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RecruitingNCT05862337Updated May 17, 2023

Anlotinib Hydrochloride Capsules Combined With Penpulimab Injection for the Treatment of Hepatocellular Carcinoma at High Risk of Recurrence.

A Phase 3 interventional study of Anlotinib hydrochloride capsules, Penpulimab injection and Anlotinib hydrochloride capsules -matching placebo, Penpulimab injection -matching placebo in Hepatocellular Carcinoma, sponsored by Chia Tai Tianqing Pharmaceutical Group Co., Ltd.. Recruiting at 67 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-05-17.

Sponsored by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. (part of Sino Biopharmaceutical Limited) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2024, 2 years 2 months ago, but the record still lists the study as recruiting.
  • Started May 2023; still recruiting 3 years 5 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
480
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The primary objective of this study was to evaluate the efficacy of anlotinib hydrochloride capsules combined with penpulimab injection (test group) versus placebo (control group) for adjuvant therapy after radical surgery or ablation in HCC patients with high risk of recurrence by assessing recurrence-free survival (RFS).

02

Conditions studied

  • Hepatocellular Carcinoma
03

In context

Carcinoma, Hepatocellular

3,249 studies on the registry are indexed under Carcinoma, Hepatocellular; 974 are open to participants now.

This study's planned enrollment of 480 is above the median of 55 across 2,347 interventional studies indexed under Carcinoma, Hepatocellular.

Browse Carcinoma, Hepatocellular studies →

Lead sponsor

Chia Tai Tianqing Pharmaceutical Group Co., Ltd. is the lead sponsor of 320 studies on the registry; 76 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

  • Age: 18-75 years old; Eastern Cooperative Oncology Group Performance Status (ECOG PS) ≤ 1; Predicted survival ≥12 weeks.
  • Subjects with hepatocellular carcinoma (HCC) confirmed by histopathology or cytology or who meet the diagnostic criteria for Primary Liver Cancer 2022 or the American Association for the Study of Hepatology (AASLD) hepatocellular carcinoma.
  • Subjects who received radical excision or ablation (Radio Frequency Ablation (RFA) or Microwave Ablation (MWA) only) within 4 to 12 weeks prior to randomization (multiple modalities or combined or multiple treatments are not acceptable).
  • No major vena portae 3 (Vp3) or vena portae 4 (Vp4) in the portal vein or any level of vascular invasion in the hepatic vein or inferior vena cava.
  • No extrahepatic metastasis.
  • High risk factors for recurrence after radical resection or complete ablation.
  • Complete recovery from surgical resection or ablation within 4 weeks before randomization.

Exclusion criteria

Exclusion Criteria:

  • Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC histology.
  • Evidence of residual, recurrent, or metastatic disease at randomization.
  • More than one surgical treatment for hepatocellular carcinoma; Received more than 1 prophylactic Transcatheter Arterial Chemoembolization (TACE) treatment after surgery; or received Hepatic Artery Infusion Chemotherapy (HAIC) therapy after surgery.
  • Previous use of antiangiogenic drugs or PD-1, Programmed Cell Death-Ligand 1 (PD-L1) and other related immunotherapy drugs or systemic chemotherapy drugs.
05

Study design

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

Study arms

  • Experimental
    Anlotinib hydrochloride capsules + Penpulimab injection

    Anlotinib hydrochloride capsules + Penpulimab injection, 21 days as a treatment cycle.

    Drug: Anlotinib hydrochloride capsules, Penpulimab injection

  • Placebo comparator
    Anlotinib hydrochloride capsules -matching placebo+ Penpulimab injection -matching placebo

    Anlotinib hydrochloride capsules -matching placebo+ penpulimab injection -matching placebo, 21 days as a treatment cycle.

    Drug: Anlotinib hydrochloride capsules -matching placebo, Penpulimab injection -matching placebo

Interventions

  • DrugAnlotinib hydrochloride capsules, Penpulimab injection

    Drug pages: Catequentinib hydrochloride · Penpulimab

    Anlotinib hydrochloride capsules is a multitargeted receptor tyrosine kinase inhibitor. Penpulimab injection is a humanized monoclonal antibody targeting programmed cell death protein 1 (PD-1).

  • DrugAnlotinib hydrochloride capsules -matching placebo, Penpulimab injection -matching placebo

    placebo control, no active substance.

06

What researchers measure

Primary outcomes

  1. Recurrence-free survival (RFS)

    RFS assessed by the Blinded Independent Image Review Committee and the investigator is the time from randomization to the first local, regional recurrence or distant metastasis, or death from any cause, whichever occurred first.

    Time frame: Baseline up to 3 years.

Secondary outcomes

  1. Time to recurrence(TTR)

    TTR assessed by the Blinded Independent Image Review Committee and the investigator is the time from randomization to the first local, regional recurrence or distant metastasis, whichever occurred first.

