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CompletedNCT04728321Updated Apr 25, 2024

A Study of Anti-PD-1/CTLA-4 Bispecific AK104 Alone or in Combination With Lenvatinib in Advanced Hepatocellular Carcinoma

A Phase 2 interventional study of AK104 lenvatinib and AK104 in Hepatocellular Carcinoma, sponsored by Akeso. Completed at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-04-25.

Sponsored by Akeso · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
32
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

An open-label multi-center phase II study to evaluate the efficacy and safety of anti-PD-1/CTLA-4 bispecific antibody AK104 alone or in combination with lenvatinib in patients with advanced hepatocellular carcinoma.

Read the detailed description

This is a multi-center, multi-cohort, open-label phase 2 clinical study to evaluate the anti-tumor activity, safety, PK profile, immunogenicity and potential biomarkers of AK104 alone or in combination with for the treatment of advanced hepatocellular carcinoma

02

Conditions studied

  • Hepatocellular Carcinoma

Keywords

  • Anti-PD-1
  • Anti-CTLA-4
  • Bispecific
03

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 32 is below the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Akeso is the lead sponsor of 154 studies on the registry; 67 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

Inclusion criteria

  • Signed written informed consent form voluntarily.
  • Histologically or cytologically documented hepatocellular carcinoma.
  • BCLC stage C, and non-resectable BCLC stage B .
  • At least one measurable lesion according to RECIST criteria.
  • ECOG of 0 or 1.
  • Adequate organ function.
  • Estimated life expectancy of ≥3 months.
  • For women of childbearing potential: agreement to remain abstinent; For men: agreement to remain abstinent

Exclusion criteria

Exclusion Criteria:

  • Histologically or cytologically documented fibrolamellar hepatocellular carcinoma, sarcoma-like hepatocellular carcinoma, cholangiocarcinoma, etc.
  • History of hepatic encephalopathy or liver transplantation.
  • Clinical significance of hydrothorax, ascites or pericardial effusion.
  • Central nervous system metastases and/or carcinomatous meningitis.
  • Any risk of bleeding; severe bleeding tendency or coagulation dysfunction, or under thrombolytic therapy.
  • Occurred arteriovenous thromboembolic events within 6 months before the first administration.
  • Tumor volume > 50% liver volume; portal vein tumor thrombus or inferior vena cava tumor thrombus.
  • Inadequately controlled arterial hypertension.
  • Attack of symptomatic congestive heart failure (LVEF\<50%); History of congenital long QT syndrome.
  • Known presence or history of interstitial lung disease or required hormone treatment interstitial lung disease.
  • Severe infections.
  • Receipt of any anti-tumor treatment, chemotherapy, targeted therapy, immunotherapy,
  • Enrollment of another clinical study within 4 weeks prior to the first administration of study drugs.
  • Unable to receive an enhanced CT or MRI scan of the liver.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    AK104

    AK104 15mg/kg IV every 3weeks (Q3W)

    Biological: AK104

  • Experimental
    AK104 and Lenvatinib

    AK104 15 mg/kg IV every 3 weeks (Q3W) Lenvatinib 12mg weight≥60kg or 8mg weight\<60kg,PO QD

    Biological: AK104 lenvatinib

Interventions

  • BiologicalAK104 lenvatinib

    Subjects will receive AK104 and lenvatinib until disease progression or for a maximum of 24 months

  • BiologicalAK104

    Subjects will receive AK104 until disease progression or for a maximum of 24 months

06

What researchers measure

Primary outcomes

  1. Objective response rate (ORR)

    ORR is defined as the proportion of subjects with confirmed CR or PR, based on RECIST v1.1.

    Time frame: Up to 2 years

Secondary outcomes

  1. Disease control rate (DCR)

    The DCR is defined as the proportion of subjects with CR, PR, or SD (subjects achieving SD will be included in the DCR if they maintain SD for ≥8 weeks) based on RECIST Version 1.1.

    Time frame: Up to 2 years

  2. Duration of response (DoR)

    Duration of response is defined as the duration from the first documentation of objective response to the first documented disease progression or death due to any cause, whichever occurs first

    Time frame: Up to 2 years

  3. Progression-free survival (PFS)

    Progression-free survival is defined as the time from the start of treatment with AK104 until the first documentation of disease progression or death due to any cause, whichever occurs first

    Time frame: Up to 2 years

  4. Number of participants with adverse events (AEs)

    An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product temporally associated with the use of study treatment, whether or not considered related to the study treatment

    Time frame: the time of informed consent signed through 90 days after the last dose of AK104 and Lenvatinib

07

Study locations

1 site
  • The first affilited hospital zhejiang university school of medcine
    Hangzhou, Zhejiang 310000, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04728321
Lead sponsor
Akeso
Collaborators
Akeso Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Jan 28, 2021
Start date
Jan 27, 2021
Primary completion
Aug 2, 2022
Completion
Aug 2, 2023
Last update
Apr 25, 2024

Study contacts

Tingbo Liang, MD
principal investigator · The First Affiliated Hospital Zhejiang University School of Medcine

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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