About this trial
This is a Phase III, randomised, open-label, sponsor-blinded, 3-arm, multicentre, global study assessing the efficacy and safety of rilvegostomig in combination with bevacizumab with or without tremelimumab compared to atezolizumab in combination with bevacizumab. This study will be conducted in participants with advanced HCC who are not amenable to curative therapy or locoregional therapy
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Locally advanced or metastatic and/or unresectable HCC
WHO/ECOG performance status of 0 or 1
BCLC stage B (that is not eligible for locoregional therapy) or stage C.
Child-Pugh Score class A
Disqualifiers
Any evidence of uncontrolled intercurrent diseases
Active or prior documented autoimmune or inflammatory disorders requiring chronic treatment with steroids or other immunosuppressive treatment
History of another primary malignancy
Persistent toxicities caused by previous anti-cancer therapy excluding alopecia, not yet improved to Grade ≤ 1 or baseline.
Trial design
Parallel
Treatments tested in this trial
Tremelimumab
DrugIV therapy
Rilvegostomig
DrugIV therapy
Bevacizumab
DrugIV therapy
Atezolizumab
DrugIV therapy
Treatment groups
Trial outcomes
Primary outcomes
To demonstrate the efficacy of Arm A relative to Arm C by assessment of OS in participants with advanced HCC
OS is defined as the time from randomisation until the date of death due to any cause.
Secondary outcomes
To demonstrate the efficacy of Arm B relative to Arm C by assessment of OS in participants with advanced HCC
OS is defined as the time from randomisation until the date of death due to any cause.
To further demonstrate the efficacy of Arm A relative to Arm C and Arm B relative to Arm C in participants with advanced HCC
PFS according to RECIST 1.1
To further demonstrate the efficacy of Arm A relative to Arm C and Arm B relative to Arm C in participants with advanced HCC
ORR according to RECIST 1.1
To further demonstrate the efficacy of Arm A relative to Arm C and Arm B relative to Arm C in participants with advanced HCC
DoR according to RECIST 1.1
Sponsors and contacts
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