    Time frame: Baseline up to 3 years.

  2. Time to extrahepatic metastasis or macrovascular invasion

    Time to extrahepatic metastasis or macrovascular invasion as assessed by the investigator.

    Time frame: Baseline up to 3 years.

  3. Overall survival (OS)

    OS defined as the time from the date of randomization until the date of death due to any cause.

    Time frame: Baseline up to 3 years.

  4. Objective response rate (ORR) after first recurrence

    subjects with evaluable tumor lesion status who were cross-treated with Anlotinib hydrochloride capsules combined with Penpulimab injection developed complete response or partial response after a first HCC relapse as assessed by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1.

    Time frame: Baseline up to 3 years.

07

Study locations

47 of 67 sites recruiting
  • The First Affiliated Hospital of Bengbu Medical College
    Bengbu, Anhui 233000, China
    Recruiting
  • Anhui Provincial Hospital
    Hefei, Anhui 230000, China
    Recruiting
  • The First Affiliated Hospital of Anhui Medical University
    Hefei, Anhui 230000, China
    • Yufeng Gao, Doctor · Contact · aygyf@126.com · +86 13956938032
    Not yet recruiting
  • Peking Union Medical College Hospital
    Beijing, Beijing Municipality 100005, China
    Recruiting
  • Cancer Hospital Chinese Academy of Medical Sciences
    Beijing, Beijing Municipality 100020, China
    Recruiting
  • Peking University People's Hospital
    Beijing, Beijing Municipality 100044, China
    Recruiting
  • Beijing Friendship hospital of Capital Medical University
    Beijing, Beijing Municipality 100050, China
    Recruiting
  • Beijing YouAn Hospital,Capital Medical University
    Beijing, Beijing Municipality 100069, China
    • Yonghong Zhang, Doctor · Contact · +86 13810108505
    Recruiting
  • Chongqing University Cancer Hospital
    Chongqing, Chongqing Municipality 400030, China
    Not yet recruiting
  • Chongqing University Three Gorges Hospital
    Chongqing, Chongqing Municipality 404199, China
    Not yet recruiting
  • Mengchao Hepatobiliary Hospital of Fujian Medical
    Fuzhou, Fujian 350001, China
    Recruiting
  • Fujian Cancer Hospital
    Fuzhou, Fujian 350011, China
    Recruiting
  • Gansu Provincial Cancer Hospital
    Lanzhou, Gansu 730000, China
    Recruiting
  • Lanzhou University First Hospital
    Lanzhou, Gansu 730000, China
    Not yet recruiting
  • Lanzhou University Second Hospital
    Lanzhou, Gansu 730030, China
    Not yet recruiting
  • Gansu Provincial Hospital
    Lanzhou, Gansu 730700, China
    Recruiting
  • Guangdong People's Hospital
    Guangzhou, Guangdong 510000, China
    Not yet recruiting
  • Zhujiang Hospital of Southern Medical University
    Guangzhou, Guangdong 510280, China
    Recruiting
  • The Third Affiliated Hospital of Sun Yat-sen University
    Guangzhou, Guangdong 510630, China
    Recruiting
  • Guangxi Medical University Affiliated Tumor Hospital
    Nanning, Guangxi 530000, China
    Not yet recruiting
  • Guizhou Provincial People'S Hospital
    Guiyang, Guizhou 550002, China
    Recruiting
  • The Affiliated Cancer Hospital of Guizhou Medical University
    Guiyang, Guizhou 550008, China
    Not yet recruiting
  • Affiliated Hospital Of Zunyi Medical University
    Zunyi, Guizhou 563000, China
    Recruiting
  • Hainan Provincial People's Hospital
    Haikou, Hainan 570311, China
    Recruiting
  • The Second Affiliated Hospital of Hainan Medical University
    Haikou, Hainan 570311, China
    Recruiting
  • Affiliated Cancer Hospital of Harbin Medical University
    Harbin, Heilongjiang 150081, China
    Recruiting
  • The First Affiliated Hospital of Henan University of Science and Technology
    Luoyang, Henan 471000, China
    Recruiting
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan 450000, China
    Recruiting
  • Henan Cancer Hospital
    Zhengzhou, Henan 450003, China
    Not yet recruiting
  • Hunan Cancer Hospital
    Changsha, Hunan 410000, China
    Not yet recruiting
  • Hunan Provincial People's Hospital
    Changsha, Hunan 410000, China
    Not yet recruiting
  • The Third Xiang Ya Hospital of Central South University
    Changsha, Hunan 410000, China
    Recruiting
  • Xiangya Hospital of Central South University
    Changsha, Hunan 410000, China
    Not yet recruiting
  • Chifeng Municipal Hospital
    Chifeng, Inner Mongolia 240000, China
    Recruiting
  • The First People's Hospital of Changzhou
    Changzhou, Jiangsu 213000, China
    Recruiting
  • Jiangsu Province People's Hospital
