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Not yet recruitingNCT06841185Updated Feb 24, 2025

A Study to Compare the Efficacy, Safety, Immunogenicity, and Pharmacokinetic Profile of HLX13 with YERVOY As a First-Line Treatment for Patients with Unresectable Hepatocellular Carcinoma

A Phase 3 interventional study of HLX13 and US-sourced YERVOY® in Hepatocellular Carcinoma (HCC), sponsored by Shanghai Henlius Biotech. Not yet recruiting. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-02-24.

Sponsored by Shanghai Henlius Biotech (part of Fosun Pharma) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
656
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a multicenter, randomized, double-blind, parallel-controlled integrated phase I/III clinical study to evaluate the efficacy, safety, PK, and immunogenicity of HLX13 and YERVOY® in patients with unresectable hepatocellular carcinoma who have not received prior systemic therapy.

Read the detailed description

This study includes three treatment groups. Patients will be randomly assigned at a 2:1:1 ratio to the HLX13, US-sourced YERVOY®, or EU-sourced YERVOY® group to receive the treatment of IMPs in combination with nivolumab.

Patients with good tolerability and disease control will receive HLX13 or YERVOY® in combination with nivolumab on the first day of every 3 weeks for up to 4 cycles. PK and immunogenicity blood sampling will be conducted during the treatment period. After the four treatment cycles, all subjects will be subsequently treated with nivolumab monotherapy until investigator-assessed disease progression, initiation of a new anti-neoplastic therapy, withdrawal of informed consent, death, unacceptable toxicity, or up to 1 year after randomization, whichever occurs first.

02

Conditions studied

  • Hepatocellular Carcinoma (HCC)

Keywords

  • Ipilimumab Biosimilar
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 656 is above the median of 55 across 2,347 interventional studies indexed under Carcinoma, Hepatocellular.

Browse Carcinoma, Hepatocellular studies →

Lead sponsor

Shanghai Henlius Biotech is the lead sponsor of 131 studies on the registry; 55 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

  • Histologically or cytologically diagnosed relapsed metastatic or advanced hepatocellular carcinoma not eligible for surgical or locoregional therapies according to the diagnostic criteria of the American Association for the Study of Liver Diseases (AASLD).
  • At least one measurable lesion as assessed by IRRC based on RECIST v1.1 within 4 weeks prior to the first dose in this study.
  • No systemic therapy for relapsed metastatic or advanced hepatocellular carcinoma prior to screening.
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1.
  • Child-Pugh Class A.
  • Normal major organ functions.
  • Women of childbearing potential should use highly effective methods of contraception during the study and within 5 months after the last study treatment; Male subjects capable of fathering a child must agree to use at least one highly effective method of contraception for the duration of the study and for at least 7 months after the last study treatment.

Exclusion criteria

Exclusion Criteria:

  • With other histopathological types of hepatocellular carcinoma.
  • History of hepatic encephalopathy.
  • Clinically significant ascites.
  • Patients with tumor thrombus at the main portal vein, left or right portal (either or both) vein branch, or inferior vena cava.
  • Presence of the central nervous system disorders at screening, except subjects who have previously received treatment for brain metastases can participate in the study treatment if their clinical symptoms have been stable for at least 4 weeks.
  • Evidence of portal hypertension with bleeding esophageal or gastric varices within 6 months prior to the randomization.
  • Known active or suspected autoimmune diseases.
  • Active co-infection with both hepatitis B and C, or hepatitis D infection in subjects with hepatitis B.
  • Uncontrolled cardiovascular diseases within 6 months.
  • Known interstitial pneumonia, pneumoconiosis, radiation pneumonitis, drug-related pneumonitis, and severe lung function abnormalities that may impede the investigators' diagnosis and management of drug-related pulmonary toxicity prior to screening.
  • Patients who have received any T-cell costimulatory agents or immune checkpoint blockade therapy, including but not limited to cytotoxic T lymphocyte-associated antigen-4 (CTLA-4) inhibitors, PD-1 inhibitors, PD-L1/2 inhibitors, or other agents that target T cells.
  • Patients who have other conditions not suitable for inclusion per investigator's judgments.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
656 participants (estimated)

Study arms

  • Experimental
    HLX13 group

    Recombinant anti-CTLA-4 fully human monoclonal antibody injection developed by Shanghai Henlius Biotech, Inc.

