Status:
UNKNOWN
HAIC Combined With Anlotinib and TQB2450 as Adjuvant Therapy in HCC Patients With High Risk of Recurrence After Resection
Lead Sponsor:
Fudan University
Conditions:
Hepatocarcinoma
Eligibility:
All Genders
18-75 years
Phase:
PHASE2
Brief Summary
This is a single center, non-randomized, open, multi-cohort clinical, exploratory Phase II study, to evaluate the efficacy and safety of HAIC combined with TQB2450 and anlotinib as adjuvant therapy in...
Detailed Description
The high incidence of HCC recurrence following liver resection is a serious issue. However, no adjuvant therapy has been widely recognized at present. Interventional therapy and systemic drug therapy ...
Eligibility Criteria
Inclusion
- Eastern Cooperative Oncology Group performance status (ECOG-PS): 0-1;
- The expected survival is more than 3 months;
- Histologically or cytologically diagnosed as HCC;
- After hepatectomy, satisfy any of the following recurrence factors: a) microvascular invasion (MVI); b) Single tumor diameter ≥ 8cm; c) The tumor grew infiltratively, unclear boundary and no complete capsule; d) Multiple tumor nodules ≥3, or nodules\<3 but the diameter of a single tumor is \> 3cm; e) With portal vein, hepatic vein or cholangiocarcinoma thrombus; f) tumor ruptured or invaded adjacent organs before surgery.
- hepatitis B virus (HBV) DNA\<2000IU/mL;
- Liver function status Child-Pugh grade A (≤6);
- The main organs function well.
- Laboratory inspection met the following criteria: Hemoglobin (Hb) ≥8.0 g/L, Neutrophils (ANC) ≥ 1.5×10\^9/L, Platelet count (PLT) ≥ 60×10\^9/L, Total bilirubin (TBIL) ≤3.0 mg/dL, albumin≥28 g/L, Aspartate aminotransferase (AST), alanine aminotransferase (ALT) and alkaline phosphatase≤ 5.0 ×upper limit of normal, International Prothrombin Standardization Ratio (INR) ≤ 2.3, Thyroid-stimulating hormone (TSH) ≤upper limit of normal;
- The woman patients of childbearing age who must agree to take contraceptive methods during the research and within another 6 months after it; who are not in the lactation period and examined as negative in blood serum test or urine pregnancy test within 7 days before the research; The man patients who must agree to take contraceptive methods during the research and within another 6 months after it.
- Voluntary participation and written informed consent;
Exclusion
- History of another malignancy tumor , except for the cured skin basal cell carcinoma and cervical carcinoma in situ)
- Other adjuvant therapy after surgery, such as targeted drugs, programmed death-1 (PD-1) antibody and other immunotherapy, FOLFOX systemic chemotherapy;
- The imaging examination showed residual tumor after the surgical resection;
- Patients with previous liver transplantation or preparation for liver transplantation.
- Patients who are allergic to components of TQB2450 and anlotinib or pharmaceutical excipients;
- Received any live attenuated vaccine within 4 weeks of admission or during the study period;
- Patients with a history of immunodeficiency (or autoimmune disease), or other acquired congenital immunodeficiency diseases.
- Hypertension which cannot be well controlled by antihypertensive drugs (systolic blood pressure ≥ 150 mmHg or diastolic blood pressure ≥ 100 mmHg).
- A history of gastrointestinal bleeding within 3 months before enrollment;
- A history of arterial and venous thrombotic events within 6 months before enrollment, such as cerebrovascular accidents (including transient ischemic attack, cerebral hemorrhage, cerebral infarction), deep venous thrombosis and pulmonary embolism;
- Hereditary or acquired hemorrhagic and thrombotic tendencies, such as hemophilia, coagulation dysfunction, thrombocytopenia, hypersplenism, etc.
- Pts need to long-term anticoagulant therapy;
- Participated in any other drug clinical studies within 3 months before enrollment;
- A history of psychotropic substance abuse or drug abuse;
- Patients with concomitant diseases which could seriously endanger their own safety or could affect the completion of the study according to investigators' judgment;
Key Trial Info
Start Date :
January 11 2022
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 1 2023
Estimated Enrollment :
70 Patients enrolled
Trial Details
Trial ID
NCT05311319
Start Date
January 11 2022
End Date
December 1 2023
Last Update
April 5 2022
Active Locations (1)
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1
Fudan University Shanghai Cancer Center
Shanghai, China, 200062