MRG006A Combination Therapy for Advanced Hepatocellular Carcinoma (Phase I/II)

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorLepu Biopharma Co., Ltd.

About this trial

This is an open-label, multicenter, Phase I/II clinical study designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of MRG006A in combination with immune checkpoint inhibitors and targeted therapy in patients with advanced hepatocellular carcinoma (HCC).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Able to understand and provide written informed consent, and comply with the requirements specified in the protocol.

Life expectancy ≥ 3 months.

Must provide tumor tissue specimens for GPC3 testing.

Histologically/cytologically confirmed hepatocellular carcinoma (HCC), Barcelona Clinic Liver Cancer (BCLC) Stage C or Stage B not amenable to curative surgery and/or locoregional therapy.

Disqualifiers

Prior histologically/cytologically confirmed diagnosis of hepatocellular carcinoma with fibrolamellar, sarcomatoid, cholangiocarcinoma, or other components.

History of hepatic failure or hepatic encephalopathy, or history of liver transplantation.

Pleural effusion, ascites, or pelvic effusion, or clinically significant pericardial effusion.

Acute or chronic active hepatitis B or hepatitis C infection.

Trial design

Design model

Parallel

Treatments tested in this trial

  • MRG006A

    Drug

    Administrated intravenously

  • Pucotenlimab

    Drug

    Administrated intravenously

  • Bevacizumab

    Drug

    Administrated intravenously

  • PD1/VEGF antibody

    Drug

    Administrated intravenously

  • TKI

    Drug

    Administrated intravenously

Treatment groups

160 Participants
are divided into 3 treatment groups
Group A: MRG006A+Pucotenlimab + BevacizumabExperimental treatment 3 interventions
Group B: MRG006A+ PD1/VEGF antibodyExperimental treatment 2 interventions
Group C: MRG006A+ TKIExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Adverse events

Proportion of participants experiencing treatment-related adverse events as assessed by CTCAE v5.0

Time frame
Up to 2 years
2

Recommended Phase 2 Dose

Evaluate RP2D based on the safety and efficacy of different dosage cohorts.

Time frame
1 year

Secondary outcomes

1

Peak concentration (Cmax)

Cmax of ADC, TAb, free payload will be measured.

Time frame
Up to 2 years
2

Time to peak (Tmax)

Tmax of ADC, TAb, free payload will be measured.

Time frame
Up to 2 years
3

Area under the concentration versus time curve (AUC)

AUC of ADC, TAb, free payload will be measured.

Time frame
Up to 2 years
4

Half-life time (t1/2)

t1/2 of ADC, TAb, free payload will be measured.

Time frame
Up to 2 years

Other outcomes

Sponsors and contacts

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