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临床试验/NCT04542837
NCT04542837已完成2 期

A Phase II Study Evaluating the Safety and Efficacy of KN046 in Combination With Lenvatinib in Advanced Hepatocellular Carcinoma

Peking University Cancer Hospital & Institute2 个研究点 分布在 1 个国家目标入组 55 人开始时间: 2020年9月11日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
55
试验地点
2
主要终点
ORR

研究概览

简要总结

This ia a single-arm, not-randomized, open-label phase II study. The purpose of this study is to evaluate the safety and efficacy of KN046 (PD-L1 /CTLA-4 Bispecific antibody) combined with Lenvatinib(TKI) 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

  • Has a diagnosis of hepatocellular carcinoma confirmed by histology or cytology;
  • Barcelona Clinic Liver Cancer (BCLC) Stage B or C;
  • Age ≥18 years or ≤75 years for both genders;
  • ECOG performance status: 0-1;
  • Child Pugh score≤7;
  • LVEF≥50% or above LLN of the research institution;
  • Enough organ function;
  • Has at least one measurable lesion based on RECIST 1.1;
  • Life expectancy ≥3 months;
  • Patients must be able to understand and willing to sign a written informed consent document;

排除标准

  • Fibrous lamina hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, cholangiocarcinoma etc;
  • Tumor thrombus invasion at the main portal vein (Vp4), inferior vena cava or heart involvement;
  • Subjects who have previously received immune checkpoint inhibitors (such as anti-PD-1/L1, CTLA-4, etc.);
  • Subjects who have received liver local treatment (transcatheter chemoembolization, transcatheter embolization, hepatic artery perfusion, radiotherapy, radioembolization or ablation) within 4 weeks before administration;
  • Subjects who need corticosteroids or immunosuppressive agents for systemic therapy;
  • Any previous or current active autoimmune disease or history of autoimmune disease;
  • History of hepatic encephalopathy or liver transplantation;
  • History of interstitial lung disease or non-infectious pneumonia;
  • History of allergic reactions to related drugs;
  • Clinically obvious gastrointestinal abnormalities, which may affect the intake, transport or absorption of drugs (such as inability to swallow, chronic diarrhea, intestinal obstruction, etc.), or patients undergoing total gastrectomy;
  • With serious systemic diseases such as heart disease and cerebrovascular disease, and the condition is unstable or uncontrollable;
  • Subjects with clinically significant gastrointestinal bleeding or thrombosis or embolic events within 6 months;
  • Untreated hepatitis infection: HBV DNA>2000IU/ml or10000 copies/ml, HCV RNA> 1000copy/ml, both HbsAg and anti-HCV body are positive;
  • Evidence of active pulmonary tuberculosis (TB);
  • Positive test of immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS);
  • Pleural effusion, ascites and pericardial effusion with clinical symptoms or needing drainage;

研究组 & 干预措施

KN046 plus Lenvatinib

Experimental

干预措施: KN046 (Biological)

KN046 plus Lenvatinib

Experimental

干预措施: Lenvatinib (Drug)

结局指标

主要结局

ORR

时间窗: 1 year after the last patient's enrollment

objective response rate (ORR) based on the RECIST 1.1 by investigator

次要结局

  • DOR(1 year after the last patient's enrollment)
  • ORR(1 year after the last patient's enrollment)
  • DCR(1 year after the last patient's enrollment)
  • TTR(1 year after the last patient's enrollment)
  • PFS(1 year after the last patient's enrollment)
  • OS-12m rate(1 year after the last patient's enrollment)
  • OS(2 year after the last patient's enrollment)

研究者

发起方
Peking University Cancer Hospital & Institute
申办方类型
Other
责任方
Principal Investigator
主要研究者

Baocai Xing

Director of Surgery

Peking University Cancer Hospital & Institute

研究点 (2)

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