Trial Outcomes & Findings for A Study of Nofazinlimab (CS1003) in Subjects With Advanced Hepatocellular Carcinoma (NCT NCT04194775)

NCT ID: NCT04194775

Last Updated: 2026-07-30

Results Overview

OS was defined as the time interval between the date of randomization to the date of death from any cause.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE3

Target enrollment

534 participants

Primary outcome timeframe

From enrollment to end of follow-up, a median of 42.5 months

Results posted on

2026-07-30

Participant Flow

Participant milestones

Participant milestones
Measure
Nofazinlimab + Lenvatinib
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Overall Study
STARTED
353
181
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
353
181

Reasons for withdrawal

Reasons for withdrawal
Measure
Nofazinlimab + Lenvatinib
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Overall Study
Death
253
137
Overall Study
Lost to Follow-up
4
2
Overall Study
Withdrawal by Subject
17
7
Overall Study
Treatment ongoing
28
7
Overall Study
Alive in follow-up
51
28

Baseline Characteristics

A Study of Nofazinlimab (CS1003) in Subjects With Advanced Hepatocellular Carcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nofazinlimab + Lenvatinib
n=353 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=181 Participants
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Total
n=534 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Age, Categorical
Between 18 and 65 years
244 Participants
n=20 Participants
147 Participants
n=20 Participants
391 Participants
n=40 Participants
Age, Categorical
>=65 years
109 Participants
n=20 Participants
34 Participants
n=20 Participants
143 Participants
n=40 Participants
Age, Continuous
57.1 years
STANDARD_DEVIATION 11.23 • n=20 Participants
53.7 years
STANDARD_DEVIATION 11.77 • n=20 Participants
56.0 years
STANDARD_DEVIATION 11.52 • n=40 Participants
Sex: Female, Male
Female
50 Participants
n=20 Participants
29 Participants
n=20 Participants
79 Participants
n=40 Participants
Sex: Female, Male
Male
303 Participants
n=20 Participants
152 Participants
n=20 Participants
455 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
353 Participants
n=20 Participants
181 Participants
n=20 Participants
534 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Asian
338 Participants
n=20 Participants
171 Participants
n=20 Participants
509 Participants
n=40 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=20 Participants
1 Participants
n=20 Participants
1 Participants
n=40 Participants
Race (NIH/OMB)
White
15 Participants
n=20 Participants
9 Participants
n=20 Participants
24 Participants
n=40 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Region of Enrollment
China
322 participants
n=20 Participants
166 participants
n=20 Participants
488 participants
n=40 Participants
Region of Enrollment
Taiwan
16 participants
n=20 Participants
4 participants
n=20 Participants
20 participants
n=40 Participants
Region of Enrollment
Spain
9 participants
n=20 Participants
7 participants
n=20 Participants
16 participants
n=40 Participants
Region of Enrollment
Poland
6 participants
n=20 Participants
4 participants
n=20 Participants
10 participants
n=40 Participants
Eastern Cooperative Oncology Group Performance Status
ECOG = 0
148 Participants
n=20 Participants
77 Participants
n=20 Participants
225 Participants
n=40 Participants
Eastern Cooperative Oncology Group Performance Status
ECOG = 1
205 Participants
n=20 Participants
104 Participants
n=20 Participants
309 Participants
n=40 Participants

PRIMARY outcome

Timeframe: From enrollment to end of follow-up, a median of 42.5 months

Population: Analysis population consisted of all randomized participants

OS was defined as the time interval between the date of randomization to the date of death from any cause.

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=353 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=181 Participants
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Overall Survival (OS)
21.6 months
Interval 18.6 to 24.6
18.5 months
Interval 14.7 to 21.8

SECONDARY outcome

Timeframe: From enrollment to end of follow-up, a median of 42.5 months

Population: Analysis population consisted of all randomized participants

ORR assessed by BICR was defined as the proportion of participants who achieve objective response (complete response \[CR\] or partial response \[PR\]) assessed by BICR based on RECIST v1.1.

