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Not yet recruitingNCT07836309CHANCE2602Updated Sep 23, 2026

TACE in Combination With Tislelizumab and Lenvatinib for Advanced HCC (CHANCE2602)

An observational study in Hepatocellular Carcinoma (HCC), sponsored by Zhongda Hospital. Not yet recruiting at 1 site in China. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by Zhongda Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
596
Ages
16 Years and older
Sex
All
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Study summary

The purpose of this study is to evaluate the safety and efficacy of transarterial chemoembolization (TACE) in combination with Tislelizumab and Lenvatinib in patients with advanced-stage hepatocellular carcinoma (HCC).

Read the detailed description

Transarterial chemoembolization (TACE) can induce immunogenic cell death and tumor-specific immune response which results in the release of tumor antigens and transform "cold" tumors with lacking immune effector cells into "hot" tumors with immune effector cells infiltration. This provides a theoretical basis for TACE combined with immune checkpoint inhibitors (ICIs) in hepatocellular carcinoma (HCC) patients. Tislelizumab is a PD-1 monoclonal antibody approved by the National Medical Products Administration (NMPA) of China for first-line and second-line treatment of patients with HCC. The purpose of this real-world study is to evaluate the safety and efficacy of TACE in combination with Tislelizumab and Lenvatinib in patients with advanced-stage HCC.

02

Conditions studied

  • Hepatocellular Carcinoma (HCC)

Keywords

  • TACE
  • Tislelizumab
  • Lenvatinib
  • HCC
03

Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with advanced HCC who received Tislelizumab and Lenvatinib with/without TACE under real-world practice conditions.

Inclusion criteria

  1. Histologically or cytologically confirmed hepatocellular carcinoma (HCC), or patients who meet the clinical diagnostic criteria for primary liver cancer;
  2. Age ≥18 years at the time of HCC diagnosis;
  3. Barcelona Clinic Liver Cancer (BCLC) stage C;
  4. No prior systemic therapy for HCC (including chemotherapy, molecular targeted therapy, or immunotherapy);
  5. Received treatment with tislelizumab and lenvatinib, with the interval between the first administration of the two drugs ≤1 week;
  6. In the experimental group, TACE was performed within 3 months before or after treatment with tislelizumab and lenvatinib;
  7. After TACE, patients received at least one cycle of combination therapy with tislelizumab and lenvatinib, including cTACE and DEB-TACE;
  8. Child-Pugh class A5 to B7;
  9. Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0-1;
  10. At least one measurable intrahepatic lesion according to RECIST 1.1 criteria.

Exclusion criteria

Exclusion Criteria:

  1. Known fibrolamellar HCC, sarcomatoid HCC, or combined hepatocellular-cholangiocarcinoma histological types;
  2. Complete obstruction of the main portal vein with insufficient collateral compensation;
  3. Uncontrollable ascites or hepatic encephalopathy;
  4. Incomplete clinical data or missing essential information;
  5. Presence of other primary malignant tumors in addition to the diagnosis of liver cancer;
  6. Participation in other interventional studies prior to treatment;
  7. Other conditions deemed unsuitable for inclusion by the investigators.
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
596 participants (estimated)
Patient registry
No

Groups and cohorts

  • Study group

    TACE + Tislelizumab + Lenvatinib TACE was performed within 3 months before or after the first Tislelizumab /Lenvatinib treatment. The interval between first use Tislelizumab and Lenvatinib ≤1 week;

  • Control group

    Tislelizumab + Lenvatinib The interval between first use Tislelizumab and Lenvatinib ≤1 week;

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What researchers measure

Primary outcomes

  1. Overall Survival(OS)

    The OS is defined as the time from the initiation of any combination treatment to death due to any cause.

    Time frame: up to approximately 2 years

Secondary outcomes

  1. Progression free survival(PFS) per RECIST 1.1

    The PFS is defined as the time from the initiation of any combination treatment to the first documented progressive disease (according to RECIST 1.1) or death due to any cause, whichever occurs first.

    Time frame: up to approximately 2 years

  2. PFS per mRECIST

    The PFS is defined as the time from the initiation of any combination treatment to the first documented progressive disease (according to mRECIST) or death due to any cause, whichever occurs first.

    Time frame: up to approximately 2 years

  3. Objective response rate(ORR) per RESCIST 1.1

    The ORR is defined as the proportion of patients with a documented complete response(CR) or partial response(PR) per RECIST 1.1.

    Time frame: up to approximately 2 years

  4. Duration of Response (DOR) per RESCIST 1.1

    DOR is determined by disease assessment and is defined as the time from the first documented evidence of a response of CR or PR until the first documented disease progression (according to RESCIST 1.1) or death due to any cause, whichever occurs first.

    Time frame: up to approximately 2 years

  5. Disease Control Rate (DCR) per RESCIST 1.1

    DCR is defined as the percentage of participants who have a best overall response of CR, PR, or stable disease (SD)per RESCIST 1.1.

    Time frame: up to approximately 2 years

  6. ORR per mRECIST

    The ORR is defined as the proportion of patients with a documented CR or PR per mRECIST.

    Time frame: up to approximately 2 years

  7. DOR per mRECIST

    DOR is determined by disease assessment and is defined as the time from the first documented evidence of a response of CR or PR until the first documented disease progression (according to mRECIST) or death due to any cause, whichever occurs first.

    Time frame: up to approximately 2 years

  8. DCR per mRECIST

    DCR is defined as the percentage of participants who have a best overall response of CR, PR, or stable disease (SD) per mRECIST.

    Time frame: up to approximately 2 years

  9. Adverse event(AE) per Common Terminology Criteria for Adverse Events(CTCAE) 5.0

    The percentage and degree of patients who experience at least one AE, whether or not considered related to the treatment, according to CTCAE version 5.0.

    Time frame: up to approximately 2 years

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Study locations

1 site
  • Zhongda Hospital, School of Medicine, Southeast University
    Nanjing, Jiangsu 210009, China
    • Zhicheng Jin · Contact
    • · Contact · +86-025-83272121
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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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Registry details

Key details

Study ID
NCT07836309
Lead sponsor
Zhongda Hospital
Responsible party
Gao-jun Teng (Dr. Prof. , President, Zhongda Hospital) — Principal investigator
First posted
Sep 23, 2026
Start date
Sep 30, 2026 (estimated)
Primary completion
Jun 30, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Sep 23, 2026

Study contacts

Zhicheng Jin, M.D., Ph.D.
Contact
jinzhic@foxmqil.com
+86-025-83272121

Oversight

Data monitoring committee
No
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 Sep 2026. You cannot join it, but the record below documents what was studied.

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