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A prospective clinical study comparing TKI combined with ICIs versus TKI monotherapy in advanced hepatocellular carcinoma with acquired resistance to first-line targeted and immunotherapy combination treatment

A prospective clinical study comparing TKI combined with ICIs versus TKI monotherapy in advanced hepatocellular carcinoma with acquired resistance to first-line targeted and immunotherapy combination treatment

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500103439
Enrollment
Unknown
Registered
2025-05-29
Start date
2025-07-01
Completion date
Unknown
Last updated
2025-06-02

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

Conditions

hepatocellular carcinoma

Interventions

Regorafenib Plus Tislelizumab Group:Regorafenib Combined with Tislelizumab Therapy
Regorafenib Group:Regorafenib Monotherapy

Sponsors

Beijing Ditan Hospital, Capital Medical University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Patients with hepatocellular carcinoma (HCC) receiving second-line treatment; 2. Age between 18 and 80 years; 3. Histologically confirmed or clinically diagnosed HCC according to the 2022 Guidelines for the Diagnosis and Treatment of Primary Liver Cancer in China; 4. Patients with unresectable disease, ineligible for liver transplantation or local curative treatments (e.g., ablation), or those who have relapsed after curative treatment; 5. Child-Pugh class A or B liver function (score = 3.0 × 10?/L, Platelets >= 70 × 10?/L, Hemoglobin >= 80 g/L, ALT = 28 g/L, Creatinine clearance (CCr) >= 80 mL/min; 8. For patients with HBV infection: HBV DNA 1 cm on contrast-enhanced CT or MRI); 11. Willingness to provide written informed consent; 12. Estimated overall survival >= 3 months.

Exclusion criteria

Exclusion criteria: 1. Receipt of local radiotherapy or radiofrequency ablation within the past month (except for non-progressive lesions treated locally only); 2. Symptomatic brain metastases; 3. Active bleeding tendency; 4. Uncontrolled hypertension; 5. Concurrent malignancies that have not been cured (excluding carcinoma in situ); 6. Active infections; 7. History of heart failure, unstable angina, or myocardial infarction within the past year; 8. Active autoimmune diseases (e.g., Sjögren’s syndrome, systemic lupus erythematosus, etc.); 9. Severe psychiatric disorders that interfere with treatment compliance or the ability to provide informed consent; 10. Patients on warfarin anticoagulation therapy.

Design outcomes

Primary

MeasureTime frame
Progression-Free Survival;

Secondary

MeasureTime frame
Overall Survival;Objective Response Rate;

Countries

CHina

Contacts

Public ContactXiaoyan Ding

Beijing Ditan Hospital, Capital Medical University

dingxiaoyan198111@163.com+86 138 1156 0276

Outcome results

None listed

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