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Hepatocellular Carcinoma (HCC)Phase 1NCT05022927

A Phase I Study of ERY974 in Patients With Hepatocellular Carcinoma

A Phase 1 study testing ERY974, Tocilicumab and Atezolizumab in people with Hepatocellular Carcinoma (HCC), run by Chugai Pharmaceutical at 11 sites in 2 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a multicenter, open-label, dose-escalation study designed to determine the maximum tolerated dose (MTD) by evaluating dose-limiting toxicities (DLTs) and to evaluate the safety, tolerability, pharmacokinetics, anti-tumor effect, and biomarkers of ERY974 in combination with atezolizumab and bevacizumab… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hepatocellular Carcinoma (HCC)
What is being tested?
ERY974, Tocilicumab and Atezolizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
179 participants
Where
11 sitesin 2 countries
Study dates
1 Jun 2021to 31 Dec 2025
Phase
Phase 1
Are there results?
None posted in the registry

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

  • Aged ≥18 years at time of informed consent
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 or 1
  • HCC that has been histologically confirmed

Who cannot join

  • Previous or concomitant autoimmune disease
  • Uncontrolled diabetes mellitus and hypertension
  • Concurrent New York Heart Association (NYHA) Class ≥II congestive heart failure, myocardial infarction, arrhythmia, or unstable angina, or a history thereof within 6 months before enrollment.
  • Concurrent symptomatic cerebrovascular disorder (e.g., subarachnoid hemorrhage, cerebral infarction, or transient ischemic attack), or a history thereof within 6 months before enrollment.
  • Symptomatic, untreated, or actively progressing CNS metastases

Trial locations and contacts

11 sites in 2 countries.

11 sites in 2 countries

Taiwan6 sites
  • Kaohsiung Chang Gung Memorial Hospital

    Kaohsiung City, 83301

  • Taichung Veterans General Hospital

    Taichung, 40705

  • National Cheng Kung University Hospital

    Tainan, 70142

  • Chi Mei Medical Center

    Tainan, 71004

  • National Taiwan University Hospital

    Taipei, 100

  • Linkou Chang Gung Memorial Hospital

    Taoyuan, 33305

Other trials in Taiwan

Japan5 sites
  • Chiba University Hospital

    Chiba, Chiba, 260-8677

  • National Cancer Center Hospital

    Chuo Ku, Tokyo, 104-0045

  • National Cancer Center Hospital East

    Kashiwa, Chiba, 277-8577

  • Kindai University Hospital

    Sayama, Osaka, 589-8511

  • Kanagawa Cancer Center

    Yokohama, Kanagawa, 241-8515

Other trials in Japan

About this study

Official title: A PHASE I STUDY OF ERY974 IN PATIENTS WITH LOCALLY ADVANCED OR METASTATIC HEPATOCELLULAR CARCINOMA

This is a multicenter, open-label, dose-escalation study designed to determine the maximum tolerated dose (MTD) by evaluating dose-limiting toxicities (DLTs) and to evaluate the safety, tolerability, pharmacokinetics, anti-tumor effect, and biomarkers of ERY974 in combination with atezolizumab and bevacizumab following premedication with tocilizumab in patients with locally advanced or metastatic HCC.

Being tested
ERY974, Tocilicumab, Atezolizumab, Bevacizumab
Medical subject headings
Carcinoma, Hepatocellular

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ERY974Drug

    ERY974 vial

  • TocilicumabDrug

    Tocilizumab vial

  • AtezolizumabDrug

    Atezolizumab vial

  • BevacizumabDrug

    Bevacizumab vial

Study groups in NCT05022927
Study groupRoleWhat they receive
Dose escalation partExperimentalPatients will receive ERY974 in combination with atezolizumab and bevacizumab after administering ERY974 as a single agent and to determine the MTD by evaluating DLTs of in patients with locally advanced or metastatic HCC.
Receives: Drug: ERY974; Drug: Tocilicumab; Drug: Atezolizumab; Drug: Bevacizumab
Expansion partExperimentalPatients will receive ERY974 in combination with atezolizumab and bevacizumab after administering ERY974 as a single agent To evaluate the anti-tumor effect.
Receives: Drug: ERY974; Drug: Tocilicumab; Drug: Atezolizumab; Drug: Bevacizumab
Concomitant use partExperimentalPatients will receive ERY974 in combination with atezolizumab and bevacizumab and to determine the MTD.
Receives: Drug: ERY974; Drug: Tocilicumab; Drug: Atezolizumab; Drug: Bevacizumab
Biomarker partExperimentalPatients will receive ERY974 in combination with atezolizumab and bevacizumab after administering ERY974 as a single agent and to evaluate the biomarkers.
Receives: Drug: ERY974; Drug: Tocilicumab; Drug: Atezolizumab; Drug: Bevacizumab
Mono dose escalation partExperimentalPatients will receive ERY974 as a single agent and to determine the MTD by evaluating DLTs of in patients with locally advanced or metastatic HCC.
Receives: Drug: ERY974; Drug: Tocilicumab; Drug: Atezolizumab; Drug: Bevacizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety and tolerability of ERY974 in combination with atezolizumab and bevacizumab (Dose limiting toxicities) [Dose escalation part]

