About this trial
The TERTIO trial will propose to determine the clinical interest and immunological efficacy of a treatment combining the CD4 helper T-inducer cancer anti-telomerase vaccine (UCPVax) with anti-PD-L1 therapy (atezolizumab) and bevacizumab in unresectable HCC by evaluation of the objective response rate at 6 months (randomized phase II, 10 centers, 105 patients)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Signed informed consent
Histologically confirmed hepatocellular carcinoma
Locally advanced, metastatic, or unresectable disease
Patient who had not previously received systemic anti-cancer treatment
Disqualifiers
Patients previously exposed to anti-tumor immunotherapy as anti-PD-1, anti-PD-L1, or anti-CTLA4 agent or any immune therapy.
Diagnosis of additional malignancy within 3 years prior to the inclusion with the exception of curatively treated basal cell carcinoma of the skin and/or curatively resected in situ cervical or breast cancer
Patient with any medical or psychiatric condition or disease, which would make the patient inappropriate for entry into this study
Current participation in a study of an investigational agent or in the period of exclusion
Trial design
Parallel
Treatments tested in this trial
Atezolizumab
Drug1200 mg IV every 3 weeks until disease progression or unacceptable toxicity
Bevacizumab
Drug15 mg/kg IV every 3 weeks until disease progression or unacceptable toxicity
UCPVax
DrugUCPVax vaccine (combined with Montanide ISA51 as adjuvant) at 0.5 mg subcutaneously
Treatment groups
Trial outcomes
Primary outcomes
objective response rate (ORR)
addition of complete response (CR) and partial response (PR) rates, evaluated by mRECIST criteria
Secondary outcomes
overall survival (OS)
delay from the date of randomization to death from any cause.
progression-free-survival (PFS)
delay from the date of randomization to the disease progression or death from any cause whichever occurs first
disease control rate (DCR)
addition of complete response (CR), partial response (PR), and stable disease (SD) rates, evaluated by RECIST criteria v1.1 and imRECIST
Sponsors and contacts
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Centre Hospitalier Universitaire de Besancon
Lead sponsor
GERCOR - Multidisciplinary Oncology Cooperative Group
Collaborator
PRODIGE
Collaborator