RecruitingPhase 2NCT07081633

Durvalumab and Tremelimumab With Lenvatinib as First-line Treatment in Patients With Unresectable Hepatocellular Carcinoma

An Open-label, Multi-center Phase II Study of Durvalumab and Tremelimumab With Lenvatinib as First-line Treatment in Patients With Unresectable Hepatocellular Carcinoma


Sponsor

AstraZeneca

Enrollment

114 participants

Start Date

Aug 5, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a Phase II, single-arm, multicentre study, assessing the efficacy and safety of durvalumab and tremelimumab with lenvatinib in participants with unresectable HCC.


Eligibility

Min Age: 18 Years

Inclusion Criteria6

  • Confirmed HCC based on histopathological findings from tumor tissues or radiologically findings.
  • Must not have received prior systemic therapy for unresectable HCC.
  • Barcelona Clinic Liver Cancer (BCLC) stage B (that is not eligible for locoregional therapy) or stage C.
  • Child-Pugh Score class A.
  • ECOG performance status of 0 or 1 at enrollment.
  • At least 1 measurable lesion per RECSIT 1.1 guidelines

Exclusion Criteria8

  • Any unresolved toxicity National Cancer Institute (NCI) Common Terminology Criteria for Adverse Event (CTCAE) Grade ≥2 from previous anticancer therapy.
  • History of hepatic encephalopathy within past 12 months or requirement for medications to prevent or control encephalopathy.
  • Clinically meaningful ascites.
  • Patients with main portal vein thrombosis.
  • Active or prior documented GI bleeding.
  • Patient currently exhibits symptomatic or uncontrolled hypertension.
  • Patients co-infected with HBV and HCV, or co-infected with HBV and hepatitis D virus (HDV)
  • Uncontrolled intercurrent illness

Interventions

DRUGDurvalumab

Durvalumab IV (intravenous infusion)

DRUGTremelimumab

Tremelimumab IV (intravenous infusion)

COMBINATION_PRODUCTLenvatinib

Lenvatinib Oral


Locations(24)

Research Site

Beijing, China

Research Site

Beijing, China

Research Site

Beijing, China

Research Site

Chengdu, China

Research Site

Chongqing, China

Research Site

Guangzhou, China

Research Site

Guangzhou, China

Research Site

Guangzhou, China

Research Site

Guangzhou, China

Research Site

Hangzhou, China

Research Site

Hefei, China

Research Site

Jinan, China

Research Site

Nanjing, China

Research Site

Nanjing, China

Research Site

Ningbo, China

Research Site

Shanghai, China

Research Site

Shanghai, China

Research Site

Taiyuan, China

Research Site

Tianjin, China

Research Site

Wenzhou, China

Research Site

Wuhan, China

Research Site

Xiamen, China

Research Site

Zhengzhou, China

Research Site

New Territories, Hong Kong

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NCT07081633


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