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Enrolling by invitationNCT07088081Updated Jul 28, 2025

Evaluation of Efficacy and Safety of Immune Check Point Inhibitors in Hepatocellular Carcinoma Patients in Ain Shams University Hospitals

An observational study in HCC - Hepatocellular Carcinoma, Immunotherapy and Immune Checkpoint Therapy, sponsored by Ain Shams University. Enrolling by invitation at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-28.

Sponsored by Ain Shams University · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2026, 4 months ago, but the record still lists the study as enrolling by invitation.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
30
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to evaluate the response to immunotherapy in HCC, assess the toxicity profile and measure overall survival within the study period. The primary end point is evaluation of progression free survival in HCC patients receiving immunotherapy. The secondary end point is to assess overall survival within the study period, duration of response and the response rate. The tertiary end point is to assess the toxicity profile.

Read the detailed description

Treatment starts after MDT discussion and approval for diagnosis, staging and treatment protocol.

  • This study includes patients with advanced HCC who will receive their first line of treatment. Cases will receive atezolizumab (1200 mg) + bevacizumab (15mg/kg) every 3 weeks or Tremilimumab (300 mg single dose IV infusion on first day only) + Durvalumab (1500 mg on the same day then every 4 weeks) according to eligibility criteria.
  • Cases will be evaluated every cycle clinically and laboratory.
  • Baseline investigations will include;

    1. Laboratory ;

      1. CBC
      2. liver enzymes (ALT, AST, alkaline phosphatase, GGT)
      3. liver function tests (serum albumin, serum bilirubin total and direct, INR)
      4. kidney function tests (serum creatinine, BUN, 24 hrs urinary protein)
      5. electrolytes Na, K, Ca)

      t) Others; HBAlc, Thyroid function tests (TSH, T3, T4), Alpha feto protein

    2. Radiological imagings;

      1. Triphasic CT and/or dynamic MRI abdomen
      2. PET scan or CT chest and bone scan
      3. ECG, ECHO, Upper GI endoscopy
  • Every 3 months patients will undergo laboratory and radiological investigations, assessed by 2 blinded radiologists.
  • The degree of adverse events was evaluated according to The Common Terminology Criteria for Adverse Events version 5.0.(30) ,which rates toxicity on a scale from 1 to 5, with ascending order of severity. This will be managed according to toxicity grade whether treatment interruption, dose reduction or discontinuation.
  • Study treatment to be continued until disease progression, unacceptable toxicity, serious inter-current illness, patient request for discontinuation, or need for any other anticancer agent other than study treatment.
02

Conditions studied

  • HCC - Hepatocellular Carcinoma
  • Immunotherapy
  • Immune Checkpoint Therapy
  • Immune Checkpoint Inhibitor-Induced Dermatitis
  • Atezolizumab and Bevacizumab in Hepatocellular Carcinoma
  • Durvalumab

Keywords

  • Immune check points inhibitors efficacy
  • Immune check points inhibitors safety
  • Response evaluation in hepatocellular carcinoma
03

In context

Carcinoma, Hepatocellular

3,183 studies on the registry are indexed under Carcinoma, Hepatocellular; 955 are open to participants now.

This study's planned enrollment of 30 is below the median of 200 across 754 observational studies indexed under Carcinoma, Hepatocellular.

Browse Carcinoma, Hepatocellular studies →

Lead sponsor

Ain Shams University is the lead sponsor of 1,879 studies on the registry; 424 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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
Sampling method
Non-probability sample

Study population

Consecutive sampling for patients fulfilling the eligibility criteria and after multidisciplinary team discussion at Clinical oncology department and HCC clinics, Ain Shams University Hospitals, Cairo.

