New cocktail of drugs and procedure aims to stop liver cancer in its tracks
NCT ID NCT07150377
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This phase 2 trial is testing a combination of two immunotherapy drugs (iparomlimab and tuvonralimab), a targeted therapy (lenvatinib), and a procedure that blocks the tumor's blood supply (TACE) in 41 people with advanced liver cancer. The goal is to see if this mix can keep the cancer from growing longer than current treatments. Participants will be divided into two groups: those who have never had systemic therapy and those who have had prior treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- iparomlimab, tuvonralimab, lenvatinib, and transarterial chemoembolization (TACE)
- What this could lead to
- If successful, this combination could offer a new treatment option to slow or shrink advanced liver cancer, potentially extending life without the disease getting worse.
- What could go wrong
- This is a small, early-phase trial with no control group, so results may not be definitive. The combination of drugs and TACE may cause significant side effects, and the benefit over standard care is unknown.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 41 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2025
An estimate. Start dates often move.
- Expected to finish
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Aug 2028
An estimate. End dates often move.
- 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: * First-line Cohort: 1. Confirmed diagnosis of hepatocellular carcinoma (HCC), aged \> 18 years. No prior systemic therapy. 2. Child-Pugh class A/B at baseline. 3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at enrollment. 4. Measurable lesions per modified Response Evaluation Criteria in Solid Tumors (mRECIST). 5. Adequate organ and bone marrow function. Second-line Cohort: 1. Confirmed diagnosis of HCC, aged \> 18 years. 2. Prior first-line therapy (including targeted therapy or immunotherapy). 3. Child-Pugh class A/B at baseline. 4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at enrollment. 5. Measurable lesions per modified Response Evaluation Criteria in Solid Tumors (mRECIST). 6. Adequate organ and bone marrow function. Exclusion Criteria: 1. Concomitant hepatic encephalopathy. 2. History of any nephrotic syndrome. 3. History of clinically significant cardiovascular disease or arterial thromboembolic events, including stroke, myocardial infarction, unstable angina, cerebrovascular accident, or transient ischemic attack within 6 months prior to randomization. 4. Evidence of any prior or current coagulopathy or bleeding diathesis, or any type of surgery performed within the past 28 days (biopsy is not excluded). 5. History of abdominal fistula, gastrointestinal perforation, refractory non-healing gastric ulcer, or active gastrointestinal bleeding within 6 months prior to randomization. 6. Main portal vein thrombosis visible on baseline imaging. 7. Pleural or peritoneal effusion requiring clinical intervention. 8. Gastroesophageal varices. 9. Portal vein invasion (VP3 or VP4).
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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