NCT05432492

Brief Summary

Phase II open label, multicenter study to evaluate the efficacy and safety of AK112 (PD-1/VEGF Bispecific) in patients with unresectable hepatocellular carcinoma (HCC).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40

participants targeted

Target at P25-P50 for phase_2 hepatocellular-carcinoma

Timeline
Completed

Started Aug 2022

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 21, 2022

Completed
6 days until next milestone

First Posted

Study publicly available on registry

June 27, 2022

Completed
1 month until next milestone

Study Start

First participant enrolled

August 3, 2022

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2025

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 14, 2025

Completed
Last Updated

March 4, 2026

Status Verified

March 1, 2026

Enrollment Period

2.7 years

First QC Date

June 21, 2022

Last Update Submit

March 2, 2026

Conditions

Outcome Measures

Primary Outcomes (3)

  • Number of patients with Adverse Events (AEs)

    Up to approximately 2 years

  • Objective Response Rate (ORR) Per RECIST v1.1

    Up to approximately 2 years

  • Objective Response Rate (ORR) Per mRECIST

    Up to approximately 2 years

Secondary Outcomes (5)

  • Disease control rate (DCR)

    Up to approximately 2 years

  • Duration of Response (DoR)

    Up to approximately 2 years

  • Time to response (TTR)

    Up to approximately 2 years

  • Progression free survival (PFS)

    Up to approximately 2 years

  • Overall survival (OS)

    Up to approximately 2 years

Other Outcomes (3)

  • Percentage of participants who obtain R0 resection

    Up to approximately 2 years

  • Percentage of participants who obtain a major pathologic responses (MPR)

    Up to approximately 2 years

  • Percentage of participants who obtain a pathologic complete response (pCR)

    Up to approximately 2 years

Study Arms (2)

Cohort 1

EXPERIMENTAL

Subjects receive AK112 on Day 1 of every 3-week cycle (Q3W) until progression.

Drug: AK112

Cohort 2

EXPERIMENTAL

Subjects receive AK112 on Day 1 of every 3-week cycle (Q3W) until progression.

Drug: AK112

Interventions

AK112DRUG

IV infusion, specified dose on specified days

Cohort 1Cohort 2

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Be able and willing to provide written informed consent and to comply with all requirements of study participation (including all study procedures).
  • to 75 years old.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Have a life expectancy of at least 3 months.
  • BCLC stage B or C, not amenable to curative surgery.
  • Hepatocellular carcinoma confirmed by histology/cytology. Cirrhosis meets the clinical diagnostic criteria for hepatocellular carcinoma of the American Association for the Diagnosis of Liver Diseases (AASLD).
  • At least one measurable untreated lesion.
  • Child-Pugh class A.
  • Has adequate organ function.
  • All female and male subjects of reproductive potential must agree to use an effective method of contraception, as determined by the Investigator, during and for 120 days after the last dose of study treatment.

You may not qualify if:

  • With fibrous lamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, cholangiocarcinoma components in tumor tissues.
  • History of malignancy other than HCC within 5 years, except that basal cell carcinoma of the skin, squamous cell carcinoma of the skin that has undergone potentially curative therapy or in situ cervical cancer.
  • Have a history of hepatic encephalopathy or have a history of liver transplantation.
  • With clinical symptoms requires drainage of pleural effusion, ascites or pericardial effusion.
  • Central nervous system (CNS) metastasis or meningeal metastasis.
  • Prior immunotherapy with an anti-PD-1, anti-PD-L1, or anti-CTLA-4 antibody (or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways).
  • Prior systemic bevacizumab and its analogues treatment.
  • Severe bleeding tendency or coagulation dysfunction; occurred arteriovenous thromboembolic events or bleeding events due to esophageal and/or gastric varices within 6 months before the first administration.
  • Known presence or history of required hormone treatment interstitial lung disease or non-infectious pneumonitis.
  • Has an active autoimmune disease that has required systemic treatment in the past 2 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
  • Has undergone major surgery within 30 days prior to the first dose of study treatment.
  • History of myocardial infarction, unstable angina, cardiac or other vascular stenting, angioplasty, or surgery within 12 months.
  • Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Fujian Provincial Cancer Hospital

Fuzhou, Fujian, China

Location

MeSH Terms

Conditions

Carcinoma, Hepatocellular

Condition Hierarchy (Ancestors)

AdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsLiver NeoplasmsDigestive System NeoplasmsNeoplasms by SiteDigestive System DiseasesLiver Diseases

Study Officials

  • Jingfeng Liu

    Fujian Cancer Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 21, 2022

First Posted

June 27, 2022

Study Start

August 3, 2022

Primary Completion

April 30, 2025

Study Completion

June 14, 2025

Last Updated

March 4, 2026

Record last verified: 2026-03

Locations