Carcinoma, HepatocellularPhase 3NCT04246177
Safety and Efficacy of Lenvatinib (E7080/MK-7902) With Pembrolizumab (MK-3475) in Combination With Transarterial Chemoembolization (TACE) in Participants With Incurable/Non-metastatic Hepatocellular Carcinoma (MK-7902-012/E7080-G000-318/LEAP-012)
A Phase 3 study testing Lenvatinib, Pembrolizumab and TACE in people with Carcinoma, Hepatocellular, run by Merck Sharp & Dohme LLC at 205 sites in 27 countries.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of lenvatinib and pembrolizumab in combination with TACE versus TACE plus oral and intravenous (IV) placebos in participants with incurable, non-metastatic hepatocellular carcinoma (HCC). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Hepatocellular
- What is being tested?
- Lenvatinib, Pembrolizumab and TACE
- Type of treatment
- Pill or oral medicine, Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 480 participants
- Where
- 205 sitesin 27 countries
- Study dates
- 22 May 2020to 26 Mar 2026
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Has a diagnosis of HCC confirmed by radiology, histology, or cytology
- Has HCC localized to the liver and not amenable to curative treatment
- Participants with Hepatitis C virus (HCV) are eligible if treatment was completed at least 1 month prior to starting study intervention
- Participants with Hepatitis B virus (HBV) are eligible
- Has adequately controlled blood pressure with or without antihypertensive medications
- Has adequate organ function
Who cannot join
- Is currently a candidate for liver transplantation
- Has had gastric bleeding within the last 6 months
- Has ascites that is not controlled with medication
- Has significant cardiovascular impairment within 12 months of the first dose of study intervention such as congestive heart failure
- Has a serious nonhealing wound, ulcer, or bone fracture
- Has received locoregional therapy to existing liver lesions
Trial locations and contacts
205 sites in 27 countries.
205 sites in 27 countries
China39 sites
Beijing Cancer Hospital ( Site 0099)
Beijing, Beijing Municipality, 100142
Beijing Cancer Hospital ( Site 0105)
Beijing, Beijing Municipality, 100142
Peking Union Medical College Hospital ( Site 0087)
Beijing, Beijing Municipality, 100730
Hunan Provincial People's Hospital ( Site 0113)
Changsha, Hunan, 410005
Hunan Cancer Hospital ( Site 0096)
Changsha, Hunan, 410013
West China Hospital of Sichuan University ( Site 0119)
Chengdu, Sichuan, 610041
Chinese People s Liberation Army Army Characteristic Medical Center ( Site 0117)
Chongqing, Chongqing Municipality, 400042
Chongqing University Three Gorges Hospital ( Site 0859)
Chongqing, Chongqing Municipality, 404000
Mengchao Hepatobiliary Hospital of Fujian Medical University ( Site 0121)
Fuzhou, Fujian, 350008
Fujian Provincial Cancer Hospital ( Site 0085)
Fuzhou, Fujian, 350014
The First Affiliated Hospital of Fujian Medical University ( Site 0089)
Fuzhou, Fujian, 350014
Zhujiang Hospital of Southern Medical University ( Site 0115)
Guangzhou, Guangdong, 510000
Guangdong Provincial People s Hospital ( Site 0100)
Guangzhou, Guangdong, 510080
NANFANG HOSPITAL SOUTHERN MEDICAL UNIVERSITY ( Site 0088)
Guangzhou, Guangdong, 510515
SUN YAT-SEN UNIVERSITY CANCER CENTRE ( Site 0128)
Guangzhou, Guangdong, 510700
Hainan General Hospital ( Site 0112)
Haikou, Hainan, 570311
2nd Affil Hosp of Zhejiang University College of Medicine ( Site 0110)
Hangzhou, Zhejiang, 310009
Sir Run Run Shaw Hospital ( Site 0094)
Hangzhou, Zhejiang, 310018
Zhejiang Cancer Hospital ( Site 0103)
Hangzhou, Zhejiang, 310022
Harbin Medical University Cancer Hospital ( Site 0090)
Harbin, Heilongjiang, 150081
Anhui Provincial Hospital ( Site 0092)
Heifei, Anhui, 230001
The First Hospital of Kunming ( Site 0124)
Kunming, Yunnan, 650200
Jiangxi Provincial Cancer Hospital-Cancer Hospital ( Site 0134)
Nanchang, Jiangxi, 330029
Guangxi Medical University Affiliated Tumor Hospital-Hepatological surgery ( Site 0862)
Nanning, Guangxi, 530021
Ningbo Medical Center LiHuili Hospital ( Site 0132)
Ningbo, Zhejiang, 315048
The Third Affiliated Hospital of the PLA Navy Medical University ( Site 0123)
Shanghai, Shanghai Municipality, 200028
Fudan University Shanghai Cancer Center ( Site 0106)
Shanghai, Shanghai Municipality, 200032
Zhongshan Hospital Fudan University ( Site 0084)
Shanghai, Shanghai Municipality, 200032
Suining Central Hospital ( Site 0857)
Suining, Sichuan, 629000
The First Affiliated Hospital of Soochow University ( Site 0120)
Suzhou, Jiangsu, 215006
Tianjin Medical University Cancer Institute & Hospital ( Site 0098)
