A Study of AK112 in Patients With Unresectable Hepatocellular Carcinoma (HCC)
Primary Purpose
Hepatocellular Carcinoma
Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
AK112
Sponsored by
About this trial
This is an interventional treatment trial for Hepatocellular Carcinoma
Eligibility Criteria
Inclusion Criteria:
- Be able and willing to provide written informed consent and to comply with all requirements of study participation (including all study procedures).
- 18 to 75 years old.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Have a life expectancy of at least 3 months.
- BCLC stage B or C, not amenable to curative surgery.
- Hepatocellular carcinoma confirmed by histology/cytology. Cirrhosis meets the clinical diagnostic criteria for hepatocellular carcinoma of the American Association for the Diagnosis of Liver Diseases (AASLD).
- At least one measurable untreated lesion.
- Child-Pugh class A.
- Has adequate organ function.
- All female and male subjects of reproductive potential must agree to use an effective method of contraception, as determined by the Investigator, during and for 120 days after the last dose of study treatment.
Exclusion Criteria:
- With fibrous lamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, cholangiocarcinoma components in tumor tissues.
- History of malignancy other than HCC within 5 years, except that basal cell carcinoma of the skin, squamous cell carcinoma of the skin that has undergone potentially curative therapy or in situ cervical cancer.
- Have a history of hepatic encephalopathy or have a history of liver transplantation.
- With clinical symptoms requires drainage of pleural effusion, ascites or pericardial effusion.
- Central nervous system (CNS) metastasis or meningeal metastasis.
- Prior immunotherapy with an anti-PD-1, anti-PD-L1, or anti-CTLA-4 antibody (or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways).
- Prior systemic bevacizumab and its analogues treatment.
- Severe bleeding tendency or coagulation dysfunction; occurred arteriovenous thromboembolic events or bleeding events due to esophageal and/or gastric varices within 6 months before the first administration.
- Known presence or history of required hormone treatment interstitial lung disease or non-infectious pneumonitis.
- Has an active autoimmune disease that has required systemic treatment in the past 2 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
- Has undergone major surgery within 30 days prior to the first dose of study treatment.
- History of myocardial infarction, unstable angina, cardiac or other vascular stenting, angioplasty, or surgery within 12 months.
- Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the study.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Cohort 1
Cohort 2
Arm Description
Subjects receive AK112 on Day 1 of every 3-week cycle (Q3W) until progression.
Subjects receive AK112 on Day 1 of every 3-week cycle (Q3W) until progression.
Outcomes
Primary Outcome Measures
Number of patients with Adverse Events (AEs)
Objective Response Rate (ORR) Per RECIST v1.1
Objective Response Rate (ORR) Per mRECIST
Secondary Outcome Measures
Disease control rate (DCR)
Duration of Response (DoR)
Time to response (TTR)
Progression free survival (PFS)
Overall survival (OS)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05432492
Brief Title
A Study of AK112 in Patients With Unresectable Hepatocellular Carcinoma (HCC)
Official Title
A Phase II Study of AK112 (PD-1/VEGF Bispecific) in Patients With Unresectable Hepatocellular Carcinoma (HCC)
Study Type
Interventional
2. Study Status
Record Verification Date
June 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
August 2022 (Anticipated)
Primary Completion Date
August 2023 (Anticipated)
Study Completion Date
August 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Akeso
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
Phase II open label, multicenter study to evaluate the efficacy and safety of AK112 (PD-1/VEGF Bispecific) in patients with unresectable hepatocellular carcinoma (HCC).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatocellular Carcinoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
60 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
Subjects receive AK112 on Day 1 of every 3-week cycle (Q3W) until progression.
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
Subjects receive AK112 on Day 1 of every 3-week cycle (Q3W) until progression.
Intervention Type
Drug
Intervention Name(s)
AK112
Intervention Description
IV infusion, specified dose on specified days
Primary Outcome Measure Information:
Title
Number of patients with Adverse Events (AEs)
Time Frame
Up to approximately 2 years
Title
Objective Response Rate (ORR) Per RECIST v1.1
Time Frame
Up to approximately 2 years
Title
Objective Response Rate (ORR) Per mRECIST
Time Frame
Up to approximately 2 years
Secondary Outcome Measure Information:
Title
Disease control rate (DCR)
Time Frame
Up to approximately 2 years
Title
Duration of Response (DoR)
Time Frame
Up to approximately 2 years
Title
Time to response (TTR)
Time Frame
Up to approximately 2 years
Title
Progression free survival (PFS)
Time Frame
Up to approximately 2 years
Title
Overall survival (OS)
Time Frame
Up to approximately 2 years
Other Pre-specified Outcome Measures:
Title
Percentage of participants who obtain R0 resection
Time Frame
Up to approximately 2 years
Title
Percentage of participants who obtain a major pathologic responses (MPR)
Time Frame
Up to approximately 2 years
Title
Percentage of participants who obtain a pathologic complete response (pCR)
Time Frame
Up to approximately 2 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Be able and willing to provide written informed consent and to comply with all requirements of study participation (including all study procedures).
18 to 75 years old.
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Have a life expectancy of at least 3 months.
BCLC stage B or C, not amenable to curative surgery.
Hepatocellular carcinoma confirmed by histology/cytology. Cirrhosis meets the clinical diagnostic criteria for hepatocellular carcinoma of the American Association for the Diagnosis of Liver Diseases (AASLD).
At least one measurable untreated lesion.
Child-Pugh class A.
Has adequate organ function.
All female and male subjects of reproductive potential must agree to use an effective method of contraception, as determined by the Investigator, during and for 120 days after the last dose of study treatment.
Exclusion Criteria:
With fibrous lamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, cholangiocarcinoma components in tumor tissues.
History of malignancy other than HCC within 5 years, except that basal cell carcinoma of the skin, squamous cell carcinoma of the skin that has undergone potentially curative therapy or in situ cervical cancer.
Have a history of hepatic encephalopathy or have a history of liver transplantation.
With clinical symptoms requires drainage of pleural effusion, ascites or pericardial effusion.
Central nervous system (CNS) metastasis or meningeal metastasis.
Prior immunotherapy with an anti-PD-1, anti-PD-L1, or anti-CTLA-4 antibody (or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways).
Prior systemic bevacizumab and its analogues treatment.
Severe bleeding tendency or coagulation dysfunction; occurred arteriovenous thromboembolic events or bleeding events due to esophageal and/or gastric varices within 6 months before the first administration.
Known presence or history of required hormone treatment interstitial lung disease or non-infectious pneumonitis.
Has an active autoimmune disease that has required systemic treatment in the past 2 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
Has undergone major surgery within 30 days prior to the first dose of study treatment.
History of myocardial infarction, unstable angina, cardiac or other vascular stenting, angioplasty, or surgery within 12 months.
Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Chengna Wang
Phone
+86(0760)89873999
Email
clinicaltrials@akesobio.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jingfeng Liu
Organizational Affiliation
Fujian Cancer Hospital
Official's Role
Principal Investigator
12. IPD Sharing Statement
Learn more about this trial
A Study of AK112 in Patients With Unresectable Hepatocellular Carcinoma (HCC)
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