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Regorafenib with Immunotherapy versus Regorafenib alone as Second-line Treatment for Hepatocellular Carcinoma: A Multicenter Real-world Study

Efficacy and Safety Analyses of Regorafenib with PD-1/PD-L1 Inhibitors versus Regorafenib alone as Second-line Treatment for Hepatocellular Carcinoma

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2400079560
Enrollment
Unknown
Registered
2024-01-05
Start date
2023-05-15
Completion date
Unknown
Last updated
2024-01-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatocellular carcinoma

Interventions

Regorafenib with immune checkpoint inhibitors group:Regorafenib was initially administered orally once daily at a dosage of 80-160 mg depending on patient’s tolerance, for the first 3 weeks of each 4-
Regorafenib monotherapy group:Regorafenib was initially administered orally once daily at a dosage of 80-160 mg depending on patient’s tolerance, for the first 3 weeks of each 4-week cycle.

Sponsors

Sun Yat-sen University Cancer Center
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. Age between 18 and 75 years; 2. Patients diagnosed with HCC according to the diagnostic criteria of the Chinese guidelines for the diagnosis and treatment of primary liver cancer or confirmed by histopathological examination; 3. Presence of at least one lesion measurable by computer tomography or magnetic resonance imaging according to mRECIST and RECIST1.1 criteria; 4. Barcelona Clinic Liver Cancer (BCLC) stage B or C; 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1; 6. Child-Pugh class A or B liver function; 7. Received either regorafenib monotherapy or the combination of regorafenib with PD-1/PD-L1 inhibitors as second-line systemic treatment after progression on first-line therapy.

Exclusion criteria

Exclusion criteria: 1. Concomitant malignancies; 2. Progressive or symptomatic central nervous system metastases; 3. History of human immunodeficiency virus infection or acquired immunodeficiency syndrome; 4. Active pulmonary tuberculosis or other active infections; 5. Active autoimmune diseases or history of potentially recurrent autoimmune diseases; 6. History of mental disorders or cognitive dysfunction; 7. Allergy to any of the investigational drug or its components; 8. Decompensated liver function, including massive ascites, gastrointestinal bleeding, or hepatic encephalopathy; 9. Renal insufficiency requiring peritoneal dialysis or hemodialysis; 10. Severe dysfunction of other important organs; 11. Inability to assess efficacy or incomplete essential medical information; 12. Lost to follow-up or follow-up duration of less than 3 months.

Design outcomes

Primary

MeasureTime frame
Overall survival (OS);

Secondary

MeasureTime frame
Progression-free survival (PFS);Complete response (CR);Partial response (PR);Stable disease (SD);Progressive disease (PD);Objective response rate (ORR);Disease control rate (DCR);

Countries

China

Contacts

Public ContactLi Binkui

Sun Yat-sen University Cancer Center

libk@sysucc.org.cn+86 20 8734 3181

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026