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Not yet recruitingNCT06984718Updated May 22, 2025

A Phase II Study of AK104 Combination With Lenvatinib Versus Lenvatinib for Second-line HCC

A Phase 2 interventional study of AK104+lenvatinib and lenvatinib in HCC and Hepatocellular Carcinoma, sponsored by Akeso. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-22.

Sponsored by Akeso · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This is a Phase II, randomized, open-label, global, multi-center study to compare the efficacy and safety of AK104 in combination with lenvatinib versus lenvatinib in patients with advanced hepatocellular carcinoma who have progressed on the first line treatment of atezolizumab and bevacizumab.

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Conditions studied

  • HCC
  • Hepatocellular Carcinoma
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In context

Carcinoma

6,738 studies on the registry are indexed under Carcinoma; 1,159 are open to participants now.

This study's planned enrollment of 120 is above the median of 45 across 5,167 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.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Signed the Informed Consent Form (ICF) voluntarily.
  2. Age ≥18 years at time of signing ICF.
  3. Histologic or cytologic confirmation of HCC, or clinical diagnosis of HCC as per AASLD criteria.
  4. BCLC stage B or C, and not suitable for curative surgical or local therapy.
  5. Participants have progressed on the prior first-line systemic treatment with atezolizumab plus bevacizumab combination treatment.
  6. At least one measurable lesion according to RECIST v1.1.
  7. Child-Pugh Class A .
  8. ECOG performance status of 0 or 1.
  9. With a life expectancy of ≥3 months.
  10. Adequate organ and hematologic function.

Exclusion criteria

Exclusion Criteria:

  1. Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC.
  2. Tumor thrombus invasion of superior mesenteric vein.
  3. Has a known history of, or any evidence of CNS metastases.
  4. Has received anti-cancer therapy for HCC within 3 weeks prior to the first dose of study treatment.
  5. Has received systemic anti-cancer therapy other than atezolizumab and bevacizumab.
  6. Has participated in another clinical study within 4 weeks prior to the first dose.
  7. History of liver transplantation.
  8. History of hepatic encephalopathy.
  9. Clinically symptomatic or recurrently drained pleural effusion, pericardial effusion, or ascites.
  10. History of bleeding event due to esophageal and/or gastric varices within 6 months prior to the first dose of study treatment.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    AK104+lenvatinib

    AK104 IV plus lenvatinib orally

    Biological: AK104+lenvatinib

  • Active comparator
    lenvatinib

    lenvatinib orally

    Drug: lenvatinib

Interventions

  • BiologicalAK104+lenvatinib

    Subjects will receive AK104+lenvatinib until disease progression

  • Druglenvatinib

    Subjects will receive lenvatinib until disease progression

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What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR) per RECIST v1.1 by Blinded Independent Central Review (BICR)

    Proportion of subjects who have a complete or partial response relative to baseline as assessed by BICR according to RECIST v1.1.

    Time frame: Up to 24 months

Secondary outcomes

  1. Overall Survival (OS)

    OS is defined as the time from randomization to death due to any cause.

    Time frame: Up to 24 months

  2. Progression-free survival (PFS) assessed by investigator per RECIST v1.1

    PFS is defined as the time from randomization till the first documented disease progression (Per RECIST v1.1 assessed by the investigator) or death due to any cause, whichever occurs first.

    Time frame: Up to 24 months

  3. Duration of Response (DOR) assessed by investigator per RECIST v1.1

    DOR means time measured from the date of partial or complete response to therapy until the cancer progresses based on RECIST v1.1 criteria.

    Time frame: Up to 24 months

  4. Time to Response (TTR) assessed by investigator per RECIST v1.1

    TTR refers to Time to Response.

    Time frame: Up to 24 months

  5. Number of participants with adverse event (AE)

    The number of participants experiencing an Adverse Event (AE) and the severity of AEs will be assessed. AE refers to any untoward medical occurrence or deterioration of existing medical event after the subject signed the ICF, whether or not considered related to the study treatment.

    Time frame: Up to 24 months

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06984718
Lead sponsor
Akeso
Responsible party
Sponsor
First posted
May 22, 2025
Start date
Jun 25, 2025 (estimated)
Primary completion
Nov 30, 2026 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
May 22, 2025

Study contacts

Ting Liu, M.D.
Contact
clinicaltrials@akesobio.com
(0760)89873999
Richard S. Finn, Ph.D.
principal investigator · Department of Medicine, University of California
Jian Zhou, Ph.D.
principal investigator · Fudan University

Oversight

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

Not currently enrolling

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

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