and safety of anti-PD-1/CTLA-4 bispecific antibody AK104 plus lenvatinib as the first-line therapy for patients with advanced hepatocellular carcinoma.

详细描述

This is a multi-center, multi-cohort, open-label phase 1b/2 clinical study to evaluate the anti-tumor activity, safety, PK profile, immunogenicity and potential biomarkers of AK104 plus lenvatinib for the treatment of advanced hepatocellular carcinoma.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Signed written informed consent form voluntarily.
  • Histologically or cytologically documented hepatocellular carcinoma.
  • BCLC stage C, and non-resectable BCLC stage B .
  • At least one measurable lesion according to RECIST criteria.
  • ECOG of 0 or
  • Adequate organ function.
  • Estimated life expectancy of ≥3 months.
  • For women of childbearing potential: agreement to remain abstinent; For men: agreement to remain abstinent.

排除标准

  • Histologically or cytologically documented fibrolamellar hepatocellular carcinoma, sarcoma-like hepatocellular carcinoma, cholangiocarcinoma, etc.
  • History of hepatic encephalopathy or liver transplantation.
  • Clinical significance of hydrothorax, ascites or pericardial effusion.
  • Central nervous system metastases and/or carcinomatous meningitis.
  • Any risk of bleeding; severe bleeding tendency or coagulation dysfunction, or under thrombolytic therapy.
  • Occurred arteriovenous thromboembolic events within 6 months before the first administration.
  • Tumor volume > 50% liver volume; portal vein tumor thrombus or inferior vena cava tumor thrombus.
  • Inadequately controlled arterial hypertension.
  • Attack of symptomatic congestive heart failure (LVEF<50%); History of congenital long QT syndrome.
  • Known presence or history of interstitial lung disease or required hormone treatment interstitial lung disease.
  • Severe infections.
  • Receipt of any anti-tumor treatment, chemotherapy, targeted therapy, immunotherapy,
  • Enrollment of another clinical study within 4 weeks prior to the first administration of study drugs.
  • Unable to receive an enhanced CT or MRI scan of the liver.

研究组 & 干预措施

AK104 and Lenvatinib

Experimental

AK104 6 mg/kg IV every 2 weeks (Q2W) Lenvatinib 12mg weight≥60kg or 8mg weight<60kg,PO QD

干预措施: AK104 (Biological)

AK104 and Lenvatinib

Experimental

AK104 6 mg/kg IV every 2 weeks (Q2W) Lenvatinib 12mg weight≥60kg or 8mg weight<60kg,PO QD

干预措施: Lenvatinib (Drug)

结局指标

主要结局

Objective response rate (ORR)

时间窗: Up to 2 years

ORR is defined as the proportion of subjects with confirmed CR or PR, based on RECIST v1.1.

次要结局

  • Progression-free survival (PFS)(Up to 2 years)
  • Duration of response (DoR)(Up to 2 years)
  • Disease control rate (DCR)(Up to 2 years)
  • Number of participants with adverse events (AEs)(the time of informed consent signed through 90 days after the last dose of AK104 and)
  • Observed concentrations of AK104(From first dose of AK104 through 90 days after last dose of AK104)
  • Number of subjects who develop detectable anti-drug antibodies (ADAs)(From first dose of AK104 through 90 days after last dose of AK104)

研究者

发起方
Akeso
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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