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=353 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=181 Participants
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Objective Response Rate (ORR) Assessed by Blinded Independent Central Review Committee(BICR)
33.1 percentage of participants
Interval 28.3 to 38.3
18.8 percentage of participants
Interval 13.4 to 25.2

SECONDARY outcome

Timeframe: From enrollment to end of follow-up, a median of 42.5 months

Population: Analysis population consisted of all randomized participants

PFS assessed by BICR was defined as the time from the date of randomization to disease progression assessed by BICR or death, whichever occurs first.

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=353 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=181 Participants
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Progression-free Survival(PFS) Assessed by Blinded Independent Central Review Committee(BICR) Based on Response Evaluation Criteria in Solid Tumors(RECIST) v1.1
9.2 months
Interval 8.1 to 11.0
6.9 months
Interval 5.6 to 8.3

SECONDARY outcome

Timeframe: From enrollment to end of follow-up, a median of 42.5 months

Population: Analysis population consisted of all randomized participants

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=353 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=181 Participants
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Progression-free Survival(PFS) Evaluated by Investigator Based on RECIST v1.1
9.7 months
Interval 8.4 to 11.0
6.9 months
Interval 5.7 to 8.3

SECONDARY outcome

Timeframe: From enrollment to end of follow-up, a median of 42.5 months

Population: Analysis population consisted of all randomized participants

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=353 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=181 Participants
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Objective Response Rate (ORR) Evaluated by Investigators Based on RECIST v1.1
34.8 percentage of participants
Interval 29.9 to 40.1
24.3 percentage of participants
Interval 18.3 to 31.2

SECONDARY outcome

Timeframe: From enrollment to end of follow-up, a median of 42.5 months

Population: Analysis based on the population of responders (participants that achieved complete or partial response)

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=117 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=34 Participants
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Duration of Response (DoR) Evaluated by Blinded Independent Central Review Committee(BICR) Based on Response Evaluation Criteria in Solid Tumors(RECIST) v1.1
12.4 months
Interval 9.6 to 16.6
11.1 months
Interval 5.8 to 14.5

SECONDARY outcome

Timeframe: From enrollment to end of follow-up, a median of 42.5 months

Population: Analysis based on the population of responders (participants that achieved complete or partial response)

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=123 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=44 Participants
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Duration of Response (DoR) Evaluated by Investigators Based on Response Evaluation Criteria in Solid Tumors(RECIST) v1.1
13.8 months
Interval 10.4 to 16.1
11.2 months
Interval 8.4 to 14.6

SECONDARY outcome

Timeframe: From enrollment to end of follow-up, a median of 42.5 months

Population: Analysis population consisted of all randomized participants

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=353 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=181 Participants
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Disease Control Rate (DCR) Evaluated by Blinded Independent Central Review Committee(BICR) Based on Response Evaluation Criteria in Solid Tumors(RECIST) v1.1
80.5 percentage of participants
Interval 75.9 to 84.5
80.7 percentage of participants
Interval 74.1 to 86.1

SECONDARY outcome

Timeframe: From enrollment to end of follow-up, a median of 42.5 months

Population: Analysis population consisted of all randomized participants

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=353 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=181 Participants
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Disease Control Rate (DCR) Evaluated by Investigators Based on Response Evaluation Criteria in Solid Tumors(RECIST) v1.1
83.9 percentage of participants
Interval 79.6 to 87.5
83.4 percentage of participants
Interval 77.2 to 88.5

SECONDARY outcome

Timeframe: From enrollment to end of follow-up, a median of 42.5 months

Population: Analysis population consisted of all randomized participants who received at least 1 dose of study intervention

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=352 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=181 Participants
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Percentage of Participants With Adverse Events
346 Participants
180 Participants

SECONDARY outcome

Timeframe: Peak: assessed post-dose (within 30 minutes after the end of infusion) on Cycle 4 Day 1; Trough: assessed pre-dose (within 60 minutes prior to infusion) on Cycle 4 Day 1 (cycle length = 21 days).

