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A Phase IIb, Randomized, Blinded Trial Investigating the Efficacy and Safety of Visugromab, Nivolumab and Lenvatinib versus Lenvatinib and Double Placebo in Participants with Unresectable or Metastatic Hepatocellular Carcinoma and Compensated Liver Function (Child-Pugh A) after Failure of First-Line Treatment that Included an Anti-PD-(L)1 Compound (GDFATHER-HCC-01)

Cancer
Farshid Dayyani
Liver

Study Description

This is a Phase 2b, randomized, blinded clinical trial investigating the efficacy and safety of visugromab in combination with nivolumab and Lenvatinib compared to double placebo and Lenvatinib in participants with unresectable or metastatic HCC and compensated liver function (Child-Pugh A) after failure of 1L treatment that included an anti-PD-(L)1 compound. The trial consists of 2 Parts: a non-randomized Safety-run-in part (Part 1) and the subsequent randomized part (Part 2) with 2 treatment arms (A and B). Randomization of participants into Treatment Arm A and B will continue until 40 efficacy-evaluable participants are enrolled into each Treatment Arm.

Eligibility

-Histologically confirmed diagnosis of unresectable or metastatic hepatocellular carcinoma, not amenable to a curative treatment approach.

-Age 18 years or older on the day of signing the informed consent.

-Must have failed one line of prior systemic treatment for unresectable or metastatic hepatocellular carcinoma containing an approved anti PD (L)-1 checkpoint inhibitor (CPI) with a minimum treatment duration of 12 weeks exposure for the CPI with no documented progression in this period.

-Known fibrolamellar HCC, sarcomatoid hepatocellular carcinoma or mixed cholangiocarcinoma.

-More than 1 line of prior systemic treatment for unresectable or metastatic hepatocellular carcinoma.

-Received or completed any palliative radiotherapy for symptoms within 28 days of the first dose of IMP.

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