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A Study of AK104+Lenvatinib in Combination With Transarterial Chemoembolization (TACE) Versus TACE in Participants With Incurable/Non-metastatic Hepatocellular Carcinoma

Phase 3
Recruiting
Conditions
Hepatocellular Carcinoma
Interventions
Other: Placebo for AK104
Procedure: TACE
Other: Placebo for Lenvatinib
Registration Number
NCT06371157
Lead Sponsor
Akeso
Brief Summary

A study to evaluate cadonilimab (AK104) + lenvatinib in combination with transarterial chemoembolization (TACE) versus TACE in participants with incurable/non-metastatic hepatocellular carcinoma

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
469
Inclusion Criteria
  1. Has a diagnosis of HCC confirmed by histology/cytology,or meet the clinical diagnostic criteria of the American Association for the Study of Liver Diseases (AASLD)
  2. No evidence of metastasis
  3. Not amenable to curative surgery or transplantation or curative ablation but amenable to TACE
  4. Child Pugh score class A
  5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at enrollment
  6. Measurable disease by RECIST 1.1
  7. Adequate organ function
Exclusion Criteria
  1. History of liver transplantation
  2. History of hepatic encephalopathy
  3. Uncontrolled arterial hypertension
  4. Deep venous thrombosis within 3 months before first treatment
  5. Bleeding events within the last 6 months
  6. Co-infection with HBV and HCV

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm AAK104AK104+ Lenvatinib in Combination With Transarterial Chemoembolization (TACE)
Arm ATACEAK104+ Lenvatinib in Combination With Transarterial Chemoembolization (TACE)
Arm BTACEPlacebo for AK104 + Placebo for Lenvatinib in Combination With TACE
Arm BPlacebo for AK104Placebo for AK104 + Placebo for Lenvatinib in Combination With TACE
Arm BPlacebo for LenvatinibPlacebo for AK104 + Placebo for Lenvatinib in Combination With TACE
Arm CTACEAK104 + Placebo for Lenvatinib in Combination With TACE
Arm CPlacebo for LenvatinibAK104 + Placebo for Lenvatinib in Combination With TACE
Arm CAK104AK104 + Placebo for Lenvatinib in Combination With TACE
Arm ALenvatinibAK104+ Lenvatinib in Combination With Transarterial Chemoembolization (TACE)
Primary Outcome Measures
NameTimeMethod
Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)Up to approximately 2 years

PFS is defined as the time from randomization to the first documented progressive disease or death due to any cause, whichever occurs first. Responses are according to RECIST 1.1 as assessed by blinded independent central review (BICR).

Secondary Outcome Measures
NameTimeMethod
Overall Survival (OS)Up to approximately 2 years

OS is defined as the time from randomization to death due to any cause.

PFS per RECIST 1.1Up to approximately 2 years

Assessed by investigators

Objective Response Rate (ORR) per RECIST 1.1 and Modified Response Evaluation Criteria in Solid Tumors (mRECIST)Up to approximately 2 years

Assessed by BICR and investigators

Time to Response (TTR) per RECIST 1.1 and mRECISTUp to approximately 2 years

Assessed by BICR and investigators

Duration of Response (DOR) per RECIST 1.1 and mRECISTUp to approximately 2 years

Assessed by BICR and investigators

Disease Control Rate (DCR) per RECIST 1.1 and mRECISTUp to approximately 2 years

Assessed by BICR and investigators

Trial Locations

Locations (4)

Henan Cancer Hospital

🇨🇳

Zhengzhou, Henan, China

Hunan Cancer Hospital

🇨🇳

Changsha, Hunan, China

Zhongda Hospital Southeast University

🇨🇳

Nanjing, Jiangsu, China

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

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