Immunotherapy shows promise against advanced liver cancer
NCT ID NCT03412773
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This Phase 3 study tested a new immunotherapy drug, tislelizumab, against the standard targeted therapy sorafenib in 684 adults with advanced liver cancer that could not be removed by surgery. Participants received either tislelizumab intravenously every three weeks or sorafenib pills twice daily. The main goal was to see if tislelizumab improved overall survival. A smaller safety run-in was done in Japan to check for side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Tislelizumab (a type of immunotherapy) and sorafenib (a targeted therapy)
- What this could lead to
- If successful, tislelizumab could become a new first-line treatment option for advanced liver cancer, potentially improving survival and quality of life.
- What could go wrong
- This is a completed Phase 3 trial, but results may not apply to all patients. Immunotherapy can cause immune-related side effects, and not all patients respond.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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684 people
The number who actually took part.
- Started
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Dec 2017
- Finished
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Dec 2023
- 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.
Safety Run-In Sub-study Eligibility Criteria: The study included adult Japanese participants (≥ 20 years) with histologically confirmed hepatocellular carcinoma (HCC) at Barcelona Clinic Liver Cancer (BCLC) Stage C or B. Eligible participants had either received, were ineligible for, or declined standard treatment. Additional requirements were a Child-Pugh A classification within 7 days before enrollment, at least one measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, and an Eastern Cooperative Oncology Group (ECOG) Performance Status score of ≤ 1. Main Study Key Inclusion Criteria: 1. Histologically confirmed diagnosis of HCC 2. Barcelona Clinic Liver Cancer (BCLC) Stage B or C disease not amenable to or progressing after loco-regional therapy and not amenable to a curative treatment approach 3. No prior systemic therapy for HCC (with the exception of HCC participants enrolled in the safety run-in substudy \[Japan only\]) 4. Measurable disease 5. Child-Pugh score A 6. Easter Cooperative Oncology Group (ECOG) Performance Status ≤ 1 7. Adequate organ function Main Study Key Exclusion Criteria: 1. Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC histology 2. Tumor thrombus involving main trunk of portal vein or inferior vena cava 3. Loco-regional therapy to the liver within 28 days before randomization 4. Clinical evidence of portal hypertension with bleeding esophageal or gastric varices at Screening, or within 6 months before randomization 5. Bleeding or thrombotic disorder or any prescribed anticoagulant requiring therapeutic international normalized ratio monitoring (eg, warfarin or similar agents) at Screening, or within 6 months before randomization/enrollment 6. Presence at Screening of active immune deficiency or autoimmune disease and/or prior history of any immune deficiency or autoimmune disease that may relapse 7. Participant with any condition requiring systemic treatment with either corticosteroids (\> 10 mg daily of prednisone or equivalent) or other immunosuppressive medication within 14 days before randomization 8. History of interstitial lung disease or non-infectious pneumonitis, unless induced by radiation therapy 9. QT interval corrected for heart rate (QTc) (corrected by Fridericia's method) \> 450 msec at Screening NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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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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Affiliated Zhongshan Hospital of Fudan University
Shanghai, Shanghai Municipality, 200032, China
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Anhui Provincial Hospital
Hefei, Anhui, 230000, China
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Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142, China
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Beijing Youan Hospital, Capital Medical University
Beijing, Beijing Municipality, 100069, China
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Cancer Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, 100021, China
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Center Hospital of the National Center For Global Health and Medicine
Shinjukuku, Tokyo, 162-8655, Japan
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Centre Hospitalier Universitaire Nantes Hotel Dieu
Nantes, 44093, France
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Centrum Badan Klinicznych
Wroclaw, 51-149, Poland
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Chao Family Comprehensive Cancer Center
Orange, California, 92868, United States
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Charite Universitatsmedizin Berlin
Berlin, 13353, Germany
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Chi Mei Medical Center
Tainan, 710, Taiwan
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Chiba University Hospital Gastroenterological Medicine
Chiba, 260-8677, Japan
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China Medical University Hospital
Taichung, 40447, Taiwan
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Chinese Pla General Hospital
Beijing, Beijing Municipality, 100853, China
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Chru de Lille Hopital Claude Huriez Hepato Gastro Enterologie
Lille, 59037, France
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Chu Besancon Hopital Jean Minjoz
Doubs, 25030, France
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Chu Caen Normandie
Caen, 14033, France
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Chu Montpellier Hopital Saint Eloi
Montpellier, 34295, France
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Chu Saint Etienne Hopital Nord
Saint-Priest-en-Jarez, 42270, France
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Chu de Grenoble Oncology
