About this trial
The aim of this study is to the efficacy, prognosis, adverse effects, and factors for predicting therapeutic effects and clinical prognosis of combined therapy of transarterial chemoembolization (TACE), Anti-VEGF antibodies or pan-target anti-angiogenic drugs, and anti-PD-1/ PD-L1 antibody for advanced hepatocellular carcinoma which initially unsuitable for the radical therapy, including resection, transplantation, or ablation.
Eligibility criteria
Qualifiers
Age ≥ 18 years old
Diagnosis of HCC is according to the American Association for the Study of Liver Diseases or European Association for the Study of the Liver guidelines of HCC management;
at least one measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or mRESIST criteria.
Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
Disqualifiers
Persistent or activity (except the HBV and HCV) infection;
symptoms of congestive heart failure and uncontrolled diabetes;
uncontrolled hypertension, systolic pressure ≥ 160 mmHg or diastolic pressure ≥ 100 mmHg despite anti-hypertension medications ≤ 28 days before randomization or first dose of drug.
unstable angina,
Trial design
Treatments tested in this trial
- TACE
- Lenvatinib
- Anti-PD-1 monoclonal antibody
- Bevacizumab Biosimilar IBI305 plus sintilimab
- Bevacizumab plus Atezolizumab
- apatinib plus camrelizumab
- Sorafenib
- Donafenib
- Regorafenib
Treatment groups
7
Treatment groupsSee each treatment group below.
Sponsors and collaborators
Tongji Hospital
Lead sponsor
Chinese Cooperative Group of Liver Cancer
Collaborator
Chen Xiao-ping Foundation for the Development of Science and Technology of Hubei Province
Collaborator
The Second Affiliated Hospital of Fujian Medical University
Collaborator
Geneplus-Beijing Co. Ltd.
Collaborator
Haplox Biotechnology Co., Ltd.
Collaborator