ClinicalTrials.gg
Not yet recruitingNCT07823348Updated Sep 16, 2026

JS207 Plus JS007 Versus Toripalimab Plus Bevacizumab as First-Line Treatment for Advanced Liver Cancer

A Phase 3 interventional study of JS207 and JS007 in Hepatocellular Carcinoma, sponsored by Shanghai Junshi Bioscience Co., Ltd.. Not yet recruiting at 2 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Shanghai Junshi Bioscience Co., Ltd. · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
560
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a multicenter, randomized, open-label, controlled Phase III clinical study designed to evaluate the efficacy and safety of JS207 in combination with JS007 versus toripalimab in combination with bevacizumab as first-line treatment in participants with advanced HCC.

All study participants have unresectable locally advanced, recurrent, or metastatic HCC and have not previously received systemic anti-tumor therapy for advanced disease.

Approximately 560 participants are planned to be enrolled in this study. The JS207 + JS007 group (experimental group) and the toripalimab + bevacizumab group (positive control group) are each planned to enroll 280 participants.

Read the detailed description

This is a multicenter, randomized, open-label, active-controlled Phase III study in participants with unresectable locally advanced, recurrent, or metastatic hepatocellular carcinoma.Tumor images will be assessed by investigator and blinded independent central review (BICR). Treatment will continue until protocol-defined discontinuation criteria are met, for a maximum of 2 years. Participants will undergo tumor assessments, safety assessments, and survival follow-up.

Anti-tumor activity will be assessed by determining best overall response (BOR), objective response rate (ORR), disease control rate (DCR), duration of response (DOR), progression-free survival (BICR-PFS and INV Safety will be assessed through AEs, laboratory variables, physical examination findings, vital signs, 12-lead electrocardiogram, echocardiography, and ECOG performance status. The severity of AEs will be graded per NCI-CTCAE v6.0.

Participants in the JS207 + JS007 group (experimental group) will undergo plasma concentration assessments and immunogenicity assessments for JS207 and JS007.

The EORTC QLQ-C30, EORTC QLQ-HCC18, and EQ-5D-5L questionnaires will be used to assess participants' health-related quality of life (HRQOL).

02

Conditions studied

  • Hepatocellular Carcinoma
03

In context

Carcinoma, Hepatocellular

3,648 studies on the registry are indexed under Carcinoma, Hepatocellular; 1,061 are open to participants now.

This study's planned enrollment of 560 is above the median of 54 across 2,618 interventional studies indexed under Carcinoma, Hepatocellular.

Browse Carcinoma, Hepatocellular studies →

Lead sponsor

Shanghai Junshi Bioscience Co., Ltd. is the lead sponsor of 100 studies on the registry; 20 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

  • Voluntarily participate and sign a written form.
  • Aged 18-75 years, regardless of sex.
  • Histologically/ confirmed HCC, or cirrhosis meeting the American Association for the Study of Liver Diseases (AASLD) clinical diagnostic criteria for HCC.
  • No prior systemic therapy for HCC.
  • At least one per v1.1 criteria.
  • liver function grade A or grade B with a score ≤7, and no history of hepatic encephalopathy.
  • (ECOG) performance status (PS) score of 0-1.
  • Expected survival ≥ 12 weeks.
  • Adequate hematologic and end-organ function.
  • Female participants of and male participants with female partners of childbearing potential must use a highly effective method during the study and for at least 6 months after the last dose. Female participants of childbearing potential must have a negative blood HCG test within 7 days prior to study enrollment and must not be breastfeeding.

Exclusion criteria

Exclusion Criteria:

  • Concomitant with the following study disease states: Known intrahepatic cholangiocarcinoma (ICC) or mixed-type liver cancer, sarcomatoid hepatocellular carcinoma, and fibrolamellar carcinoma of the liver; Presence of HCC central nervous system .
  • Prior treatment-related toxicity not recovered to ≤ Grade 1.
  • Severe infection at screening.
  • Uncontrolled pericardial effusion, uncontrolled pleural effusion, or clinically apparent moderate or greater ascites at screening.

    -≥ Grade 3 (NCI-CTCAE v6.0) gastrointestinal or non-gastrointestinal fistula at screening.

