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Patients with unresectable HCC will be enrolled in the cohort and will receive the combination therapy of HAIC and atezolizumab plus bevacizumab. The objective response rate is the primary endpoint, and the secondary endpoint includes disease control rate, conversion rate, pathologic complete response, major pathologic response, progression-free survival, recurrence-free survival, overall survival, quality of life, and safety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental cohort | The experimental cohort is going to enroll unrescetable HCC patients, and they will receive HAIC in combination with atezolizumab plus bevacizumab as conversion therapy. |
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| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate | Complete response (CR) and partial response (PR), refer to cases evaluated by the mRECIST criteria for objective tumor response, including both CR and PR. | 2 years |
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Inclusion Criteria:
Patients between 18 and 75 years old, with no gender restrictions.
Confirmed unresectable hepatocellular carcinoma (BCLC stage B/C) by histology, cytology, or clinical diagnosis.
At least one measurable lesion based on RECIST version 1.1.
Child-Pugh class A or B7.
Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 or 1.
No prior systemic therapy received, with an expected survival ≥12 weeks.
Adequate organ function meeting the following criteria:
A. Hematological parameters (without blood transfusion within 14 days): Hemoglobin (Hb) ≥80 g/L, White blood cell count (WBC) ≥3 × 10⁹/L, Absolute neutrophil count (ANC) ≥1.5 × 10⁹/L, Platelet count (PLT) ≥50 × 10⁹/L; B. Biochemical parameters: Total bilirubin (TBIL) <1.5 × upper limit of normal (ULN), Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) <5 × ULN, Serum creatinine (Cr) ≤1.5 × ULN.
Contraception requirements: Women of childbearing age must have a negative serum or urine pregnancy test (HCG) within 7 days before enrollment and agree to use effective contraceptive methods during the trial period and for 8 weeks after the last dose. Men must either have undergone surgical sterilization or agree to use appropriate contraceptive methods during the trial period and for 8 weeks after the last dose.
Willingness to voluntarily participate in the study, with good compliance and commitment to follow-up.
Exclusion Criteria:
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Patients who is diagnosed as unresectable hepatocellular carcinoma (BCLC stage B/C) histologically , cytologically, or clinically.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chengpeng Zhong | Contact | +86 18801900435 | deriszhong@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Renji Hospital affiliated to Shanghai Jiao Tong University, School of Medicine | Shanghai | China |
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