Phase 2 Study of SBRT Plus Tislelizumab and Regorafenib in Unresectable or Oligometastatic HCC

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorPeking University Cancer Hospital & Institute

About this trial

The goal of this phase 2 prospective clinical trial is to learn about the efficacy and safety of stereotactic body radiation therapy (SBRT) plus immunotherapy and targeted therapy in patients with unresectable or oligometastatic hepatocellular carcinoma (HCC).

The main question to answer is: Whether combing SBRT with immunotherapy and targeted therapy could prolong PFS. Participants will receive SBRT to all visible lesions and concurrent systemic immunotherapy and targeted therapy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

age ≥ 18 years

Eastern Cooperative Oncology Group performance status of 0-1

clinical or pathological diagnosis of HCC

with unresectable locally advanced or oligometastatic HCC (metastatic lesions ≤ 5, metastatic organs ≤ 3, may involve extrahepatic lymph nodes or distant organs apart from brain)

Disqualifiers

a history of liver transplantation

with severe cirrhosis complications, including a history of esophagogastric variceal bleeding, hepatic encephalopathy, and massive ascites

with active autoimmune diseases or a history of autoimmune disease

with human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS)

Trial design

Design model

Single group

Treatments tested in this trial

  • SBRT plus tislelizumab and regorafenib

    Combination product

    Participants will receive SBRT plus tislelizumab and regorafenib concurrently

Treatment groups

39 Participants
are divided into 1 treatment group
Group A: SBRT plus Tislelizumab and RegorafenibExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

PFS

Progression-free survival

Time frame
From the date of treatment beginning until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months

Secondary outcomes

1

OS

Overall survival

Time frame
From the date of treatment beginning until the date of death from any cause, assessed up to 48 months
2

Recurrence pattern

Number of participants with recurrence, which will be classified according to site of recurrence (specific organs), time interval between treatment beginning and recurrence, the relationship with the area of irradiation (in-field/out field), and whether new lesion(s) according to mRECIST criteria

Time frame
From the date of treatment beginning until the date of last follow-up, assessed up to 48 months

Other outcomes

Sponsors and contacts

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