Efficacy and Safety of Low-dose Bevacizumab Plus Adebrelimab Combined With Transarterial Chemoembolization Followed by Hepatic Arterial Infusion Chemotherapy (TACE-HAIC) as First-line Treatment for Unresectable Hepatocellular Carcinoma: A Single-arm Phase 2 Trial
NCT07543783 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 38
Last updated 2026-04-28
Summary
his is a single-arm, phase II clinical study evaluating the efficacy and safety of low-dose bevacizumab (7.5 mg/kg, Q3W) plus adebrelimab (1200 mg, Q3W) combined with transarterial chemoembolization (TACE) followed by hepatic arterial infusion chemotherapy (HAIC) with the FOLFOX regimen as first-line treatment for patients with unresectable hepatocellular carcinoma (HCC). Eligible participants will receive TACE followed by HAIC (oxaliplatin, leucovorin, and fluorouracil) and subsequent intravenous administration of adebrelimab and low-dose bevacizumab every 3 weeks. The primary endpoint is objective response rate (ORR) assessed by investigators per RECIST v1.1. Secondary endpoints include progression-free survival (PFS), disease control rate (DCR), duration of response (DoR), overall survival (OS), and safety. A total of 38 participants will be enrolled using Simon's two-stage optimal design (alpha=0.05, power=0.8). The study is sponsored by the Third Affiliated Hospital of Sun Yat-sen University. Adebrelimab is provided free of charge for two years by Shanghai Shengdi Pharmaceutical Co., Ltd.
Conditions
- Adebrelimab (SHR-1316)
- Bevacizumab
- Hepatocellular Carcinoma (HCC)
Interventions
- PROCEDURE
-
Transarterial Chemoembolization (TACE)
Transarterial chemoembolization performed as first-line intervention for unresectable hepatocellular carcinoma.
- DRUG
-
Hepatic Arterial Infusion Chemotherapy (HAIC, FOLFOX)
Hepatic arterial infusion chemotherapy with FOLFOX regimen (oxaliplatin 85 mg/m², leucovorin 400 mg/m², fluorouracil 400 mg/m² bolus then 2400 mg/m² continuous infusion over 24 hours).
- DRUG
-
Adebrelimab
Intravenous adebrelimab 1200 mg fixed dose, administered every 3 weeks (Q3W).
- DRUG
-
Low-dose Bevacizumab
Intravenous bevacizumab 7.5 mg/kg, administered every 3 weeks (Q3W).
Sponsors & Collaborators
-
Shanghai Shengdi Pharmaceutical Co., Ltd
collaborator INDUSTRY -
Third Affiliated Hospital, Sun Yat-Sen University
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-10
- Primary Completion
- 2029-08-31
- Completion
- 2029-08-31
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