Population: Analysis population consisted of participants who receive at least 1 dose of CS1003 for whom there is at least one available PK concentration data

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=352 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Peak and Trough Serum Concentrations of CS1003
Peak Concentrations of Nofazinlimab at Cycle 4
85.7 μg/mL
Standard Deviation 23.2
Peak and Trough Serum Concentrations of CS1003
Trough Concentrations of Nofazinlimab at Cycle 4
19.3 μg/mL
Standard Deviation 7.9

SECONDARY outcome

Timeframe: From enrollment to end of follow-up, a median of 42.5 months

Population: Analysis population consisted of participants who receive at least 1 dose of CS1003 and have at least one reportable ADA result

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=352 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Number and Percentage of Subjects Who Develop Anti-CS1003 Antibody (ADA)
24 Participants

SECONDARY outcome

Timeframe: From enrollment to end of follow-up, a median of 42.5 months

Population: Analysis population consisted of participants with both a non-missing baseline PRO assessment and at least one post-baseline PRO assessment

Outcome measures

Outcome measures
Measure
Nofazinlimab + Lenvatinib
n=339 Participants
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=178 Participants
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Time to Deterioration (TTD), Defined as the Time From Randomization to the First Deterioration of European Organization for the Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) Scale
Time to deterioration of physical functioning
21.1 months
Interval 15.8 to 29.7
29.7 months
Interval 18.2 to
Insufficient number of participants with events.
Time to Deterioration (TTD), Defined as the Time From Randomization to the First Deterioration of European Organization for the Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) Scale
Time to deterioration of role functioning
19.6 months
Interval 15.2 to 29.7
23.0 months
Interval 17.8 to
Insufficient number of participants with events.
Time to Deterioration (TTD), Defined as the Time From Randomization to the First Deterioration of European Organization for the Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) Scale
Time to deterioration of quality of life
17.1 months
Interval 13.0 to 23.8
20.5 months
Interval 11.0 to 29.7

Adverse Events

Nofazinlimab + Lenvatinib

Serious events: 138 serious events
Other events: 343 other events
Deaths: 253 deaths

Placebo + Lenvatinib

Serious events: 55 serious events
Other events: 180 other events
Deaths: 137 deaths