Tianjin, Tianjin Municipality, 300060
Tianjin Third Central Hospital ( Site 0861)
Tianjin, Tianjin Municipality, 300170
Tongji Hospital Tongji Medical,Science & Technology ( Site 0126)
Wuhan, Hubei, 430000
Hubei Cancer Hospital ( Site 0101)
Wuhan, Hubei, 430079
Xi'an International Medical Center Hospital ( Site 0860)
Xi'an, Shaanxi, 710100
The First Affiliated Hospital of Xi an Jiaotong University ( Site 0108)
Xi’an, Shanxi, 710048
Zhongshan Hospital Fudan University (Xiamen Branch) ( Site 0133)
Xiamen, Fujian, 361015
Henan Cancer Hospital ( Site 0114)
Zhengzhou, Henan, 450008
Jinan University - Zhuhai People's Hospital-Intervention Department ( Site 0856)
Zhuhai, Guangdong, 519000
United States27 sites
University of New Mexico Comprehensive Cancer Center ( Site 0805)
Albuquerque, New Mexico, 87106
Mountain States Tumor Institute ( Site 0773)
Boise, Idaho, 83712
University of Cincinnati Medical Center ( Site 0791)
Cincinnati, Ohio, 45219
The Ohio State University Wexner Medical Center ( Site 0759)
Columbus, Ohio, 43210
Henry Ford Hospital-GI/Hepatology Research ( Site 0735)
Detroit, Michigan, 48202
Penn State Hershey Medical Center ( Site 0766)
Hershey, Pennsylvania, 17033-0850
Houston Methodist Research Institute ( Site 0784)
Houston, Texas, 77030
Edwards Comprehensive Cancer Center ( Site 0786)
Huntington, West Virginia, 25701
University of Iowa Hospital and Clinics ( Site 0729)
Iowa City, Iowa, 52242
Scripps Clinic Torrey Pines ( Site 0714)
La Jolla, California, 92037
Monter Cancer Center ( Site 0780)
Lake Success, New York, 11042
USC Norris Comprehensive Cancer Center ( Site 0717)
Los Angeles, California, 90033
UCLA Hematology/Oncology - Santa Monica ( Site 0720)
Los Angeles, California, 90404
University of Louisville ( Site 0757)
Louisville, Kentucky, 40202
Yale Cancer Center ( Site 0724)
New Haven, Connecticut, 06510
Tulane Medical Center ( Site 0787)
New Orleans, Louisiana, 70112
University Medical Center New Orleans ( Site 0733)
New Orleans, Louisiana, 70112
Icahn School of Medicine at Mount Sinai ( Site 0744)
New York, New York, 10029
Stephenson Cancer Center ( Site 0745)
Oklahoma City, Oklahoma, 73104
UC Irvine Health ( Site 0718)
Orange, California, 92868
OHSU Center for Health & Healing ( Site 0746)
Portland, Oregon, 97239
Saint Louis University ( Site 0769)
St Louis, Missouri, 63110
ProMedica Flower Hospital ( Site 0796)
Sylvania, Ohio, 43560
Tampa General Hospital ( Site 0764)
Tampa, Florida, 33606
Arizona Oncology Associates PC- HOPE ( Site 0770)
Tucson, Arizona, 85711
University of Kansas Cancer Center ( Site 0731)
Westwood, Kansas, 66205
Wake Forest Baptist Health ( Site 0741)
Winston-Salem, North Carolina, 27157
Japan25 sites
Chiba University Hospital ( Site 0346)
Chiba, 260-8677
National Hospital Organization Kyushu Medical Center ( Site 0361)
Fukuoka, 8108563
Hiroshima University Hospital ( Site 0360)
Hiroshima, 734-8551
Saitama Medical University Hospital ( Site 0370)
Iruma-gun, Saitama, 350-0495
Kanazawa University Hospital ( Site 0354)
Kanazawa, Ishikawa-ken, 920-8641
Nara Medical University Hospital ( Site 0359)
Kashihara, Nara, 634-8522
National Cancer Center Hospital East ( Site 0347)
Kashiwa, Chiba, 277-8577
Toranomon Hospital Kajigaya ( Site 0369)
Kawasaki, Kanagawa, 213-8587
Kumamoto University Hospital ( Site 0372)
Kumamoto, 860-8556
Kurume University Hospital ( Site 0362)
Kurume, Fukuoka, 830-0011
University Hospital,Kyoto Prefectural University of Medicine ( Site 0367)
Kyoto, 602-8566
Osaka International Cancer Institute ( Site 0357)
Osaka, 541-8567
Japanese Red Cross Osaka Hospital ( Site 0356)
Osaka, 543-8555
Saga-Ken Medical Centre Koseikan ( Site 0363)
Saga, 840-8571
Sapporo Kosei General Hospital ( Site 0345)
Sapporo, Hokkaido, 060-0033
Kindai University Hospital ( Site 0358)
Sayama, Osaka, 589-8511
Jichi Medical University Hospital ( Site 0353)
Shimotsuke, Tochigi, 329-0498
Shizuoka Cancer Center ( Site 0365)
Suntogun, Shizuoka, 411-8777
Kagawa Prefectural Central Hospital ( Site 0364)
Takamatsu, Kagawa-ken, 760-8557
Toranomon Hospital ( Site 0349)
Tokyo, 105-8470
Juntendo University Hospital ( Site 0371)
Tokyo, 113-0033
The University of Tokyo Hospital ( Site 0348)
Tokyo, 113-8655
Ehime University Hospital ( Site 0368)
Tōon, Ehime, 791-0295
Yokohama City University Medical Center ( Site 0351)
Yokohama, Kanagawa, 232-0024
Kanagawa Cancer Center ( Site 0352)
Yokohama, Kanagawa, 241-8515
South Korea10 sites
Pusan National University Hospital ( Site 0568)
Busan, Pusan-Kwangyokshi, 49241
Kyungpook National University Hospital ( Site 0569)
Daegu, Taegu-Kwangyokshi, 41944
