About this trial
This study intends to prospectively enroll CNLC stage IIIb HCC cases with extrahepatic metastasis and intrahepatic lesions that are expected to be radical resected in several domestic clinical centers, and observe the OS and ORR, DCR, DOR, TTP and PFS of patients receiving hepatectomy combined with apatinib + carrelli pearl treatment.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age ≥18
CNLC stage IIIb HCC with extrahepatic metastasis (such as lymph node, lung, bone metastasis, but not brain metastasis) diagnosed by clinical imaging, and at least one measurable metastasis can be used as RECIST V1.1 to observe the objective efficacy of "targeted + immune" therapy on target lesions;
Local tumors of the liver are expected to be radically resected;
Liver function Child-Pugh grade A;
Disqualifiers
Have a history or concurrence of other malignancies, except cured basal cell carcinoma of the skin and carcinoma in situ of the cervix;
Have used or are currently using other immunosuppressive or chemotherapy drugs for HCC (including but not limited to atezolizumab, nivolumab, pembrolizumab, tislelizumab, toripalimab, sintilimab, camrelizumab, S-1, etc.);
Patients who have received TACE, radiotherapy or systemic therapy within the past 6 months;
The presence of congenital or acquired immune deficiency diseases (such as HIV positive);
Trial design
Single group
Treatments tested in this trial
Hepatectomy Combined With Camrelizumab and Apatinib
DrugPatients with CNLC IIIb hepatocellular carcinoma will receive hepatectomy. Two to four weeks later, they will receive camrelizumab and apatinib treatments.
Treatment groups
Trial outcomes
Primary outcomes
Overall survival
OS is defined as the time from the hepatectomy to death from any cause.
Secondary outcomes
Objective response rate of extrahepatic target lesions
Objective response rate is defined as the proportion of patients with complete response or partial response.
Sponsors and contacts
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Guangxi Medical University
Lead sponsor
Jiangsu HengRui Medicine Co., Ltd.
Collaborator