Neoadjuvant Intra-tumor Double Immunotherapy for Hepatocellular Carcinoma.

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorSecond Affiliated Hospital of Guangzhou Medical University

About this trial

This trial is designed to investigate the safety, response rates and survival outcomes of patients with hepatocellular carcinoma by delivery of CTLA4 and PD1 or PDL1 antibodies combination through CT-guided intra-tumor (IT) injection.

Eligibility criteria

Qualifiers

Histologically or cytologically confirmed previously untreated hepatocellular carcinoma (HCC). If a diagnostic biopsy is available, a pre-treatment biopsy is not required. Patients with a suspected HCC are eligible, but pathology must be confirmed prior to initiating treatment on study.

The patient must be a suitable candidate for surgery, in the opinion of the treating physician.

Signed and dated written informed consent must be provided by the patient prior to admission to the study in accordance with International Conference on Harmonization-Good Clinical Practice (ICH-GCP) guidelines and to the local legislation.

Eastern Cooperative Oncology Group (ECOG) performance status score 0-1

Disqualifiers

Patients participated in clinical trials of equipment or drugs (signed informed consent) within 4 weeks;

Patients accompany by ascites, hepatic encephalopathy and esophageal and gastric varices bleeding;

Any serious accompanying disease, which is expected to have an unknown, impact on the prognosis, include heart disease, inadequately controlled diabetes and psychiatric disorders;

Patients accompanied with other tumors or past medical history of malignancy;

Trial design

Treatments tested in this trial

  • ipilimumab, pembrolizumab, durvalumab, idarubicin, bevacizumab

Treatment groups

90 Participants
are divided into 3 treatment groups