Chonnam National University Hwasun Hospital ( Site 0572)
Hwasun, Jeonranamdo, 58128
Seoul National University Bundang Hospital ( Site 0570)
Seongnam-si, Kyonggi-do, 13620
Seoul National University Hospital ( Site 0567)
Seoul, 03080
Severance Hospital Yonsei University Health System ( Site 0564)
Seoul, 03722
Asan Medical Center ( Site 0565)
Seoul, 05505
Samsung Medical Center ( Site 0566)
Seoul, 06351
The Catholic University of Korea St. Mary s Hospital ( Site 0571)
Seoul, 06591
Korea University Guro Hospital ( Site 0573)
Seoul, 08308
Germany9 sites
Charite - Universitaetsmedizin ( Site 0204)
Berlin, 13353
Universitaetsklinikum Bonn ( Site 0203)
Bonn, North Rhine-Westphalia, 53127
Krankenhaus Nord-West GmbH ( Site 0208)
Frankfurt am Main, Hesse, 60488
Universitaetsklinikum Freiburg ( Site 0199)
Freiburg im Breisgau, Baden-Wurttemberg, 79106
Universitaetsklinikum Halle ( Site 0213)
Halle, Saxony-Anhalt, 06120
Universitaetsklinikum Hamburg-Eppendorf ( Site 0207)
Hamburg, 20246
Medizinische Hochschule Hannover ( Site 0200)
Hanover, Lower Saxony, 30625
Universitaetsklinikum Leipzig ( Site 0202)
Leipzig, Saxony, 04103
Universitaetsklinikum Schleswig-Holstein-Campus Lubeck ( Site 0215)
Lübeck, Schleswig-Holstein, 23538
Italy9 sites
Azienda Ospedaliera Spedali Civili di Brescia-Oncology ( Site 0334)
Brescia, 25123
AOU Policlinico G. Martino ( Site 0324)
Messina, Sicily, 98124
ASST Grande Ospedale Metropolitano Niguarda-Oncologia Falck ( Site 0331)
Milan, Milano, 20162
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico ( Site 0325)
Milan, 20122
Ospedale del Mare ( Site 0327)
Naples, Campania, 80147
Az Osp di Rilievo Nazionale A. Cardarelli ( Site 0329)
Naples, 80131
Azienda USL della Romagna-Dipartimento di Oncologia ed Ematologia ( Site 0332)
Ravenna, 48121
Policlinico Universitario -Agostino Gemelli ( Site 0328)
Roma, 00168
Ospedale Mauriziano-SCDU ONCOLOGIA MEDICA ( Site 0333)
Turin, Piedmont, 10128
Brazil8 sites
Fundação Pio XII - Hospital de Câncer de Barretos-Unidade de Pesquisa Clínica ( Site 0058)
Barretos, São Paulo, 14784-400
Clinica de Oncologia Reichow ( Site 0052)
Blumenau, Santa Catarina, 89010-340
Fundacao Dr Amaral Carvalho ( Site 0050)
Jaú, São Paulo, 17210-120
Liga Norte Riograndense Contra o Câncer-Centro de Pesquisa Clínica ( Site 0057)
Natal, Rio Grande do Norte, 59075-740
Hospital Nossa Senhora da Conceição-Centro Integrado de Pesquisa em Oncologia ( Site 0056)
Porto Alegre, Rio Grande do Sul, 91350-200
Hospital de Base de Sao Jose de Rio Preto ( Site 0043)
São José do Rio Preto, São Paulo, 15090-000
BP - A Beneficencia Portuguesa de São Paulo ( Site 0046)
São Paulo, São Paulo, 01323-001
A.C. Camargo Cancer Center ( Site 0054)
São Paulo, 01509-900
Taiwan8 sites
Chang Gung Medical Foundation. Kaohsiung Branch ( Site 0609)
Kaohsiung City, Kaohsiung, 833
Kaohsiung Medical University Hospital ( Site 0611)
Kaohsiung City, 807
China Medical University Hospital-Surgical Department ( Site 0610)
Taichung, 40447
Taichung Veterans General Hospital ( Site 0613)
Taichung, 407
National Cheng Kung University Hospital ( Site 0608)
Tainan, 70457
National Taiwan University Hospital ( Site 0606)
Taipei, 10002
Taipei Veterans General Hospital-Division of Gastroenterology & Hepatology, Department of Medicine ( Site 0612)
Taipei, 112201
Chang Gung Medical Foundation. Linkou ( Site 0607)
Taoyuan, 333
Turkey (Türkiye)8 sites
Hacettepe University Medical Faculty ( Site 0653)
Ankara, 06230
Ankara City Hospital-Medical Oncology ( Site 0661)
Ankara, 06800
Trakya University Medical Faculty Balkan Oncology Hospital ( Site 0648)
Edirne, 22030
Bezmialem Vakf Üniversitesi-Oncology ( Site 0660)
Istanbul, 34093
Ege University Medical Faculty Tulay Aktas Oncology Hospital ( Site 0654)
Izmir, 35100
I.E.U. Medical Point Hastanesi ( Site 0649)
Izmir, 35575
Konya Necmettin Erbakan University Medical Faculty ( Site 0652)
Konya, 42080
Inonu Universitesi Medical Fakultesi ( Site 0650)
Malatya, 44280
Australia6 sites
Princess Alexandra Hospital ( Site 0006)
Brisbane, Queensland, 4102
Austin Health ( Site 0008)
Heidelberg, Victoria, 3084
St George Hospital ( Site 0005)
Kogarah, New South Wales, 2217
Alfred Health ( Site 0004)
Melbourne, Victoria, 3004
Royal Perth Hospital ( Site 0002)
Perth, Western Australia, 6000
Westmead Hospital-Gastroenterology & Hepatology ( Site 0009)
Westmead, New South Wales, 2145
France6 sites
A.P.H. Paris, Hopital Henri Mondor ( Site 0179)
Créteil, Val-de-Marne, 94000
Hopital de la Croix-Rousse ( Site 0193)
Lyon, Auvergne, 69004
Hopital de la Timone ( Site 0188)
Marseille, Bouches-du-Rhone, 13005
CHU Bordeaux Haut-Leveque ( Site 0185)
