Skip to content

Toripalimab or Placebo as Adjuvant Therapy in Hepatocellular Carcinoma After Radical Resection

A Phase II/III, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Toripalimab (Recombinant Humanized Anti-PD-1 Monoclonal Antibody, JS001) Versus Placebo as Adjuvant Therapy in Patients With Hepatocellular Carcinoma at High Risk of Recurrence Following Radical Resection

Status
Active, not recruiting
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03859128
Acronym
JUPITER 04
Enrollment
427
Registered
2019-03-01
Start date
2019-03-05
Completion date
2027-12-31
Last updated
2026-08-10

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

Conditions

Hepatocellular Carcinoma

Brief summary

This study will investigate if Toripalimab (A PD-1 Inhibitor) will improve recurrence-free survival (RFS) compared to placebo in participants with HCC and are at high risk of recurrence after complete resection with no residual of tumour.

Interventions

Arm A: Toripalimab 240mg IV(Injection of Vein) Q3W Arm B: Placebo 240mg IV(Injection of Vein) Q3W

Sponsors

Shanghai Junshi Bioscience Co., Ltd.
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

1. HCC with at least one protocol defined risk factor, diagnosed confirmed by central pathological review and received R0 resection; 2. BICR confirmed no resdual tumor lesions are detected in liver; 3. Child-Puch score, Class A; 4. ECOG score is 0;

Exclusion criteria

1. Patients previously received PD-1 antibody, PD-L1 antibody, PD-L2 antibody or CTLA-4 antibodies, including those who have participated in the JS001 clinical study; 2. Portal vein tumor thrombi or liver metastases or recurrent liver cancer; 3. With symptoms of central nervous system metastasis; 4. With any history of active autoimmune disease or autoimmune disease; 5. Known liver diseases with clinical significance; 6. Patients infected by hepatitis B virus (HBV), hepatitis C virus (HCV), hepatitis D virus (HDV): Other protocol defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
BICR-RFSTime frame is up to 100 months (for interim analysis, up to 92 months for Primary analysis)Defined as the time from randomization to the first documented disease recurrence or death.

Secondary

MeasureTime frameDescription
Investigator-RFSup to 100 monthsthe time from randomization to the date of the first documented progressive disease (tumor evlauation by BICR in accordance with RECIST 1.1), or to the date of death for any cause, whichever occurs first
12-month recurrence-free survival rate (RFS12)up to 100 monthsprobability of patients without recurrence or death for any cause at Month 12
24-month recurrence-free survival rate (RFS24)up to 100 monthsprobability of patients without recurrence or death for any cause at Month 24
Time to recurrence (TTR)up to 44 monthsthe time from randomization to the first documented disease recurrence
Time to local recurrence (TTLR)up to 44 monthsthe time from randomization to the first documented local disease recurrence
Overall survival (OS)up to 44 monthsthe time from randomization to death for any cause
12- and 24-month overall survival rate (OS12 and OS24)up to 44 monthsprobability of patients surviving at Month 12 and 24, respectively
Incidence of AEsup to 44 monthsIncidence of AEs (including SAEs and AESIs) is evaluated by the investigator, and severity is determined in accordance with CTCAE v5.0

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 11, 2026