Grenoble, 38043, France
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Chu de Poitiers Site de La Mileterie
Poitiers, 86000, France
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Clinical Research Center Sp Z Oo, Medic R Sp K
Poznan, 60-569, Poland
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Ehime Prefectural Central Hospital Gastroenterologic Medicine
Matsuyama, Ehime, 790-0024, Japan
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Fakultni Nemocnice Brno
Brno, 62500, Czechia
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Fakultni Nemocnice V Motole
Prague, 150 06, Czechia
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Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200000, China
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Fujian Cancer Hospital
Fuzhou, Fujian, 350014, China
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Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001, China
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Fujita Health University Hospital
Toyoake, Aichi-ken, 470-1192, Japan
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General Hospital of Eastern Theater Command
Nanjing, Jiangsu, 210002, China
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Guangdong Provincial Peoples Hospital
Guangzhou, Guangdong, 510080, China
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Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150000, China
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Henan Cancer Hospital
Zhengzhou, Henan, 450000, China
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Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648, Japan
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Hopital Beaujon
Clichy, 92210, France
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Hopital Larchet Chu Nice
Nice, 6200, France
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Hopital Paul Brousse Aphp
Villejuif, 94800, France
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Hopital Robert Debre
Reims, 51056, France
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Hospital Universitari I Politecnic La Fe
Valencia, 46026, Spain
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Hospital Universitario Hm Madrid Sanchinarro
Madrid, 28050, Spain
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Hospital Universitario Vall Dhebron
Barcelona, 08035, Spain
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Hubei Cancer Hospital
Wuhan, Hubei, 430079, China
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Hyogo Medical University Hospital
Nishinomiyashi, Hyōgo, 663-8501, Japan
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Institut Catala Doncologia
Barcelona, 08908, Spain
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Institut Gustave Roussy
Villejuif, 94805, France
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Irccs Policlinico San Matteo, Universita Degli Studi Di Pavi
Pavia, 27100, Italy
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Iwate Medical University Hospital
Yahabacho Shiwagun, Iwate, 028-3695, Japan
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Japanese Red Cross Medical Center Gastroenterology
Shibuyaku, Tokyo, 150-8935, Japan
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Jiangsu Province Cancer Hospital
Nanjing, Jiangsu, 210008, China
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Jilin Province Peoples Hospital
Changchun, Jilin, 130021, China
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Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515, Japan
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Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641, Japan
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Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 83301, Taiwan
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Kaohsiung Medical University Chung Ho Memorial Hospital
Kaohsiung City, 807, Taiwan
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Kindai University Hospital
Sayama, Osaka, 589-8511, Japan
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Kings College
London, SE5 9RS, United Kingdom
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Kliniken Essen Mitte Evang Huyssens Stiftung
Essen, 45136, Germany
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Kumamoto University Hospital
Kumamoto, 860-8556, Japan
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Linkou Chang Gung Memorial Hospital
Taoyuan, 33305, Taiwan
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Medizinische Hochschule Hannover
Hanover, 30625, Germany
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Military Hospital of China
Beijing, Beijing Municipality, 100039, China
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Nanfang Hospital of Southern Medical University
Guangzhou, Guangdong, 510515, China
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Narodowy Instytut Onkologii Im Marii Skodowskiej Curie Pastwowy Instytut Badawczy
Warsaw, 02-034, Poland
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National Cheng Kung University Hospital
Tainan, 704, Taiwan
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National Hospital Organization Kyushu Medical Center
Fukuokacity, Fukuoka, 810-8563, Japan
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National Hospital Organization Nagasaki Medical Center Gastroenterology
Ōmura, Nagasaki, 856-8562, Japan
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Nho Osaka National Hospital
Osakashi, Osaka, 540-0006, Japan
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Nihon University Itabashi Hospital Gastroenterological Surgery
Itabashiku, Tokyo, 173-8610, Japan
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Ogaki Municipal Hospital Gastroenterological Medicine
Ōgaki, Gifu, 503-8502, Japan
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Osaka City General Hospital
Osaka, 534-0021, Japan
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Osaka International Cancer Institute
Osakashi, Osaka, 541-8567, Japan
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Osaka Metropolitan University Hospital
Osaka, 545-8586, Japan
