[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100595052":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":18,"centralContacts":18,"locations":27,"responsibleParty":48,"collaborators":51,"id":54,"slug":55,"hasResults":56,"nctId":57,"briefTitle":58,"officialTitle":59,"acronym":60,"eligibilityCriteria":61,"healthyVolunteers":56,"sex":62,"minAge":63,"maxAge":18,"enrollmentInfo":64,"targetDuration":18,"studyType":67,"phases":68,"briefSummary":70,"conditions":71,"keywords":73,"overallStatus":76,"whyStopped":18,"lastUpdateSubmitDate":77,"lastUpdatePostDateStruct":78,"startDateStruct":81,"completionDateStruct":83,"leadSponsor":85,"locationsCount":86},{"fullName":5,"class":6},"Hamilton Health Sciences Corporation","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"SBRT and Chemotherapy","EXPERIMENTAL","Study participants randomized to treatment Group 1, will receive SBRT prior to surgery on Day 1, and receive one infusion of Durvalumab (1500mg IV) \u002F Tremelimumab 300mg IV) on Day 15.",[13],"Drug: Chemotherapy\u002FRadiation",{"label":15,"type":16,"description":17,"interventionNames":18},"SBRT alone","NO_INTERVENTION","The patients receive radiation only without chemotherapy SBRT prior to the surgery.",null,[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"DRUG","Chemotherapy\u002FRadiation","Combination of radiation and chemotherapy",[9],[26],"Group 1",[28],{"facility":29,"status":18,"city":30,"state":31,"zip":32,"country":33,"countryCode":34,"cosmosGeoPoint":35,"geoPoint":40,"contacts":41},"Juravinski Hospital","Hamilton","Ontario","L8V 1C3","Canada","CA",{"type":36,"coordinates":37},"Point",[38,39],-79.84963,43.25011,{"lat":39,"lon":38},[42],{"name":43,"role":44,"phone":45,"phoneExt":46,"email":47},"Pablo Serrano","CONTACT","9055212100","43872","serrano@mcmaster.ca",{"type":49,"investigatorFullName":43,"investigatorTitle":50,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"PRINCIPAL_INVESTIGATOR","Local principal Investigator",[52],{"name":53,"class":6},"McMaster University","100595052","phase-3-radiation-therapy-followed-by-durvalumab-medi4736-and-tremelimumab-and-surgery-versus-radiation-therapy-followed-by-surgery-for-resectable-hepatocellular-carcinoma-100595052",false,"NCT07027436","Radiation Therapy Followed by Durvalumab (MEDI4736) and Tremelimumab And Surgery Versus Radiation Therapy Followed by Surgery for Resectable Hepatocellular Carcinoma.","Radiation Therapy Followed by Durvalumab (MEDI4736) and Tremelimumab And Surgery Versus Radiation Therapy Followed by Surgery for Resectable Hepatocellular Carcinoma. A Randomized Window of Opportunity Trial (DARTS)","DARTS","Inclusion Criteria:\n\n* Radiologically or biopsy proven solitary HCC without biliary invasion or metastases, Liver Imaging Reporting and Data Systems (LI- RADS) 4 or 5 only. Participants with satellite tumour nodules are eligible. Satellitosis or a satellite nodule is defined as a tumour (LI-RADS 4 or 5 only) less than or equal to 2 cm and located less than or equal to 2 cm from the main tumour.\n\nTumour less than 12 cm in maximum size on CT or MRI.\n\nPlanned surgical resection of HCC with a life expectancy of at least 12 weeks\n\nAge \\>18 years at time of study entry.\n\nChild-Pugh Class A within 14 days prior to study enrollment\n\nEastern Cooperative Oncology Group (ECOG) of 0 or 1 (see Appendix 3)\n\nBody weight \\>30 kg at time of study enrollment\n\nAdequate normal organ and marrow function as defined below:\n\nHaemoglobin ≥9.0 g\u002FdL\n\nAbsolute neutrophil count (ANC ≥1.0 × 109 \u002FL)\n\nPlatelet count ≥75 × 109\u002FL\n\nSerum bilirubin ≤1.5 x institutional upper limit of normal (ULN).\n\nAST (SGOT)\u002FALT (SGPT) ≤2.5 x institutional upper limit of normal\n\nMeasured creatinine clearance (CL) \\>40 mL\u002Fmin or Calculated creatinine clearance CL\\>40 mL\u002Fmin by the Cockcroft-Gault formula (Cockcroft and Gault 1976) or by 24-hour urine collection for determination of creatinine clearance:\n\nMales:\n\nCreatinine CL (mL\u002Fmin) = Weight (kg) x (140 - Age)72 x serum creatinine (mg\u002FdL)\n\nFemales:\n\nCreatinine CL (mL\u002Fmin) = Weight (kg) x (140 - Age) x 0.85 72 x serum creatinine (mg\u002FdL)\n\nPatient is capable and willing to provide signed informed consent.