Clinical trial • Phase III • Oncology

DURVALUMAB for Locoregional hepatocellular carcinoma

Phase III trial of DURVALUMAB for Locoregional hepatocellular carcinoma.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Locoregional hepatocellular carcinoma
Trial Stage
Phase III
Drug Modality
Monoclonal antibody | Small molecule

Key dates

Initial CTIS Submission Date
15-03-2024
First CTIS Authorization Date
19-04-2024

Trial design

Randomised, open-label, three arms: arm a: tace + tremelimumab + durvalumab + lenvatinib, then q4w durvalumab + lenvatinib; arm b: tace + tremelimumab + durvalumab, then q4w durvalumab; arm c (comparator): tace alone-controlled Phase III trial in Belgium, Italy, France and others.

Randomised
Yes
Open Label
Yes
Comparator
Three arms: Arm A: TACE + Tremelimumab + Durvalumab + Lenvatinib, then Q4W Durvalumab + Lenvatinib; Arm B: TACE + Tremelimumab + Durvalumab, then Q4W Durvalumab; Arm C (comparator): TACE alone
Target Sample Size
594

Eligibility

Recruits 594 Vulnerable population selected. The trial documentation includes specific informed consent / subject information forms for adult participants and separate documents for pregnant subjects and partners (e.g. 'L1_SIS and ICF Pregnant subject and partner' documents). Consent is obtained from adult participants; no paediatric assent documents are provided in the available materials..

Vulnerable Population
Vulnerable population selected. The trial documentation includes specific informed consent / subject information forms for adult participants and separate documents for pregnant subjects and partners (e.g. 'L1_SIS and ICF Pregnant subject and partner' documents). Consent is obtained from adult participants; no paediatric assent documents are provided in the available materials.

Inclusion criteria

  • {"criterion_text":"- No evidence of extrahepatic disease"}
  • {"criterion_text":"- Disease not amenable to curative surgery or transplantation or curative ablation"}
  • {"criterion_text":"- Disease must be amenable to TACE"}
  • {"criterion_text":"- Child-Pugh score class A and Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1"}
  • {"criterion_text":"- Measurable disease by Modified Response Criteria in Solid Tumors (mRECIST) criteria"}
  • {"criterion_text":"- Adequate organ and marrow function"}

Exclusion criteria

  • {"criterion_text":"- History of symptomatic congestive heart failure, unstable angina pectoris, uncontrolled cardia arrhythmia"}
  • {"criterion_text":"- History of encephalopathy within past 12 months"}
  • {"criterion_text":"- Uncontrolled arterial hypertension"}
  • {"criterion_text":"- Co-infection with HBV and HDV"}
  • {"criterion_text":"- Major portal vein thrombosis visible on baseline imaging"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Progression Free Survival (PFS) per RECIST 1.1 as assessed by BICR","definition_or_measurement_approach":"PFS measured per RECIST 1.1 and assessed by blinded independent central review (BICR)"}

Secondary endpoints

  • {"endpoint_text":"- Overall Survival (OS)","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
594
Recruitment Window Months
35
Consent Approach
Informed consent obtained from adult participants using subject information sheets (SIS) and informed consent forms (ICF). Multiple language ICF/SIS documents are provided (examples include English, French, Dutch, Italian, German and Portuguese versions across sites). Specific ICFs/addenda are provided for pregnant participants and for partners of pregnant participants. No paediatric assent documentation is provided in the available materials.

Geography

Total Number Of Sites
40
Total Number Of Participants
131

Belgium

Earliest CTIS Part Ii Submission Date
08-04-2024
Latest Decision Or Authorization Date
26-04-2024
Processing Time Days
18
Number Of Sites
2
Number Of Participants
8

Sites

Site Name
Universitair Ziekenhuis Gent
Department Name
Maag-, Darm- en Leverziekten
Principal Investigator Name
Hans Van Vlierberghe
Principal Investigator Email
hans.vanvlierberghe@uzgent.be
Contact Person Name
Hans Van Vlierberghe
Contact Person Email
hans.vanvlierberghe@uzgent.be
Site Name
Hopital Erasme
Department Name
Gastroentérologie médicale
Principal Investigator Name
Anne Demols
Principal Investigator Email
Anne.Demols@erasme.ulb.ac.be
Contact Person Name
Anne Demols
Contact Person Email
Anne.Demols@erasme.ulb.ac.be

Italy

Earliest CTIS Part Ii Submission Date
08-04-2024
Latest Decision Or Authorization Date
13-05-2024
Processing Time Days
35
Number Of Sites
7
Number Of Participants
27

