New drug cocktail aims to fight Hard-to-Treat liver cancers
NCT ID NCT05775159
First seen Jun 25, 2026 · Last updated Aug 25, 2026 · Updated 4 times
Summary
This phase 2 trial is testing several new immunotherapy drugs, alone or combined with standard chemotherapy, in people with advanced liver or bile duct cancer. The goal is to see if these combinations can shrink tumors or slow the disease. About 294 adults whose cancer has spread or cannot be removed by surgery will participate.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Volrustomig, Rilvegostomig, Bevacizumab, Lenvatinib, Gemcitabine, Cisplatin
- What this could lead to
- If successful, this trial could point toward more effective treatment options for advanced liver and bile duct cancers, potentially improving tumor shrinkage and delaying disease progression.
- What could go wrong
- This is an early phase 2 trial with a small number of participants, so results may not apply to all patients. The drug combinations may cause significant side effects, and there is no guarantee of benefit.
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 294 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2023
- Expected to finish
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Oct 2027
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 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: * Age ≥18 years at the time of signing the ICF. * Provision of a signed and dated written ICF. * Confirmed locally advanced or metastatic solid tumor specified in substudy based on histopathology. * Adequate organ and bone marrow function. * At least 1 measurable not previously irradiated lesion per RECIST 1.1 * Life expectancy of at least 12 weeks at the time of screening. * Willing and able to provide an adequate tumor sample. Exclusion Criteria: * History of allogeneic organ transplantation. * Active or prior documented autoimmune or inflammatory disorders. * Uncontrolled intercurrent illness. * History of another primary malignancy, leptomeningeal carcinomatosis, and active primary immunodeficiency. * Active infection, brain metastases or spinal cord compression. * Participants co-infected with HBV and hepatitis D virus (HDV). * Previous treatment in the present study. * For substudy 1, history of hepatic encephalopathy within 12 months prior to treatment allocation.
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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
Birmingham, Alabama, 35233, United States
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Research Site
Los Angeles, California, 90089, United States
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Research Site
Orange, California, 92868, United States
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Research Site
Kansas City, Kansas, 66103, United States
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Research Site
New York, New York, 10065, United States
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Research Site
Beijing, 100050, China
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Research Site
Beijing, 100142, China
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Research Site
Beijing, 101100, China
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Research Site
Chengdu, 610000, China
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Research Site
Chengdu, 610041, China
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Research Site
Chongqing, 400030, China
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Research Site
Fuzhou, 350007, China
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Research Site
Guangzhou, 510060, China
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Research Site
Guangzhou, 510515, China
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Research Site
Harbin, 150081, China
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Research Site
Nanning, 530021, China
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Research Site
Shanghai, 200032, China
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Research Site
Hong Kong, 999077, Hong Kong
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Research Site
Shatin, 00000, Hong Kong
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Research Site
Florence, 50134, Italy
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Research Site
Milan, 20132, Italy
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Research Site
Naples, 80131, Italy
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Research Site
Rozzano, 20089, Italy
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Research Site
Chūōku, 104-0045, Japan
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Research Site
Kashiwa, 277-8577, Japan
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Research Site
Yokohama, 241-8515, Japan
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Research Site
Seongnam-si, 463-712, South Korea
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Research Site
Seoul, 03080, South Korea
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Research Site
Seoul, 03722, South Korea
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Research Site
Seoul, 05505, South Korea
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Research Site
Seoul, 06351, South Korea
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Research Site
Barcelona, 08036, Spain
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Research Site
Barcelona, 8035, Spain
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Research Site
Madrid, 28007, Spain
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Research Site
Madrid, 28040, Spain
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Research Site
Pamplona, 31008, Spain
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Research Site
Kaohsiung City, 80756, Taiwan
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Research Site
Kaohsiung City, 833, Taiwan
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Research Site
Taichung, 407219, Taiwan
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Research Site
Tainan, 70403, Taiwan
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Research Site
Tainan, 710, Taiwan
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Research Site
Taipei, 10002, Taiwan
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Research Site
Taoyuan, 333, Taiwan
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Research Site
Cambridge, CB2 0QQ, United Kingdom
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Research Site
London, NW3 2QG, United Kingdom
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Research Site
Manchester, M20 4BX, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Sparing the liver: targeted chemoembolization meets lenvatinib in liver cancer
- AI-Enhanced ultrasound aims to catch liver cancer earlier
- Can turbocharged immune cells stop liver cancer from coming back?
- Two blood markers put to the test for early liver cancer detection
- New antibody pair takes aim at advanced liver cancer in major trial
- New antibody aims to preserve immune checkpoint while fighting cancer