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RecruitingNCT06446154Updated Dec 31, 2024

Fruquintinib After ICIs Treatment in Unresectable Hepatocellular Carcinoma

A Phase 2 interventional study of Fruquintinib in Hepatocellular Carcinoma, Immune Checkpoint Inhibitors and Anti-angiogenic Therapy, sponsored by Sun Yat-sen University. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-31.

Sponsored by Sun Yat-sen University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 10 months ago, but the record still lists the study as recruiting.
  • Started Dec 2024; still recruiting 1 year 9 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
36
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Nowadays, there are few second-line treatment options for advanced hepatocellular carcinoma (HCC). In order to further improve the efficacy of second-line treatment for advanced HCC, we plan to conduct a phase II clinical study to explore the efficacy and safety of the new second-line treatment for advanced HCC.

As a tyrosine kinase inhibitor targeting vascular endothelial growth factor receptor -1/2/3 (VEGFR 1/2/3), fruquintinib had demonstrated a strong antitumor efficacy in colorectal cancer patients who had previously received standard chemotherapy. Compared with placebo, fuquinitinib significantly extended overall survival in patients with metastatic colorectal cancer (median OS, 9.3 months vs 6.6 months; HR, 0.65; p\<0.001) and progression-free survival (median PFS, 3.7 months vs 1.8 months; HR, 0.26; p\<0.001). Additionally, a phase II clinical study had showed that sintilimab combined with fruquintinib was with a promising anti-tumor activity in patients with advanced HCC who had received standard treatment, with a median PFS of 7.4 months and a tumor response rate of 31.6%.

Therefore, we intend to conduct this clinical study to explore the efficacy and safety of fruquintinib as second-line treatment for patients with unresectable HCC previously treated with immune checkpoint inhibitors.

02

Conditions studied

  • Hepatocellular Carcinoma
  • Immune Checkpoint Inhibitors
  • Anti-angiogenic Therapy
  • Second-line Treatment
03

In context

Carcinoma, Hepatocellular

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

This study's planned enrollment of 36 is below the median of 55 across 2,347 interventional studies indexed under Carcinoma, Hepatocellular.

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 and older
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

  • patients aged 18 years or older
  • with unresectable, locally advanced, or metastatic HCC, with the diagnosis confirmed by histologic or cytologic analysis or clinical features according to the American Association for the Study of Liver Disease criteria
  • who had previously received immune checkpoint inhibitors
  • had at least on measurable disease, as defined by Response Evaluation Criteria In Solid Tumours version 1.1 (RECIST v1.1) criteria
  • had a baseline Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • had a Child-Pugh liver function score of 7 or less
  • had adequate hematologic and organ function (absolute neutrophil count ≥1.2×109/l, platelet count ≥60×109/l, total bilirubin \< 30μmol/l, albumin ≥ 30g/l, aspartate transaminase and alanine transaminase ≤ 5×upper limit of the normal, creatinine clearance rate of ≤ 1.5×upper limit of the normal, and left ventricular ejection ≥ 45%)

Exclusion criteria

Exclusion Criteria:

  • history of HIV, organ allograft
  • combined with other malignant tumors
  • evidence of hepatic decompensation, bleeding diathesis or event
  • allergy to the investigational agents or any agent given in association with this trial
  • incomplete medical information.
05

Study design

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

Study arms

  • Experimental
    Fruquintinib

    Fruquintinib monotherapy

    Drug: Fruquintinib

Interventions

  • Fruquintinib was given orally for 5mg/ days. After 3 weeks, the drug was stopped for 1 week.

06

What researchers measure

Primary outcomes

  1. ORR

    Objective response rate

    Time frame: Two years

Secondary outcomes

  1. OS

    Median overall survival

    Time frame: Two years

  2. PFS

    Median progression-free survival

    Time frame: Two years

07

Study locations

1 of 1 sites recruiting
  • Sun Yat-sen university cancer center
    Guangzhou, Guangdong, China
    • Ming Shi · Contact
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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 Dec 2024 (actual). Primary completion is estimated for Dec 2025, 11 months after the start.

Of 328 non-industry phase 2 interventional studies under Carcinoma, Hepatocellular, half reached primary completion within 49 months of starting (the median), counting those still running; a quarter within 34 and three quarters within 74. This study's planned 11 months is below that.

Counting every sponsor, half of 404 studies reached it within 44 months; a quarter within 31 and three quarters within 70.

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

Registered
May 30, 2024
First posted
Jun 6, 2024
StartActual
Dec 27, 2024
Primary completionEst.
Dec 1, 2025
CompletionEst.
Jul 1, 2026
Last update
Dec 31, 2024
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 Dec 31, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06446154
Collaborators
Guangzhou First People's Hospital
Responsible party
Shi Ming (Clinical Professor, Sun Yat-sen University) — Principal investigator
First posted
Jun 6, 2024
Start date
Dec 27, 2024
Primary completion
Dec 1, 2025 (estimated)
Completion
Jul 1, 2026 (estimated)
Last update
Dec 31, 2024

Study contacts

Ming Shi
Contact
shiming@sysu.edu.cn
020-87343115

Oversight

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

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Studies of the drug tested here: HMPL-013

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