Actively Recruiting
Sintilimab+Bevacizumab+TACE vs. Lenvatinib+TACE for Advanced HCC
Led by Second Affiliated Hospital of Guangzhou Medical University · Updated on 2023-08-14
258
Participants Needed
1
Research Sites
208 weeks
Total Duration
On this page
Sponsors
S
Second Affiliated Hospital of Guangzhou Medical University
Lead Sponsor
A
Affiliated Hospital of Guangdong Medical University
Collaborating Sponsor
AI-Summary
What this Trial Is About
This study is conducted to evaluate the efficacy and safety of sintilimab, bevacizumab plus TACE (Sin-Bev-TACE) compared with lenvatinib plus TACE (Len-TACE) for patients with advanced stage hepatocellular carcinoma (HCC).
CONDITIONS
Official Title
Sintilimab+Bevacizumab+TACE vs. Lenvatinib+TACE for Advanced HCC
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Advanced hepatocellular carcinoma (BCLC stage C) confirmed by pathology or clinical diagnosis
- Disease suitable for transarterial chemoembolization (TACE)
- No prior systemic therapy, TACE, transcatheter arterial radioembolization, transcatheter arterial embolization, hepatic arterial infusion chemotherapy, or radiation therapy for HCC
- Child-Pugh class A liver function
- Eastern Cooperative Oncology Group performance status of 0 or 1
- Expected life expectancy of at least 3 months
- At least one measurable lesion inside the liver
- Adequate organ and blood function
- Patients with active hepatitis B must receive antiviral treatment to keep HBV DNA below 100 IU/mL
- Patients with hepatitis C must have completed antiviral treatment
You will not qualify if you...
- Tumor thrombus involving the main portal vein or both first left and right portal vein branches
- Invasion of the vena cava
- Metastasis to the central nervous system
- History of hepatic encephalopathy
- History of organ or cell transplantation
- Uncontrolled fluid buildup such as ascites, hydrothorax, or pericardial effusion
- Esophageal or gastric varices bleeding in the past 6 months
- Severe varicose veins or high risk of bleeding from portal hypertension within 3 months before first treatment
- Life-threatening bleeding events within past 3 months
- Arterial or venous thromboembolic events within 6 months, including heart attack, stroke, pulmonary embolism, or deep vein thrombosis
- Recent use of high-dose aspirin or drugs that inhibit platelet function within 2 weeks before first dose
- Uncontrolled hypertension or history of hypertensive crisis
- Symptomatic heart failure or poorly controlled arrhythmia
- History of congenital long QT syndrome or prolonged QTc interval
- Serious bleeding disorders or current thrombolytic therapy
- History of gastrointestinal perforation, bowel obstruction, extensive bowel surgery, Crohn's disease, ulcerative colitis, or recent chronic diarrhea
- History or current lung diseases such as pulmonary fibrosis or interstitial pneumonia
- Active tuberculosis or recent anti-tuberculosis treatment
- HIV infection or active syphilis requiring treatment
- Active or poorly controlled serious infections
- Active autoimmune diseases requiring systemic treatment within 2 years
- Recent use of immunosuppressants within 4 weeks before first dose
- Recent major surgery within 4 weeks or unhealed wounds
- Recent systemic treatment with cancer-related traditional Chinese medicines or immunomodulators within 2 weeks
- History of cancers other than hepatocellular carcinoma
- Known severe allergies to sintilimab, bevacizumab, lenvatinib, or other monoclonal antibodies
- Pregnant or breastfeeding women
- Other serious medical or psychiatric conditions that increase risk or interfere with study participation as judged by investigators
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
the Second Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, China, 510260
Actively Recruiting
Research Team
M
Mingyue Cai, Dr.
CONTACT
K
Kangshun Zhu, Dr.
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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