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A Study of Atezolizumab With Lenvatinib or Sorafenib Versus Lenvatinib or Sorafenib Alone in Hepatocellular Carcinoma Previously Treated With Atezolizumab and Bevacizumab

Phase 3
Recruiting
Conditions
2L HCC
Registration Number
JPRN-jRCT2031210045
Lead Sponsor
atsumi Irahara,Ph.D.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
554
Inclusion Criteria

Locally advanced or metastatic and/or unresectable HCC with diagnosis confirmed by histology/ cytology or clinically by American Association for the Study of Liver Diseases (AASLD) criteria in cirrhotic patients.
-Disease progression following prior atezolizumab plus bevacizumab combination treatment for HCC, for at least 4 consecutive treatment cycles, and 2 subsequent tumor assessments. It is required that at least 1 tumor assessment shows either stable disease (SD), partial response (PR), or complete response (CR).
-At least one measurable (per RECIST v1.1) target lesion that has not been previously treated with local therapy or, if the target lesion is within the field of previous local therapy, has subsequently progressed in accordance with RECIST v1.1.
-Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1 within 7 days prior to randomization
-Child-Pugh class A within 7 days prior to randomization
-Adequate hematologic and end-organ function

Exclusion Criteria

-Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases.
-History of leptomeningeal disease
-History of hepatic encephalopathy, proceeding 6 months, unresponsive to therapy within 3 days
-Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC
-History of malignancy other than HCC within 5 years prior to screening, with the exception of malignancies with a negligible risk of metastasis or death

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Efficacy<br>Obsrvation/Clinical examination
Secondary Outcome Measures
NameTimeMethod
Safety/Efficacy<br>Observation/Clinical examination, RECIST v1.1
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