Hepatocellular Carcinoma
Conditions
Keywords
Hepatocellular Carcinoma, Sintilimab, Bevacizumab
Brief summary
To evaluate the efficacy and safety of sintilimab combined with bevacizumab and liver protective support therapy in Child-Pugh B and/or ECOG PS 2 unresectable hepatocellular carcinoma
Interventions
200mg IV d1,Q3W
7.5mg/kg IV d1,Q3W
Medical treatment such as liver protection therapy, antiviral therapy, platelet and granulocyte upgrading therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Advanced unresectable hepatocellular carcinoma confirmed by histology or cytology * Age 20-79 * At least one measurable lesion defined in RECIST version 1.1 * Child Pugh grade B * ECOG PS score 2 * The expected life is at least 90 days
Exclusion criteria
* Previously received anti-PD-1, PD-L1, PD-L2, CD137, CTLA-4 antibody treatment, or any other treatment that regulates T cells * Received systemic corticosteroid or immunosuppressive therapy within 28 days before enrollment * Complicated with autoimmune diseases or having a history of chronic or recurrent autoimmune diseases * History of pleural or pericardial adhesions within 28 days before enrollment * HIV antibody, HTV-Ⅰantibody, HCV antibody, hepatitis B surface protein antigen, hepatitis B surface protein antibody, hepatitis B core protein antibody or any detectable hepatitis B virus DNA test results were positive * Multiple primary cancers (excluding completely resected basal cell carcinoma, stage I squamous cell carcinoma, carcinoma in situ, intramucosal carcinoma, superficial bladder cancer, and any other cancer that has not recurred for at least 5 years) * Brain or meningeal metastasis (unless asymptomatic and does not require treatment) * Uncontrollable or serious cardiovascular disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adverse Events (AEs) | Up to 3 years | Defined as the proportion of patients with AE, treatment-related AE (TRAE), immune-related AE (irAE), serious adverse event (SAE), assessed by NCI CTCAE v5.0 |
| Overall survival (OS) | Up to 3 years | Defined as the time from the date of treatment start to the date of death |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall response rate (ORR) | Up to 1 years | Defined as proportion of patients who have a best response of CR or PR |
| Disease control rate (DCR) | Up to 1 years | Defined as proportion of patients who have a best response of CR, PR or SD |
| Quality of Life (QoL) | Up to 3 years | The improvement in quality of life as measured by the EORTC Quality of Life Questionnaire QLQ-C30 (V3.0) |
Countries
China