Phase Ib/II Multicenter Randomized Control Study of Peri-operative Treatment With Combination of CTLA-4, PD-1 Antibodies and Bevacizumab in Resectable HCC (Prophet)

Trial statusNot yet recruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorShanghai Zhongshan Hospital

About this trial

The purpose of this phase Ib/II multicenter randomized control study is to investigate the efficacy and safety of peri-operative treatment with combination of CTLA-4, PD-1 antibodies and bevacizumab in resectable HCC

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Written informed consent shall be obtained prior to any trial-related procedures.

Male or female patients aged ≥18 years and ≤75 years.

Initial resectable hepatocellular carcinoma (HCC) confirmed by imaging, pathology or cytology.

No macrovascular tumor thrombus or extrahepatic metastasis detected on imaging examinations.

Disqualifiers

Histologically or cytologically confirmed tumors containing components of fibrolamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, cholangiocarcinoma, or other mixed subtypes.

History of hepatic encephalopathy or prior liver transplantation.

Currently participating in an interventional clinical trial, or received any investigational medicinal product or investigational device within 4 weeks prior to the first study drug administration.

Prior receipt of any of the following therapies: anti-PD-1, anti-PD-L1, anti-PD-L2 agents, or agents targeting other T-cell co-stimulatory or co-inhibitory receptors (including but not limited to CTLA-4, OX-40, CD137).

Trial design

Design model

Parallel

Treatments tested in this trial

  • IBI310+ sintilimab + bevacizumab

    Drug

    systemic therapy

  • IBI310+ sintilimab

    Drug

    systemic therapy

  • sintilimab + bevacizumab

    Drug

    systemic therapy

Treatment groups

90 Participants
are divided into 3 treatment groups
Group A: IBI310+ sintilimab + bevacizumabExperimental treatment 1 intervention
Group B: IBI310+ sintilimabExperimental treatment 1 intervention
Group C: sintilimab + bevacizumabExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Average depth of pathological response

Pathological response depth is defined as the proportion of non-viable tumors in surgical specimens to the total sample after neoadjuvant therapy. The average pathological response depth is defined as the average value of the pathological response depth.

Time frame
6 months

Secondary outcomes

1

1y-RFS rate

The proportion of patients without disease recurrence or death within 1 year following the second randomization

Time frame
12 months
2

1y-EFS rate

The proportion of patients without disease progression precluding surgical resection, post-operative disease recurrence, or death within 1 year after the first randomization

Time frame
12 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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