CClinicalTrials.gg
Active, not recruitingNCT06040099EMERALD-Y90Updated Sep 21, 2026

A US Study to Evaluate Transarterial Radioembolization (TARE) in Combination With Durvalumab and Bevacizumab Therapy in People With Unresectable Hepatocellular Carcinoma Amenable to TARE

A Phase 2 interventional study of Durvalumab and Bevacizumab in Hepatocellular Carcinoma (HCC), sponsored by AstraZeneca. Active, not recruiting at 21 sites in United States. Open to participants aged 18 Years to 130 Years. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by AstraZeneca · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
58
Allocation
Not applicable
Ages
18 Years to 130 Years
Sex
All
01

Study summary

The purpose of this study is to measure the efficacy and safety of durvalumab intravenous (IV) solution plus bevacizumab IV solution after transarterial radioembolization (Yttrium 90 glass microspheres TARE) in participants with unresectable hepatocellular carcinoma (HCC) amenable to embolization.

Read the detailed description

A Phase II single-arm study conducted in participants with unresectable Hepatocellular carcinoma (HCC) eligible for embolization and not eligible for or who have declined treatment with resection and/or ablation or liver transplant.

Participants with previous Transarterial Chemoembolization (TACE) or TARE associated with the curative setting are permitted with a 6-month washout.

Approximately 120 participants with unresectable but amenable to locoregional therapy HCC eligible for embolization will be screened in the study at approximately 20 sites in the US to enroll approximately 60 participants.

02

Conditions studied

  • Hepatocellular Carcinoma (HCC)

Keywords

  • TARE
  • Durvalumab
  • Bevacizumab
  • Liver Cancer
  • Y90
03

In context

Carcinoma, Hepatocellular

3,182 studies on the registry are indexed under Carcinoma, Hepatocellular; 954 are open to participants now.

This study's enrollment of 58 is close to the median of 55 across 2,298 interventional studies indexed under Carcinoma, Hepatocellular.

Browse Carcinoma, Hepatocellular studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 130 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants with confirmed unresectable HCC
  • Participants with Lung dose threshold for Yttrium 90 glass microspheres of 30 Gy (equal or less than 30 Gy per treatment for glass) and an estimated Future liver remnant volume (FLRV) ≥ 30% of whole liver volume.
  • Participants with more than 1 prior embolization are permitted if more than 12 months ago, for a different primary lesion, and FLR > 30%.
  • Participants with no evidence of extrahepatic disease on any available imaging
  • Participants with one or more measurable lesions, unilobar disease for participants with segmental or right anterior/posterior portal vein invasion (Vp1/Vp2) and eligible for Yttrium 90 glass microspheres TARE.
  • Participants having Child-Pugh score class A.
  • Participants having ECOG performance status of 0 or 1 at enrollment
  • Adequate organ and marrow function

Exclusion criteria

Exclusion Criteria:

  • Disease amenable to curative surgery, ablation or transplantation. Transplant patients are considered eligible if outside of Milan criteria and not currently listed for transplant.
  • Participants co-infected with HBV and HDV
  • Any history of nephrotic or nephritic syndrome.
  • Clinically significant (eg, active) cardiovascular disease
  • Participants with uncontrolled hypertension
  • History of hepatic encephalopathy
  • Known hereditary predisposition to bleeding or thrombosis; any prior or current evidence of bleeding diathesis.
  • Receipt of more than 1 prior embolization (TACE or TARE) treatment/procedure
  • Participant has received any prior anticancer systemic therapy for unresectable HCC.
  • History of arterial thrombotic event, including myocardial infarction, unstable angina, cerebrovascular accident, or transient ischemic attack, within 6 months prior to enrollment.
  • History of abdominal fistula or gastrointestinal (GI) perforation, non-healed gastric ulcer that is refractory to treatment, or active GI bleeding within 6 months prior to enrollment
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
58 participants (actual)

Study arms

  • Experimental
    Yttrium 90 glass microspheres TARE in combination with Durvalumab and Bevacizumab

    Participants will undergo Yttrium 90 glass microspheres TARE according to the dosimetry recommendation.

