About this trial
This is a prospective, single-arm clinical study designed to evaluate the efficacy and safety of an initial combination treatment strategy followed by surgery in patients with cancer. Eligible participants will receive combination therapy prior to surgical intervention. Patients who meet predefined surgical criteria will undergo hepatic resection. Following surgery, additional treatment may be administered according to the investigator's assessment. The primary objective is to evaluate time to treatment failure (TTF). Secondary objectives include evaluation of pathological response, resection outcomes, progression-related outcomes, survival outcomes, and safety.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
1. Voluntarily signed written informed consent.
2. Age ≥18 years; male or female.
3. Histologically, cytologically, or clinically confirmed hepatocellular carcinoma (HCC) according to EASL/AASLD criteria.
4. CNLC stage Ib, IIa, IIb, or IIIa HCC (excluding patients with main portal vein tumor thrombus).
Disqualifiers
1. Intrahepatic cholangiocarcinoma, sarcomatoid HCC, mixed hepatocellular carcinoma, fibrolamellar carcinoma, or any other active malignancy within the past 5 years (except HCC).
2. Severe allergy to iodinated contrast agents that prevents HAIC treatment.
3. Planned or prior organ transplantation or allogeneic bone marrow transplantation.
4. Treatment with another investigational drug within 28 days before study treatment.
Trial design
Single group
Treatments tested in this trial
Hepatic Arterial Infusion Chemotherapy Combined with Adebrelimab Plus Rivoceranib
DrugSurgery followed by Hepatic Arterial Infusion Chemotherapy Combined wit Adebrelimab plus Rivoceranib
Treatment groups
Trial outcomes
Primary outcomes
Time to Treatment Failure
Time from initiation of treatment to treatment failure, including disease progression resulting in inability to undergo surgery, recurrence/metastasis after surgery, or death from any cause.
Secondary outcomes
OS
Overall survival (OS) after treatment, defined as the time from the start of treatment to death from any cause
R0 rate
R0 rate, defined as the proportion of patients who accomplish the complete resection of tumor with pathologically confirmed negative margin
pCR rate
Pathological complete regression (pCR) rate, defined as the proportion of patients with no evidence of vital residual tumor cells on the complete resected specimen. pCR status will be analyzed by local pathologists at each site
ORR
Objective response rate (ORR) , defined as the proportion of patients with a complete response (CR) or partial response (PR), as determined by the investigator according to RECIST v1.1 and HCC mRECIST
Sponsors and contacts
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