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Recruiting Observational

MONTEROSA - Italian Multicenter Observational Study to Evaluate Time to Clinical Hepatic Decompensation, Quality of Life, Effectiveness, and Safety of Tremelimumab Plus Durvalumab in Patients With Advanced or Unresectable Hepatocellular Carcinoma Who Have Received no Prior Systemic Treatment.

NCT07607769 · tracked via the Priya Life Science Italy tracker
Phase
Observational
Started
2026-04-16
Last updated
2026-09-29

Condition(s) studied

Hepatocellular Carcinoma

Investigational drug(s) / intervention(s)

STRIDE

STRIDE: Tremelimumab 300 mg as a single dose administered in combination with durvalumab 1500 mg at Cycle 1/Day 1, followed by durvalumab monotherapy every 4 weeks.

Study summary

Italian multicenter observational study to evaluate time to clinical hepatic decompensation, quality of life, effectiveness, and safety of tremelimumab plus durvalumab in patients with advanced or unresectable hepatocellular carcinoma who have received no prior systemic treatment.

Eligibility

Sex
ALL
Min age
18 Years
Max age
100 Years
Healthy volunteers
No
Inclusion Criteria: * \- Signed informed consent. * Age ≥ 18 years. * Histologically or radiologically confirmed diagnosis of advanced or unresectable HCC. * BCLC B or C HCC. * Child-Pugh A (score 5 or 6). * Eastern Cooperative Oncology Group (ECOG) Performance Status score 0 or 1. * Planned first-line treatment of advanced/uHCC with STRIDE. Exclusion Criteria: * \- Any previous line of systemic therapy for HCC. * Any prior or concomitant immunotherapy. * Prior allogeneic organ or bone marrow transplant. * Documented active or previous GI bleeding within the previous 12 months. * Main trunk portal vein thrombosis. * Autoimmune disease requiring treatment with immunosuppressive medication. * Known hypersensitivity to the active substance or to any of the STRIDE excipients. * Pregnancy or breastfeeding

Primary outcome measure(s)

  • Time To Decompensation (TTDec) — From index date to first hepatic decompensation/study completion, up to 30 months
    time from index date (start of new treatment) to the first occurrence of events such as ascites of any grade according to the European Association for the Study of the Liver (EASL) classification, hepatic encephalopathy of any grade according to West Haven classification, variceal hemorrhage, or jaundice (total bilirubin \>3 mg/dL). In Child-Pugh (CP)-A participants with a score of 6 at index date, TTDec is defined as the time from index date to any worsening in ascites, hepatic encephalopathy, variceal hemorrhage, or jaundice (defined as an increase in total bilirubin to greater than 3 mg/dL or a worsening of more than 1.0 mg/dL from index date). At the time of decompensation (± 30 days) a CT scan should be performed to exclude worsening of liver function due to tumor progression.

Trial sites (24)

FacilityCityRegionStatus
Research site Ancona Italy Active Not Recruiting
Research Site Ancona Italy Recruiting
Research Site Bergamo Italy Recruiting
Research site Foggia Italy Recruiting
Research Site Foggia Italy Recruiting
Research Site Meldola Italy Recruiting
Research site Milan Italy Active Not Recruiting
Research Site Milan Italy Recruiting
Research site Modena Italy Active Not Recruiting
Research Site Modena Italy Recruiting
Research site Naples Italy Recruiting
Research Site Naples Italy Recruiting
Research Site Padova Italy Recruiting
Research Site Palermo Italy Recruiting
Research Site Pisa Italy Recruiting
Research site Pozzuoli Italy Active Not Recruiting
Research Site Pozzuoli Italy Recruiting
Research Site Roma Italy Recruiting
Research site Rozzano Italy Active Not Recruiting
Research Site Rozzano Italy Recruiting
Research site Torino Italy Active Not Recruiting
Research Site Torino Italy Recruiting
Research site Verona Italy Active Not Recruiting
Research Site Verona Italy Recruiting
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 NCT07607769 on ClinicalTrials.gov ↗ ← All trials in Italy