Pessac, Gironde, 33604
C.H.U. de Nancy. Hopital de Brabois Adultes ( Site 0180)
Vandœuvre-lès-Nancy, Meurthe-et-Moselle, 54500
Hopital Paul Brousse ( Site 0182)
Villejuif, Val-de-Marne, 94800
Spain6 sites
Hospital General Universitario Gregorio Maranon ( Site 0598)
Madrid, 28007
Hospital Ramon y Cajal ( Site 0593)
Madrid, 28034
Hospital Clinico San Carlos ( Site 0597)
Madrid, 28040
Hospital Universitario Puerta de Hierro ( Site 0596)
Majadahonda, Madrid, 28222
Hospital Virgen del Rocio ( Site 0591)
Seville, 41013
Hospital General Universitario de Valencia ( Site 0595)
Valencia, Valenciana, Comunitat, 46014
Israel5 sites
Emek Medical Center ( Site 0307)
Afula, 1834111
Rambam Health Care Campus-Oncology Division ( Site 0305)
Haifa, 3109601
Hadassah Ein Karem Jerusalem ( Site 0303)
Jerusaelm, 9112001
Rabin Medical Center ( Site 0304)
Petah Tikva, 4941 492
Sourasky Medical Center ( Site 0306)
Tel Aviv, 6423906
Netherlands5 sites
AMC ( Site 0438)
Amsterdam, North Holland, 1105 AZ
Leids Universitair Medisch Centrum-Medical Oncology ( Site 0442)
Leiden, South Holland, 2333 ZA
Maastricht University Medical Centre ( Site 0440)
Maastricht, Limburg, 6229 HX
Erasmus University Medical Center ( Site 0439)
Rotterdam, South Holland, 3015 GD
Universitair Medisch Centrum Utrecht-Medical Oncology ( Site 0441)
Utrecht, 3584 CX
Portugal5 sites
Centro Hospitalar e Universitario de Coimbra ( Site 0502)
Coimbra, 3000-075
Unidade Local de Saude de São José - Hospital de Santo Antonio dos Capuchos ( Site 0505)
Lisbon, 1169-050
Centro Hospitalar do Porto, E.P.E. - Hospital Geral de Sto. Antonio ( Site 0504)
Porto, 4099-001
Inst. Portugues de Oncologia de Porto Francisco Gentil EPE ( Site 0503)
Porto, 4200-072
Centro Hospitalar de Sao Joao. EPE - Hospital de Sao Joao ( Site 0501)
Porto, 4200-319
Chile4 sites
Centro de Oncología de Precisión-Oncology ( Site 0068)
Santiago, Region M. de Santiago, 7560908
Centro de Cancer Nuestra Senora de la Esperanza ( Site 0065)
Santiago, Region M. de Santiago, 8330024
Bradfordhill ( Site 0066)
Santiago, Region M. de Santiago, 8420383
Centro Investigación del Cáncer James Lind ( Site 0064)
Temuco, Araucania, 4800827
Colombia4 sites
Administradora Country S.A. ( Site 0137)
Bogotá, Bogota D.C., 110221
Fundación Valle del Lili ( Site 0140)
Cali, Valle del Cauca Department, 760032
Hospital Pablo Tobon Uribe ( Site 0145)
Medellín, Antioquia, 050034
Fundacion Cardiovascular de Colombia ( Site 0136)
Piedecuesta, Santander Department, 681017
Puerto Rico4 sites
Puerto Rico Medical Research Center LLC ( Site 0523)
Hato Rey, 00917
Ad-Vance Medical Research LLC ( Site 0527)
Ponce, 00717
VA Caribbean Healthcare System ( Site 0524)
San Juan, 00921-3201
FDI Clinical Research ( Site 0522)
San Juan, 00927
Denmark3 sites
Aarhus Universitets hospital ( Site 0175)
Aarhus N, Central Jutland, 8200
Herlev Hospital ( Site 0170)
Herlev, Capital Region, 2730
Odense Universitetshospital ( Site 0160)
Odense, Region Syddanmark, 5000
Hungary3 sites
Semmelweis University ( Site 0264)
Budapest, 1085
Somogy Megyei Kaposi Mór Oktató Kórház-Oncology center ( Site 0267)
Kaposvár, Somogy County, 7400
Zala Megyei Szent Rafael Korhaz ( Site 0265)
Zalaegerszeg, Zala County, 8900
Thailand3 sites
Chulalongkorn University ( Site 0627)
Bangkok, Bangkok, 10330
Ramathibodi Hospital, Mahidol University ( Site 0628)
Bangkok, Bangkok, 10400
Faculty of Medicine Siriraj Hospital ( Site 0629)
Bangkok, Bangkok, 10700
United Kingdom3 sites
Barts Health NHS Trust ( Site 0692)
London, London, City of, EC1A 7BE
Royal Marsden NHS Foundation Trust ( Site 0694)
London, London, City of, SW3 6JJ
Royal Marsden NHS Trust ( Site 0693)
Sutton, London, City of, SM2 5PT
Ukraine1 site
Communal non profit enterprise Regional Clinical Oncology Center ( Site 0669)
Kharkiv, Kharkiv Oblast, 61070
About this study
Official title: A Phase 3 Multicenter, Randomized, Double-blinded, Active-controlled, Clinical Study to Evaluate the Safety and Efficacy of Lenvatinib (E7080/MK-7902) With Pembrolizumab (MK-3475) in Combination With Transarterial Chemoembolization (TACE) Versus TACE in Participants With Incurable/Non-metastatic Hepatocellular Carcinoma (LEAP-012)
The purpose of this study is to evaluate the efficacy and safety of lenvatinib and pembrolizumab in combination with TACE versus TACE plus oral and intravenous (IV) placebos in participants with incurable, non-metastatic hepatocellular carcinoma (HCC). The primary hypotheses are that pembrolizumab plus lenvatinib in combination with TACE is superior to placebo plus TACE with respect to progression-free survival (PFS) and overall survival (OS).