Inclusion criteria

  • Age ≥ 18.
  • Hepatocellular carcinoma based on histological diagnosis or the typical findings on radiological imaging including enhanced dynamic computed tomography (CT) and/or dynamic magnetic resonance imaging (MRI).
  • ECOG Performance status of 0 or 1
  • Patients with Child-Pugh class A
  • BCLC stage B with diffuse, infiltrative, or extensive bilobar involvement
  • BCLC stage B with tumor progression after failure of TACE
  • BCLC stage C
  • No prior systemic therapy for HCC
  • Additional eligibility criteria; Hb ≥ 9 g/dl, platelets ≥ 75x10%/1, ANC ≥ 1.5 x10% for Atezolizumab/bevacizumab and ANC ≥ 1x10%1 for Durvalumab/Tremilimumab, INR ≤ 2, albumin ≥ 2.8 g/dl, total bilirubin

    ≤ 3 mg/dl, AST and ALT ≤ 5 x ULN, creatinine clearance ≥ 50 ml/min

  • Additional criteria for Atezolizumab/Bevacizumab; upper endoscopy showing no risky high grade esophageal varices (within 6 months of first dose) unless adequately managed

Exclusion criteria

Exclusion Criteria:

  • Performance status ≥ 2
  • Patients with Child-Pugh class B or C
  • BCLC stage A or D
  • Active tuberculosis or active human immunodeficiency virus (HIV) infection
  • HCV or HBV infection except if; HBV DNA \< 500 IU/ml or started anti- HBV treatment for a minimum of 14 days prior to first dose
  • Severe infection requiring hospitalization within 4 weeks prior to first dose
  • History of allogenic stem cell or solid organ transplant
  • Treatment with systemic immunostimulatory or immunosuppressive medication
  • Active and history of autoimmune disease or immune deficiency
  • Receiving a live, attenuated vaccine within 4 weeks prior to first dose
  • History of idiopathic pulmonary fibrosis, or evidence of active pneumonitis
  • Central nervous system metastases
  • Symptomatic hypercalcemia (ionized calcium > 1.5 mmol/1 (6 mg/dl), calcium > 12 mg/dl, or corrected serum calcium > ULN)
  • History of severe allergic anaphylactic reactions to chimeric or humanized antibodies or fusion proteins
  • Prior history of hypertensive crisis or hypertensive encephalopathy
  • Cardiac conditions, such as severe heart failure, unstable angina, recent myocardial infarction, severe arrhythmias
  • Evidence of bleeding diathesis or coagulopathy Special for atezolizumab + bevacizumab
  • Risky esophageal or gastric varies unless adequately managed
  • Severe portal hypertensive gastropathy which is associated with decline in hemoglobin, uniess controlled
  • Severe proteinuria ≥ 3.5 g/24 hrs or by dipstick 4+ proteinuria, according to CTCAE. Special for tremelimumab + durvalumab
  • Main portal vein tumor thrombosis
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
30 participants (estimated)
Target follow-up
1 Year
Patient registry
Yes
06

What researchers measure

Primary outcomes

  1. Progression free survival in HCC patients receiving immunotherapy.

    Progression-free survival (PFS) is defined as the time elapsed between treatment initiation and tumor progression or death from any cause. Progression (i.e., PD) was defined as presence of new measurable/non- measurable lesions, or ≥ 20% increase in tumour burden relative to nadir

    Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 12 months

Secondary outcomes

  1. overall survival within the study period,

    Overall survival (OS) is defined as time from diagnosis to either last follow-up or /death

    Time frame: From date of randomization until the date of loss of follow up or date of death from any cause, whichever came first, assessed up to 12 months

  2. Response rate

    Response rate is defined as the proportion of patients with a complete response/immune complete response or partial response/ immune partial response to treatment

    Time frame: From enrollment to study till 1 year or treatment

Other outcomes

  1. Assess the toxicity profile of immunotherapy

    The degree of adverse events was evaluated according to The Common Terminology Criteria for Adverse Events version 5.0. ,which rates toxicity on a scale from 1 to 5, with ascending order of severity. This will be managed according to toxicity grade whether treatment interruption, dose reduction or discontinuation.

    Time frame: From enrollment to 1 year of treatment

07

Study locations

1 site
  • Ain Shams University
    Cairo, Abbasya 00202, Egypt
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07088081
Lead sponsor
Ain Shams University
Responsible party
Sponsor
First posted
Jul 28, 2025
Start date
Jun 1, 2025
Primary completion
Jun 2026 (estimated)
Completion
Jul 2026 (estimated)
Last update
Jul 28, 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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