NCT06679985

Brief Summary

The main goals of this study are to evaluate the safety and efficacy of casdozokitug in combination with toripalimab plus bevacizumab and to define a recommended dose for casdozokitug in combination with toripalimab plus bevacizumab.

Trial Health

82
On Track

Trial Health Score

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

Enrollment
72

participants targeted

Target at P50-P75 for phase_2 hepatocellular-carcinoma

Timeline
16mo left

Started Dec 2024

Geographic Reach
6 countries

44 active sites

Status
active not recruiting

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

Study Progress51%
Dec 2024Sep 2027

First Submitted

Initial submission to the registry

November 6, 2024

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 8, 2024

Completed
1 month until next milestone

Study Start

First participant enrolled

December 20, 2024

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2027

Last Updated

April 13, 2026

Status Verified

April 1, 2026

Enrollment Period

2.7 years

First QC Date

November 6, 2024

Last Update Submit

April 10, 2026

Conditions

Keywords

Unresectable Hepatocellular CarcinomaLocally Advanced Hepatocellular CarcinomaMetastatic Hepatocellular CarcinomaCasdozokitugToripalimabBevacizumabHCCLiver CancerIL-27PD-1

Outcome Measures

Primary Outcomes (2)

  • Number of Participants with Treatment-emergent Adverse Events (TEAEs)

    From date of first dose to 90 days after date of last dose (Up to approximately 27 months)

  • Objective Response Rate (ORR) by Investigator Review According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

    Up to approximately 2 years

Secondary Outcomes (11)

  • ORR by Investigator Review According to HCC Modified RECIST (mRECIST)

    Up to approximately 2 years

  • Duration of Response (DoR) by Investigator Review According to RECIST v1.1

    Up to approximately 2 years

  • DoR by Investigator Review According to HCC mRECIST

    Up to approximately 2 years

  • Progression-free Survival (PFS) by Investigator Review According to RECIST v1.1

    Up to approximately 2 years

  • PFS by Investigator Review According to HCC mRECIST

    Up to approximately 2 years

  • +6 more secondary outcomes

Study Arms (3)

Arm A: Casdozokitug Lower Dose + Toripalimab + Bevacizumab

EXPERIMENTAL
Drug: CasdozokitugDrug: ToripalimabDrug: Bevacizumab

Arm B: Casdozokitug Higher dose + Toripalimab + Bevacizumab

EXPERIMENTAL
Drug: CasdozokitugDrug: ToripalimabDrug: Bevacizumab

Arm C: Toripalimab + Bevacizumab

ACTIVE COMPARATOR
Drug: ToripalimabDrug: Bevacizumab

Interventions

Solution for infusion

Arm A: Casdozokitug Lower Dose + Toripalimab + BevacizumabArm B: Casdozokitug Higher dose + Toripalimab + BevacizumabArm C: Toripalimab + Bevacizumab

Solution for infusion

Also known as: CHS-388
Arm A: Casdozokitug Lower Dose + Toripalimab + BevacizumabArm B: Casdozokitug Higher dose + Toripalimab + Bevacizumab

Solution for infusion

Arm A: Casdozokitug Lower Dose + Toripalimab + BevacizumabArm B: Casdozokitug Higher dose + Toripalimab + BevacizumabArm C: Toripalimab + Bevacizumab

Eligibility Criteria

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

You may qualify if:

  • Unresectable locally advanced or metastatic HCC with diagnosis confirmed by histology/cytology or clinically by American Association for the Study of Liver Diseases criteria in cirrhotic participants.
  • Disease that is not amenable to curative surgical and/or locoregional therapies or progressive disease (PD) after surgical and/or locoregional therapies.
  • ≥ 1 measurable lesion (per RECIST v1.1) that is untreated.