  • Severe unhealed wounds, active ulcers, or untreated fractures at screening.
  • Severe cardiovascular or cerebrovascular disease:
  • History of gastrointestinal bleeding within 6 months prior to the first dose, or definite tendency for gastrointestinal bleeding.
  • Other obvious bleeding tendency or evidence of major coagulation disorders:
  • Active disease requiring systemic treatment within 2 years prior to the first dose.
  • other than HCC within 5 years prior to the first dose.
  • Confirmed or suspected moderate-to-severe pulmonary disease severely affecting pulmonary function.
  • Active tuberculosis.
  • Co-infection with and .
  • Known history of (HIV) infection, prior allogeneic stem cell or solid organ transplantation, or other immunodeficiency.
  • Known history of severe allergy to any monoclonal antibody.
  • Other factors that, in the investigator's judgment, may affect study results or lead to forced premature termination of the study.
Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
560 participants (estimated)

Study arms

  • Experimental
    JS207 plus JS007

    Drug:JS207, intravenous infusion Drug:JS007, intravenous infusion

    Drug: JS207 · Drug: JS007

  • Active comparator
    Toripalimab plus bevacizumab

    Drug:Toripalimab, intravenous infusion Drug:Bevacizumab, intravenous infusion

    Drug: Toripalimab · Drug: Bevacizumab

Interventions

  • DrugJS207

    PD-1/VEGF bispecific antibody supplied as a lyophilized powder for intravenous infusion.

  • DrugJS007

    CTLA-4 monoclonal antibody supplied as an injectable solution for intravenous infusion.

  • PD-1 monoclonal antibody supplied as an injectable solution for intravenous infusion.

  • VEGF monoclonal antibody supplied as an injectable solution for intravenous infusion.

06

What researchers measure

Primary outcomes

  1. Progression-Free Survival Assessed by Blinded Independent Central Review (BICR-PFS)

    Time from randomization to the first documented disease progression assessed by BICR per RECIST v1.1 or death from any cause, whichever occurs first. Tumor assessments use Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). Assessments are performed every 6 weeks through Week 54 and every 9 weeks thereafter.

    Time frame: From randomization to disease progression or death, whichever occurs first; assessed up to 24 months.

  2. Overall Survival (OS)

    Time from randomization to death from any cause. After safety follow-up, survival status is assessed every 2 months until death, loss to follow-up, withdrawal of consent, or study termination.

    Time frame: From randomization to death from any cause; assessed up to 66 months.

Secondary outcomes

  1. Progression-Free Survival Assessed by the Investigator (INV-PFS)

    Time from randomization to first documented disease progression assessed by the investigator per RECIST v1.1 or death from any cause, whichever occurs first. Tumor assessments use Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). Assessments are performed every 6 weeks through Week 54 and every 9 weeks thereafter.

    Time frame: From randomization to disease progression or death, whichever occurs first; assessed up to 24 months.

  2. Objective Response Rate Assessed by BICR (ORR)

    Percentage of randomized participants whose best overall response is complete response (CR) or partial response (PR). Responses and progression are assessed by blinded independent central review (BICR) per RECIST v1.1.

    Time frame: From randomization to the end of tumor assessment follow-up; assessed up to 24 months.

  3. Objective Response Rate Assessed by the Investigator (ORR)

    Percentage of randomized participants whose best overall response is complete response (CR) or partial response (PR). Responses and progression are assessed by the investigator per RECIST v1.1.

    Time frame: From randomization to the end of tumor assessment follow-up; assessed up to 24 months.

  4. Disease Control Rate Assessed by BICR (DCR)

    Percentage of randomized participants whose best overall response is complete response (CR), partial response (PR), or stable disease (SD). Responses and progression are assessed by blinded independent central review (BICR) per RECIST v1.1.

    Time frame: From randomization to the end of tumor assessment follow-up; assessed up to 24 months.

  5. Disease Control Rate Assessed by the Investigator (DCR)

    Percentage of randomized participants whose best overall response is complete response (CR), partial response (PR), or stable disease (SD). Responses and progression are assessed by the investigator per RECIST v1.1.

    Time frame: From randomization to the end of tumor assessment follow-up; assessed up to 24 months.

  6. Duration of Response Assessed by BICR (DoR)

    Time from the first documented complete response (CR) or partial response (PR) to first documented disease progression or death from any cause, whichever occurs first, among responders. Responses and progression are assessed by blinded independent central review (BICR) per RECIST v1.1.