    Drug: Durvalumab · Drug: Bevacizumab · Procedure: Transarterial Radioembolization (TARE)

Interventions

  • DrugDurvalumab

    Durvalumab IV (intravenous)

    Also known as: MEDI4736, IMFINZI

  • DrugBevacizumab

    Bevacizumab IV (intravenous)

    Also known as: AVASTIN, ZIRABEV

  • ProcedureTransarterial Radioembolization (TARE)

    Yttrium 90 glass microspheres will be administered

    Also known as: TheraSphere

06

What researchers measure

Primary outcomes

  1. Progression Free Survival (PFS)

    PFS is defined as the time from Day 1 (day of TARE) until the date of progressive disease per modified Response Evaluation Criteria in Solid Tumors (mRECIST), as assessed by the investigator, or death due to any cause. It is measured to assess the efficacy of TARE followed by durvalumab monotherapy followed by durvalumab + bevacizumab in participants with unresectable HCC amenable to locoregional therapy.

    Time frame: From Day 1 until date of progressive disease or death [Approximately 3 years]

Secondary outcomes

  1. Number of participants with Adverse events (AEs)

    To assess the safety of the sequence of TARE followed by durvalumab monotherapy followed by durvalumab + bevacizumab in participants with unresectable HCC amenable to locoregional therapy

    Time frame: From Screening (Day -28 to Day 1) until 90 days after the last dose of study drug

  2. Objective Response Rate (ORR)

    ORR is defined as the proportion of participants who have a confirmed complete response or partial response, as determined by the investigator per mRECIST. It is assessed after TARE followed by durvalumab monotherapy followed by durvalumab + bevacizumab in participants with unresectable HCC amenable to locoregional therapy.

    Time frame: From Day 1 until progression, or the last evaluable assessment in the absence of progression (Approximately 3 years)

  3. Overall Survival (OS)

    OS is defined as the time from the start of TARE until the date of death due to any cause. It is assessed after TARE followed by durvalumab monotherapy followed by durvalumab + bevacizumab in participants with unresectable HCC amenable to locoregional therapy.

    Time frame: Day 1 to 18 months or until death (Approximately 3 years)

  4. Duration of Response (DoR)

    DoR is defined as the time from the date of first documented response (that is subsequently confirmed) until the date of documented progression per mRECIST as assessed by the investigator, or death due to any cause. It is assessed after TARE followed by durvalumab monotherapy followed by durvalumab + bevacizumab in participants with unresectable HCC amenable to locoregional therapy.

    Time frame: Time from first documented response until documented progression (Approximately 3 years)

07

Study locations

21 sites
  • Research Site
    Aurora, Colorado 80045, United States
  • Research Site
    Gainesville, Florida 32608, United States
  • Research Site
    Orlando, Florida 32804, United States
  • Research Site
    Atlanta, Georgia 30322, United States
  • Research Site
    Atlanta, Georgia 30342, United States
  • Research Site
    Chicago, Illinois 60611, United States
  • Research Site
    Boston, Massachusetts 02118, United States
  • Research Site
    Detroit, Michigan 48201, United States
  • Research Site
    St Louis, Missouri 63110, United States
  • Research Site
    Trenton, New Jersey 08690, United States
  • Research Site
    Buffalo, New York 14263, United States
  • Research Site
    New York, New York 10029, United States
  • Research Site
    Chapel Hill, North Carolina 27599, United States
  • Research Site
    Columbus, Ohio 43210, United States
  • Research Site
    Portland, Oregon 97239, United States
  • Research Site
    Philadelphia, Pennsylvania 19107, United States
  • Research Site
    Houston, Texas 77030, United States
  • Research Site
    Charlottesville, Virginia 22908, United States
  • Research Site
    Seattle, Washington 98195, United States
  • Research Site
    Milwaukee, Wisconsin 53215, United States
  • Research Site
    Milwaukee, Wisconsin 53226, United States
08

References and documents

Publications

  • Pabon CM, Kumar-Sharma P, Spieler BO, Tuerff D, Datta J, Hosein PJ. Identifying Subsets of Patients with Non-immunogenic Gastrointestinal Cancers for Checkpoint Immunotherapy. Surg Oncol Clin N Am. 2026 Apr;35(2):347-365. doi: 10.1016/j.soc.2025.10.008. Epub 2026 Jan 14. PubMed 41903993 ↗

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Supporting information: Study protocol, Sap

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06040099
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Sep 15, 2023
Start date
Feb 13, 2024
Primary completion
Jun 30, 2026
Completion
May 27, 2027 (estimated)
Last update
Sep 21, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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