Serious adverse events

Serious adverse events
Measure
Nofazinlimab + Lenvatinib
n=352 participants at risk
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=181 participants at risk
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Blood and lymphatic system disorders
Anaemia
0.85%
3/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Blood and lymphatic system disorders
Hypersplenism
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Blood and lymphatic system disorders
Myelosuppression
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Cardiac disorders
Acute myocardial infarction
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
1.1%
2/181 • From enrollment to end of follow-up, a median of 42.5 months
Cardiac disorders
Angina pectoris
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Cardiac disorders
Angina unstable
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Cardiac disorders
Arrhythmia
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Cardiac disorders
Arteriosclerosis coronary artery
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Cardiac disorders
Coronary artery disease
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Cardiac disorders
Immune-mediated myocarditis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Cardiac disorders
Myocardial infarction
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
1.1%
2/181 • From enrollment to end of follow-up, a median of 42.5 months
Cardiac disorders
Ventricular tachycardia
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Ear and labyrinth disorders
Sudden hearing loss
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Endocrine disorders
Hypothyroidism
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Endocrine disorders
Immune-mediated endocrinopathy
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Abdominal distension
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Abdominal pain
0.85%
3/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Abdominal pain upper
0.85%
3/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Anal fistula
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Ascites
1.1%
4/352 • From enrollment to end of follow-up, a median of 42.5 months
2.2%
4/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Colitis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Diarrhoea
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
1.1%
2/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Duodenal ulcer
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Femoral hernia strangulated
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Gastric ulcer
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Gastric ulcer haemorrhage
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Gastritis
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Haemorrhoids
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Intestinal obstruction
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
0.85%
3/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Mechanical ileus
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Mesenteric artery stenosis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Nausea
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Oesophageal varices haemorrhage
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Pancreatitis
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Small intestinal obstruction
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
1.7%
6/352 • From enrollment to end of follow-up, a median of 42.5 months
3.3%
6/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Vomiting
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
1.1%
2/181 • From enrollment to end of follow-up, a median of 42.5 months
General disorders
Asthenia
1.1%
4/352 • From enrollment to end of follow-up, a median of 42.5 months
1.7%
3/181 • From enrollment to end of follow-up, a median of 42.5 months
General disorders
Death
2.8%
10/352 • From enrollment to end of follow-up, a median of 42.5 months
1.7%
3/181 • From enrollment to end of follow-up, a median of 42.5 months
General disorders
Fatigue
0.85%
3/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
General disorders
Oedema peripheral
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
General disorders
Pyrexia
0.85%
3/352 • From enrollment to end of follow-up, a median of 42.5 months
1.1%
2/181 • From enrollment to end of follow-up, a median of 42.5 months
General disorders
Sudden death
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Hepatobiliary disorders
Biliary obstruction
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Hepatobiliary disorders
Cholangitis
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Hepatobiliary disorders
Cholecystitis acute
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Hepatobiliary disorders
Hepatic failure
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Hepatobiliary disorders
Hepatic function abnormal
2.0%
7/352 • From enrollment to end of follow-up, a median of 42.5 months
2.8%
5/181 • From enrollment to end of follow-up, a median of 42.5 months
Hepatobiliary disorders
Hepatic pain
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Hepatobiliary disorders
Hyperbilirubinaemia
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Hepatobiliary disorders
Immune-mediated hepatitis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Hepatobiliary disorders
Jaundice
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Hepatobiliary disorders
Jaundice cholestatic
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
1.1%
2/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Anorectal infection
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Appendicitis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Bronchitis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
COVID-19
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
COVID-19 pneumonia
0.85%
3/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Cellulitis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Clostridium difficile colitis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Escherichia sepsis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Febrile infection
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Focal peritonitis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Hepatitis B reactivation
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Hepatobiliary infection
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Herpes zoster
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Infected dermal cyst
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Infection
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Influenza
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Parapharyngeal space infection
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Peritonitis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Pharyngitis
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Pneumonia
2.3%
