ClinicalTrials.gg
Status unknownNCT03337841Updated Nov 9, 2017

Pembrolizumab as Neoadjuvant Treatment in HCC

A Phase 2 interventional study of Pembrolizumab in Hepatocellular Carcinoma, sponsored by Kindai University. Status unknown. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2017-11-09.

Sponsored by Kindai University · Phase 2, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Nov 2017), so the status shown — last known as Not yet recruiting — may be out of date.

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Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
20 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 36 studies testing pembrolizumab in Carcinoma, Hepatocellular — 10 open to participants now, 12 under way, 1 of them phase 3. pembrolizumab · Carcinoma, Hepatocellular.

Planned enrollment
19th of 36
50 · median 54
Started
2017
with 5 others
Phase 2
19 of 36
8 open now
Registered
12th of 36
by date

Among the 36 studies testing pembrolizumab in Carcinoma, Hepatocellular, this one is the 19th largest by planned enrollment, is one of 6 that started in 2017, is one of 19 in phase 2, and was the 12th registered.

Carcinoma, Hepatocellular

3,650 studies on the registry are indexed under Carcinoma, Hepatocellular; 1,062 are open to participants now.

Browse Carcinoma, Hepatocellular studies →

Open to participants now

10 of the 36 studies testing pembrolizumab in Carcinoma, Hepatocellular are open now, in 5 countries. Recruiting first, the newest first:

5 more — sign in →

By country, each count listing its studies:

All 10 open studies →

About pembrolizumab

pembrolizumab: first FDA approval 2014 (KEYTRUDA), first EMA approval 2015. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 737 Carcinoma, Hepatocellular studies recruiting now, 382 (52%) set no upper age limit and 249 (34%) stop at 75 or younger; 31 take children under 18; 31 take healthy volunteers.

This study: 20 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 36 studies testing pembrolizumab in Carcinoma, Hepatocellular, or all of them as a file.
02

Study summary

The aim of this study is to elucidate the utility of the immune checkpoint inhibitor pembrolizumab in preventing the recurrence of HCC when administered before and after curative surgery or ablation.

Read the detailed description

Each subject will participate in the trial from the time he or she signs the informed consent form until the final contact. After a screening phase of up to 28 days, each subject will receive administration of pembrolizumab 200mg IV once only before curative treatment such as hepatic resection or radiofrequency ablation, and will receive curative treatment after administration of pembrolizumab. After curative treatment, each subject will receive pembrolizumab 200mg IV every 3 weeks. Treatment will continue until tumor recurrence, occurrence of an unacceptable adverse event, or the 16th treatment with pembrolizumab.( The setting of 16 times administration is the period of adjuvant therapy of this trial is 12 month(=48weeks), administration of pembrolizumab is Q3W, so 16 times administration comes to 48 weeks.) Subjects who discontinue for reasons other than tumor recurrence will have post-treatment follow-up visits for monitoring disease status until tumor recurrence, until initiation of non-study cancer treatment, until withdrawal of consent for study participation, or until becoming lost to follow-up. All subjects will be followed for overall survival until death, withdrawal of consent for study participation, or the end of the study, whichever comes first. After the end of trial treatment, each subject will be followed for 30 days for adverse event monitoring. Serious adverse events will be collected for 90 days after the end of treatment or for 30 days after the end of treatment if the subject initiates new anticancer therapy, whichever is earlier.

03

Conditions studied

  • Hepatocellular Carcinoma

Keywords

  • Hepatocellular carcinoma
  • Neo adjuvant chemotherapy
  • Adjuvant chemotherapy
  • Immune checkpoint inhibitor
  • Pembrolizumab
04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Hepatocellular carcinoma for which radical cure is possible by resection or RFA.
  • Diagnosed with typical HCC based on imaging findings with Intermediate or High Risk of recurrence as assessed by tumor characteristics.
  • Male or female subjects >/= 20 years of age
  • score A
  • Performance Status of 0.
  • Adequate bone marrow, liver and renal function

Exclusion criteria

Exclusion Criteria:

  • Recurrent HCC
  • HCC with extrahepatic and/or vascular invasion confirmed by diagnostic imaging
  • Subjects with poorly controlled ascites (excluding cases that responded to diuretic therapy)
  • Subjects with hepatic encephalopathy
  • Past history of immunotherapy
  • Past history or complication of an active disorder.
  • Past history or complication of interstitial pneumonia.
  • Past or current history of malignant tumor, except for curative cases
  • Subjects with renal insufficiency requiring hemodialysis or peritoneal dialysis.
  • Past or current history of severe cardiovascular disease
  • Active clinically serious infections except for or
  • Subjects with convulsive disorder requiring treatment (risk of convulsive seizures).
  • Subjects with gastrointestinal bleeding causing clinical problems within a 4-week period before enrollment in this study.
  • Subjects with thrombosis or embolism that developed within a 6-month period before enrollment in this study
  • Subjects with pregnant or breast feeding, or planning to become a parent
  • Subjects with possible allergic reaction to the drug.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Pembrolizumab

    Pembrolizumab 200 mg IV once only in the neoadjuvant phase. Pembrolizumab 200 mg IV every 3 weeks in the adjuvant phase.

    Drug: Pembrolizumab

Interventions

  • Each subject will receive administration of pembrolizumab 200mg IV once only before curative treatment such as hepatic resection or radiofrequency ablation, and will receive curative treatment after administration of pembrolizumab. After curative treatment, each subject will receive pembrolizumab 200mg IV every 3 weeks. Treatment will continue until tumor recurrence, occurrence of an unacceptable adverse event, or the 16th treatment with pembrolizumab.( The setting of 16 times administration is the period of adjuvant therapy of this trial is 12 month(=48weeks), administration of pembrolizumab is Q3W, so 16 times administration comes to 48 weeks.)

    Also known as: MK-3475, Keytruda

06

What researchers measure

Primary outcomes

  1. One-year recurrence-free survival rate

    One-year recurrence-free survival rate is defined as the recurrence-free survival rate 1year after curative treatment.

    Time frame: 1 year after curative treatment

Secondary outcomes

  1. Recurrence free survival

    Recurrence-free survival is defined as the length of time from the date of confirmation of complete cure to the earliest of the following: the date when recurrence is diagnosed or the date of death due to any cause.

    Time frame: From the date of enrollment until the date of first recurrence or date of death from any cause, whichever came first, up to 72 weeks.

  2. Overall survival

    Overall survival is defined as the length of time from the date of confirmation of complete cure to the date of death due to any cause.

    Time frame: From date of enrollment until the date of death from any cause, up to 72 weeks.

  3. Objective response rate after neoadjuvant phase

    Tumor assessment in accordance with RECIST1.1 will be performed after neoadjuvant administration.

    Time frame: Evaluation period is just before curative treatment, up to 4 weeks.

  4. Tumor markers

    Baseline levels of tumor markers including AFP, AFP-L3, and PIVKA-II and changes in their levels will be exploratory investigated in relation to the therapy efficacy.

    Time frame: From the date of enrollment until the date of last administration of study drug, up to 72 weeks.

  5. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    The safety endpoints of this study are the safety of pembrolizumab as neoadjuvant and/or adjuvant therapy in patients with HCC. To determine the safety of the drug, the degree of toxicity is evaluated in accordance with the CTCAE (version 4.0).

    Time frame: From the date of enrollment until the date of last administration of study drug, thereafter up to 4 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2017; primary completion for Oct 2019, 23 months later.

Of 348 non-industry phase 2 interventional studies under Carcinoma, Hepatocellular, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 33 and three quarters within 78. This study's planned 23 months is below that.

Counting every sponsor, half of 428 studies reached it within 43 months; a quarter within 30 and three quarters within 71.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 30, 2017
First posted
Nov 9, 2017
StartEst.
Nov 10, 2017
Primary completionEst.
Oct 31, 2019
CompletionEst.
Oct 31, 2020
Last update
Nov 9, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 9, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03337841
Lead sponsor
Kindai University
Responsible party
Masatoshi Kudo (Professor, Kindai University) — Principal investigator
First posted
Nov 9, 2017
Start date
Nov 10, 2017 (estimated)
Primary completion
Oct 31, 2019 (estimated)
Completion
Oct 31, 2020 (estimated)
Last update
Nov 9, 2017

Study contacts

Kazuomi Ueshima, Lecturer
Contact
kaz-ues@med.kindai.ac.jp
+81-72-366-0221 ext. 3525
Masatoshi Kudo, Professor
Contact
m-kudo@med.kindai.ac.jp
+81-72-366-0221 ext. 3149
Masatoshi Kudo, Professor
principal investigator · Kindai University Faculty of Medicine, Gastroenterology and Hepatology

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Nov 2017. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Pembrolizumab

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