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Osaka University Hospital
Suitashi, Osaka, 565-0871, Japan
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Osp Sbortolo, Ulss Berica
Vicenza, 36100, Italy
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Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730, China
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Po Di Cremona, Asst Di Cremona Oncologia Medica
Cremona, 26100, Italy
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Po Umberto I, Ao Ordine Mauriziano
Torino, 10128, Italy
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Policlinico Sorsola Malpighi, Aou Di Bologna
Bologna, 40138, Italy
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Providence Medical Foundation
Fullerton, California, 92835, United States
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Queen Elizabeth Hospital
Birmingham, B15 2TH, United Kingdom
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Rj Zuckerberg Cancer Center
Lake Success, New York, 11042, United States
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Royal Free Hospital London Nhs Trust
London, NW3 2QG, United Kingdom
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Sasaki Foundation Kyoundo Hospital Hepatology
Bunkyoku, Tokyo, 1138655, Japan
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Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310016, China
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Sun Yat Sen Memorial Hospital, Sun Yat Sen University (North)
Guangzhou, Guangdong, 510000, China
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Taichung Veterans General Hospital Gastroenterology
Taichung, 407, Taiwan
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Taipei Veterans General Hospital
Taipei, 11217, Taiwan
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The Affiliated Hospital of Qingdao University Branch Laoshan
Qingdao, Shandong, 266000, China
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The Christie Hospital
Greater Manchester, M20 4BX, United Kingdom
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The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, 230000, China
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The First Affiliated Hospital of Bengbu Medical College
Bengbu, Anhui, 233004, China
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The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 630014, China
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The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215006, China
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The First Affiliated Hospital of Xian Jiaotong University
Xi'an, Shaanxi, 710061, China
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The First Affiliated Hospital, Sun Yat Sen University
Guangzhou, Guangdong, 510080, China
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The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310003, China
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The First Hospital of Jilin University
Changchun, Jilin, 130021, China
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The Second Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006, China
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The Second Hospital of Anhui Medical University
Hefei, Anhui, 230601, China
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Tianjin Medical University Cancer Institute and Hospital
Tianjin, Tianjin Municipality, 300060, China
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Tottori University Hospital Multidisciplinary Internal Medicine
Tottori, 683-8504, Japan
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Tri Service General Hospital
Taipei, 114, Taiwan
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UCLA Hematologyoncology
Los Angeles, California, 90095, United States
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Ulssdolomiti
Peschiera del Garda, 37019, Italy
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Umdnj Njms
Newark, New Jersey, 07840, United States
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Uniklinik Koln (Aor)
Cologne, 50937, Germany
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Union Hospital of Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430022, China
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Universita Degli Studi Di Modena Azienda Ospedaliere Policlinco
Modena, 41124, Italy
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Universitaetsklinikum Leipzig Aor
Leipzig, 04103, Germany
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Universitatsklinikum Bonn
Bonn, 53127, Germany
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Universitatsklinikum Dusseldorf
Düsseldorf, 40225, Germany
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University Hospital, Kyoto Prefectural Univ of Medicine
Kyoto, 602-8566, Japan
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Uniwersyteckie Centrum Kliniczne
Gdansk, 80-952, Poland
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Ut Health San Antonio Mays Cancer Center
San Antonio, Texas, 78229, United States
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Vanderbilt University Medical Center
Nashville, Tennessee, 37232, United States
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Wakayama Medical University
Wakayama, Wakayama, 641-8510, Japan
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Weifang Peoples Hospital
Weifang, Shandong, 261000, China
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Xcancerdayton Physician Network
Dayton, Ohio, 45409, United States
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Yokohama City University Medical Center Gastroenterological Center
Yokohama, Kanagawa, 232-0024, Japan
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Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022, China
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Zhongnan Hospital of Wuhan University Wuhan
Wuhan, Hubei, 430071, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Zapping liver tumors to make them operable
- Triple drug combo targets advanced liver cancer in new trial
- 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?