8/352 • From enrollment to end of follow-up, a median of 42.5 months
2.2%
4/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Pulmonary tuberculosis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Respiratory tract infection
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Septic shock
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Skin bacterial infection
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Tuberculosis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Upper respiratory tract infection
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
1.1%
2/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Urinary tract infection
1.1%
4/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Injury, poisoning and procedural complications
Fall
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Injury, poisoning and procedural complications
Femoral neck fracture
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Injury, poisoning and procedural complications
Fracture
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Injury, poisoning and procedural complications
Hand fracture
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Injury, poisoning and procedural complications
Road traffic accident
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Alanine aminotransferase increased
2.0%
7/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Aspartate aminotransferase increased
3.4%
12/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Bilirubin conjugated increased
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Blood bilirubin increased
2.0%
7/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Blood creatine phosphokinase increased
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
C-reactive protein increased
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Gamma-glutamyltransferase increased
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Neutrophil count decreased
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Platelet count decreased
1.4%
5/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
SARS-CoV-2 test positive
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Troponin I increased
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Troponin T increased
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
White blood cell count decreased
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Decreased appetite
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Diabetic ketoacidosis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Gout
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hypercalcaemia
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hyperglycaemia
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hyperkalaemia
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hypoalbuminaemia
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hypoglycaemia
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hyponatraemia
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Musculoskeletal and connective tissue disorders
Muscular weakness
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Musculoskeletal and connective tissue disorders
Pathological fracture
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Musculoskeletal and connective tissue disorders
Rhabdomyolysis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Liver carcinoma ruptured
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Sinonasal papilloma
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour pain
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Nervous system disorders
Cerebral atrophy
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Nervous system disorders
Cerebral haemorrhage
0.85%
3/352 • From enrollment to end of follow-up, a median of 42.5 months
1.1%
2/181 • From enrollment to end of follow-up, a median of 42.5 months
Nervous system disorders
Cerebral infarction
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Nervous system disorders
Cerebral ischaemia
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Nervous system disorders
Cerebrovascular accident
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Nervous system disorders
Haemorrhage intracranial
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Nervous system disorders
Hepatic encephalopathy
2.8%
10/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Nervous system disorders
Hypoaesthesia
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Nervous system disorders
Immune-mediated neuropathy
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Nervous system disorders
Lacunar infarction
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Nervous system disorders
Loss of consciousness
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Nervous system disorders
Myasthenic syndrome
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Psychiatric disorders
Completed suicide
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Renal and urinary disorders
Acute kidney injury
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Renal and urinary disorders
Nephrolithiasis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Renal and urinary disorders
Proteinuria
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Renal and urinary disorders
Renal failure
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
1.1%
2/181 • From enrollment to end of follow-up, a median of 42.5 months
Reproductive system and breast disorders
Benign prostatic hyperplasia
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.85%
3/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Respiratory, thoracic and mediastinal disorders
Immune-mediated lung disease
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Respiratory, thoracic and mediastinal disorders
Nasal mucosal erosion
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Skin and subcutaneous tissue disorders
Dry skin
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Skin and subcutaneous tissue disorders
Pemphigus
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Skin and subcutaneous tissue disorders
Rash
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Skin and subcutaneous tissue disorders
Skin toxicity
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Skin and subcutaneous tissue disorders
Skin ulcer
0.00%
0/352 • From enrollment to end of follow-up, a median of 42.5 months
0.55%
1/181 • From enrollment to end of follow-up, a median of 42.5 months
Vascular disorders
Artery dissection
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Vascular disorders
Embolism arterial
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Vascular disorders
Haematoma
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Vascular disorders
Hypertension
0.28%
1/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months
Vascular disorders
Hypotension
0.57%
2/352 • From enrollment to end of follow-up, a median of 42.5 months
0.00%
0/181 • From enrollment to end of follow-up, a median of 42.5 months

