A smarter way to choose liver cancer treatment? a new model aims to match therapy to the patient.
NCT ID NCT07109336
First seen Sep 04, 2026 · Last updated Sep 04, 2026
Summary
This study tests a decision model that aims to predict whether a person with unresectable hepatocellular carcinoma, a type of liver cancer, will benefit more from transarterial chemoembolization (TACE) alone or TACE combined with atezolizumab plus bevacizumab. Researchers will develop and validate the model using data from 236 adults who have already started first-line treatment with atezolizumab plus bevacizumab and are also eligible for TACE. The goal is to see if the model can accurately guide individualized treatment decisions and improve 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 decision model that guides whether patients with unresectable liver cancer receive TACE alone or combined with atezolizumab plus bevacizumab
- What this could lead to
- If successful, this could give doctors a reliable tool to choose the best first-line treatment for each person with unresectable liver cancer, improving survival and avoiding unnecessary procedures.
- What could go wrong
- The model is being tested for accuracy and may not improve outcomes in practice. The study is observational, so it cannot prove cause and effect, and results may not apply to all patients.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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236 people
The number who actually took part.
- Started
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Aug 2025
- Finished
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Aug 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * • Aged≥18 years * Initiated first-line Atezo+Bev. * Eligible for TACE treatment or received at least one TACE within ±2 months of Atezo+Bev initiation (before Atezo+Bev start, anytime during Atezo+Bev therapy, or after Atezo+Bev discontinuation). * Clinically or pathologically diagnosed uHCC before or at the initiation of Atezo/Bev.The evidence of being diagnosed as "unresectable" may include but is not limited to below: "Unresectable" or "advanced" directly documented in the medical records History of extrahepatic metastasis as evidenced clinically or by radiology, histology or cytology OR China Liver Cancer (CNLC) Stage IIIb * At least one visit record after the initiation of Atezo+Bev * No prior systemic therapy for HCC, especially immunotherapy * No prior locoregional therapy to the target lesion(s) * At least one measurable untreated lesion * ECOG Performance Status of 0-2 Exclusion Criteria: * • Evidence of extrahepatic spread (EHS) * Participating in interventional clinical trials. * Being a candidate for curative treatments * Any condition representing a contraindication to TACE as determined by the investigators * Active or history of autoimmune disease or immune deficiency * Untreated or incompletely treated esophageal and/or gastric varices with bleeding or high risk for bleeding * A prior bleeding event due to esophageal and/or gastric varices within 6 months prior to initiation of study treatment * Evidence of bleeding diathesis or significant coagulopathy * Missing critical baseline or outcome data
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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
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Zhongda hospital
Nanjing, Jiangsu, 213003, China
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