About this trial
This study is a randomized, controlled, open-label, multicenter, seamless Phase II/III trial designed to evaluate the efficacy and safety of the combination regimen of IBI310 and sintilimab in participants with locally advanced or metastatic hepatocellular carcinoma (HCC) who are: (1) treatment-naive to systemic therapy; and (2) either unsuitable for curative-intent surgical resection or local therapy, or have experienced disease progression following prior surgical resection or local therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histologically or cytologically confirmed hepatocellular carcinoma (HCC).
Age ≥18 years and ≤75 years.
Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 or 1.
Barcelona Clinic Liver Cancer (BCLC) staging of Stage C, or Stage B that is unsuitable for curative-intent surgery and/or locoregional therapy.
Disqualifiers
Histologically or cytologically confirmed diagnosis of fibrolamellar hepatocellular carcinoma (HCC), sarcomatoid HCC, cholangiocarcinoma, or other mixed hepatic malignancies containing these components.
History of hepatic encephalopathy or prior liver transplantation.
Clinically symptomatic pleural effusion, ascites, or pericardial effusion requiring therapeutic drainage; participants with only minimal (radiologically detected), asymptomatic effusions may be enrolled.
Known central nervous system (CNS) metastases or symptomatic spinal cord compression.
Trial design
Parallel
Treatments tested in this trial
Bevacizumab
Biological/Vaccine15 mg/kg intravenous infusion, administered on Day 1 of each 3-week treatment cycle
Capecitabine
Drug1000 mg/m² orally, administered on Days 1-14 of each 3-week treatment cycle, maximum 4 cycles.
Oxaliplatin
Drug85 mg/m² intravenous infusion, administered on Day 1 of each 3-week treatment cycle, maximum 4 cycles.
IBI310
Biological/Vaccine1 mg/kg intravenous infusion, administered on Day 1 of each 6-week treatment cycle
Sintilimab
Biological/Vaccine200 mg intravenous infusion, administered on Day 1 of each 3-week treatment cycle
Treatment groups
Trial outcomes
Primary outcomes
Phase II: ORR (Objective Response Rate) assessed by investigator per RECIST 1.1.
Phase II: PFS(Progression-Free Survival) assessed by investigator per RECIST 1.1.
Phase II: AEs(Adverse Event)
Phase II: TRAES(Treatment Emergent Adverse Event)
Secondary outcomes
Phase II: OS
Phase II: Incidence and characteristics of ADA&Nab.
Phase II: DoR (Duration of Response )
Phase II: DCR (Disease Control Rate )
Sponsors and contacts
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