| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT06921785 | Phase III Study of Rilvegostomig in Combination With Bevacizumab With or Without Tremelimumab as First-line Treatment of Hepatocellular Carcinoma | PHASE3 | RECRUITING | 1,220 | — | — | May 6, 2025 | Mar 15, 2030 | May 11, 2026 | 217 | United States, Australia +18 |
| NCT05301842 | Evaluate Durvalumab and Tremelimumab +/- Lenvatinib in Combination With TACE in Patients With Locoregional HCC | PHASE3 | ACTIVE NOT_RECRUITING | 760 | — | — | Mar 28, 2022 | Feb 26, 2027 | Apr 7, 2026 | 171 | United States, Belgium +20 |
| NCT03482102 | Durvalumab (MEDI4736) and Tremelimumab and Radiation Therapy in Hepatocellular Carcinoma and Biliary Tract Cancer | PHASE2 | ACTIVE NOT_RECRUITING | 37 | — | — | May 14, 2018 | Apr 30, 2026 | May 4, 2026 | 1 | United States |
| NCT02519348 | A Study of Durvalumab or Tremelimumab Monotherapy, or Durvalumab in Combination With Tremelimumab or Bevacizumab in Advanced Hepatocellular Carcinoma | PHASE2 | ACTIVE NOT_RECRUITING | 433 | — | — | Oct 19, 2015 | Dec 18, 2026 | Jun 3, 2026 | 44 | United States, China +7 |
OS is defined as the time from randomisation until the date of death due to any cause.
PFS is defined as time from randomization until progression per RECIST 1.1 as assessed by BICR or death due to any cause
The number of participants that achieve either a complete response or partial response. Response rate (ORR) is assessed using irRECIST (Immune-related Response Evaluation Criteria In Solid Tumors). Response is evaluated with the use of computed tomography (CT) and magnetic resonance imaging (MRI) scans. Participants are evaluated for response for the duration of treatment.Treatment continues until disease progression, treatment is considered a safety risk, physicians decision, withdrawal from the study, or until the participant is lost to follow up. The best overall response recorded for each participant is reported. * Complete Response: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm (the sum may not be "0" if there are target nodes) * Partial Response: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters
A DLT was defined as treatment-related toxicity that occurred during DLT evaluation period including: any Grade 4 immune-related adverse event (irAE), any Grade 3 colitis or any Grade 3 noninfectious pneumonitis irrespective of duration, any \>= Grade 2 pneumonitis that does not resolve to \<= Grade 1 within 7 days of initiation of maximal supportive care, any other Grade 3 irAE (excluding colitis or pneumonitis) that does not downgrade to Grade 2 within 7 days after onset of the event despite optimal medical management including systemic corticosteroids or does not downgrade to \<= Grade 1 or baseline within 14 days, liver transaminase elevation \> 8 × upper limit of normal (ULN) or total bilirubin \> 5 × ULN, aspartate aminotransferase or alanine aminotransferase \> 3 × ULN with concurrent increase in total bilirubin \> 2 × ULN without evidence of cholestasis or alternative explanations, and any \>= Grade 3 non-irAE (except for the protocol stated conditions).
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug. There will be no updated results for this outcome measure at the time of end of study.
Participants with clinically important Common Terminology Criteria for Adverse Events (CTCAE) grade changes to 3 or 4 in hematology and chemistry parameters are reported. There will be no updated results for this outcome measure at the time of end of study.
Vital sign assessment included pulse rate, blood pressure, temperature, weight, and respiratory rate. Vital signs abnormalities recorded as TEAEs are reported. There will be no updated results for this outcome measure at the time of end of study.
Number of participants with ECG abnormalities recorded as TEAEs are reported. There will be no updated results for this outcome measure at the time of end of study.
| Arm | Type | Description |
|---|---|---|
| Arm A | EXPERIMENTAL | Tremelimumab , rilvegostomig and bevacizumab |
| Arm B | EXPERIMENTAL | Rilvegostomig, and bevacizumab |
| Arm C | ACTIVE_COMPARATOR | Atezolizumab, and bevacizumab |
| Tremelimumab + Durvalumab + Radiation | EXPERIMENTAL | * Durvalumab via IV infusion every 28 days for up to 4 doses/cycles * Tremelimumab via IV infusion every 28 days for up to 4 doses/cycles, and then continue durvalumab monotherapy every 4 weeks starting on Week 16 for up to 8 months. * Radiation therapy will only be given during cycle 2 |
| Part 1: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg | EXPERIMENTAL | Participants in Part 1A (safety run-in cohort) and Part 1 B (efficacy-gating cohort) will receive tremelimumab 1 mg/kg every 4 weeks (Q4W) 4 doses and durvalumab 20 mg/kg Q4W until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first. |
| Parts 2 and 3: Durvalumab 1500 mg | EXPERIMENTAL | Participants will receive durvalumab 1500 mg Q4W until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first. |
| Parts 2 and 3: Tremelimumab 300 mg + Durvalumab 1500 mg | EXPERIMENTAL | Participants will receive tremelimumab 300 mg 1 dose and durvalumab 1500 mg Q4W until confirmed progressive disease, withdrawal of consent, lost to follow, or development of other reason for treatment discontinuation, whichever occurs first. |
| Parts 2 and 3: Tremelimumab 750 mg | EXPERIMENTAL | Participants will receive tremelimumab 750 mg Q4W 7 doses followed by every 12 weeks (Q12W) until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first. |
| Parts 2 and 3: Tremelimumab 75 mg + Durvalumab 1500 mg | EXPERIMENTAL | Participants will receive tremelimumab 75 mg Q4W 4 doses and durvalumab 1500 mg Q4W until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first. Participant recruitment to this arm was closed following protocol amendment 5. |
| Part 4: Durvalumab 1120 mg + Bevacizumab 15 mg/kg | EXPERIMENTAL | Participants will receive durvalumab 1120 mg and bevacizumab 15 mg/kg every 3 weeks (Q3W) until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first |
| China Cohort: Durvalumab 20 mg/kg | EXPERIMENTAL | Participants will receive durvalumab 20 mg/kg Q4W until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first. |
| China Cohort: Tremelimumab 10 mg/kg | EXPERIMENTAL | Participants will receive tremelimumab 10 mg/kg Q4W 7 doses followed by Q12W until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first. |
| China Cohort: Tremelimumab 1 mg/kg + Durvalumab 20 mg/kg | EXPERIMENTAL | Participants will receive tremelimumab 1 mg/kg Q4W 4 doses and durvalumab 20 mg/kg Q4W until confirmed progressive disease, withdrawal of consent, lost to follow-up, or development of other reason for treatment discontinuation, whichever occurs first. |
| Name | Type | Description |
|---|---|---|
| Tremelimumab | DRUG | IV therapy |
| Rilvegostomig | DRUG | IV therapy |
| Bevacizumab | DRUG | IV therapy |
| Atezolizumab | DRUG | IV therapy |
| Durvalumab | DRUG | Durvalumab IV (intravenous) |
| Transarterial Chemoembolization (TACE) | PROCEDURE | TACE (chemo and embolic agent injection into the hepatic artery) |
| Lenvatinib | DRUG | Lenvatinib (oral) |
| Radiation | RADIATION | Radiation therapy is used to shrink cancer cells. |
Inclusion Criteria: * Locally advanced or metastatic and/or unresectable HCC * WHO/ECOG performance status of 0 or 1 * BCLC stage B (that is not eligible for locoregional therapy) or stage C. * Child-Pugh Score class A * At least one measurable target lesion * Participants with active HBV infection...