\n\nExclusion Criteria:\n\n* Previous therapy for HCC, including systemic therapy, surgery, radiation therapy, ablation or embolization.\n\nParticipation in another clinical study with an investigational product during the last 4 weeks or concurrent enrolment in another clinical study, unless it is an observational (non-interventional) clinical study or during the follow-up period of an interventional study.\n\nAny concurrent chemotherapy, IP, biologic, or hormonal therapy for cancer treatment. Concurrent use of hormonal therapy for non-cancer-related conditions (e.g., hormone replacement therapy) is acceptable.\n\nPrevious radiation therapy or surgery within 4 weeks of the randomization.\n\nPrevious allogenic organ transplantation\n\nPrevious anti-PD-1, anti-PD-L1 or anti-CTLA-4 therapy\n\nPrevious receipt of durvalumab and \u002F or tremelimumab or allergy to it\n\nAny unresolved toxicity NCI CTCAE Grade ≥2 from previous anticancer therapy except for alopecia, vitiligo, and the laboratory values defined in the inclusion criteria\n\nPatients with Grade ≥2 neuropathy will be evaluated on a case-by-case basis after consultation with the Study Physician.\n\nPatients with irreversible toxicity not reasonably expected to be exacerbated by treatment with durvalumab or tremelimumab may be included only after consultation with the Study Physician.\n\nActive or prior documented autoimmune or inflammatory disorders (including inflammatory bowel disease \\[e.g., colitis or Crohn's disease\\], diverticulitis \\[with the exception of diverticulosis\\], systemic lupus erythematosus, Sarcoidosis syndrome, or Wegener syndrome \\[granulomatosis with polyangiitis, Graves' disease, rheumatoid arthritis, hypophysitis, uveitis, etc.\\]). The following are exceptions to this criterion:\n\nPatients with vitiligo or alopecia\n\nPatients with hypothyroidism (e.g., following Hashimoto syndrome) stable on hormone replacement\n\nAny chronic skin condition that does not require systemic therapy\n\nPatients without active disease in the last 5 years may be included but only after consultation with the study physician\n\nPatients with celiac disease controlled by diet alone\n\nHistory of active primary immunodeficiency\n\nConditions that would preclude administration of durvalumab and \u002F or tremelimumab\n\nUncontrolled intercurrent illness, including but not limited to, ongoing or active infection, symptomatic congestive heart failure, uncontrolled hypertension, unstable angina pectoris, cardiac arrhythmia, interstitial lung disease, serious chronic gastrointestinal conditions associated with diarrhea, or psychiatric illness\u002Fsocial situations that would limit compliance with study requirement, substantially increase risk of incurring AEs or compromise the ability of the patient to give written informed consent\n\nKnown active hepatitis infection, positive hepatitis C virus (HCV) antibody, hepatitis B virus (HBV) surface antigen (HBsAg) or HBV core antibody (anti-HBc), at screening. Patients with a past or resolved HBV infection (defined as the presence of antiHBc and absence of HBsAg) are eligible. Patients positive for HCV antibody are eligible only if polymerase chain reaction is negative for HCV RNA.\n\nb.1. Patients co-infected with HBV and HCV or co-infected with HBV and HDV, namely: HBV positive (presence of HBsAg and\u002For anti HBcAb with detectable HBV DNA); and\n\nb.2. HCV positive (presence of anti-HCV antibodies); or\n\nb.3. HDV positive (presence of anti-HDV antibodies)\n\nb.4. Patients with HBV infection, characterized by positive HBsAg and\u002For anti-HBcAb with undetectable HBV DNA (\\\u003C 10 IU\u002Fml or under the limit of detection per local lab standard) do not require antiviral therapy prior to enrollment. These patients will be tested once for HBV DNA levels; if HBV DNA is detected (≥ 10 IU\u002Fml or above the limit of detection per local lab standard), antiviral therapy must be initiated, continued for the study duration and for 6 months after the last dose of IP.