- Conditions
- Carcinoma, Hepatocellular
- Being tested
- Lenvatinib, Pembrolizumab, Oral Placebo, IV Placebo, TACE
- Keywords
- receptor tyrosine kinase inhibitor, programmed cell death 1 (PD-1, PD1), programmed cell death ligand 1 (PD-L1, PDL1)
- Medical subject headings
- Carcinoma, Hepatocellular, Parkinson Disease 4, Autosomal Dominant Lewy Body
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LenvatinibDrug
Also called MK-7902, E7080, LENVIMA®
Administered at a dose of 12 mg (for participants with screening body weight ≥60 kg) or 8 mg (for participants with screening body weight <60 kg) via oral capsules once a day during each 21-day cycle.
PembrolizumabBiological
Also called MK-3475, KEYTRUDA®
Administered via IV infusion at a dose of 400 mg once every 6 weeks (Q6W).
Oral PlaceboDrug
Lenvatinib-matching placebo administered via oral capsules once a day during each 21-day cycle.
IV PlaceboDrug
Pembrolizumab-matching placebo administered via IV infusion once every 6 weeks (Q6W).
TACEProcedure or surgery
Conducted as a background procedure of chemotherapeutic and embolic agent(s).
| Study group | Role | What they receive |
|---|---|---|
| Lenvatinib plus Pembrolizumab plus TACE | Experimental | Participants will receive a combination of lenvatinib, pembrolizumab, and TACE. Lenvatinib will be administered at a dose of 12 mg (for participants with screening body weight ≥60 kg) or 8 mg (for participants with screening body weight <60 kg) orally once a day during each 21-day cycle until progressive disease or unacceptable toxicity (up to 2 years [~35 cycles] or longer with Sponsor approval). Pembrolizumab will be administered via IV infusion at a dose of 400 mg once every 6 weeks (Q6W) for up to 2 years (~17 doses). Participants will undergo TACE as a background procedure of chemotherapeutic and embolic agent(s). Receives: Drug: Lenvatinib; Biological: Pembrolizumab; Procedure: TACE |
| Oral Placebo plus IV Placebo plus TACE | Active comparator | Participants will receive a combination of lenvatinib-matching oral placebo, pembrolizumab-matching IV placebo, and TACE. Lenvatinib-matching oral placebo will be administered once a day during each 21-day cycle for up to 2 years (~35 cycles) or longer with Sponsor approval and pembrolizumab-matching IV placebo will be administered once every 6 weeks (Q6W) for up to 2 years (~17 doses). Participants will undergo TACE as a background procedure of chemotherapeutic and embolic agent(s). Receives: Drug: Oral Placebo; Drug: IV Placebo; Procedure: TACE |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
PFS was defined as the time from the first dose of study intervention to the first documented progressive disease (PD) per RECIST 1.1 by BICR or death due to any cause, whichever occurs first. Per RECIST 1.1 adjusted for this study to allow a maximum of 10 target lesions and a maximum of 5 target lesions per organ, PD was defined as at least a 20% increase in the sum of diameters (SOD) of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. PFS per RECIST 1.1 as assessed by BICR was reported.
Measured: Up to approximately 43.5 Months
Overall Survival (OS)
OS was defined as the time from randomization to death due to any cause.
Measured: Up to approximately 61.7 Months
Secondary outcomes (13)
PFS Per Modified RECIST (mRECIST) as Assessed by BICR
PFS was defined as the time from the first dose of study intervention to the first documented PD per mRECIST by BICR or death due to any cause, whichever occurs first. mRECIST for hepatocellular carcinoma (HCC) allows evaluation of treatment effects that are not reflected in simple total size changes of lesions. Per mRECIST, PD was defined as an increase of at least 20% in the SODs of viable target lesions, taking as reference the smallest SODs of viable target lesions recorded since the treatment started. PFS per mRECIST as assessed by BICR was reported.
Measured: Up to approximately 61.7 Months
Objective Response Rate (ORR) Per mRECIST as Assessed by BICR
ORR was defined as the percentage of participants who achieve a confirmed complete response (CR) (disappearance of any intratumoral arterial enhancement in all target lesions) or a partial response (PR) (at least a 30% decrease in the SOD of viable [contrast enhancement in the arterial phase] target lesions, taking as reference the baseline SOD of target lesions) per mRECIST as assessed by BICR. mRECIST for HCC allows evaluation of treatment effects that are not reflected in simple total size changes of lesions. The percentage of participants who experienced CR or PR per mRECIST as assessed BICR was presented.
Measured: Up to approximately 61.7 Months
Disease Control Rate (DCR) Per mRECIST as Assessed by BICR
DCR was defined as the percentage of participants who have achieved a confirmed complete response (CR) (disappearance of any intratumoral arterial enhancement in all target lesions) or a partial response (PR) (at least a 30% decrease in the SOD of viable [contrast enhancement in the arterial phase] target lesions, taking as reference the baseline SOD of target lesions) per mRECIST as assessed by BICR. mRECIST for HCC allows evaluation of treatment effects that are not reflected in simple total size changes of lesions. PD was defined as at least a 20% increase in the SOD of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. The percentage of participants who achieved CR, PR, or SD after ≥6 weeks per mRECIST assessed by BICR was presented.
Measured: Up to approximately 61.7 Months
Duration of Response (DOR) Per mRECIST as Assessed by BICR
For participants who demonstrated confirmed CR or PR per mRECIST assessed by BICR, DOR was defined as the time from the first documented evidence of a confirmed complete response (CR) (disappearance of any intratumoral arterial enhancement in all target lesions) or a partial response (PR) (at least a 30% decrease in the SOD of viable [contrast enhancement in the arterial phase] target lesions, taking as reference the baseline SOD of target lesions) per mRECIST as assessed by BICR. mRECIST for HCC allows evaluation of treatment effects that are not reflected in simple total size changes of lesions. PD was defined as at least a 20% increase in the SOD of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. The DOR as assessed using mRECIST for all participants who experienced a confirmed CR or PR was presented.
