Can adding a fourth drug shrink large liver tumors that invade the portal vein?

NCT ID NCT06904183

First seen Aug 11, 2026 · Last updated Aug 12, 2026 · Updated 1 time

Summary

This trial is testing whether adding hepatic arterial infusion chemotherapy (HAIC) to a combination of lenvatinib, sintilimab, and drug-eluting bead chemoembolization (DEB-TACE) can better control large liver cancers (over 7 cm) that have spread into the portal vein. About 320 participants will be randomly assigned to receive either the three-part or four-part treatment. The main goal is to see how long it takes for the cancer to progress, with secondary goals including response rates and overall survival.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
A combination of lenvatinib (a targeted therapy), sintilimab (an immunotherapy), drug-eluting bead transarterial chemoembolization (DEB-TACE), and hepatic arterial infusion chemotherapy (HAIC) with FOLFOX regimen.
What this could lead to
If adding HAIC improves outcomes, it could offer a more effective treatment option for people with large liver cancers that have spread into the portal vein.
What could go wrong
This is a phase 2 trial, so results are preliminary. The added chemotherapy may increase side effects without improving overall survival, and the benefit may not apply to all patients.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • The Second Affiliated Hospital of Guangzhou Medical University

    RECRUITING

    Guangzhou, Guangdong, 510260, China

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