Sites

Site Name
Fondazione Policlinico Universitario Campus Bio-medico In Forma A Bbreviata Fon
Department Name
Oncologia Medica
Principal Investigator Name
Marianna Silletta
Principal Investigator Email
m.silletta@policlinicocampus.it
Contact Person Name
Marianna Silletta
Site Name
Ospedale San Raffaele S.r.l.
Department Name
Oncologia Medica
Principal Investigator Name
Andrea Casadei Gardini
Principal Investigator Email
casadeigardini.andrea@hsr.it
Contact Person Name
Andrea Casadei Gardini
Contact Person Email
casadeigardini.andrea@hsr.it
Site Name
Humanitas Research Hospital
Department Name
Oncologia
Principal Investigator Name
Tiziana Pressiani
Contact Person Name
Tiziana Pressiani
Site Name
Azienda USL Toscana Sud Est
Department Name
U.O. Oncologia Medica
Principal Investigator Name
Michele Sisani
Principal Investigator Email
michele.sisani@uslsudest.toscana.it
Contact Person Name
Michele Sisani
Site Name
Fondazione IRCCS Istituto Nazionale Dei Tumori
Department Name
Chirurgia Apparato Digerente (epato-gastro-pancreatico) e Trapianto di Fegato
Principal Investigator Name
Vincenzo Mazzaferro
Principal Investigator Email
vincenzo.mazzaferro@istitutotumori.mi.it
Contact Person Name
Vincenzo Mazzaferro
Site Name
Careggi University Hospital
Department Name
Oncologia Medica
Principal Investigator Name
Lorenzo Antonuzzo
Principal Investigator Email
lorenzo.antonuzzo@gmail.com
Contact Person Name
Lorenzo Antonuzzo
Contact Person Email
lorenzo.antonuzzo@gmail.com
Site Name
Pia Fondazione Di Culto E Religione Card G Panico
Department Name
Dipartimento Oncologico
Principal Investigator Name
Emiliano Tamburini
Principal Investigator Email
emilianotamburini@icloud.com
Contact Person Name
Emiliano Tamburini
Contact Person Email
emilianotamburini@icloud.com

France

Earliest CTIS Part Ii Submission Date
08-04-2024
Latest Decision Or Authorization Date
26-04-2024
Processing Time Days
18
Number Of Sites
10
Number Of Participants
28

Sites

Site Name
University Hospitals Pitie Salpetriere Charles Foix
Department Name
Service d'Hépatologie
Principal Investigator Name
Manon Allaire
Principal Investigator Email
manon.allaire@aphp.fr
Contact Person Name
Manon Allaire
Contact Person Email
manon.allaire@aphp.fr
Site Name
Centre Hospitalier Universitaire De Nice
Department Name
Hépato Gastro-entérologie et Oncologie Digestive
Principal Investigator Name
Anne-Claire Frin
Principal Investigator Email
frin.ac@chu-nice.fr
Contact Person Name
Anne-Claire Frin
Contact Person Email
frin.ac@chu-nice.fr
Site Name
Hopital Beaujon
Department Name
Oncologie Medicale et Digestive
Principal Investigator Name
Mohamed Bouattour
Principal Investigator Email
mohamed.bouattour@aphp.fr
Contact Person Name
Mohamed Bouattour
Contact Person Email
mohamed.bouattour@aphp.fr
Site Name
Centre Hospitalier Universitaire D'Angers
Department Name
Hepathology
Principal Investigator Name
Frédéric Oberti
Principal Investigator Email
froberti@chu-angers.fr
Contact Person Name
Frédéric Oberti
Contact Person Email
froberti@chu-angers.fr
Site Name
Les Hopitaux Universitaires De Strasbourg
Department Name
Pôle Hépato-Digestif
Principal Investigator Name
Simona Tripon
Principal Investigator Email
simona.tripon@chru-strasbourg.fr
Contact Person Name
Simona Tripon
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Hépatologie
Principal Investigator Name
Hélène Regnault
Principal Investigator Email
helene.regnault@aphp.fr
Contact Person Name
Hélène Regnault
Contact Person Email
helene.regnault@aphp.fr
Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
Hépato-Gastroenterologie
Principal Investigator Name
Jean-Marie Peron
Principal Investigator Email
peron.jm@chu-toulouse.fr
Contact Person Name
Jean-Marie Peron
Contact Person Email
peron.jm@chu-toulouse.fr
Site Name
CHRU De Nancy
Department Name
Hépato-Gastroenterologie
Principal Investigator Name
Jean-Pierre Bronowicki
Principal Investigator Email
jp.bronowicki@chru-nancy.fr
Contact Person Name
Jean-Pierre Bronowicki
Contact Person Email
jp.bronowicki@chru-nancy.fr
Site Name
Centre Hospitalier Universitaire De Nantes
Department Name
Hépato-Gastroenterologie
Principal Investigator Name
Yann Touchefeu
Principal Investigator Email
yann.touchefeu@chu-nantes.fr
Contact Person Name
Yann Touchefeu
Contact Person Email
yann.touchefeu@chu-nantes.fr
Site Name
Centre Hospitalier Universitaire De Montpellier
Department Name
Service Oncologie Medicale
Principal Investigator Name
Eric Assenat
Principal Investigator Email
e-assenat@chu-montpellier.fr
Contact Person Name
Eric Assenat
Contact Person Email
e-assenat@chu-montpellier.fr

