About this trial
This is an open-label phase II/III clinical trial enrolling patients with advanced HCC who have failed prior ICIs. The phase II portion consists of a part A dose-escalation stage and a part B dose-expansion stage. The phase III study will be initiated following discussions with National Medical Products Administration (NMPA) regarding the phase III protocol, based on accumulated data from phase II including safety, efficacy, pharmacokinetics (PK), and pharmacodynamics (PD).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Voluntarily sign the informed consent form (ICF), understand the nature of this study, and agree to comply with and complete all required study procedures.
Be aged between 18 and 75 years (inclusive) on the date of signing the ICF, regardless of gender.
Have a histologically or cytologically confirmed diagnosis of advanced hepatocellular carcinoma (HCC), or a clinical diagnosis of advanced HCC according to the Standard for Diagnosis and Treatment of Primary Liver Cancer(2024 Edition).
Have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
Disqualifiers
Prior receipt of camrelizumab, apatinib, oncolytic viruses, or other gene therapies.
Receipt of other unapproved investigational drugs/devices within 4 weeks or 5 half-lives (whichever is shorter) prior to first dose administration in this study, or immunocompromised status.
History of splenectomy.
Pregnant or breastfeeding women.
Trial design
Parallel
Treatments tested in this trial
VRT106
DrugVRT106,Intravenous infusion
VRT106 in combination with camrelizumab and apatinib
DrugVRT106: Intravenous infusion Camrelizumab: Intravenous infusion Apatinib: Oral administration
Investigator's Choice of Standard of Care
DrugAt the investigator's discretion
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Dose-Limiting Toxicities
Safety assessments included: AEs, SAEs, physical examination, vital signs, ECOG PS, 12-lead ECG, echocardiography, and clinical laboratory evaluations.
Secondary outcomes
Progression-Free Survival
The time from randomization to the first documented disease progression or death due to any cause, whichever occurs first.
Overall survival
Time from initial administration to death.
Sponsors and contacts
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