    Incidence and nature of DLTs

    Measured: At the end of Cycle 2 (Cycle 1 is 14day, Cycle 2 or later is 21days)

  2. Safety and tolerability of ERY974 in combination with atezolizumab and bevacizumab (Electrocardiograms in triplicate) [Dose escalation part]

    Incidence, nature, and severity of adverse events (AEs) as assessed by the NCI CTCAE v5.0

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  3. Safety and tolerability of ERY974 in combination with atezolizumab and bevacizumab (Electrocardiograms in triplicate) [Dose escalation part]

    Uncorrected QT interval, QTcF, PR duration, QRS interval and RR interval

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  4. Safety and tolerability of ERY974 in combination with atezolizumab and bevacizumab (Electrocardiograms in triplicate) [Dose escalation part]

    Heart Rate

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  5. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab [Dose escalation part]

    Maximum plasma concentration (Cmax) of ERY974 Maximum plasma concentration (Cmax) of ERY974 Maximum plasma concentration (Cmax) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  6. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab [Dose escalation part]

    Time to reach maximum plasma drug concentration (Tmax) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  7. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab [Dose escalation part]

    Area under the concentration versus time curve (AUC) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  8. Anti-tumor activity of ERY974 in combination with atezolizumab and bevacizumab [Expansion part]

    Objective Response Rate (ORR) is defined as proportion of patients who had a confirmed complete response (CR) or partial response (PR), as determined by the investigator with use of Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1)

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  9. Safety and tolerability of ERY974 in combination with atezolizumab and bevacizumab from initiation (Dose limiting toxicities) [Concomitant use part]

    Incidence and nature of DLTs

    Measured: At the end of Cycle 1 (each Cycle is 21days)

  10. Safety and tolerability of ERY974 in combination with atezolizumab and bevacizumab (Adverse Events) [Expansion part]

    Incidence, nature, and severity of adverse events (AEs) as assessed by the NCI CTCAE v5.0

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  11. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab from initiation [Concomitant use part]

    Uncorrected QT interval, QTcF, PR duration, QRS interval and RR interval

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  12. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab from initiation [Concomitant use part]

    Heart Rate

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  13. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab from initiation [Concomitant use part]

    Maximum plasma concentration (Cmax) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  14. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab from initiation [Concomitant use part]

    Time to reach maximum plasma drug concentration (Tmax) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  15. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab from initiation [Concomitant use part]

    Area under the concentration versus time curve (AUC) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  16. Biomarkers of ERY974 in combination with atezolizumab and bevacizumab [Biomarker part]

    GPC3 and PD-L1 IHC staining

    Measured: From screening to 6weeks

  17. Biomarkers of ERY974 in combination with atezolizumab and bevacizumab [Biomarker part]

    Immune-related molecule IHC

    Measured: From screening to 6weeks

  18. Biomarkers of ERY974 in combination with atezolizumab and bevacizumab [Biomarker part]

    Gene expression

    Measured: From screening to 6weeks

  19. Anti-tumor activity of ERY974 [Mono dose escalation part]

    Objective Response Rate (ORR) is defined as proportion of patients who had a confirmed complete response (CR) or partial response (PR), as determined by the investigator with use of Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1)

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  20. Safety of ERY974 (Dose limiting toxicities) [Mono dose escalation part]

    Incidence and nature of DLTs

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  21. Safety of ERY974 (Dose limiting toxicities) [Mono dose escalation part]

    Incidence, nature, and severity of adverse events (AEs) as assessed by the NCI CTCAE v5.0

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  22. Safety of ERY974 (Dose limiting toxicities) [Mono dose escalation part]

    Uncorrected QT interval, QTcF, PR duration, QRS interval and RR interval

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  23. Safety of ERY974 (Dose limiting toxicities) [Mono dose escalation part]

    Heart Rate

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

Secondary outcomes (20)
  1. Anti-tumor activity of ERY974 in combination with atezolizumab and bevacizumab [Dose escalation part]

    Objective Response Rate (ORR) is defined as proportion of patients who had a confirmed complete response (CR) or partial response (PR), as determined by the investigator with use of Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1)

    Measured: From screening until disease progression, study discontinuation, withdrawal or death, whichever occurs first, assessed up to about 52 weeks.

