Triple therapy boosts survival in tough liver cancer cases
NCT ID NCT06631326
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether adding a liver-directed chemotherapy infusion (HAIC) to the usual combination of lenvatinib and an immunotherapy drug (PD-1 inhibitor) helps people with advanced liver cancer that has spread into the main blood vessel of the liver. 244 patients with high tumor burden and portal vein tumor thrombus were included. The triple therapy improved overall survival and delayed cancer growth compared to the two-drug regimen alone.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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244 people
The number who actually took part.
- Started
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Jan 2021
- Finished
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Oct 2025
- 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.
Who is studied
Patients with high tumor burden advanced HCC with PVTT who received HAIC in combination with PD-1 inhibitors and Lenvatinib under real-world practice conditions.
- Ages
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18 to 80 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.
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: 1. Age 18 to 80 years old; 2. Diagnosis of HCC was confirmed by histologic or cytologic analysis or clinical features according to the American Association for the Study of Liver Diseases (AASLD) guideline; 3. At least one measurable intrahepatic lesion as per the RECIST 1.1 criteria; 4. HCC staging of the patients are consistent with both the BCLC stage C and the CNLC stage IIIa. 5. Presence of PVTT; 6. Patients received a first-line lenvatinib+PD-1 (L+P) inhibitors combination or that of HAIC+lenvatinib+PD-1 inhibitors (H+L+P). More specifically, the administration of lenvatinib was concomitant with PD-1 inhibitors, and HAIC was performed either concurrently with, or up to 2 months before or after the L+P inhibitors combination therapy. Patients in the H+L+P group should undergo at least 2 cycles of HAIC, receive at least 2 cycles of PD-1 inhibiors and take at least 2 months of lenvatinib. Patients in the L+P group should receive at least 2 cycles of PD-1 inhibiors, and take at least 2 months of lenvatinib. 7. Child-Pugh class A or B7; 8. Tumor burden meets up to 7 out criteria. Exclusion Criteria: 1. Patients who took anti-tumor treatments before the combination therapy; 2. With other malignant tumors; 3. incomplete 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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The first hospital of China medical university
Shenyang, Liaoning, 110000, China
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Other studies related to the condition(s) this trial covers.
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