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A Phase III Study of AK104 as Adjuvant Therapy in HCC With High Risk of Recurrence After Curative Resection

A Randomized, Double-blind, Phase III Clinical Study on the Efficacy and Safety of AK104 Versus Placebo as Adjuvant Therapy for Hepatocellular Carcinoma With High Risk of Recurrence After Curative Resection

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05489289
Enrollment
570
Registered
2022-08-05
Start date
2023-01-05
Completion date
2027-01-01
Last updated
2025-03-12

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

Conditions

Hepatocellular Carcinoma

Brief summary

The efficacy and safety of AK104 as adjuvant therapy in hepatocellular carcinoma of high recurrence risk after curative resection.

Interventions

BIOLOGICALAK104

Subjects will receive AK104 until disease progression or for a maximum of 16 cycles

BIOLOGICALplacebo

Subjects will receive placebo until disease progression or for a maximum of 16 cycles

Sponsors

Akeso
Lead SponsorINDUSTRY

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. Pathological diagnosis of HCC without any metastasis; 2. Receiving radical resection as the only anti-tumor treatment; 3. No evidence of residual cancer found during or after the operation; 4. Presence of any high risk factor of postoperative recurrence; 5. Child-Pugh grade: A; 6. ECOG score: 0; 7. Controlled underlying causes of HCC.

Exclusion criteria

1. Fibrolamellar hepatocellular carcinoma, sarcoma-like hepatocellular carcinoma, cholangiocarcinoma, etc; 2. Any anti-tumor treatment other than radical surgery before randomization; 3. Precarious liver function indicated by severe complications; 4. Recent procedures or medications leading to high risk of bleeding; 5. Poorly controlled or symptomatic hypertension, congestive heart failure, arrhythmia, etc; 6. Failure of performing enhanced CT or MRI scans of the liver; 7. Recent severe infections or systemic antibiotics use; 8. Active autoimmune diseases; 9. History of other incurable malignant tumors; 10. History of transplantation; 11. Pregnancy.

Design outcomes

Primary

MeasureTime frameDescription
Recurrence free survival (RFS) by BICRUp to 48 monthsThe time comfirmed by BICR from randomization to recurrence or death.

Secondary

MeasureTime frameDescription
12-months recurrence free survival (RFS-12)12 monthsThe proportion of patients without recurrence or death at 12 month.
24-months recurrence free survival (RFS-24)24 monthsThe proportion of patients without recurrence or death at 24 month.
Time to recurrence (TTR)Up to 48 monthsThe time from randomization to recurrence.
Overall survival (OS)Up to 48 monthsThe time from randomization to death for any reason.
Types and proportions of adverse events (AEs)Up to 48 months

Countries

China

Contacts

Primary ContactTing Liu, M.D.
clinicaltrials@akesobio.com(0760)89873999

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026