Bevacizumab: 15 mg/kg, IV (in the vein) on day 1 of each 21 day cycle. Number of Cycles: until disease progression or unacceptable toxicity develops.
Lenvatinib: Daily use per oral (8 mg capsules/day for participants \< 60 kg or 12 mg/day for participants ≥ 60 kg) of 21 day cycle. Number of Cycles: until disease progression or unacceptable toxicity develops.
Rilvegostomig: anti- PD-1 and TIGIT bispecific antibody
Gemcitabine: 1000 mg/m2, IV infusion
Cisplatin: 25 mg/m2, IV infusion
Study summary
GEMINI-Hepatobiliary study will assess the efficacy, safety and tolerability of novel immunomodulators alone and in combination with other anticancer drugs in participants with specified advanced solid tumors.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Age ≥18 years at the time of signing the ICF.
* Provision of a signed and dated written ICF.
* Confirmed locally advanced or metastatic solid tumor specified in substudy based on histopathology.
* Adequate organ and bone marrow function.
* At least 1 measurable not previously irradiated lesion per RECIST 1.1
* Life expectancy of at least 12 weeks at the time of screening.
* Willing and able to provide an adequate tumor sample.
Exclusion Criteria:
* History of allogeneic organ transplantation.
* Active or prior documented autoimmune or inflammatory disorders.
* Uncontrolled intercurrent illness.
* History of another primary malignancy, leptomeningeal carcinomatosis, and active primary immunodeficiency.
* Active infection, brain metastases or spinal cord compression.
* Participants co-infected with HBV and hepatitis D virus (HDV).
* Previous treatment in the present study.
* For substudy 1, history of hepatic encephalopathy within 12 months prior to treatment allocation.
Primary outcome measure(s)
Objective response rate (ORR) — Through study completion, an average of 2 years ORR is defined as the proportion of participants who have a confirmed CR (complete response) or confirmed PR (partial response), determined by the Investigator at local site per RECIST 1.1 (For HCC sub-study 1)
The number of participants with adverse events/serious adverse events — Through study completion, an average of 2 years Number of participants with adverse events and with serious adverse events including abnormal clinical observations, abnormal Electrocardiogram (ECG) parameters, abnormal laboratory assessments and abnormal vital signs that changed from baseline.
Progression free survival (PFS) — Through study completion, an average of 2 years PFS is defined as the time from the start of studyintervention until progression per RECIST 1.1 as assessed by the Investigator at the local site or death due to any cause in the absence of progression, whichever occurs first. (For BTC sub-study 2)
Trial sites (46)
Facility
City
Region
Status
Research Site
Birmingham
Alabama
Research Site
Los Angeles
California
Research Site
Orange
California
Research Site
Kansas City
Kansas
Research Site
New York
New York
Research Site
Beijing
China
Research Site
Beijing
China
Research Site
Beijing
China
Research Site
Chengdu
China
Research Site
Chengdu
China
Research Site
Chongqing
China
Research Site
Fuzhou
China
Research Site
Guangzhou
China
Research Site
Guangzhou
China
Research Site
Harbin
China
Research Site
Nanning
China
Research Site
Shanghai
China
Research Site
Hong Kong
Hong Kong
Research Site
Shatin
Hong Kong
Research Site
Florence
Italy
Research Site
Milan
Italy
Research Site
Naples
Italy
Research Site
Rozzano
Italy
Research Site
Chūōku
Japan
Research Site
Kashiwa
Japan
Research Site
Yokohama
Japan
Research Site
Seongnam-si
South Korea
Research Site
Seoul
South Korea
Research Site
Seoul
South Korea
Research Site
Seoul
South Korea
Research Site
Seoul
South Korea
Research Site
Barcelona
Spain
Research Site
Barcelona
Spain
Research Site
Madrid
Spain
Research Site
Madrid
Spain
Research Site
Pamplona
Spain
Research Site
Kaohsiung City
Taiwan
Research Site
Kaohsiung City
Taiwan
Research Site
Taichung
Taiwan
Research Site
Tainan
Taiwan
+ 6 more sites — see the full list on the official registry below.
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.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time.