Other adverse events

Other adverse events
Measure
Nofazinlimab + Lenvatinib
n=352 participants at risk
Nofazinlimab (200 mg) was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
Placebo + Lenvatinib
n=181 participants at risk
Placebo was administered by i.v. infusion every three weeks (Q3W). Lenvatinib was orally administered at 12 mg (if the participant's weight ≥ 60 kg) or 8 mg (if the participant's weight \< 60 kg), once daily. All participants received assigned treatment until progression of disease, unacceptable toxicity, participant withdraws informed consent, death, other causes specified in the protocol or the end of study, whichever occurs first.
General disorders
Oedema peripheral
6.0%
21/352 • From enrollment to end of follow-up, a median of 42.5 months
3.9%
7/181 • From enrollment to end of follow-up, a median of 42.5 months
General disorders
Pyrexia
11.6%
41/352 • From enrollment to end of follow-up, a median of 42.5 months
7.7%
14/181 • From enrollment to end of follow-up, a median of 42.5 months
Blood and lymphatic system disorders
Anaemia
20.7%
73/352 • From enrollment to end of follow-up, a median of 42.5 months
16.6%
30/181 • From enrollment to end of follow-up, a median of 42.5 months
Endocrine disorders
Hyperthyroidism
11.4%
40/352 • From enrollment to end of follow-up, a median of 42.5 months
2.8%
5/181 • From enrollment to end of follow-up, a median of 42.5 months
Endocrine disorders
Hypothyroidism
43.2%
152/352 • From enrollment to end of follow-up, a median of 42.5 months
39.2%
71/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Abdominal distension
12.5%
44/352 • From enrollment to end of follow-up, a median of 42.5 months
10.5%
19/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Abdominal pain
13.9%
49/352 • From enrollment to end of follow-up, a median of 42.5 months
15.5%
28/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Abdominal pain upper
7.7%
27/352 • From enrollment to end of follow-up, a median of 42.5 months
6.6%
12/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Constipation
7.1%
25/352 • From enrollment to end of follow-up, a median of 42.5 months
6.6%
12/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Diarrhoea
33.5%
118/352 • From enrollment to end of follow-up, a median of 42.5 months
32.6%
59/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Gingival bleeding
3.1%
11/352 • From enrollment to end of follow-up, a median of 42.5 months
5.5%
10/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Mouth ulceration
5.1%
18/352 • From enrollment to end of follow-up, a median of 42.5 months
2.8%
5/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Nausea
9.4%
33/352 • From enrollment to end of follow-up, a median of 42.5 months
7.7%
14/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Toothache
6.2%
22/352 • From enrollment to end of follow-up, a median of 42.5 months
4.4%
8/181 • From enrollment to end of follow-up, a median of 42.5 months
Gastrointestinal disorders
Vomiting
10.2%
36/352 • From enrollment to end of follow-up, a median of 42.5 months
9.4%
17/181 • From enrollment to end of follow-up, a median of 42.5 months
General disorders
Asthenia
8.8%
31/352 • From enrollment to end of follow-up, a median of 42.5 months
9.4%
17/181 • From enrollment to end of follow-up, a median of 42.5 months
General disorders
Fatigue
12.5%
44/352 • From enrollment to end of follow-up, a median of 42.5 months
12.2%
22/181 • From enrollment to end of follow-up, a median of 42.5 months
Hepatobiliary disorders
Hepatic function abnormal
7.1%
25/352 • From enrollment to end of follow-up, a median of 42.5 months
3.3%
6/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
COVID-19
6.0%
21/352 • From enrollment to end of follow-up, a median of 42.5 months
2.8%
5/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Upper respiratory tract infection
7.7%
27/352 • From enrollment to end of follow-up, a median of 42.5 months
5.5%
10/181 • From enrollment to end of follow-up, a median of 42.5 months
Infections and infestations
Urinary tract infection
6.8%
24/352 • From enrollment to end of follow-up, a median of 42.5 months
11.6%
21/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Alanine aminotransferase increased
30.1%
106/352 • From enrollment to end of follow-up, a median of 42.5 months
30.4%
55/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Aspartate aminotransferase increased
33.0%
116/352 • From enrollment to end of follow-up, a median of 42.5 months
36.5%
66/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Bilirubin conjugated increased
5.1%
18/352 • From enrollment to end of follow-up, a median of 42.5 months
3.3%
6/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Blood alkaline phosphatase increased
12.2%
43/352 • From enrollment to end of follow-up, a median of 42.5 months
8.8%
16/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Blood bilirubin increased
31.0%
109/352 • From enrollment to end of follow-up, a median of 42.5 months
34.3%
62/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Blood creatine phosphokinase increased
7.1%
25/352 • From enrollment to end of follow-up, a median of 42.5 months
2.8%
5/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Blood creatinine increased
6.5%
23/352 • From enrollment to end of follow-up, a median of 42.5 months
1.7%
3/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Blood lactate dehydrogenase increased
6.8%
24/352 • From enrollment to end of follow-up, a median of 42.5 months
3.9%
7/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Blood thyroid stimulating hormone increased
