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Clinical Trials in China / NCT04770896
Active, not recruiting Phase 3

A Study of Atezolizumab With Lenvatinib or Sorafenib Versus Lenvatinib or Sorafenib Alone in Hepatocellular Carcinoma Previously Treated With Atezolizumab and Bevacizumab

NCT04770896 · tracked via the Priya Life Science China tracker
Sponsor
Hoffmann-La Roche
Phase
Phase 3
Started
2021-04-26
Last updated
2026-08-25

Condition(s) studied

Unresectable Hepatocellular Carcinoma

Investigational drug(s) / intervention(s)

AtezolizumabLenvatinibSorafenib

Atezolizumab: Atezolizumab will be administered by intravenous (IV) infusion at a fixed dose of 1200 mg on Day 1 of each 21-day cycle until unacceptable toxicity or loss of clinical benefit as determined by the investigator.

Lenvatinib: Lenvatinib will be administered once daily by mouth each day of every 21-day study treatment cycle. Participants with a baseline body weight of \< 60 kg will receive a daily dose of 8 mg. Participants with a baseline body weight of ≥ 60 kg will receive a daily dose of 12 mg.

Sorafenib: Sorafenib will be administered at a dose of 800 mg per day, i.e. two tablets of 200 mg swallowed by mouth twice daily (equivalent to a total daily dose of 800 mg) each day of every 21-day study treatment cycle.

Study summary

This is a Phase III, open-label, multicenter, randomized, two-arm study designed to evaluate the efficacy and safety of atezolizumab plus either lenvatinib or sorafenib versus lenvatinib or sorafenib alone in participants with locally advanced or metastatic Hepatocellular Carcinoma (HCC) who have progressed on prior systemic treatment with atezolizumab plus bevacizumab combination.

Eligibility

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Inclusion Criteria: * Locally advanced or metastatic and/or unresectable HCC with diagnosis confirmed by histology/ cytology or clinically by American Association for the Study of Liver Diseases (AASLD) criteria in cirrhotic patients. * Disease progression following prior atezolizumab plus bevacizumab combination treatment for HCC, for at least 4 consecutive treatment cycles, and 2 subsequent tumor assessments. It is required that at least 1 tumor assessment shows either stable disease (SD), partial response (PR), or complete response (CR). * At least one measurable (per RECIST v1.1) target lesion that has not been previously treated with local therapy or, if the target lesion is within the field of previous local therapy, has subsequently progressed in accordance with RECIST v1.1. * Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1 within 7 days prior to randomization * Child-Pugh class A within 7 days prior to randomization * Adequate hematologic and end-organ function Exclusion Criteria: * Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases. * History of leptomeningeal disease * History of hepatic encephalopathy, preceding 6 months, unresponsive to therapy within 3 days * Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC * History of malignancy other than HCC within 5 years prior to screening, with the exception of malignancies with a negligible risk of metastasis or death

Primary outcome measure(s)

Trial sites (124)

FacilityCityRegionStatus
Medizinische Universität Innsbruck Innsbruck Austria
Uniklinikum Salzburg, LKH Salzburg Austria
Universitätsklinikum St. Pölten Sankt Pölten Austria
Klinik Favoriten Vienna Austria
AZ KLINA Brasschaat Belgium
Hospital Erasme Brussels Belgium
Cliniques Universitaires St-Luc Brussels Belgium
UZ Leuven Leuven Belgium
AZ Delta (Campus Rumbeke) Roeselare Belgium
Hospital Felicio Rocho Belo Horizonte Minas Gerais
Hospital Moinhos de Vento Porto Alegre Rio Grande do Sul
Hospital Sao Lucas - PUCRS Porto Alegre Rio Grande do Sul
Centro de Pesquisa e Ensino em Oncologia de Santa Catarina - CEPEN Florianópolis Santa Catarina
Clinicas Oncologicas Integradas - COI Rio de Janeiro Brazil
Beneficencia Portuguesa de Sao Paulo São Paulo Brazil
Multiprofile Hospital for Active Treatment Uni Hospital Panagyurishte Bulgaria
Complex Oncological Center - Plovdiv, EOOD Plovdiv Bulgaria
Arthur J.E. Child Comprehensive Cancer Center-Calgary Calgary Alberta
Cross Cancer Institute Edmonton Alberta
Juravinski Cancer Centre Hamilton Ontario
Princess Margaret Cancer Center Toronto Ontario
Hunan Cancer Hospital Changsha China
Fujian Provincial Hospital Fuzhou China
The First Affiliated Hospital, Sun Yat-sen University Guangzhou China
Nanfang Hospital, Southern Medical University Guangzhou China
Anhui Province Cancer Hospital Hefei China
Jiangsu Province Hospital (the First Affiliated Hospital With Nanjing Medical University) Nanjing China
Zhongshan Hospital Fudan University Shanghai China
Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai China
Shengjing Hospital of China Medical University Shenyang China
Tianjin Cancer Hospital Tianjin China
Clinica CIMCA San José Costa Rica
ICIMED Instituto de Investigación en Ciencias Médicas San José Costa Rica
Clinical Hospital Centre Zagreb Zagreb Croatia
AirForce Specialized Hospital Cairo Egypt
North Estonia Medical Centre, Oncology and hematology Clinic Tallinn Estonia
Tartu University Hospital Tartu Estonia
TAYS Radius rakennus Tampere Finland
CHU Grenoble Sud Grenoble France
CHRU de Lille - Hopital Claude Huriez Lille France

+ 84 more sites — see the full list on the official registry below.

On this site

📄 Tecentriq (atezolizumab) drug profile → 📄 Lenvima (lenvatinib) drug profile →

More Hoffmann-La Roche trials in China

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04770896 on ClinicalTrials.gov ↗ ← All trials in China