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WithdrawnNCT03744247Updated May 2, 2019

Lenvatinib Plus PD-1 Antibody Versus Lenvtinib Alone for Advanced HCC

A Phase 3 interventional study of Lenvatinib and PD-1 antibody in Hepatocellular Carcinoma, sponsored by Sun Yat-sen University. Withdrawn at 5 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-05-02.

Sponsored by Sun Yat-sen University · Phase 3, Interventional, and Treatment

Why this study was withdrawn
No paritcipants enrolled
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of lenvatinib combined with PD-1 antibody compared with lenvtinib Alone in patients with advanced hepatocellular carcinoma (HCC)

Read the detailed description

Lenvatinib was non-inferior to sorafenib in overall survival in untreated advanced hepatocellular carcinoma, and PD-1 antibody was effective and tolerable in patients with advanced hepatocellular carcinoma. No study has compared the efficacy and safety of lenvatinib plus PD-1 antibody and lenvatinib alone. Thus, the investigators carried out this prospective randomized control study to find out it.

02

Conditions studied

  • Hepatocellular Carcinoma

Keywords

  • Hepatocellular Carcinoma
  • Lenvatinib
  • PD-1 Antibody
03

In context

Carcinoma, Hepatocellular

3,251 studies on the registry are indexed under Carcinoma, Hepatocellular; 974 are open to participants now.

Browse Carcinoma, Hepatocellular studies →

Lead sponsor

Sun Yat-sen University is the lead sponsor of 1,681 studies on the registry; 610 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
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

  • The diagnosis of HCC was based on the diagnostic criteria for HCC used by the European Association for the Study of the Liver (EASL)
  • Patients must have at least one tumor lesion that can be accurately measured according to EASL criteria.
  • Barcelona clinic liver cancer-stage C
  • Eastern Cooperative Oncology Group performance status of 0 to 2
  • with no previous treatment
  • No Cirrhosis or cirrhotic status of Child-Pugh class A only
  • Not amendable to surgical resection ,local ablative therapy and any other cured treatment.
  • The following laboratory parameters:
  • Platelet count ≥ 75,000/μL
  • Hemoglobin ≥ 8.5 g/dL
  • Total bilirubin ≤ 30mmol/L
  • Serum albumin ≥ 30 g/L
  • ASL and AST ≤ 5 x upper limit of normal
  • Serum creatinine ≤ 1.5 x upper limit of normal
  • INR ≤ 1.5 or PT/APTT within normal limits
  • Absolute neutrophil count (ANC) >1,500/mm3
  • Ability to understand the protocol and to agree to and sign a written informed consent document

Exclusion criteria

Exclusion Criteria:

  • Evidence of hepatic decompensation including ascites, gastrointestinal bleeding or hepatic encephalopathy
  • Known history of HIV
  • History of organ allograft
  • Known or suspected allergy to the investigational agents or any agent given in association with this trial.
  • Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
  • Evidence of bleeding diathesis.
  • Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
  • Known central nervous system tumors including metastatic brain disease
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Lenvatinib Plus PD-1

    Participants received lenvatinib capsules 12 milligram (mg) based on the participant's body weight greater than or equal to (\>=) 60 kilogram (kg) or 8 mg based on the participant's body weight less than (\<) 60 kg at baseline, orally, once daily (QD) in continuous 14-day treatment cycles, and received 3mg/kg PD-1 antibody intravenously every 2 weeks up to documented disease progression, development of unacceptable toxicity, participant request, or withdrawal of consent.

    Drug: Lenvatinib · Drug: PD-1 antibody

  • Active comparator
    Lenvatinib alone

    Participants received lenvatinib capsules 12 milligram (mg) based on the participant's body weight greater than or equal to (\>=) 60 kilogram (kg) or 8 mg based on the participant's body weight less than (\<) 60 kg at baseline, orally, once daily (QD) in continuous 14-day treatment cycles, and received placebo intravenously every 2 weeks up to documented disease progression, development of unacceptable toxicity, participant request, or withdrawal of consent.

    Drug: Lenvatinib · Drug: Placebo

Interventions

  • 12 mg (or 8 mg) once daily (QD) oral dosing.

    Also known as: E7080, Lenvima

  • 3mg/kg intravenously every 2 weeks

    Also known as: Programmed cell death 1 antibody

  • DrugPlacebo

    Intravenously every 2 weeks

06

What researchers measure

Primary outcomes

  1. Overall Survival (OS)

    OS was defined as the duration from the date of randomization until the date of death from any cause. Participants who were lost to follow-up were censored at the last date the participant was known to be alive, and participants who remained alive were censored at the time of data cutoff.

    Time frame: 12 months

Secondary outcomes

  1. Progression Free Survival (PFS)

    PFS was defined as the time from the date of randomization to the date of first documentation of disease progression based on modified Response Evaluation Criteria in Solid Tumors (mRECIST), or date of death, whichever occurred first.

    Time frame: 12 months

  2. Objective Response Rate (ORR)

    ORR was defined as the percentage of participants with a best overall response of complete response (CR) or partial response (PR) based on mRECIST. CR was defined as disappearance of any intratumoral arterial enhancement in all target lesions. PR was defined as at least a 30% decrease in the sum of diameters of viable (enhancement of arterial phase) target lesions taking as reference to the baseline sum of the diameters of target lesions.

    Time frame: 12 months

  3. Adverse Events

    Number of adverse events. Postoperative adverse events were graded based on CTCAE v4.03

    Time frame: 30 days

  4. Time to Progression (TTP)

    TTP was defined as the time from the date of randomization to the date of first documentation of disease progression based on mRECIST.

    Time frame: 12 months

07

Study locations

5 sites
  • Cancer Center Sun Yat-sen University
    Guangzhou, Guangdong 510060, China
  • The First Affiliated Hospital of Sun Yat-sen University
    Guangzhou, Guangdong 510060, China
  • Guangzhou Twelfth People 's Hospita
    Guangzhou, Guangdong 510620, China
  • Kaiping Central Hospital
    Kaiping, Guangdong 529300, China
  • First Affiliated Hospital of University Of South China
    Hengyang, Hunan 421001, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 2, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03744247
Collaborators
First Affiliated Hospital, Sun Yat-Sen University, Kaiping Central Hospital, Guangzhou No.12 People's Hospital, The First Affiliated Hospital of University of South China
Responsible party
Shi Ming (Proffessor, Sun Yat-sen University) — Principal investigator
First posted
Nov 16, 2018
Start date
Apr 21, 2019 (estimated)
Primary completion
Jan 1, 2021 (estimated)
Completion
Jun 1, 2021 (estimated)
Last update
May 2, 2019

Study contacts

Ming Shi, MD
principal investigator · The Department of Hepatobiliary Oncology of Sun Yat-sen University Cancer Center

Oversight

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

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This study is withdrawn, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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