Measured: Up to approximately 61.7 Months
Time-To-Progression (TTP) Per mRECIST as Assessed by BICR
TTP was defined as the time from the first dose of study intervention to the first documented PD per mRECIST assessed by BICR. mRECIST for HCC allows evaluation of treatment effects that are not reflected in simple total size changes of lesions. PD was defined as at least a 20% increase in the SOD of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. TTP per mRECIST as assessed by BICR was presented.
Measured: Up to approximately 61.7 Months
Number of Participants Who Experienced At Least One Adverse Event (AE)
An AE will be any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants who experienced an AE will be reported.
Measured: Up to approximately 71.1 Months
Percentage of Participants Who Experience At Least One Serious Adverse Event (SAE)
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An SAE was defined as any untoward medical occurrence that, at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was another important medical event. The number of participants with an SAE was reported.
Measured: Up to approximately 71.1 Months
Number of Participants Who Experience At Least One Hepatic Event of Clinical Interest (ECI)
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Hepatic events of clinical interest (ECIs) included any of the following events if the event was considered not due to disease progression as judged by the investigator: among participants with Baseline ALT <2 × ULN: ALT ≥5 × ULN; among participants with Baseline ALT ≥2 × ULN: ALT >3 × the Baseline level; ALT >500 U/L regardless of baseline level; total bilirubin >3.0 mg/dL; hepatic decompensation diagnosed clinically (regardless of laboratory values) including new onset clinically detectable ascites requiring intervention for >3 days, hepatic encephalopathy, or gastrointestinal bleeding suggestive of portal hypertension. The number of participants with a hepatic AE of clinical interest was reported.
Measured: Up to approximately 71.1 Months
Number of Participants Who Discontinue Study Treatment Due to an AE
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants that discontinued study treatment due to an AE was reported.
Measured: Up to approximately 71.1 Months
ORR Per RECIST 1.1 as Assessed by BICR
ORR was defined as the percentage of participants who achieve a confirmed Complete Response (CR: disappearance of all target lesions) or a Partial Response (PR: at least a 30% decrease in the sum of diameters [SOD] of target lesions) per RECIST 1.1 adjusted for this study to allow a maximum of 10 target lesions in total and 5 per organ, and assessed by BICR. The percentage of participants who experienced CR or PR per RECIST 1.1 as assessed BICR was presented.
Measured: Up to approximately 61.7 Months
DCR Per RECIST 1.1 as Assessed by BICR
DCR was defined as the percentage of participants who have achieved CR (disappearance of all target lesions), PR (at least a 30% decrease in the SOD of target lesions), or stable disease (SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD) after ≥6 weeks (the start of the window for the first scheduled scan) per RECIST 1.1 assessed by BICR. Per RECIST 1.1 adjusted for this study to allow a maximum of 10 target lesions and a maximum of 5 target lesions per organ, PD was defined as at least a 20% increase in the SOD of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. The percentage of participants who achieved CR, PR, or SD after ≥6 weeks per RECIST 1.1 assessed by BICR was presented.
Measured: Up to approximately 61.7 Months
DOR Per RECIST 1.1 as Assessed by BICR
For participants who demonstrated confirmed CR or PR per RECIST 1.1 assessed by BICR, DOR was defined as the time from the first documented evidence of CR (disappearance of all target lesions) or PR (at least a 30% decrease in the SOD of target lesions) until progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1 adjusted for this study to allow a maximum of 10 target lesions and a maximum of 5 target lesions per organ, PD was defined as at least a 20% increase in the SOD of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. The DOR as assessed using RECIST 1.1 for all participants who experienced a confirmed CR or PR was presented.
Measured: Up to approximately 61.7 Months
TTP Per RECIST 1.1 as Assessed by BICR
TTP was defined as the time from the first dose of study intervention to the first documented PD per RECIST 1.1 assessed by BICR. Per RECIST 1.1 adjusted for this study to allow a maximum of 10 target lesions and a maximum of 5 target lesions per organ, PD was defined as at least a 20% increase in the SOD of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. TTP per RECIST 1.1 as assessed by BICR was presented.
Measured: Up to approximately 61.7 Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jan 2020
- Study start22 May 2020
- Primary completion19 Aug 2025
- Study completion26 Mar 2026
Why it stopped: Business Reasons
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, HepatocellularStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 480 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Eisai Inc.
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04246177
- Sponsor's protocol ID
- 7902-012
- Other IDs
- MK-7902-012, LEAP-012, E7080-G000-318, 205286, 2022-502116-36-00, U1111-1283-3439, 2019-002345-37, 2019
- Status last verified
- Sep 2026
- First submitted
- 27 Jan 2020
- Last updated
- 3 Sep 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Publications
Kudo M, Ren Z, Guo Y, Han G, Lin H, Zheng J, Ogasawara S, Kim JH, Zhao H, Li C, Madoff DC, Ghobrial RM, Kawaoka T, Gerolami R, Ikeda M, Kumada H, El-Khoueiry AB, Vogel A, Peng X, Mody K, Dutcus C, Dubrovsky L, Siegel AB, Finn RS, Llovet JM; LEAP-012 investigators. Transarterial chemoembolisation combined with lenvatinib plus pembrolizumab versus dual placebo for unresectable, non-metastatic hepatocellular carcinoma (LEAP-012): a multicentre, randomised, double-blind, phase 3 study. Lancet. 2025 Jan 18;405(10474):203-215. doi: 10.1016/S0140-6736(24)02575-3. Epub 2025 Jan 8.
PubMed 39798578Verset G, Borbath I, Karwal M, Verslype C, Van Vlierberghe H, Kardosh A, Zagonel V, Stal P, Sarker D, Palmer DH, Vogel A, Edeline J, Cattan S, Kudo M, Cheng AL, Ogasawara S, Daniele B, Chan SL, Knox JJ, Qin S, Siegel AB, Chisamore M, Hatogai K, Wang A, Finn RS, Zhu AX. Pembrolizumab Monotherapy for Previously Untreated Advanced Hepatocellular Carcinoma: Data from the Open-Label, Phase II KEYNOTE-224 Trial. Clin Cancer Res. 2022 Jun 13;28(12):2547-2554. doi: 10.1158/1078-0432.CCR-21-3807.
