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This study is conducted in patients with advanced hepatocellular carcinoma (HCC). This study includes three arms: A, B, and C. Arm A will receive HLX07 combination therapy with HLX10 and HLX04 as first line treatment. Arm B will receive HLX07 combination therapy with lenvatinib as second line treatment. Arm C will receive HLX07 monotherapy as third-line or above treatment. All of eligible patients will receive study drug treatment until loss of clinical benefit, unacceptable toxicity, death, withdrawal of informed consent (whichever occurs first, HLX10 treatment up to 2 years).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm A: As first-line therapy | Experimental | HLX07 1500 mg + HLX10 300 mg + HLX04 15mg/kg iv q3w |
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| Arm B: As second-line therapy | Experimental | HLX07 1500 mg iv Q3w + Lenvatinib 12 mg (BW≥60 kg) or 8 mg (BW <60 kg) po qd |
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| Arm C:As third-line or above therapy | Experimental | HLX07 1500 mg iv Q3w |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HLX07 | Drug | 1500 mg |
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| Measure | Description | Time Frame |
|---|---|---|
| ORR | Objective response rate by INV assessment per RECIST | up to 2 years |
| PFS | Progression-free survival by INV assessment per RECIST | from the first dose until firstly confirmed and recorded disease progression or death (whichever occurs earlier),assessed up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| OS | Overall survival | from the date of first dose unitl the date of death from any cause, assessed up to 2 years |
| DOR | Duration of response |
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Inclusion Criteria:
Subjects who meet all of the following criteria are allowed to be enrolled into this study:
Volunteer to participate in this clinical study; completely understand and know this study as well as sign the informed consent form (ICF); be willing to follow and be able to complete all study procedures.
Age ≥ 18 years and ≤ 75 years when ICF is signed.
Histopathologically or cytologically confirmed diagnosis of advanced hepatocellular carcinoma (HCC), Or the clinical diagnosis meets the american association for the study of liver diseases (AASLD) diagnostic criteria for HCC.
prior therapy: Arm A: Never received systemic anti-tumor drug therapy before. Arm B: Patient has a contraindication or intolerance to, or has failed treatment with 1-line systemic anti-tumor therapy (PD-1 /L1 -based combination therapies). Arm C: Previously received second or greater lines of systemic therapy. (Including: 1. PD-1/L1-based therapy 2. Lenvatinib or Sorafenib).
According to the curative effect evaluation criteria in solid tumors (RECIST) v1.1, assessed by the investigator with at least one measurable lesions. Measurable target lesions cannot be selected from the site of previous radiotherapy.
(lesions located in the usual radiation area, if confirm progress, can also be selected as the target lesion).
Child-pugh liver function rating within 7 days before the first administration of the study drug : grade A and good grade B (≤ 7 points).
Arm B,C: The end of previous systematic treatment() must be ≥ 2 weeks before the first administration of the study drug, and the treatment-related AE should be restored to the level of NCI -CTCAE ≤ 1 (except hair loss).
The patient with HCC has liver surgery or local treatment (hepatic artery embolization, TACE, hepatic artery infusion, radiofrequency ablation, cryoablation or percutaneous ethanol injection) , Arm A and B : treatment was received ≥ 4 weeks prior to the first administration of this study. Arm C: treatment was received ≥ 2 weeks prior to the first administration of this study; The palliative radiotherapy for bone metastases was received ≥ 2 weeks prior to the first administration of this study; The diagnostic liver puncturewas received ≥ 1weeks prior to the first administration of this study. AEs related to previous local therapy should be recovered to the level of NCI -CTCAE ≤ 1.
The ECOG physical performance score within 7 days before the first administration of the study drug was 0 or 1.
Expected survival ≥ 12 weeks.
If HBsAg (+) or HBcAb (+), HBV-DNA must be<2500 copy/ml or ≤ 500 IU/mL or <ULN to be included in the group, and those with elevated HBV-DNA must agree to receive nucleoside anti-hepatitis b virus treatment. Subjects with negative HCV antibody (-) or HCV-RNA were admitted. If HCV-RNA is positive, must agree to receive standard of anti-virus treatment, and subjects must have ALT and AST ≤ 3×ULN to be enrolled. Subjects with co-infection of hepatitis b and c should be excluded.
The functions of the vital organs meet the following requirements (no blood transfusion, albumin, colony-stimulating factor, or platelet raising drugs are allowed within 14 days before the first use of the study drugs); Absolute neutrophil count (ANC) ≥1.5×109/L platelet≥ 100×109/L; Hemoglobin≥ 90g/ L; Serum albumin≥ 30g/L; Total bilirubin≤ 1.5 ULN, ALT, AST≤ 5 ULN(exclude the HCV-RNA is positive patients);Serum creatinine≤1.5 ULN or creatinine clearance > 50 mL/min (Cockcroft-Gault formula);APTT, INR and PT ≤1.5 ULN; Qualitative analysis of proteinuria≤1+; If ≥2+, 24-hour urine protein test is required, and the subject must have<1g to be enrolled.
For fertile female subjects, the serum pregnancy test must be negative within 7 days before the first dose.Subject agrees to use effective contraception.
Exclusion Criteria:
Subjects who meet any of the following criteria are not allowed to be enrolled in this study:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhenggang Ren | Contact | 13681971302 | ren.zhenggang@zs-hospital.sh.cn |
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| ID | Term |
|---|---|
| C000722210 | HLX07 |
| C531958 | lenvatinib |
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| HLX10 | Drug | 300 mg |
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| HLX04 | Drug | 15mg/kg |
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| lenvatinib | Drug | 12 mg (BW≥60 kg) or 8 mg (BW <60 kg) |
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| from the date when CR or PR (whichever recorded earlier) is firstly achieved until the date when disease progression or death is firstly recorded (whichever occurs earlier),assessed up to 2 years |