NCT07587034

Brief Summary

To provide evidence-based medical evidence for the optimized combination strategy of local and systemic therapies.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
315

participants targeted

Target at P75+ for phase_1

Timeline
43mo left

Started Jun 2026

Typical duration for phase_1

Status
not yet 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

First Submitted

Initial submission to the registry

May 8, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 14, 2026

Completed
18 days until next milestone

Study Start

First participant enrolled

June 1, 2026

Expected
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2029

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2029

Last Updated

May 20, 2026

Status Verified

May 1, 2026

Enrollment Period

3.5 years

First QC Date

May 8, 2026

Last Update Submit

May 16, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Progression-Free Survival (PFS) [Assessed by mRECIST Criteria]

    Definition: The time from enrollment to tumor progression or death from any cause. Assessment: Evaluated and judged by the investigator based on the mRECIST criteria.

    Up to 27 months.

Secondary Outcomes (5)

  • Objective Response Rate (ORR) [Assessed by mRECIST and RECIST Criteria]

    Up to 27 months

  • Disease Control Rate (DCR) [Assessed by mRECIST and RECIST Criteria]

    Up to 27 months

  • Duration of Response (DoR) [Assessed by RECIST and mRECIST Criteria]

    Up to 27 months

  • Overall Survival (OS)

    Up to 27 months

  • Progression-Free Survival (PFS) [Assessed by RECIST Criteria]

    Up to 27 months.

Other Outcomes (1)

  • Safety Indicators [Including Incidence and Severity of Adverse Events (AE), Serious Adverse Events (SAE), and Abnormal Laboratory Values]

    Up to 27 months.

Study Arms (3)

HTAC Group

EXPERIMENTAL

Patients will first undergo hepatic arterial infusion chemotherapy (HAIC) treatment. Subsequently, transarterial chemoembolization (TACE) will be administered sequentially following the completion of HAIC. This regimen will be combined with apatinib (a vascular endothelial growth factor receptor 2 \[VEGFR-2\] inhibitor) and camrelizumab (a programmed cell death protein 1 \[PD-1\] inhibitor) therapy.

Procedure: HTAC

HAC Group

EXPERIMENTAL

Patients will receive a combination therapy consisting of HAIC, apatinib, and camrelizumab.

Procedure: HAC

TAC Group

EXPERIMENTAL

Patients will be treated with a regimen combining TACE, apatinib, and camrelizumab.

Procedure: TAC

Interventions

HTACPROCEDURE

Patients will first undergo hepatic arterial infusion chemotherapy (HAIC) treatment. Subsequently, transarterial chemoembolization (TACE) will be administered sequentially following the completion of HAIC. This regimen will be combined with apatinib (a vascular endothelial growth factor receptor 2 \[VEGFR-2\] inhibitor) and camrelizumab (a programmed cell death protein 1 \[PD-1\] inhibitor) therapy.

HTAC Group
HACPROCEDURE

Patients will receive a combination therapy consisting of HAIC, apatinib, and camrelizumab.

HAC Group
TACPROCEDURE

Patients will be treated with a regimen combining TACE, apatinib, and camrelizumab.

TAC Group

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18-80 years.
  • Diagnosed with hepatocellular carcinoma (HCC) in accordance with the Standardization for Diagnosis and Treatment of Primary Hepatic Carcinoma (2024 Edition) issued by the National Health Commission of the People's Republic of China.
  • BCLC stage B or C, with no indication or refusal of surgical treatment, and measurable lesions meeting the mRECIST (Modified Response Evaluation Criteria in Solid Tumors) criteria on baseline imaging.
  • Child-Pugh liver function grade A or well-compensated grade B (score ≤7).
  • ECOG Performance Status (PS) score 0-1.
  • Expected survival time ≥12 weeks.

You may not qualify if:

  • Prior transarterial chemoembolization (TACE) or other local therapies for HCC (except bridging liver transplantation).
  • Active viral hepatitis (hepatitis B or C) with pre-treatment viral load \>100 IU/mL (positive for HCV RNA or HBV DNA) or without consistent antiviral therapy.
  • Alcohol abuse or pregnancy.
  • Concurrent other malignancies or history of other malignancies within the past 3 years.
  • Renal dysfunction (creatinine \[Cr\] \>2 mg/dL or creatinine clearance \[CCr\] \<30 mL/min) or severe organic diseases of vital organs (heart, lung, brain, etc.).
  • Inability to cooperate with interventional procedures.
  • Presence of distant metastasis.
  • Main portal vein tumor thrombus accompanied by impaired portal venous blood flow and collateral circulation.
  • Withdrawal Criteria
  • Identification of non-compliance with the study protocol during the trial.
  • Administration of radiotherapy or other interventions during the trial that prevent efficacy evaluation.
  • Discontinuation of treatment due to severe adverse reactions (excluded from efficacy analysis but included in adverse reaction statistics).
  • Patient or representative withdraws informed consent or requests to stop treatment.
  • Loss to follow-up or death of the patient.
  • Key Terminology Notes
  • +6 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Liver Neoplasms

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesLiver Diseases

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
CARE PROVIDER
Masking Details
This study adopts a single-blind design, where subjects and staff responsible for subject recruitment and management are aware of the study group assignments and arrange corresponding screening interventions, while physicians conducting clinical examinations for subjects are unaware of the subjects' group allocations.
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 8, 2026

First Posted

May 14, 2026

Study Start (Estimated)

June 1, 2026

Primary Completion (Estimated)

December 1, 2029

Study Completion (Estimated)

December 1, 2029

Last Updated

May 20, 2026

Record last verified: 2026-05