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Hepatocellular CarcinomaPhase 3NCT05862337

Anlotinib Hydrochloride Capsules Combined With Penpulimab Injection for the Treatment of Hepatocellular Carcinoma at High Risk of Recurrence.

A Phase 3 study testing Anlotinib hydrochloride capsules, Penpulimab injection in people with Hepatocellular Carcinoma, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 67 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The primary objective of this study was to evaluate the efficacy of anlotinib hydrochloride capsules combined with penpulimab injection (test group) versus placebo (control group) for adjuvant therapy after radical surgery or ablation in HCC patients with high risk of recurrence by assessing recurrence-free survival… Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Hepatocellular Carcinoma
What is being tested?
Anlotinib hydrochloride capsules, Penpulimab injection
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
480 participants
Where
67 sitesChina
Study dates
10 May 2023to Dec 2026
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age: 18-75 years old; Eastern Cooperative Oncology Group Performance Status (ECOG PS) ≤ 1; Predicted survival ≥12 weeks.
  • Subjects with hepatocellular carcinoma (HCC) confirmed by histopathology or cytology or who meet the diagnostic criteria for Primary Liver Cancer 2022 or the American Association for the Study of Hepatology (AASLD) hepatocellular carcinoma.
  • Subjects who received radical excision or ablation (Radio Frequency Ablation (RFA) or Microwave Ablation (MWA) only) within 4 to 12 weeks prior to randomization (multiple modalities or combined or multiple treatments are not acceptable).
  • No major vena portae 3 (Vp3) or vena portae 4 (Vp4) in the portal vein or any level of vascular invasion in the hepatic vein or inferior vena cava.
  • No extrahepatic metastasis.
  • High risk factors for recurrence after radical resection or complete ablation.
  • Complete recovery from surgical resection or ablation within 4 weeks before randomization.

Who cannot join

  • Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC histology.
  • Evidence of residual, recurrent, or metastatic disease at randomization.
  • More than one surgical treatment for hepatocellular carcinoma; Received more than 1 prophylactic Transcatheter Arterial Chemoembolization (TACE) treatment after surgery; or received Hepatic Artery Infusion Chemotherapy (HAIC) therapy after surgery.
  • Previous use of antiangiogenic drugs or PD-1, Programmed Cell Death-Ligand 1 (PD-L1) and other related immunotherapy drugs or systemic chemotherapy drugs.

Trial locations and contacts

67 sites in 1 country. Contact the study team or a site near you to ask about taking part.

