Actively Recruiting

Phase 2
Age: 18Years - 75Years
All Genders
NCT06406634

Cadonilimab in Combination With Lenvatinib and Hepatic Arterial Infusion Chemotherapy (HAIC) for the Treatment of Unresectable Hepatocellular Carcinoma

Led by Hunan Cancer Hospital · Updated on 2024-05-09

30

Participants Needed

1

Research Sites

152 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study is an open-label, multicenter, single-arm Phase II clinical study to evaluate the effectiveness of Cadonilimab(AK104) in Combination With Lenvatinib and Hepatic Arterial Infusion Chemotherapy (HAIC) for the Treatment of Unresectable Hepatocellular Carcinoma

CONDITIONS

Official Title

Cadonilimab in Combination With Lenvatinib and Hepatic Arterial Infusion Chemotherapy (HAIC) for the Treatment of Unresectable Hepatocellular Carcinoma

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed written informed consent before participation
  • Histologically or cytologically confirmed hepatocellular carcinoma or cirrhosis meeting American Association for the Study of Liver Diseases clinical diagnostic criteria
  • Eligible for China liver cancer staging (CNLC) Stage IIIa and unsuitable for radical treatments such as resection, ablation, or liver transplantation
  • Suitable for hepatic arterial infusion chemotherapy (HAIC) without contraindications
  • Child-Pugh liver function class A or B
  • At least one measurable tumor lesion according to RECIST v1.1 criteria
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
  • Adequate organ and bone marrow function, including specific blood counts, liver enzymes, kidney function, proteinuria, and coagulation parameters
  • Negative pregnancy test for sexually active women of childbearing potential; females not of childbearing potential defined as at least 1 year postmenopausal or surgically sterilized
  • Use of effective contraception with less than 1% annual failure rate during treatment and for 120 days after the last dose
Not Eligible

You will not qualify if you...

  • Presence of fibrolamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, or cholangiocarcinoma confirmed by histology or cytology
  • Recurrence of previous hepatocellular carcinoma
  • Autoimmune hepatitis requiring liver biopsy
  • History of hepatic encephalopathy or liver transplantation
  • Diffuse liver cancer
  • Symptomatic pleural effusion, ascites, or pericardial effusion requiring drainage
  • History of kidney disease or nephrotic syndrome
  • Bleeding events from esophageal or gastric varices within past 6 months or severe varicose veins within 3 months
  • Arterial or venous thromboembolic events within 6 months, except stable thrombosis after anticoagulation
  • Life-threatening bleeding events
  • Recent use of aspirin or other platelet inhibitors before first dose
  • Uncontrolled hypertension despite treatment, history of hypertensive crisis or encephalopathy
  • Symptomatic congestive heart failure (NYHA Class II-IV), uncontrolled arrhythmia, or long QT syndrome
  • History of gastrointestinal perforation, fistula, bowel obstruction, extensive bowel resection, or recent inflammatory bowel disease
  • Major surgery within 4 weeks or minor surgery within 7 days before first dose, except venipuncture or catheterization
  • History or current pulmonary fibrosis or severe lung diseases
  • Active hepatitis B or C infection
  • Active tuberculosis or recent anti-tuberculosis treatment within 1 year
  • HIV or syphilis infection requiring treatment
  • Active or uncontrolled serious infections or severe infections within 4 weeks
  • Recent use of immunosuppressants, live vaccines, or systemic traditional Chinese medicines with cancer indications
  • Prior exposure to agents targeting T cell costimulation or immune checkpoints
  • Known allergy to Cadonilimab components
  • Participation in other clinical trials within 4 weeks
  • Pregnant or breastfeeding females
  • Any condition deemed ineligible by the investigator

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

Hunan Cancer Hospital

Changsha, Hunan, China, 410013

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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