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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
Akeso
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatocellular Carcinoma

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

    First Posted
    June 21, 2022
    Last Updated
    June 24, 2022
    Sponsor
    Akeso
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    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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