    Nanjing, Jiangsu 210000, China
    Recruiting
  • Affiliated Hospital of Nantong University
    Nantong, Jiangsu 226006, China
    Recruiting
  • Nantong Tumor Hospital
    Nantong, Jiangsu 226361, China
    Not yet recruiting
  • Ganzhou People's Hospital
    Ganzhou, Jiangxi 341099, China
    Recruiting
  • The Second Affiliated Hospital of Nanchang University
    Nanchang, Jiangxi 330000, China
    Recruiting
  • Jilin Cancer Hospital
    Changchun, Jilin 130012, China
    Not yet recruiting
  • The Second Hospital of Dalian Medical University
    Dalian, Liaoning 116027, China
    Recruiting
  • The First Affiliated Hospital of Jinzhou Medical University
    Jinzhou, Liaoning 121012, China
    Recruiting
  • Shengjing Hospital of China Medical University
    Shenyang, Liaoning 110000, China
    Not yet recruiting
  • The Sixth People's Hospital of Shen Yang
    Shenyang, Liaoning 110000, China
    Recruiting
  • Liaoning Cancer Hospital
    Shenyang, Liaoning 110801, China
    Not yet recruiting
  • Binzhou Medical University Hospital
    Binzhou, Shandong 256699, China
    Recruiting
  • Shandong Cancer Hospital
    Jinan, Shandong 250117, China
    Not yet recruiting
  • The First Affiliated Hospital of Naval Medical University
    Shanghai, Shanghai Municipality 200433, China
    Recruiting
  • Third Affiliated Hospital of Naval Medical University
    Shanghai, Shanghai Municipality 200433, China
    Recruiting
  • Baoji Central Hospital
    Baoji, Shanxi 721000, China
    Recruiting
  • Heping Hospital Affiliated to Changzhi Medical College
    Changzhi, Shanxi 46000, China
    Recruiting
  • The Second Affiliated Hospital of Air Force Medical University
    Xi’an, Shanxi 710038, China
    Not yet recruiting
  • First Affiliated Hospital of Xian Jiaotong University
    Xi’an, Shanxi 710061, China
    Not yet recruiting
  • Xi'an International Medical Center Hospital
    Xi’an, Shanxi 710117, China
    Recruiting
  • West China Hospital of Sichuan University
    Chengdu, Sichuan 610000, China
    Recruiting
  • Affiliated Hospital of Southwest Medical University
    Luzhou, Sichuan 646000, China
    Recruiting
  • Affiliated Hospital Of North Sichuan Medical College
    Nanchong, Sichuan 637000, China
    Recruiting
  • Tianjin Third Central Hospital
    Tianjin, Tianjin Municipality 300000, China
    Recruiting
  • Tianjin Medical University Cancer Institute & Hospital
    Tianjin, Tianjin Municipality 300181, China
    Recruiting
  • Tianjin Cancer Hospital Airport Hospital
    Tianjin, Tianjin Municipality 300308, China
    Recruiting
  • The First Affiliated Hospital of Xinjiang Medical University
    Ürümqi, Xinjiang 830000, China
    Not yet recruiting
  • Sir Run Run Shaw Hospital Zhetiang University School of Medicine
    Hangzhou, Zhejiang 310000, China
    Recruiting
  • Ningbo Medical Center Lihuili Hospital
    Ningbo, Zhejiang 315000, China
    Recruiting
  • Shaoxing People's Hospital
    Shaoxing, Zhejiang 312000, China
    Recruiting
  • Taizhou Hospital of Zhejiang Province
    Taizhou, Zhejiang 317000, China
    Recruiting
  • The First Affiliated Hospital of Wenzhou Medical University
    Wenzhou, Zhejiang 325000, China
    Recruiting
08

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

Started May 2023 (actual). Primary completion is estimated for Aug 2024, 15 months after the start.

Of 47 industry-sponsored phase 3 interventional studies under Carcinoma, Hepatocellular, half reached primary completion within 51 months of starting (the median), counting those still running; a quarter within 41 and three quarters within 63. This study's planned 15 months is below that.

Counting every sponsor, half of 130 studies reached it within 57 months; a quarter within 44 and three quarters within 83.

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

Registered
May 15, 2023
First posted
May 17, 2023
StartActual
May 10, 2023
Primary completionEst.
Aug 2024
CompletionEst.
Dec 2026
Last update
May 17, 2023
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 May 17, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05862337
Responsible party
Sponsor
First posted
May 17, 2023
Start date
May 10, 2023
Primary completion
Aug 2024 (estimated)
Completion
Dec 2026 (estimated)
Last update
May 17, 2023

Oversight

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

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Studies of the drugs tested here: Catequentinib hydrochloride · Penpulimab

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