About this trial
This is a multi-center, open-label phase IIA study that investigates the preliminary efficacy of Trans-arterial Tirapazamine Embolization (TATE) treatment of liver cancer followed by a PD-1 checkpoint inhibitor (nivolumab). Patients with two types of cancers will be enrolled, advanced hepatocellular carcinoma (HCC),and metastatic gastric cancer. All enrolled patients need to have liver lesions and have progressed on a prior immune checkpoint inhibitor.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with a confirmed diagnosis of (1) advanced HCC or (2) metastatic gastric cancer.
Patients between ages 18 and 80
If HCC patients, they should have progressive disease (PD) on an immune therapy for advanced HCC. For patients with metastatic gastric cancer, they should have failed at least one line of systemic chemotherapy and an immune checkpoint inhibitor.
Patients with liver tumor lesions with at least one with a diameter of 2 cm or bigger, which is amendable for (super-)selective TATE as the target lesion.
Disqualifiers
None
Trial design
Single group
Treatments tested in this trial
Nivolumab Injectable Product
Druga PD-1 immune check inhibitor
Trans-arterial tirapazamine embolization
Combination productEmbolization with Lipiodol and Gelfoam
Treatment groups
Trial outcomes
Primary outcomes
Overall Response Rate
Per RECIST 1.1 criteria
Secondary outcomes
Duration of Response
From the date of image-demonstrated response to the date of progression
Time to Progression
From randomization to disease progression or death
Progression Free Survival
From randomization to disease progression or death
Overall survival
From randomization to death
Sponsors and contacts
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