Transcatheter arterial chemoembolization plus atezolizumab and bevacizumab for unresectable hepatocellular carcinoma: a single-arm, phase II trial

Future Oncol. 2022 Sep;18(30):3367-3375. doi: 10.2217/fon-2022-0188. Epub 2022 Aug 15.

Abstract

The therapeutic effect of transcatheter arterial chemoembolization (TACE) is limited for patients with hepatocellular carcinoma (HCC). Herein, we designed an open-label, single-arm phase II clinical trial to investigate the efficacy and safety of TACE combined with atezolizumab plus bevacizumab for patients with Barcelona Clinic Liver Cancer (BCLC) stage-B HCC. Patients will initially receive TACE. Atezolizumab and bevacizumab will be initiated 2-14 days after the first TACE session. TACE will be repeated on demand. The primary endpoint is the objective response rate. The secondary end points include overall survival, disease control rate, progression-free survival, time-to-progression and safety. The study results will provide evidence for establishing a novel therapeutic regimen for patients with unresectable HCC. Clinical Trial Registration: ChiCTR2100049829 (ChiCTR.org).

Keywords: TACE; atezolizumab; bevacizumab; hepatocellular carcinoma.

Publication types

  • Clinical Trial Protocol

MeSH terms

  • Bevacizumab / therapeutic use
  • Carcinoma, Hepatocellular* / therapy
  • Chemoembolization, Therapeutic / methods
  • Clinical Trials, Phase II as Topic
  • Combined Modality Therapy / adverse effects
  • Humans
  • Liver Neoplasms* / therapy

Substances

  • atezolizumab
  • Bevacizumab