9.1%
32/352 • From enrollment to end of follow-up, a median of 42.5 months
18.8%
34/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Gamma-glutamyltransferase increased
14.5%
51/352 • From enrollment to end of follow-up, a median of 42.5 months
13.3%
24/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Lymphocyte count decreased
8.8%
31/352 • From enrollment to end of follow-up, a median of 42.5 months
6.6%
12/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Neutrophil count decreased
23.6%
83/352 • From enrollment to end of follow-up, a median of 42.5 months
27.1%
49/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Platelet count decreased
48.9%
172/352 • From enrollment to end of follow-up, a median of 42.5 months
49.2%
89/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
SARS-CoV-2 test positive
7.7%
27/352 • From enrollment to end of follow-up, a median of 42.5 months
2.2%
4/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
Weight decreased
37.8%
133/352 • From enrollment to end of follow-up, a median of 42.5 months
28.2%
51/181 • From enrollment to end of follow-up, a median of 42.5 months
Investigations
White blood cell count decreased
29.3%
103/352 • From enrollment to end of follow-up, a median of 42.5 months
28.7%
52/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Decreased appetite
24.7%
87/352 • From enrollment to end of follow-up, a median of 42.5 months
19.9%
36/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hyperglycaemia
6.0%
21/352 • From enrollment to end of follow-up, a median of 42.5 months
3.9%
7/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hyperlipidaemia
5.7%
20/352 • From enrollment to end of follow-up, a median of 42.5 months
5.5%
10/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hyperuricaemia
9.9%
35/352 • From enrollment to end of follow-up, a median of 42.5 months
6.1%
11/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hypoalbuminaemia
27.3%
96/352 • From enrollment to end of follow-up, a median of 42.5 months
22.7%
41/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hypokalaemia
14.8%
52/352 • From enrollment to end of follow-up, a median of 42.5 months
8.8%
16/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hyponatraemia
8.0%
28/352 • From enrollment to end of follow-up, a median of 42.5 months
7.2%
13/181 • From enrollment to end of follow-up, a median of 42.5 months
Metabolism and nutrition disorders
Hypoproteinaemia
8.0%
28/352 • From enrollment to end of follow-up, a median of 42.5 months
2.2%
4/181 • From enrollment to end of follow-up, a median of 42.5 months
Musculoskeletal and connective tissue disorders
Arthralgia
12.2%
43/352 • From enrollment to end of follow-up, a median of 42.5 months
11.6%
21/181 • From enrollment to end of follow-up, a median of 42.5 months
Musculoskeletal and connective tissue disorders
Pain in extremity
2.6%
9/352 • From enrollment to end of follow-up, a median of 42.5 months
5.5%
10/181 • From enrollment to end of follow-up, a median of 42.5 months
Psychiatric disorders
Insomnia
7.1%
25/352 • From enrollment to end of follow-up, a median of 42.5 months
5.5%
10/181 • From enrollment to end of follow-up, a median of 42.5 months
Renal and urinary disorders
Haematuria
11.6%
41/352 • From enrollment to end of follow-up, a median of 42.5 months
10.5%
19/181 • From enrollment to end of follow-up, a median of 42.5 months
Renal and urinary disorders
Proteinuria
57.7%
203/352 • From enrollment to end of follow-up, a median of 42.5 months
56.9%
103/181 • From enrollment to end of follow-up, a median of 42.5 months
Respiratory, thoracic and mediastinal disorders
Cough
8.0%
28/352 • From enrollment to end of follow-up, a median of 42.5 months
5.5%
10/181 • From enrollment to end of follow-up, a median of 42.5 months
Respiratory, thoracic and mediastinal disorders
Dysphonia
5.4%
19/352 • From enrollment to end of follow-up, a median of 42.5 months
5.0%
9/181 • From enrollment to end of follow-up, a median of 42.5 months
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysaesthesia syndrome
25.3%
89/352 • From enrollment to end of follow-up, a median of 42.5 months
22.1%
40/181 • From enrollment to end of follow-up, a median of 42.5 months
Skin and subcutaneous tissue disorders
Pruritus
6.5%
23/352 • From enrollment to end of follow-up, a median of 42.5 months
4.4%
8/181 • From enrollment to end of follow-up, a median of 42.5 months
Skin and subcutaneous tissue disorders
Rash
12.2%
43/352 • From enrollment to end of follow-up, a median of 42.5 months
7.2%
13/181 • From enrollment to end of follow-up, a median of 42.5 months
Vascular disorders
Hypertension
40.3%
142/352 • From enrollment to end of follow-up, a median of 42.5 months
39.8%
72/181 • From enrollment to end of follow-up, a median of 42.5 months

Additional Information

Zhang Wenyun

CStone Pharmaceuticals

Phone: +86 021-60333416

Results disclosure agreements

  • Principal investigator is a sponsor employee If the sponsor has not published trial results within 18 months since trial completion, the PI is allowed to publish data collected at the corresponding site. The PI should provide draft publication to the sponsor to review prior to distribution to any external parties; the sponsor should provide review comments to the PI within 60 calendar days since receipt of draft publication; the sponsor also has rights to postpone publication for up to 6 months based on reasonable grounds.
  • Publication restrictions are in place

Restriction type: OTHER