New combo therapy targets untreatable liver cancer
NCT ID NCT06040099
First seen Jun 24, 2026 · Last updated Jul 01, 2026 · Updated 3 times
Summary
This phase 2 trial tests whether giving two immunotherapy drugs (durvalumab and bevacizumab) after a procedure that delivers tiny radioactive beads to the liver can help people with liver cancer that cannot be surgically removed. The study includes 58 participants and measures how long the cancer stays under control and what side effects occur. The approach aims to shrink tumors and delay progression.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- durvalumab (Imfinzi) and bevacizumab (Avastin) given intravenously, plus yttrium-90 glass microspheres (TheraSphere) delivered via a procedure called transarterial radioembolization
- What this could lead to
- If this works, it could provide a new treatment option for people with liver cancer that cannot be removed by surgery, potentially slowing the cancer's growth.
- What could go wrong
- This is a small, early-phase study with only 58 participants and no comparison group, so results may not apply to everyone. The combination of treatments can cause serious side effects.
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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58 people
The number who actually took part.
- Started
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Feb 2024
- Expected to finish
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Jul 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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 to 130 years
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participants with confirmed unresectable HCC * Participants with Lung dose threshold for Yttrium 90 glass microspheres of 30 Gy (equal or less than 30 Gy per treatment for glass) and an estimated Future liver remnant volume (FLRV) ≥ 30% of whole liver volume. * Participants with more than 1 prior embolization are permitted if more than 12 months ago, for a different primary lesion, and FLR \> 30%. * Participants with no evidence of extrahepatic disease on any available imaging * Participants with one or more measurable lesions, unilobar disease for participants with segmental or right anterior/posterior portal vein invasion (Vp1/Vp2) and eligible for Yttrium 90 glass microspheres TARE. * Participants having Child-Pugh score class A. * Participants having ECOG performance status of 0 or 1 at enrollment * Adequate organ and marrow function Exclusion Criteria: * Disease amenable to curative surgery, ablation or transplantation. Transplant patients are considered eligible if outside of Milan criteria and not currently listed for transplant. * Participants co-infected with HBV and HDV * Any history of nephrotic or nephritic syndrome. * Clinically significant (eg, active) cardiovascular disease * Participants with uncontrolled hypertension * History of hepatic encephalopathy * Known hereditary predisposition to bleeding or thrombosis; any prior or current evidence of bleeding diathesis. * Receipt of more than 1 prior embolization (TACE or TARE) treatment/procedure * Participant has received any prior anticancer systemic therapy for unresectable HCC. * History of arterial thrombotic event, including myocardial infarction, unstable angina, cerebrovascular accident, or transient ischemic attack, within 6 months prior to enrollment. * History of abdominal fistula or gastrointestinal (GI) perforation, non-healed gastric ulcer that is refractory to treatment, or active GI bleeding within 6 months prior to enrollment
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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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Research Site
Aurora, Colorado, 80045, United States
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Research Site
Gainesville, Florida, 32608, United States
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Research Site
Orlando, Florida, 32804, United States
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Research Site
Atlanta, Georgia, 30322, United States
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Research Site
Atlanta, Georgia, 30342, United States
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Research Site
Chicago, Illinois, 60611, United States
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Research Site
Boston, Massachusetts, 02118, United States
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Research Site
Detroit, Michigan, 48201, United States
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Research Site
St Louis, Missouri, 63110, United States
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Research Site
Trenton, New Jersey, 08690, United States
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Research Site
Buffalo, New York, 14263, United States
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Research Site
New York, New York, 10029, United States
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Research Site
Chapel Hill, North Carolina, 27599, United States
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Research Site
Columbus, Ohio, 43210, United States
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Research Site
Portland, Oregon, 97239, United States
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Research Site
Philadelphia, Pennsylvania, 19107, United States
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Research Site
Houston, Texas, 77030, United States
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Research Site
Charlottesville, Virginia, 22908, United States
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Research Site
Seattle, Washington, 98195, United States
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Research Site
Milwaukee, Wisconsin, 53215, United States
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Research Site
Milwaukee, Wisconsin, 53226, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can two immunotherapy drugs make liver tumors more vulnerable to surgery?
- Saline barrier lets heat target liver tumors near the diaphragm
- Can a new PET tracer spot liver cancer more clearly?
- Can a smart drug starve liver tumors without harming healthy tissue?
- Liver size may hold key to immunotherapy response
- Can a new model forecast liver cancer in hepatitis b?