PubMed 35421228Llovet JM, Vogel A, Madoff DC, Finn RS, Ogasawara S, Ren Z, Mody K, Li JJ, Siegel AB, Dubrovsky L, Kudo M. Randomized Phase 3 LEAP-012 Study: Transarterial Chemoembolization With or Without Lenvatinib Plus Pembrolizumab for Intermediate-Stage Hepatocellular Carcinoma Not Amenable to Curative Treatment. Cardiovasc Intervent Radiol. 2022 Apr;45(4):405-412. doi: 10.1007/s00270-021-03031-9. Epub 2022 Feb 4.
PubMed 35119481Taylor MH, Schmidt EV, Dutcus C, Pinheiro EM, Funahashi Y, Lubiniecki G, Rasco D. The LEAP program: lenvatinib plus pembrolizumab for the treatment of advanced solid tumors. Future Oncol. 2021 Feb;17(6):637-648. doi: 10.2217/fon-2020-0937. Epub 2020 Dec 10.
PubMed 33300372Kloeckner R, Galle PR, Bruix J. Local and Regional Therapies for Hepatocellular Carcinoma. Hepatology. 2021 Jan;73 Suppl 1:137-149. doi: 10.1002/hep.31424. Epub 2020 Nov 6. No abstract available.
PubMed 32557715
Study at a glance
From the registry record, last updated by the sponsor on 3 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Multicenter, Randomized, Double-blinded, Active-controlled, Clinical Study to Evaluate the Safety and Efficacy of Lenvatinib (E7080/MK-7902) With Pembrolizumab (MK-3475) in Combination With Transarterial Chemoembolization (TACE) Versus TACE in Participants With Incurable/Non-metastatic Hepatocellular Carcinoma (LEAP-012)
- ClinicalTrials.gov ID
- NCT04246177
- Acronym / sponsor ID
- 7902-012
- Conditions
- Carcinoma, Hepatocellular
- Keywords
- receptor tyrosine kinase inhibitor, programmed cell death 1 (PD-1, PD1), programmed cell death ligand 1 (PD-L1, PDL1)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Business Reasons
- Enrolment
- 480 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Collaborators
- Eisai Inc.
- Study start
- 22 May 2020 (actual)
- Primary completion
- 19 Aug 2025 (actual)
- Study completion
- 26 Mar 2026 (actual)
- First posted
- 29 Jan 2020 (actual)
- Results
- Posted 3 Sep 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy and safety of lenvatinib and pembrolizumab in combination with TACE versus TACE plus oral and intravenous (IV) placebos in participants with incurable, non-metastatic hepatocellular carcinoma (HCC). The primary hypotheses are that pembrolizumab plus lenvatinib in combination with TACE is superior to placebo plus TACE with respect to progression-free survival (PFS) and overall survival (OS).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Lenvatinib plus Pembrolizumab plus TACE | Experimental | Drug: Lenvatinib, Biological: Pembrolizumab, Procedure: TACEParticipants will receive a combination of lenvatinib, pembrolizumab, and TACE. Lenvatinib will be administered at a dose of 12 mg (for participants with screening body weight ≥60 kg) or 8 mg (for participants with screening body weight <60 kg) orally once a day during each 21-day cycle until progressive disease or unacceptable toxicity (up to 2 years [~35 cycles] or longer with Sponsor approval). Pembrolizumab will be administered via IV infusion at a dose of 400 mg once every 6 weeks (Q6W) for up to 2 years (~17 doses). Participants will undergo TACE as a background procedure of chemotherapeutic and embolic agent(s). |
| Oral Placebo plus IV Placebo plus TACE | Active comparator | Drug: Oral Placebo, Drug: IV Placebo, Procedure: TACEParticipants will receive a combination of lenvatinib-matching oral placebo, pembrolizumab-matching IV placebo, and TACE. Lenvatinib-matching oral placebo will be administered once a day during each 21-day cycle for up to 2 years (~35 cycles) or longer with Sponsor approval and pembrolizumab-matching IV placebo will be administered once every 6 weeks (Q6W) for up to 2 years (~17 doses). Participants will undergo TACE as a background procedure of chemotherapeutic and embolic agent(s). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Has a diagnosis of HCC confirmed by radiology, histology, or cytology
- Has HCC localized to the liver and not amenable to curative treatment
- Participants with Hepatitis C virus (HCV) are eligible if treatment was completed at least 1 month prior to starting study intervention
- Participants with Hepatitis B virus (HBV) are eligible
- Has adequately controlled blood pressure with or without antihypertensive medications
Key exclusion criteria (6 listed)
- Is currently a candidate for liver transplantation
- Has had gastric bleeding within the last 6 months
- Has ascites that is not controlled with medication
- Has significant cardiovascular impairment within 12 months of the first dose of study intervention such as congestive heart failure
- Has a serious nonhealing wound, ulcer, or bone fracture
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LenvatinibAlso: MK-7902, E7080, LENVIMA®Administered at a dose of 12 mg (for participants with screening body weight ≥60 kg) or 8 mg (for participants with screening body weight <60 kg) via oral capsules once a day during each 21-day cycle. | Drug | Lenvatinib plus Pembrolizumab plus TACE |
| PembrolizumabAlso: MK-3475, KEYTRUDA®Administered via IV infusion at a dose of 400 mg once every 6 weeks (Q6W). | Biological | Lenvatinib plus Pembrolizumab plus TACE |
| Oral PlaceboLenvatinib-matching placebo administered via oral capsules once a day during each 21-day cycle. | Drug | Oral Placebo plus IV Placebo plus TACE |
| IV PlaceboPembrolizumab-matching placebo administered via IV infusion once every 6 weeks (Q6W). | Drug | Oral Placebo plus IV Placebo plus TACE |
| TACEConducted as a background procedure of chemotherapeutic and embolic agent(s). | Procedure or surgery | Lenvatinib plus Pembrolizumab plus TACE, Oral Placebo plus IV Placebo plus TACE |
Primary outcome
Progression Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
Time frame: Up to approximately 43.5 Months
PFS was defined as the time from the first dose of study intervention to the first documented progressive disease (PD) per RECIST 1.1 by BICR or death due to any cause, whichever occurs first. Per RECIST 1.1 adjusted for this study to allow a maximum of 10 target lesions and a maximum of 5 target lesions per organ, PD was defined as at least a 20% increase in the sum of diameters (SOD) of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. PFS per RECIST 1.1 as assessed by BICR was reported.
