RecruitingPhase 1Phase 2NCT04524871

A Study Evaluating the Efficacy and Safety of Multiple Immunotherapy-Based Treatment Combinations in Patients With Advanced Liver Cancers (Morpheus-Liver)

A Phase Ib/II, Open-Label, Multicenter, Randomized Umbrella Study Evaluating the Efficacy and Safety of Multiple Immunotherapy-Based Treatment Combinations in Patients With Advanced Liver Cancers (Morpheus-Liver)


Sponsor

Hoffmann-La Roche

Enrollment

518 participants

Start Date

Nov 1, 2020

Study Type

INTERVENTIONAL

Conditions

Summary

This is a Phase Ib/II, open-label, multicenter, randomized umbrella study in participants with advanced liver cancers. The study is designed with the flexibility to open new treatment arms as new treatments become available, close existing treatment arms that demonstrate minimal clinical activity or unacceptable toxicity, modify the participant population, or introduce additional cohorts of participants with other types of advanced primary liver cancer. Cohort 1 will enroll participants with locally advanced or metastatic hepatocellular carcinoma (HCC) who have not received prior systemic therapy for their disease. Eligible participants will initially be randomly assigned to one of several treatment arms (Stage 1). Participants who experience loss of clinical benefit or unacceptable toxicity during Stage 1 may be eligible to receive treatment with a different treatment combination (Stage 2). When a Stage 2 treatment combination is available, this will be introduced by amending the protocol.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This umbrella study is testing multiple different immunotherapy-based drug combinations in people with advanced liver cancer (hepatocellular carcinoma, or HCC) that cannot be removed surgically, to find the most effective combination approach. **You may be eligible if...** - You are in good enough health to participate (ECOG 0 or 1) - You have advanced or unresectable liver cancer confirmed by biopsy or by standard clinical criteria - Your liver function is relatively preserved (Child-Pugh A) - You have not previously received systemic (whole-body) treatment for liver cancer **You may NOT be eligible if...** - Your liver disease is severe (Child-Pugh B or C) - Your cancer has spread extensively beyond the liver - You have active autoimmune disease requiring treatment - You have had a liver transplant Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGAtezolizumab

Atezolizumab will be administered at a dose of 1200 mg by IV on Day 1 of each 21 day cycle.

DRUGBevacizumab 15 mg/kg

Bevacizumab will be administered at a dose of 15 mg/kg by IV infusion on Day 1 of each 21 day cycle.

DRUGTiragolumab

Tiragolumab will be administered at a dose of 600 mg by IV infusion on Day 1 of each 21 day cycle.

DRUGTocilizumab

Tocilizumab will be administered at a dose of 8 mg/kg by IV infusion on Day 1 of each 21 day cycle.

DRUGTPST-1120

TPST-1120 will be administered at a dose of 1200 mg by mouth on Days 1-21 of each 21 day cycle.

DRUGTobemstomig 2100 mg

Tobemstomig will be administered at a dose of 2100 mg by IV infusion on Days 1 and 15 of each 28 day cycle.

DRUGBevacizumab 10 mg/kg

Bevacizumab will be administered at a dose of 10 mg/kg by IV infusion on Days 1 and 15 of each 28 day cycle.

DRUGTobemstomig 600 mg

Tobemstomig will be administered at a dose of 600 mg by IV infusion on Day 1 of each 21 day cycle.

DRUGTobemstomig 1200 mg

Tobemstomig will be administered at a dose of 1200 mg every 3 weeks.

DRUGADG126

ADG126 will be administered at a dose of 6 mg/kg by IV infusion on Day 1 of every other cycle (cycle length = 21 days).

DRUGIO-108 1800 mg

IO-108 will be administered at a dose 1800 mg by IV infusion on Day 1 of each 21 day cycle.

DRUGNKT2152

NKT2152 will be administered by mouth.

DRUGIO-108 1200 mg

IO-108 will be administered at a dose 1200 mg by IV infusion on Day 1 of each 21 day cycle.


Locations(33)

UC Irvine Medical Center

Costa Mesa, California, United States

City of Hope

Duarte, California, United States

UC Irvine Medical Center

Orange, California, United States

University of California San Diego Medical Center

San Diego, California, United States

University of California San Francisco Cancer Center

San Francisco, California, United States

UCLA Center for East

Santa Monica, California, United States

Cherry Creek Medical Center

Aurora, Colorado, United States

University of Colorado Hospital - Anschutz Cancer Pavilion

Aurora, Colorado, United States

UCHealth Cancer Center Pharmacy - Highlands Ranch Hospital

Highlands Ranch, Colorado, United States

Smilow Cancer Hospital at Yale New Haven

New Haven, Connecticut, United States

Georgetown University Medical Center

Washington D.C., District of Columbia, United States

University of Kentucky - Markey Cancer Center

Lexington, Kentucky, United States

Oregon Health & Science University

Portland, Oregon, United States

Sarah Cannon Research Institute / Tennessee Oncology

Nashville, Tennessee, United States

Parkland Health & Hospital System

Dallas, Texas, United States

The University of Texas Southwestern Medical Center at Dallas

Dallas, Texas, United States

Beijing Cancer Hospital

Beijing, China

Zhongshan Hospital Fudan University

Shanghai, China

Centre Georges Francois Leclerc

Dijon, France

CHU Hôpitaux de Marseille

Marseille, France

Centre Eugène Marquis

Rennes, France

Gustave Roussy

Villejuif, France

Rambam Medical Center

Haifa, Israel

Hadassah University Medical Center

Jerusalem, Israel

Davidof Center - Rabin Medical Center

Petah Tikva, Israel

Sourasky Medical Centre

Tel Aviv, Israel

Auckland City Hospital

Auckland, New Zealand

CHA Bundang Medical Center

Gyeonggi-do, South Korea

Seoul National University Hospital

Seoul, South Korea

Samsung Medical Center

Seoul, South Korea

Asan Medical Center

Seoul, South Korea

National Cheng Kung University Hospital

Tainan, Taiwan

National Taiwan University Hospital

Taipei, Taiwan

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NCT04524871


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