Spain

Earliest CTIS Part Ii Submission Date
08-04-2024
Latest Decision Or Authorization Date
19-04-2024
Processing Time Days
11
Number Of Sites
6
Number Of Participants
19

Sites

Site Name
Vall D'hebron Institut De Recerca
Department Name
Hepathology
Principal Investigator Name
Beatriz Mínguez Rosique
Principal Investigator Email
beatriz.minguez@vallhebron.cat
Contact Person Name
Beatriz Mínguez Rosique
Contact Person Email
beatriz.minguez@vallhebron.cat
Site Name
Hospital Universitario Donostia
Department Name
Oncology
Principal Investigator Name
Adelaida La Casta Muñoa
Principal Investigator Email
ADELAIDA.LACASTAMUNOA@osakidetza.eus
Contact Person Name
Adelaida La Casta Muñoa
Site Name
Hospital Clinic De Barcelona
Department Name
Hepathology
Principal Investigator Name
María Elisa Reig Monzón
Principal Investigator Email
MREIG1@clinic.cat
Contact Person Name
María Elisa Reig Monzón
Contact Person Email
MREIG1@clinic.cat
Site Name
Hospital Universitario Ramon Y Cajal
Department Name
Hepathology
Principal Investigator Name
José Luis Lledó Navarro
Principal Investigator Email
jllledo63@yahoo.es
Contact Person Name
José Luis Lledó Navarro
Contact Person Email
jllledo63@yahoo.es
Site Name
Hospital General Universitario Gregorio Maranon
Department Name
Hepathology
Principal Investigator Name
Ana María Matilla Peña
Principal Investigator Email
estudiosamatilla@gmail.com
Contact Person Name
Ana María Matilla Peña
Contact Person Email
estudiosamatilla@gmail.com
Site Name
Hospital General Universitario Reina Sofia
Department Name
Hepathology
Principal Investigator Name
José Luis Montero Álvarez
Principal Investigator Email
jluis.montero.sspa@juntadeandalucia.es
Contact Person Name
José Luis Montero Álvarez

Germany

Earliest CTIS Part Ii Submission Date
08-04-2024
Latest Decision Or Authorization Date
22-04-2024
Processing Time Days
14
Number Of Sites
13
Number Of Participants
25