Overall Survival (OS)
Time frame: Up to approximately 61.7 Months
OS was defined as the time from randomization to death due to any cause.
13 secondary outcomes
PFS Per Modified RECIST (mRECIST) as Assessed by BICR
Time frame: Up to approximately 61.7 Months
Objective Response Rate (ORR) Per mRECIST as Assessed by BICR
Time frame: Up to approximately 61.7 Months
Disease Control Rate (DCR) Per mRECIST as Assessed by BICR
Time frame: Up to approximately 61.7 Months
Duration of Response (DOR) Per mRECIST as Assessed by BICR
Time frame: Up to approximately 61.7 Months
Time-To-Progression (TTP) Per mRECIST as Assessed by BICR
Time frame: Up to approximately 61.7 Months
Number of Participants Who Experienced At Least One Adverse Event (AE)
Time frame: Up to approximately 71.1 Months
Percentage of Participants Who Experience At Least One Serious Adverse Event (SAE)
Time frame: Up to approximately 71.1 Months
Number of Participants Who Experience At Least One Hepatic Event of Clinical Interest (ECI)
Time frame: Up to approximately 71.1 Months
Number of Participants Who Discontinue Study Treatment Due to an AE
Time frame: Up to approximately 71.1 Months
ORR Per RECIST 1.1 as Assessed by BICR
Time frame: Up to approximately 61.7 Months
DCR Per RECIST 1.1 as Assessed by BICR
Time frame: Up to approximately 61.7 Months
DOR Per RECIST 1.1 as Assessed by BICR
Time frame: Up to approximately 61.7 Months
TTP Per RECIST 1.1 as Assessed by BICR
Time frame: Up to approximately 61.7 Months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Sep 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 39798578Kudo M, Ren Z, Guo Y, Han G, Lin H, Zheng J, Ogasawara S, Kim JH, Zhao H, Li C, Madoff DC, Ghobrial RM, Kawaoka T, Gerolami R, Ikeda M, Kumada H, El-Khoueiry AB, Vogel A, Peng X, Mody K, Dutcus C, Dubrovsky L, Siegel AB, Finn RS, Llovet JM; LEAP-012 investigators. Transarterial chemoembolisation combined with lenvatinib plus pembrolizumab versus dual placebo for unresectable, non-metastatic hepatocellular carcinoma (LEAP-012): a multicentre, randomised, double-blind, phase 3 study. Lancet. 2025 Jan 18;405(10474):203-215. doi: 10.1016/S0140-6736(24)02575-3. Epub 2025 Jan 8.
- Derived from this study: PubMed 35421228Verset G, Borbath I, Karwal M, Verslype C, Van Vlierberghe H, Kardosh A, Zagonel V, Stal P, Sarker D, Palmer DH, Vogel A, Edeline J, Cattan S, Kudo M, Cheng AL, Ogasawara S, Daniele B, Chan SL, Knox JJ, Qin S, Siegel AB, Chisamore M, Hatogai K, Wang A, Finn RS, Zhu AX. Pembrolizumab Monotherapy for Previously Untreated Advanced Hepatocellular Carcinoma: Data from the Open-Label, Phase II KEYNOTE-224 Trial. Clin Cancer Res. 2022 Jun 13;28(12):2547-2554. doi: 10.1158/1078-0432.CCR-21-3807.
- Derived from this study: PubMed 35119481Llovet JM, Vogel A, Madoff DC, Finn RS, Ogasawara S, Ren Z, Mody K, Li JJ, Siegel AB, Dubrovsky L, Kudo M. Randomized Phase 3 LEAP-012 Study: Transarterial Chemoembolization With or Without Lenvatinib Plus Pembrolizumab for Intermediate-Stage Hepatocellular Carcinoma Not Amenable to Curative Treatment. Cardiovasc Intervent Radiol. 2022 Apr;45(4):405-412. doi: 10.1007/s00270-021-03031-9. Epub 2022 Feb 4.
- Derived from this study: PubMed 33300372Taylor MH, Schmidt EV, Dutcus C, Pinheiro EM, Funahashi Y, Lubiniecki G, Rasco D. The LEAP program: lenvatinib plus pembrolizumab for the treatment of advanced solid tumors. Future Oncol. 2021 Feb;17(6):637-648. doi: 10.2217/fon-2020-0937. Epub 2020 Dec 10.
- Derived from this study: PubMed 32557715Kloeckner R, Galle PR, Bruix J. Local and Regional Therapies for Hepatocellular Carcinoma. Hepatology. 2021 Jan;73 Suppl 1:137-149. doi: 10.1002/hep.31424. Epub 2020 Nov 6. No abstract available.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Merck Sharp & Dohme LLC
205 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lenvatinib, Pembrolizumab and TACE in people with Carcinoma, Hepatocellular, run by Merck Sharp & Dohme LLC at 205 sites in 27 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 3 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 205 sites in China, United States, Japan, South Korea, Germany and 22 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 3 Sep 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) (time frame: Up to approximately 43.5 Months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04246177, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Sep 2026.