    Drug: HLX13

  • Active comparator
    US-sourced YERVOY® group

    US-sourced ipilimumab

    Drug: US-sourced YERVOY®

  • Active comparator
    EU-sourced YERVOY® group

    EU-sourced ipilimumab

    Drug: EU-sourced YERVOY®

Interventions

  • DrugHLX13

    HLX13 (3 mg/kg) and nivolumab (1 mg/kg) treatment on the first day of each cycle, every 3 weeks with a total of 4 cycles

  • DrugUS-sourced YERVOY®

    US-sourced YERVOY® (3 mg/kg) and nivolumab (1 mg/kg) treatment on the first day of each cycle, every 3 weeks with a total of 4 cycles

  • DrugEU-sourced YERVOY®

    EU-sourced YERVOY® (3 mg/kg) and nivolumab (1 mg/kg) treatment on the first day of each cycle, every 3 weeks with a total of 4 cycles

06

What researchers measure

Primary outcomes

  1. Area under the serum concentration-time curve from time 0 to 21 days (AUC0-21d)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 21

  2. Area under the serum concentration-time curve within a dosing interval at steady-state (AUCss)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 85

  3. Best Objective Response Rate (ORR) up to Week 24 (assessed by Independent Radiology Review Committee [IRRC] based on RECIST v1.1)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Week 24

Secondary outcomes

  1. Maximum serum drug concentration (Cmax) after the first dose

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 21

  2. Trough serum drug concentration (Ctrough) after the first dose

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 21

  3. Time to reach maximum serum drug concentration (Tmax) after the first dose

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 21

  4. Elimination half-life (t1/2) after the first dose

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 21

  5. Total clearance (CL) after the first dose

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 21

  6. Volume of distribution during terminal phase (Vz) after the first dose

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 21

  7. Time to reach maximum serum drug concentration at steady state (Tmax, ss)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 85

  8. Maximum serum drug concentration at steady state (Cmax, ss)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 85

  9. Minimum serum drug concentration at steady state (Cmin, ss)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 85

  10. Elimination half-life (t1/2) at steady state

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 85

  11. Volume of distribution at steady state (Vss)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 85

  12. Total clearance at steady state (CLss)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 85

  13. Accumulation ratio of AUC (Rac, AUC)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 85

  14. Accumulation ratio of Cmax (Rac, Cmax)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Day 85

  15. ORR assessed by IRRC (based on RECIST v1.1)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Week 30

  16. ORR assessed by investigators (based on RECIST v1.1)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Week 48

  17. Duration of Response (DOR) assessed by investigators (based on RECIST v1.1)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Week 48

  18. Time to Response (TTR) assessed by investigators (based on RECIST v1.1)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Week 48

  19. Progression-Free Survival (PFS) Status assessed by investigators (based on RECIST v1.1)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Week 48

  20. Progression-Free Survival Rate (PFSR) assessed by investigators (based on RECIST v1.1) at Weeks 24 and 48

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Week 48

  21. Overall Survival (OS)

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to 1 year

  22. Overall Survival Rate (OSR) assessed by investigators (based on RECIST v1.1) at Weeks 24 and 48

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

    Time frame: Up to Week 48

  23. Adverse events (AEs)

    Time frame: Up to Month 15

  24. Serious adverse events (SAEs)

    Time frame: Up to Month 15

  25. Incidence of anti-drug antibodies (ADAs).

    Time frame: Up to 1 year

  26. Incidence of neutralizing antibodies (NAbs).

    Time frame: Up to 1 year

07

Study locations

No study locations are listed for this record.

08

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 Feb 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06841185
Responsible party
Sponsor
First posted
Feb 24, 2025
Start date
Apr 30, 2025 (estimated)
Primary completion
Jun 6, 2027 (estimated)
Completion
May 5, 2028 (estimated)
Last update
Feb 24, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is not yet recruiting, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: HLX13

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