Sites

Site Name
Universitaetsklinikum Ulm AöR
Department Name
Klinik für Innere Medizin I
Principal Investigator Name
Thomas Ettrich
Principal Investigator Email
thomas.ettrich@uniklinik-ulm.de
Contact Person Name
Thomas Ettrich
Site Name
Universitaetsklinikum Leipzig AöR
Department Name
Klinik und Poliklinik für Onkologie, Gastroenterologie; Hepatologie, Pneumologie und Infektiologie
Principal Investigator Name
Florian van Bömmel
Principal Investigator Email
florian.vanboemmel@medizin.uni-leipzig.de
Contact Person Name
Florian van Bömmel
Site Name
Universitaetsklinikum Duesseldorf AöR
Department Name
Klinik für Gastroenterologie, Hepatologie und Infektiologie; Bereich: GI Onkologie
Principal Investigator Name
Christoph Roderburg
Principal Investigator Email
Christoph.Roderburg@med.uni-duesseldorf.de
Contact Person Name
Christoph Roderburg
Site Name
Universitaetsklinikum Schleswig-Holstein AöR
Department Name
Klinik für Innere Medizin I
Principal Investigator Name
Rainer Günther
Principal Investigator Email
Rainer.Guenther@uksh.de
Contact Person Name
Rainer Günther
Contact Person Email
Rainer.Guenther@uksh.de
Site Name
National Center For Tumor Diseases (NCT) Heidelberg
Department Name
Medizinische Klinik; Innere Medizin IV: Gastroenterologie
Principal Investigator Name
Michael Dill
Principal Investigator Email
michael.dill@med.uni-heidelberg.de
Contact Person Name
Michael Dill
Site Name
Universitaetsklinikum Frankfurt AöR
Department Name
Medizinische Klinik 1
Principal Investigator Name
Jörg Trojan
Principal Investigator Email
trojan@em.uni-frankfurt.de
Contact Person Name
Jörg Trojan
Contact Person Email
trojan@em.uni-frankfurt.de
Site Name
Universitaetsklinikum Bonn AöR
Department Name
Medizinische Klinik und Poliklinik 1
Principal Investigator Name
Maria A. Gonzalez-Carmona
Principal Investigator Email
maria.gonzalez-carmona@ukbonn.de
Contact Person Name
Maria A. Gonzalez-Carmona
Site Name
Asklepios Kliniken Hamburg GmbH
Department Name
Abteilung für Hämatologie, Onkologie und Palliativmedizin
Principal Investigator Name
Axel Stang
Principal Investigator Email
a.stang@asklepios.com
Contact Person Name
Axel Stang
Contact Person Email
a.stang@asklepios.com
Site Name
Klinikum Chemnitz gGmbH
Department Name
Klinik für Innere Medizin III
Principal Investigator Name
Ilja Kubisch
Principal Investigator Email
i.kubisch@skc.de
Contact Person Name
Ilja Kubisch
Contact Person Email
i.kubisch@skc.de
Site Name
Medizinische Hochschule Hannover
Department Name
Klinik für Gastroenterologie, Hepatologie, Endokrinologie
Principal Investigator Name
Thomas Wirth
Principal Investigator Email
wirth.thomas@mh-hannover.de
Contact Person Name
Thomas Wirth
Contact Person Email
wirth.thomas@mh-hannover.de
Site Name
Universitaetsmedizin Goettingen
Department Name
Klinik für Gastroenterologie und gastrointestinale Onkologie
Principal Investigator Name
Alexander König
Principal Investigator Email
alexander.koenig@med.uni-goettingen.de
Contact Person Name
Alexander König
Site Name
Technische Universitaet Dresden
Department Name
Medizinische Klinik und Poliklinik I
Principal Investigator Name
Anke Kröcher
Principal Investigator Email
anke.kroecher@uniklinikum-dresden.de
Contact Person Name
Anke Kröcher
Site Name
Otto Von Guericke Universitaet Magdeburg
Department Name
Zentrum für Innere Medizin; Universitätsklinik für Gastroenterologie, Hepatologie und Infektiologie
Principal Investigator Name
Marino Venerito
Principal Investigator Email
m.venerito@med.ovgu.de
Contact Person Name
Marino Venerito
Contact Person Email
m.venerito@med.ovgu.de

Portugal

Earliest CTIS Part Ii Submission Date
08-04-2024
Latest Decision Or Authorization Date
22-04-2024
Processing Time Days
14
Number Of Sites
2
Number Of Participants
24

Sites

Site Name
Unidade Local De Saude De Santa Maria E.P.E.
Department Name
Gastrenterologia
Principal Investigator Name
Sofia Carvalhana
Principal Investigator Email
sofiacarvalhana@msn.com
Contact Person Name
Sofia Carvalhana
Contact Person Email
sofiacarvalhana@msn.com
Site Name
Unidade Local De Saude De Tras-Os-Montes E Alto Douro E.P.E.
Department Name
Hepatologia
Principal Investigator Name
José Presa Ramos
Principal Investigator Email
jpresa@chtmad.min-saude.pt
Contact Person Name
José Presa Ramos
Contact Person Email
jpresa@chtmad.min-saude.pt

Sponsor

Primary sponsor

Full Name
AstraZeneca AB
Organisation Type
Pharmaceutical company
Country Of Registered Address
Sweden

Investigational products

Investigational Product Name
IMFINZI 50 mg/mL concentrate for solution for infusion.
Active Substance
DURVALUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised (EU marketing authorisation EU/1/18/1322/001)
Investigational Product Name
IMJUDO 20 mg/ml concentrate for solution for infusion.
Active Substance
TREMELIMUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised (EU marketing authorisation EU/1/22/1713/001)
Investigational Product Name
LENVIMA 4 mg hard capsules
Active Substance
LENVATINIB
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised (EU marketing authorisation EU/1/15/1002/001)
Combination Treatment
Yes

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