    Time frame: From first complete or partial response to progression or death, whichever occurs first; assessed up to 24 months.

  7. Duration of Response Assessed by the Investigator (DoR)

    Time from the first documented complete response (CR) or partial response (PR) to first documented disease progression or death from any cause, whichever occurs first, among responders. Responses and progression are assessed by the investigator per RECIST v1.1.

    Time frame: From first complete or partial response to progression or death, whichever occurs first; assessed up to 24 months.

  8. Number of Participants With Adverse Events

    Adverse events (AEs) are summarized by incidence, severity, and outcome. Severity is graded using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 6.0.

    Time frame: From informed consent through 90 days after the last dose or initiation of new anticancer therapy, whichever occurs first; Up to 28 months.

  9. Number of Participants With Serious adverse events (SAEs)

    Serious adverse events (SAEs) are summarized by incidence, severity, and outcome. Severity is graded using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 6.0.

    Time frame: From informed consent through 90 days after the last dose or initiation of new anticancer therapy, whichever occurs first; Up to 28 months.

  10. Number of Participants With Immune-related AEs

    Immune-related AEs are summarized by incidence, severity, and outcome. Severity is graded using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 6.0.

    Time frame: From informed consent through 90 days after the last dose or initiation of new anticancer therapy, whichever occurs first; Up to 28 months.

Other outcomes

  1. Blood Concentrations of JS207

    Concentrations of JS207 in serum, measured using the validated bioanalytical assay.

    Time frame: Up to 27 months

  2. Immunogenicity of JS207 assessed by the presence of antidrug antibodies (ADAs) for JS207

    Presence of antidrug antibodies (ADAs) for JS207 (confirmatory results: titers and neutralizing antibodies for confirmed positive samples).

    Time frame: Up to 27 months

  3. Immunogenicity of JS207 assessed by the presence of antidrug antibodies (NAb) for JS207

    Presence of antidrug antibodies (ADAs) for JS207 (confirmatory results: titers and neutralizing antibodies for confirmed positive samples).

    Time frame: Up to 27 months

  4. Blood Concentrations of JS007

    Concentrations of JS007 in serum, measured using the validated bioanalytical assay.

    Time frame: Up to 27 months.

  5. Immunogenicity of JS007 assessed by the presence of antidrug antibodies (ADAs) for JS007

    Presence of antidrug antibodies (ADAs) for JS007 (confirmatory results: titers and neutralizing antibodies for confirmed positive samples).

    Time frame: Up to 27 months.

  6. Immunogenicity of JS007 assessed by the presence of antidrug antibodies (NAb) for JS007

    Presence of antidrug antibodies (ADAs) for JS007 (confirmatory results: titers and neutralizing antibodies for confirmed positive samples).

    Time frame: Up to 27 months

  7. EORTC QLQ-C30 Scores

    Patient-reported scores on the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30). Scale and item scores range from 0 to 100.

    Time frame: Up to 25 months

  8. EORTC QLQ-HCC18 Scores

    Patient-reported scores on the EORTC hepatocellular carcinoma-specific quality-of-life questionnaire (QLQ-HCC18). Symptom and problem scores range from 0 to 100.

    Time frame: Up to 25 months.

  9. EQ-5D-5L

    There are two components to the EQ-5D-5L: a five-item health state profile that assesses mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, as well as a visual analog scale (VAS) that measures health state.

    Time frame: Up to 25 months

07

Study locations

2 sites
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 Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07823348
Responsible party
Sponsor
First posted
Sep 16, 2026
Start date
Oct 8, 2026 (estimated)
Primary completion
Oct 30, 2029 (estimated)
Completion
Oct 30, 2031 (estimated)
Last update
Sep 16, 2026

Study contacts

Jiazheng Yan, Project Manager
Contact
jiazheng_yan@junshipharma.com
+86 158 2259 6147
Feng Li
Contact
feng_li@junshipharma.com
+86 186 2772 1499
Jia Fan, Ph.D.
principal investigator · Fudan University

Oversight

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

Not currently enrolling

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

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Studies of the drugs tested here: Anti-PD-1/Anti-VEGF Bispecific Antibody JS207 · JS007

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