New combo before liver surgery aims to stop cancer return
NCT ID NCT07239245
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tests whether combining a liver-directed procedure (TACE) with two drugs—atezolizumab (immunotherapy) and bevacizumab (anti-angiogenic)—given before surgery can improve outcomes for patients with liver cancer at high risk of recurrence. About 30 adults with resectable hepatocellular carcinoma and high-risk features will receive the combination, then undergo surgery. The main goal is to see how many patients have no remaining cancer cells in the removed tumor.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- atezolizumab and bevacizumab (immunotherapy and anti-angiogenic drugs) plus transarterial chemoembolization (TACE) procedure
- What this could lead to
- If successful, this combination could become a standard neoadjuvant treatment to shrink liver tumors before surgery and lower the chance of cancer coming back.
- What could go wrong
- This is a small, early-phase trial with only 30 participants and no comparison group. The added drugs may cause side effects like bleeding or immune reactions, and the benefit over standard care is not yet proven.
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 30 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2025
- Expected to finish
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Nov 2030
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 to 75 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. Signed Informed Consent Form available 2. Patients ≥ 18 years and ≤75years of age at time of signing Informed Consent Form 3. Diagnosis of HCC confirmed by histology 4. Initially resectable with high-risk recurrence factors. High-risk features for resected patients include tumor size \>5 cm, tumor number \>3, vascular invasion (microvascular invasion or macrovascular invasion - Vp1/Vp2 - of the portal vein) and poor tumor differentiation (defined as Grade 3 or 4). Up to three tumors, with largest tumor \>5 cm regardless of vascular invasion (microvascular invasion or macrovascular invasion of Vp1/Vp2) or poor tumor differentiation (Grade 3 or 4) Four or more tumors, with largest tumor ≤5 cm regardless of vascular invasion (microvascular invasion or macrovascular invasion of Vp1/Vp2) or poor tumor differentiation (Grade 3 or 4) Up to three tumors, with largest tumor ≤5 cm with vascular invasion (microvascular invasion or macrovascular invasion of Vp1/Vp2) and/or poor tumor differentiation (Grade 3 or 4) 5. Measurable disease (at least one target lesion) according to RECIST v1.1 as determined by the investigator 6. Child-Pugh A 7. ECOG PS 0~1 8. No prior locoregional or systemic treatment for HCC 9. Negative HIV test at screening Exclusion Criteria: 1. Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma, recurrent HCC and diffuse HCC 2. Clinically diagnosed hepatic encephalopathy in the last 6 months 3. Autoimmune hepatitis (requiring liver puncture) 4. History of organ transplantation 5. Clinical symptoms of pleural effusion, ascites, pericardial effusion, and any history of kidney disease or nephrotic syndrome 6. Treatment with investigational therapy within 28 days prior to initiation of study treatment 7. Untreated or incompletely treated esophageal and/or gastric varices with bleeding or that are at high risk for bleeding 8. A prior bleeding event due to esophageal and/or gastric varices within 6 months prior to initiation of study treatment 9. Known severe allergic reaction to contrast (e.g., anaphylaxis). 10. Pregnancy or lactating women. 11. Inability to provide informed consent.
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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 places running it
4 sites. The list below names each one and where it is.
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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.
Contacts and locations
Locations
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Cancer Hospital Chinese Academy of Medical Science
RECRUITINGBeijing, Beijing Municipality, 100021, China
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Henan Cancer Hospital
NOT_YET_RECRUITINGZhengzhou, Henan, China
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Shanxi Cancer Hospital
NOT_YET_RECRUITINGTaiyuan, Shanxi, China
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The First Hospital of China Medical University
NOT_YET_RECRUITINGShenyang, Liaoning, China
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