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New treatment option for Hepato Cellular Carcinoma (HCC)
Official title HAIC Combined with Donafenib and Sintilimab As Perioperative Treatment for Resectable Hepatocellular Carcinoma Patients At High Risk of Recurrence
ClinicalTrials.gov ID: NCT06812039
What this study is testing
What is HAIC combined with sintilimab and donafenib?
HAIC combined with sintilimab and donafenib is an investigational medicine, given as an infusion into a vein, being studied as a potential treatment for hepato cellular carcinoma (hcc).
Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.
- What it's testing
- This study will evaluate the efficacy and safety of therapy perioperative treatment with HAIC combined with donafenib and sintilimab (group A)/ donafenib combined with sintilimab (group B) compared with direct surgery (group C) in resectable HCC patients who are at high risk for disease recurrence.
- Phase 2: a mid-size study of how well it works
A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.
Who can take part
Ages 18 to 75
You may be able to join if
- Voluntary enrollment with written informed consent obtained
- Age 18 to 75 years (inclusive), regardless of gender
- Histologically or pathologically confirmed previously untreated hepatocellular carcinoma (HCC) or clinically diagnosed previously untreated HCC...
- Initial resectable status as assessed by the investigator (expected to achieve R0 resection, sufficient liver remnant volume, and Child-Pugh class A...
- At least one measurable lesion according to mRECIST criteria.
You likely can't join if
- Patients with distant metastasis.
- Patients with portal vein tumor thrombosis (Vp3-Vp4).
- History of any other malignant tumor within the past 5 years, unless the patient has received potentially curative treatment and there is no evidence...
- History or current presence of congenital or acquired immunodeficiency diseases.
- Active or previously documented autoimmune diseases or inflammatory disorders (including but not limited to: autoimmune hepatitis, interstitial...
- History of severe psychiatric disorders.
See the full eligibility criteria
Who can join
- Voluntary enrollment with written informed consent obtained
- Age 18 to 75 years (inclusive), regardless of gender
- Histologically or pathologically confirmed previously untreated hepatocellular carcinoma (HCC) or clinically diagnosed previously untreated HCC according to the AASLD guidelines.
- Initial resectable status as assessed by the investigator (expected to achieve R0 resection, sufficient liver remnant volume, and Child-Pugh class A, as per the "Chinese Expert Consensus on Neoadjuvant Therapy for Liver...
- At least one measurable lesion according to mRECIST criteria.
- Tumor burden meets one of the following conditions:
- A single tumor with a diameter \> 5 cm;
- Multiple tumors with the largest tumor diameter \> 3 cm, with \< 5 tumors in total;
- Presence of portal vein tumor thrombus (Vp1-Vp2).
- Liver function: Child-Pugh score of 5-6.
- ECOG 0-1
- Life expectancy of at least 3 months.
- Women of childbearing potential (defined as not postmenopausal or surgically sterilized) must have a negative serum pregnancy test within 7 days prior to the study drug administration.
- Both women and men of childbearing potential must use reliable contraception during the study and for 60 days following the last dose of the study drug.
- For HBV-infected patients: If HBV-DNA is ≥ 10⁴ copies/ml within 14 days prior to enrollment, antiviral therapy (preferably entecavir) must be initiated to reduce HBV-DNA to \< 10⁴ copies/ml before entering the study...
- Adequate organ function.
What rules you out
- Patients with distant metastasis.
- Patients with portal vein tumor thrombosis (Vp3-Vp4).
- History of any other malignant tumor within the past 5 years, unless the patient has received potentially curative treatment and there is no evidence of recurrence in the past 5 years. This 5-year time requirement does...
- History or current presence of congenital or acquired immunodeficiency diseases.
- Active or previously documented autoimmune diseases or inflammatory disorders (including but not limited to: autoimmune hepatitis, interstitial pneumonia, inflammatory bowel disease, systemic lupus erythematosus...
- History of severe psychiatric disorders.
- Conditions affecting the absorption, distribution, metabolism, or elimination of the study drugs (e.g., severe vomiting, chronic diarrhea, bowel obstruction, malabsorption, etc.).
- Major surgery within 4 weeks prior to enrollment (as defined by the investigator).
- History of allogeneic stem cell or solid organ transplantation (except for corneal transplantation).
- Received other systemic antitumor therapies (including traditional Chinese medicine with antitumor indications) within 2 weeks or 5 half-lives (whichever is longer) prior to study drug administration, or unresolved...
- Use of systemic immunosuppressive drugs within 2 weeks prior to enrollment, or anticipated need for systemic immunosuppressive therapy during the study.
- Concurrent use of drugs that may prolong the QTc interval and/or induce Tdp, or drugs affecting drug metabolism.
- Known or suspected allergy to donafenib, recombinant humanized PD-1 monoclonal antibodies, or similar agents, or a history of hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins, or to...
- Uncontrolled hepatic encephalopathy, hepatorenal syndrome, ascites, pleural effusion, or pericardial effusion.
- Active bleeding or coagulation disorders, bleeding tendencies, or ongoing treatment with thrombolytics, anticoagulants, or antiplatelet therapy.
- History of gastrointestinal bleeding or clear gastrointestinal bleeding tendencies within the past 6 months (e.g., known active ulcerative lesions, positive stool occult blood with ≥2+ results, requiring endoscopy if...
- History of gastrointestinal perforation, abdominal fistulas, or intra-abdominal abscesses within the past 6 months.
- History of thrombosis or thromboembolic events (e.g., stroke, transient ischemic attack, deep vein thrombosis, pulmonary embolism) within the past 6 months.
- Significant cardiovascular disease, including but not limited to: acute myocardial infarction, severe/uncontrolled angina, coronary artery bypass grafting within the past 6 months; congestive heart failure (NYHA class...
- Active infection.
- Other significant clinical or laboratory abnormalities that may affect safety evaluation, such as uncontrolled diabetes, chronic kidney disease, grade 2 or higher peripheral neuropathy (CTCAE v5.0), thyroid dysfunction...
- Use of live attenuated vaccines within 4 weeks prior to enrollment or during the study.
- Pregnant or breastfeeding women, or women or men of childbearing potential unwilling or unable to use effective contraception.
- History of alcohol, drug, or substance abuse within the past 6 months.
- Participation in any other clinical trial involving investigational drugs or medical devices within 4 weeks prior to enrollment.
- Inability to comply with the study protocol for treatment or follow-up visits.
- Any other conditions that, in the opinion of the investigator, would preclude participation in the study.
The study team makes the final eligibility decision.
Where it's taking place
- Fuzhou, Fujian, China
- Shanghai, Shanghai Municipality, China
- Tianjin, Tianjin Municipality, China
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 18 years to 75 years. The study team makes the final eligibility decision.
Where is this trial taking place?
Study sites include Fuzhou, Fujian, China; Shanghai, Shanghai Municipality, China; Tianjin, Tianjin Municipality, China. Enter your location above to see the nearest site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.