\n\nKnown to have tested positive for human immunodeficiency virus (HIV) (positive HIV 1\u002F2 antibodies) which is not well controlled or active tuberculosis infection (clinical evaluation that may include clinical history, physical examination and radiographic findings, or tuberculosis testing in line with local practice).\n\nc.1. All of the following criteria are required to define an HIV infection that is well controlled: undetectable viral RNA load for 3 months, CD4+ count of \\>200 no history of AIDS-defining opportunistic infection within the past 12 months, and stable for at least 3 months on the same anti-HIV medications.\n\nHistory of another primary malignancy, except for\n\nMalignancy treated with curative intent and with no known active disease ≥2 years before randomization and of low potential risk for recurrence\n\nAdequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease\n\nAdequately treated carcinoma in situ without evidence of disease\n\nCurrent or prior use of immunosuppressive medication within 14 days before enrollment. The following are exceptions to this criterion:\n\nIntranasal, inhaled, topical steroids, or local steroid injections (e.g., intra articular injection)\n\nSystemic corticosteroids at physiologic doses not to exceed 10 mg\u002Fday of prednisone or its equivalent\n\nSteroids as premedication for hypersensitivity reactions (e.g., CT scan premedication)\n\nReceipt of live attenuated vaccine within 30 days prior to enrollment. Note: Patients, if enrolled, should not receive live vaccine whilst receiving IP and up to 90 days after the last dose of IP.\n\nFemale patients who are pregnant or breastfeeding or male or female patients of reproductive potential who are not willing to employ effective birth control from screening to 180 days after the last dose of durvalumab and tremelimumab combination therapy.","ALL","18 Years",{"count":65,"type":66},30,"ESTIMATED","INTERVENTIONAL",[69],"PHASE3","The objectives of this study is to estimate the biological activity of combination chemotherapy and radiation versus radiation alone in patients with Hepato Cellular Carcinoma (HCC).\n\nThe study hypothesizes is that combination chemotherapy and radiation is superior to radiation alone in inducing a biological response. The study hypothesizes that combination chemotherapy and radiation is superior to radiation alone in inducing a biological response. A biological response, or change in the tumor microenvironment (TME), is defined by reduced infiltration of intra-tumoral regulatory T cells (Tregs), a decrease in tumour-associated macrophages (TAMs) of the M2 phenotype, and an increase in immune cells such as effector CD8+ T-cells. An increased rate of biological response is therefore expected in participants receiving the combination of Durvalumab, Tremelimumab, and stereotactic body radiation therapy (SBRT), compared to those receiving SBRT alone. Additionally, biological response is hypothesized to correlate with pathological response.\n\nThe study has been conducted within a WOO window of opportunity randomized clinical trial in order to obtain data in the quickest and safest manner. Patients undergoing surgery are very healthy by definition and will be able to tolerate treatment without any major complications, leading to adequate tissue samples before and after treatment.",[72],"Hepatocellular Carcinoma (HCC)",[74,75],"Durvalumab\u002Ftremelimumab, SBRT, radiation, HCC","WOO, Window of Opportunity","NOT_YET_RECRUITING","2025-06-16",{"date":79,"type":80},"2025-06-18","ACTUAL",{"date":82,"type":66},"2025-07-07",{"date":84,"type":66},"2028-10-10",{"name":5,"class":6},1]