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CompletedNCT04627012Updated Mar 6, 2024

Lenvatinib Combined Anti-PD1 Antibody for the Advanced Hepatocellular Carcinoma

An observational study in Hepatocellular Carcinoma, Anti-PD1 Antibody and Liver Diseases, sponsored by Sun Yat-sen University. Completed at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-03-06.

Sponsored by Sun Yat-sen University · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
600
Ages
18 Years to 75 Years
Sex
All
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Study summary

For the advanced hepatocellular carcinoma (HCC), the targeted therapy and immunotherapy are recommended. This study focused on the management of Lenvatinib combined anti-PD1 antibody for the HCC. This study will create a database that will provide clinical parameters and outcomes of patients undergoing Lenvatinib and anti-PD1 antibody as part of their standard of care in hopes of answering key clinical questions.

Read the detailed description

Lenvatinib was non-inferior to sorafenib in overall survival in untreated advanced hepatocellular carcinoma. The programmed cell death protein-1 (PD-1) antibody, was effective and tolerable in patients with hepatocellular carcinoma and portal vein tumor thrombus. We aimed to describe the efficacy and safety of Lenvatinib combined anti-PD1 antibody in patients with hepatocellular carcinoma who can not receive redical therapy.

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Conditions studied

  • Hepatocellular Carcinoma
  • Anti-PD1 Antibody
  • Liver Diseases

Keywords

  • Tislelizumab
  • Lenvatinib
  • Toripalimab
  • Sintilimab
  • Camrelizumab
  • Keytruda
  • Opdivo
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In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's enrollment of 600 is above the median of 149 across 1,175 observational studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Sun Yat-sen University is the lead sponsor of 1,644 studies on the registry; 602 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

For the advanced hepatocellular carcinoma (HCC), the targeted therapy and immunotherapy are recommended. This study focused on the management of Lenvatinib combined anti-PD1 antibody for the HCC. This study will create a database that will provide clinical parameters and outcomes of patients undergoing Lenvatinib and anti-PD1 antibody as part of their standard of care in hopes of answering key clinical questions.

Inclusion criteria

  1. HCC diagnosed by histopathological examination or Guidelines for Diagnosis and Treatment of Primary Liver Cancer or the recurrent HCC after surgery;
  2. age between 18 and 75 years;
  3. Stage B (middle stage) or C (late stage) HCC determined in accordance with Barcelona Clinic Liver Cancer staging system (BCLC stage). In case of stage B.
  4. Previous use of any systemic therapy but intolerant, impotent or drug resistant.
  5. Child-Pugh class A or B;
  6. Eastern Cooperative Group performance status (ECOG) score of 0-2;
  7. Hemoglobin ≥ 8.5 g/dL Total bilirubin ≤ 30mmol/L Serum albumin ≥ 32 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
  8. Prothrombin time ≤18s or international normalized ratio \< 1.7.
  9. Ability to understand the protocol and to agree to and sign a written informed consent document.

Exclusion criteria

Exclusion Criteria:

  1. Cholangiocellular carcinoma (ICC);
  2. Patients with cancer thrombus in the main trunk of portal vein (Vp4), or cancer thrombus in inferior vena cava should be excluded;
  3. The survival or patients less than 3 months.
  4. Serious medical comorbidities.
  5. Evidence of hepatic decompensation including ascites, gastrointestinal bleeding or hepatic encephalopathy
  6. Known history of HIV
  7. History of organ allograft
  8. Known or suspected allergy to the investigational agents or any agent given in association with this trial.
  9. Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
  10. Evidence of bleeding diathesis.
  11. Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
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Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
600 participants (actual)
Patient registry
No

Interventions

  • DrugLenvatinib

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

  • DrugOpdivo

    3mg/mg intravenously every 3 weeks

  • DrugCamrelizumab

    200mg intravenously every 3 weeks

  • DrugKeytruda

    200mg intravenously every 3 weeks

  • DrugToripalimab

    240mg intravenously every 3 weeks

  • DrugSintilimab

    200mg intravenously every 3 weeks

  • DrugTislelizumab

    200mg intravenously every 3 weeks

06

What researchers measure

Primary outcomes

  1. Progression-Free-Survival(PFS)

    Progression was defined as progressive disease by independent radiologic review according to mRECIST or death from any cause

    Time frame: 24 months

  2. Overall survival (OS)

    OS is the length of time from the date of randomization until death from any cause.

    Time frame: 24 months

Secondary outcomes

  1. Objective response rate (ORR)

    ORR, as determined based on tumor response according to RECIST 1.1, is defined as the proportion of all randomized subjects whose best overall response (BOR) is either a CR or PR.

    Time frame: 6 months

  2. Disease control rate(DCR)

    The proportion of patients who had a best response rating of complete response, partial response, or stable disease.

    Time frame: 24 months

  3. Adverse events

    Safety will be evaluated according to the NCI CTCAE Version 4.03. All observations pertinent to the safety of the study medication will be recorded on the CRF and included in the final report.

    Time frame: 24 months

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Study locations

1 site
  • Second Affiliated Hospital of Guangzhou Medical University
    Guangzhou, Guangdong 510000, China
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04627012
Lead sponsor
Sun Yat-sen University
Collaborators
Second Affiliated Hospital of Guangzhou Medical University
Responsible party
Zhou Qunfang (MD, Sun Yat-sen University) — Principal investigator
First posted
Nov 13, 2020
Start date
Jan 1, 2018
Primary completion
Dec 30, 2021
Completion
Jul 1, 2023
Last update
Mar 6, 2024

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 completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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