HAI or IV of Adebrelimab, Combined With Bevacizumab and HAI of FOLFOX for Advanced Unresectable Hepatocellular Carcinoma

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorSun Yat-sen University

About this trial

The purpose of this study is to evaluate the efficacy and safety of Adabrelimab (arterial or intravenous administration) combined with hepatic artery FOLFOX infusion chemotherapy and Bevacizumab as the first-line treatment of advanced stage hepatocellular carcinoma. Patients will be randomized 1:1 etither to receive hepatic arterial infusion(HAI) Adabrelimab group or IV Adabrelimab group, and both groups will receive HAI FOLFOX chemotherapy and IV Bevacizumab.

Eligibility criteria

Qualifiers

Voluntarily participate in the study and sign the informed consent form;

Aged ≥18 years (calculated as of the date of signing the informed consent form);

Diagnosed with hepatocellular carcinoma (HCC) by clinical or pathological means;

Barcelona Clinic Liver Cancer (BCLC) stage C, with vascular/bile duct invasion or distant metastasis (excluding cases with Vp4-type tumor thrombus);

Disqualifiers

Patients with a severe allergy to iodine contrast agents who are unable to undergo hepatic arterial infusion chemotherapy (HAIC);

Use of immunosuppressants or systemic corticosteroids for immunosuppressive purposes within one month prior to randomization;

Active infections that cannot be effectively controlled;

Severe gastroesophageal varices; untreated or incompletely treated gastroesophageal varices (with bleeding or high risk of bleeding);

Trial design

Treatments tested in this trial

  • HAI Adebrelimab
  • intravenous infusion (IV) of Adebrelimab (ADE)
  • intravenous infusion (IV) of Bevacizumab (Bev.)
  • HAIC with FOLFOX regimen
  • Adebrelimab and bevacizumab maintainance treatment

Treatment groups

76 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Sun Yat-sen University

Lead sponsor

Henan Provincial People's Hospital

Collaborator

First Affiliated Hospital of Fujian Medical University

Collaborator

Shanghai Zhongshan Hospital

Collaborator

Cancer Hospital of Guangxi Medical University

Collaborator

The Seventh Affiliated Hospital of Sun Yat-sen University

Collaborator

Jinshazhou Hospital of Guangzhou University of Chinese Medicine

Collaborator

West China Hospital

Collaborator

Hunan Provincial Cancer Hospital

Collaborator

Gansu Provincial Cancer Hospital

Collaborator