Combined Treatment of Durvalumab, Bevacizumab, Tremelimumab and Transarterial Chemoembolization (TACE) in Subjects With Hepatocellular Carcinoma or Biliary Tract Carcinoma
NCT03937830 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 27
Last updated 2026-05-22
Summary
Background:
Hepatocellular carcinoma (HCC) is the fifth most common cancer in the world. Most people with advanced HCC survive an average of 6 to 9 months. Researchers are evaluating a combination of treatment drugs to delay the progression of HCC; aiming to help people with HCC live longer.
Objective:
To study the 6-month progression-free survival in people with advanced HCC treated with bevacizumab, durvalumab, and TACE.
Eligibility:
Adults ages 18 and older with intermediate or advanced HCC
Design:
Participants will be screened with a physical exam and medical history. They will have tests to evaluate their hearts as well as blood and urine. A CT and/or MRI scans will be done during the study. If a prior tumor sample is not available; participants may undergo a biopsy. They may undergo an endoscopy of their esophagus and stomach.
Participants will get the study drugs in 21-day cycles:
Two treatment drugs will be injected into a vein every 3 weeks.
Patients will have an interventional treatment procedure done by interventional radiology under sedation; chemotherapy beads will be infused into artery branches in the liver. Participants may have to stay in the hospital for 24 hours for observation, after this procedure. This interventional procedure may be done more than once during the study.
Participants may need to repeat some of the screening tests throughout the study.
Participants may have to stop taking some of their cancer treatment drugs during the study.
Participants will continue on the study until their cancer progresses or until the side effects of the treatment drugs are not tolerable....
Conditions
- Hepatocellular Cancer
- Hepatocellular Carcinoma
- Metastatic Hepatocellular Carcinoma
Interventions
- DRUG
-
1,150 mg flat dose every 21 days, starting on day 1 of cycle 1
- DRUG
-
Doxorubicin-Eluting Beads
used for TACE (only in patients with HCC BCLC stage B)
- PROCEDURE
-
TACE
TACE with Doxorubicin-Eluting Beads (only in patients with HCC BCLC stage B) on Cycle 2. More TACE can be done if clinically necessary.
- DRUG
-
7.5 mg/kg dose every 21 days, starting on day 1 of cycle 2
- DRUG
-
Tremelimumab
300, 150 or 75 mg once on day 1 of cycle 1
Sponsors & Collaborators
-
National Cancer Institute (NCI)
lead NIH
Principal Investigators
-
Tim F Greten, M.D. · National Cancer Institute (NCI)
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Max Age
- 120 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-03-10
- Primary Completion
- 2026-12-31
- Completion
- 2027-12-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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