Study of Durvalumab Plus Tremelimumab as First-line Treatment in Chinese Patients With Unresectable Hepatocellular Carinoma
TREMENDOUS
An Open-label, Multi-center Phase IIIb Study of Durvalumab and Tremelimumab as First-Line Treatment in Patients With Unresectable Hepatocellular Carcinoma
1 other identifier
interventional
210
1 country
32
Brief Summary
This is a prospective, open label, multi-center, interventional study to assess the safety and efficacy of Druvalumab plus Tremelimumab as first-line treatment in Chinese patients with unresectable hepatocellular carcinoma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3 hepatocellular-carcinoma
Started Feb 2023
Shorter than P25 for phase_3 hepatocellular-carcinoma
32 active sites
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
September 14, 2022
CompletedFirst Posted
Study publicly available on registry
September 28, 2022
CompletedStudy Start
First participant enrolled
February 22, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2025
CompletedFebruary 7, 2025
February 1, 2025
2.1 years
September 14, 2022
February 6, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
≥Grade 3 Adverse Events and Adverse Events of Special Interest of Cohort 1
From the time of signature of informed consent, throughout the treatment period, and up to the follow-up period, assessed up to 29 months
Secondary Outcomes (7)
≥Grade 3 Adverse Events and Adverse Events of Special Interest of Cohort 2
From the time of signature of informed consent, throughout the treatment period, and up to the follow-up period, assessed up to 29 months
Overall Survival (OS)
From the first dose of treatment to the date of death, regardless of the actual cause of the subject's death, assessed up to 29 months
Progression Free Survival (PFS) per RECIST v1.1/mRECIST
From first dose of treatment until progression per RECIST 1.1/ mRECIST as assessed by the Investigator or death due to any cause prior to progression, assessed up to 15 months
Objective Response Rate (ORR) per RECIST 1.1/ mRECIST
Until progression, assessed up to 15 months
Disease Control Rate (DCR) per RECIST 1.1/ mRECIST
Until progression, assessed up to 15 months
- +2 more secondary outcomes
Study Arms (2)
cohort 1
EXPERIMENTALdurvalumab in combination with tremelimumab
cohort 2
EXPERIMENTALdurvalumab in combination with tremelimumab
Interventions
Eligibility Criteria
You may qualify if:
- Confirmed HCC based on histopathological findings from tumor tissue or radiologically findings
- No prior systemic therapy for HCC
- Barcelona Clinic Liver Cancer (BCLC) stage B (not eligible for locoregional therapy) or stage C
- Child-Pugh Score class A or B
- ECOG performance status (PS) of 0-2 at enrollment (Child-Pugh Score class A and ECOG PS of 0-1 will be enrolled in cohort 1 and Child-Pugh Score class B or ECOG PS of 2 will be enrolled in cohort 2)
- At least 1 measurable lesion per RECSIT 1.1 guidelines
You may not qualify if:
- Hepatic encephalopathy within past 12 months or requirement for medication to prevent or control encephalopathy
- Clinically meaningful ascites
- Main portal vein tumor thrombosis
- Active or prior documented GI bleeding (eg, esophageal varices or ulcer bleeding) within 6 months
- HBV and HVC co-infection, or HBV and Hep D co-infection
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
Study Sites (32)
Research Site
Beijing, 100021, China
Research Site
Beijing, 100142, China
Research Site
Beijing, 211405, China
Research Site
Beijing, CN-100730, China
Research Site
Changsha, 410005, China
Research Site
Changsha, 410013, China
Research Site
Chengdu, 610041, China
Research Site
Fuzhou, 350011, China
Research Site
Guangzhou, 510060, China
Research Site
Guangzhou, 510100, China
Research Site
Guangzhou, 510260, China
Research Site
Guangzhou, 510515, China
Research Site
Hangzhou, 310022, China
Research Site
Harbin, 150081, China
Research Site
Jinan, 2501117, China
Research Site
Nanjing, 2100008, China
Research Site
Nanjing, 210009, China
Research Site
Nanjing, 210029, China
Research Site
Ningbo, 315010, China
Research Site
Shanghai, 200032, China
Research Site
Shanghai, 200040, China
Research Site
Shenyang, 110001, China
Research Site
Tianjin, 300000, China
Research Site
Tianjin, 300060, China
Research Site
Tianjin, 300170, China
Research Site
Wenzhou, 325000, China
Research Site
Wuhan, 430022, China
Research Site
Wuhan, 430079, China
Research Site
Xi'an, 710038, China
Research Site
Zhangjiagang, 215699, China
Research Site
Zhengzhou, 450000, China
Research Site
Zhengzhou, 450008, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Central Study Contacts
AstraZeneca Clinical Study Information Center
CONTACT
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 14, 2022
First Posted
September 28, 2022
Study Start
February 22, 2023
Primary Completion
March 31, 2025
Study Completion
March 31, 2025
Last Updated
February 7, 2025
Record last verified: 2025-02
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
- Time Frame
- AstraZeneca will meet or exceed data availability as per the commitment at made to the EFPIA Pharma Data Sharing Principles .For details of our timeline please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
- Access Criteria
- When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool. Signed Data Sharing Agreement(non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to a air access. For additional details. please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Qualified researchers can request access to anonymized individual patient- level data from AstraZeneca group of companies sponsored clinical trials via the request portal. Plan Description: All request will be evaluated as per the Az disclosure commitment: https://astrazenecaarouptrials.pharmacm.com/ST/Submission/Disclosure Yes. indicates that Az are accepting requests for IPD ,but this does not mean are quests will be shared