  2. Safety and tolerability of ERY974 in combination with atezolizumab and bevacizumab (Adverse Events) [Expansion part]

    Incidence, nature, and severity of adverse events (AEs) as assessed by the NCI CTCAE v5.0

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  3. Safety, tolerability and pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab (Adverse Events) [Expansion part]

    Uncorrected QT interval, QTcF, PR duration, QRS interval and RR interval

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  4. Safety, tolerability and pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab (Adverse Events) [Expansion part]

    Heart Rate

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  5. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab [Expansion part]

    Maximum plasma concentration (Cmax) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  6. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab [Expansion part]

    Time to reach maximum plasma drug concentration (Tmax) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  7. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab [Expansion part]

    Area under the concentration versus time curve (AUC) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  8. Anti-tumor activity of ERY974 in combination with atezolizumab and bevacizumab from initiation [Concomitant use part]

    Objective Response Rate (ORR) is defined as proportion of patients who had a confirmed complete response (CR) or partial response (PR), as determined by the investigator with use of Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1)

    Measured: From screening until disease progression, study discontinuation, withdrawal or death, whichever occurs first, assessed up to about 52 weeks.

  9. Safety of ERY974 in combination with atezolizumab and bevacizumab (Adverse Events) [Expansion part]

    Incidence, nature, and severity of adverse events (AEs) as assessed by the NCI CTCAE v5.0

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  10. Safety, tolerability and pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab (Adverse Events) [Biomarker part]

    Uncorrected QT interval, QTcF, PR duration, QRS interval and RR interval

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  11. From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

    Heart Rate

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  12. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab [Biomarker part]

    Maximum plasma concentration (Cmax) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  13. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab [Biomarker part]

    Time to reach maximum plasma drug concentration (Tmax) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  14. Pharmacokinetics of ERY974 in combination with atezolizumab and bevacizumab [Biomarker part]

    Time to reach maximum plasma drug concentration (AUC) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  15. Pharmacokinetics of ERY974 [Mono dose escalation part]

    Maximum plasma concentration (Cmax) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  16. Pharmacokinetics of ERY974 [Mono dose escalation part]

    Time to reach maximum plasma drug concentration (Tmax) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  17. Pharmacokinetics of ERY974 [Mono dose escalation part]

    Area under the concentration versus time curve (AUC) of ERY974

    Measured: From first dose until 28 days after the last dose of study treatment, assessed up to about 52 weeks.

  18. Biomarkers of ERY974 [Mono dose escalation part]

    GPC3 IHC staining

    Measured: From screening to 6weeks

  19. Biomarkers of ERY974 [Mono dose escalation part]

    Immune-related molecule IHC

    Measured: From screening to 6weeks

  20. Biomarkers of ERY974 [Mono dose escalation part]

    Gene expression

    Measured: From screening to 6weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Aug 2021
  2. Study start1 Jun 2021
  3. Primary completion31 Dec 2025 (estimated)
  4. Study completion31 Dec 2025 (estimated)

Resources

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
179 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05022927
Sponsor's protocol ID
ERY103JG
Status last verified
Sep 2024
First submitted
28 Jun 2021
Last updated
5 Sep 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to individual patient level data through the clinical study data request platform. For further details on Chugai's Data Sharing Policy and how to request access to related clinical study documents, see here (www.chugai-pharm.co.jp/english/profile/rd/ctds\_request.html).

Publications

  • Komatsu SI, Kayukawa Y, Miyazaki Y, Kaneko A, Ikegami H, Ishiguro T, Nakamura M, Frings W, Ono N, Sakata K, Fujii T, Kishishita S, Kitazawa T, Endo M, Sano Y. Determination of starting dose of the T cell-redirecting bispecific antibody ERY974 targeting glypican-3 in first-in-human clinical trial. Sci Rep. 2022 Jul 19;12(1):12312. doi: 10.1038/s41598-022-16564-x.

    PubMed 35853994

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ERY974, Tocilicumab and Atezolizumab in people with Hepatocellular Carcinoma (HCC), run by Chugai Pharmaceutical at 11 sites in 2 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 3 inclusion and 5 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: status not confirmed, as of the sponsor's last update on 5 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Taiwan, Japan. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

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?

Safety and tolerability of ERY974 in combination with atezolizumab and bevacizumab (Dose limiting toxicities) [Dose escalation part] (time frame: At the end of Cycle 2 (Cycle 1 is 14day, Cycle 2 or later is 21days)). The study lists 23 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 NCT05022927, which also lists 1 linked publication.

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 5 Sep 2024.

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