You may not qualify if:

  • Has received prior systemic therapy for HCC.
  • Has previously received an anti-IL-27 antibody (Ab) or anti-IL-27-targeted therapy.
  • Has known fibrolamellar HCC histology, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC.
  • Has moderate or severe ascites.
  • Has uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures (once monthly or more frequently).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (44)

Mayo Clinic - Scottsdale

Scottsdale, Arizona, 85259, United States

Location

University of Arizona - Cancer Center

Tucson, Arizona, 85719, United States

Location

Beverly Hills Cancer Center

Beverly Hills, California, 90211, United States

Location

City of Hope

Duarte, California, 91010, United States

Location

City of Hope at Irvine Lennar

Irvine, California, 92618, United States

Location

Cancer & Blood Specialty Clinic

Lakewood, California, 90712, United States

Location

USC Norris Comprehensive Cancer Center

Los Angeles, California, 90089, United States

Location

Sarcoma Oncology Center

Santa Monica, California, 90403, United States

Location

Mayo Clinic - Jacksonville

Jacksonville, Florida, 32224, United States

Location

The Winship Cancer Institute Emory University

Atlanta, Georgia, 30322, United States

Location

Mountain States Tumor Institute at St. Luke's Regional Medical Center

Boise, Idaho, 83712, United States

Location

University of Kansas Cancer Center

Kansas City, Kansas, 66160, United States

Location

UofL Health Brown Cancer Center

Louisville, Kentucky, 40202, United States

Location

University of Mississippi Medical Center

Jackson, Mississippi, 39216, United States

Location

Christus St. Vincent Regional Medical Center

Santa Fe, New Mexico, 87505, United States

Location

David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center

New York, New York, 10021, United States

Location

Montefiore Medical Center

The Bronx, New York, 10467, United States

Location

University of North Carolina (UNC) - Chapel Hill

Chapel Hill, North Carolina, 27599, United States

Location

University Hospitals Cleveland Medical Center

Cleveland, Ohio, 44106, United States

Location

The Ohio State University Comprehensive Cancer Center - Arthur G. James Cancer Hospital and Richard J. Solovev Research Institute (OSUCCC - James)

Columbus, Ohio, 43210, United States

Location

University of Pittsburgh Medical Center (UPMC) - Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Prisma Health Cancer Institute

Greenville, South Carolina, 29605, United States

Location

Virginia Cancer Specialists

Fairfax, Virginia, 22031, United States

Location

Virginia Oncology Associates

Norfolk, Virginia, 23502, United States

Location

UW Carbone Cancer Center - Cancer Connect

Madison, Wisconsin, 53706, United States

Location

Royal Brisbane and Women's Hospital

Herston, Brisbane, 4006, Australia

Location

Bankstown-Lidcombe Hospital

Bankstown, New South Wales, 2200, Australia

Location

Monash Health

Melbourne, Victoria, 3168, Australia

Location

St Vincent's Hospital Sydney

Darlinghurst, NSW 2010, Australia

Location

Linear Clinical Research

Nedlands, 6009, Australia

Location

Sunnybrook Health Sciences Centre - Bayview Campus

Toronto, Ontario, ON M4N 3M5, Canada

Location

Princess Margaret Hospital

Toronto, Ontario, ON M5G 2C4, Canada

Location

Prince of Wales Hospital

Shatin, New Territories, Hong Kong

Location

Queen Mary Hospital

Hong Kong, Pok Fu Lam, Hong Kong

Location

Humanity & Health Clinical Trial Centre

Hong Kong, Hong Kong

Location

National Cancer Centre Singapore

Singapore, 168583, Singapore

Location

Tan Tock Seng Hospital

Singapore, 308433, Singapore

Location

Curie Oncology

Singapore, 329563, Singapore

Location

China Medical University Hospital

Taichung, Taichung City, 404, Taiwan

Location

National Cheng Kung University Hospital

Tainan, Tainan City, 704, Taiwan

Location

National Taiwan University Hospital

Tainan, Taipei City, 100, Taiwan

Location

Taipei Veterans General Hospital

Taipei, Taipei City, 112, Taiwan

Location

Chi Mei Medical Center

Tainan, 71004, Taiwan

Location

Linkou Chang Gung Memorial Hospital (CGMHLK)

Taoyuan, 33305, Taiwan

Location

MeSH Terms

Conditions

Carcinoma, HepatocellularLiver Neoplasms

Interventions

toripalimabBevacizumab

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Study Design

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

Study Record Dates

First Submitted

November 6, 2024

First Posted

November 8, 2024

Study Start

December 20, 2024

Primary Completion (Estimated)

September 1, 2027

Study Completion (Estimated)

September 1, 2027

Last Updated

April 13, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share

Locations