67 sites in 1 country

China67 sites, 67 recruiting
  • Baoji Central Hospital

    Baoji, Shanxi, 721000

    Gang Wang, Bachelor, +86 13892780368, wangg1971@163.com

    Recruiting
  • Peking Union Medical College Hospital

    Beijing, Beijing Municipality, 100005

    Haitao Zhao, Doctor, +86 13901246374, zhaoht@pumch.cn

    Recruiting
  • Cancer Hospital Chinese Academy of Medical Sciences

    Beijing, Beijing Municipality, 100020

    Hongguang Wang, Doctor, +86 13717659265, wanghongguang301@163.com

    Recruiting
  • Peking University People's Hospital

    Beijing, Beijing Municipality, 100044

    Lei Chen, Doctor, +86 13911995059, chenlei@pkuph.edu.cn

    Recruiting
  • Beijing Friendship hospital of Capital Medical University

    Beijing, Beijing Municipality, 100050

    Zhongtao Zhang, Doctor, +86 13801060364, zhangzht@ccmu.edu.cn

    Recruiting
  • Beijing YouAn Hospital,Capital Medical University

    Beijing, Beijing Municipality, 100069

    Yonghong Zhang, Doctor, +86 13810108505

    Recruiting
  • The First Affiliated Hospital of Bengbu Medical College

    Bengbu, Anhui, 233000

    Lu Zheng, Doctor, +86 13721179461, luzhengdr@163.com

    Recruiting
  • Binzhou Medical University Hospital

    Binzhou, Shandong, 256699

    Fangling Ning, Master, +86 15254311599, ningfangling@126.com

    Recruiting
  • Jilin Cancer Hospital

    Changchun, Jilin, 130012

    Ying Cheng, Doctor, +86 13943012851, jl.cheng@163.com

    Not yet recruiting
  • Hunan Cancer Hospital

    Changsha, Hunan, 410000

    Jia Luo, Doctor, +86 13874994359, luojia@hnca.org.cn

    Not yet recruiting
  • Hunan Provincial People's Hospital

    Changsha, Hunan, 410000

    Chuang Peng, Doctor, +86 15974220718, 1518364280@qq.com

    Not yet recruiting
  • The Third Xiang Ya Hospital of Central South University

    Changsha, Hunan, 410000

    Feizhou Huang, Doctor, +86 18975186183, Huangfeizhou1009@163.com

    Recruiting
  • Xiangya Hospital of Central South University

    Changsha, Hunan, 410000

    Ledu Zhou, Doctor, +86 17373120367, csuzld@126.com

    Not yet recruiting
  • Heping Hospital Affiliated to Changzhi Medical College

    Changzhi, Shanxi, 46000

    Buqiang Wu, Doctor, +86 13934055258, wuli67@163.com

    Recruiting
  • The First People's Hospital of Changzhou

    Changzhou, Jiangsu, 213000

    Xuemin Chen, Doctor, +86 13813587333, czcxm007@126.com

    Recruiting
  • West China Hospital of Sichuan University

    Chengdu, Sichuan, 610000

    Hong Wu, Doctor, +86 18980601958, wuhong7801@163.com

    Recruiting
  • Chifeng Municipal Hospital

    Chifeng, Inner Mongolia, 240000

    Zhonghua Liu, Bachelor, +86 18047660067, M18047660067@163.com

    Recruiting
  • Chongqing University Cancer Hospital

    Chongqing, Chongqing Municipality, 400030

    Dewei Li, Doctor, +86 13618317772, lidewei406@sina.com

    Not yet recruiting
  • Chongqing University Three Gorges Hospital

    Chongqing, Chongqing Municipality, 404199

    Xuan An, Master, +86 13996835633, 57485971@qq.com

    Not yet recruiting
  • The Second Hospital of Dalian Medical University

    Dalian, Liaoning, 116027

    Liming Wang, Doctor, +86 17709870007, wangbcc259@163.com

    Recruiting
  • Mengchao Hepatobiliary Hospital of Fujian Medical

    Fuzhou, Fujian, 350001

    Haitao Li, Doctor, +86 18950242262, lht45182@163.com

    Recruiting
  • Fujian Cancer Hospital

    Fuzhou, Fujian, 350011

    Jingfeng Liu, Doctor, +86 13905029580, drjingfeng@126.com

    Recruiting
  • Ganzhou People's Hospital

    Ganzhou, Jiangxi, 341099

    Song Zou, Bachelor, +86 13879757375, 1758771@qq.com

    Recruiting
  • Guangdong People's Hospital

    Guangzhou, Guangdong, 510000

    Haosheng Jin, Doctor, +86 13825066891, kinghaos@126.com

    Not yet recruiting
  • Zhujiang Hospital of Southern Medical University

    Guangzhou, Guangdong, 510280

    Yi Gao, Doctor, +86 18922345399, gaoyi6146@163.com

    Recruiting
  • The Third Affiliated Hospital of Sun Yat-sen University

    Guangzhou, Guangdong, 510630

    Chan Xie, Doctor, +86 13434383329, happyxiechan@hotmail.com

    Recruiting
  • Guizhou Provincial People'S Hospital

    Guiyang, Guizhou, 550002

    Jun Liu, Doctor, +86 13985519359, LiuJun2018@126.com

    Recruiting
  • The Affiliated Cancer Hospital of Guizhou Medical University

    Guiyang, Guizhou, 550008

    Xing Wang, Doctor, +86 13608512435, 59434479@qq.com

    Not yet recruiting
  • Hainan Provincial People's Hospital

    Haikou, Hainan, 570311

    Jincai Wu, Doctor, +86 18889765723, wujincai021@126.com

    Recruiting
  • The Second Affiliated Hospital of Hainan Medical University

    Haikou, Hainan, 570311

    Haifeng Lin, Bachelor, +86 13322060949, 13322060949@163.com

    Recruiting
  • Sir Run Run Shaw Hospital Zhetiang University School of Medicine

    Hangzhou, Zhejiang, 310000

    Xiujun Cai, Doctor, +86 13805738266, srrsh_cxj@zju.edu.cn

    Recruiting
  • Affiliated Cancer Hospital of Harbin Medical University

    Harbin, Heilongjiang, 150081

    Yubao Zhang, Doctor, +86 13936588077, zhyb88077@sina.com

    Recruiting
  • Anhui Provincial Hospital

    Hefei, Anhui, 230000

    Lianxin Liu, Doctor, +86 18096656677, liulx@ustc.edu.cn

    Recruiting
  • The First Affiliated Hospital of Anhui Medical University

    Hefei, Anhui, 230000

    Yufeng Gao, Doctor, +86 13956938032, aygyf@126.com

    Not yet recruiting
  • Shandong Cancer Hospital

    Jinan, Shandong, 250117

    Lei Zhao, Doctor, +86 18615216153, drzhaolei1974@163.com

    Not yet recruiting
  • The First Affiliated Hospital of Jinzhou Medical University

    Jinzhou, Liaoning, 121012

    Hongzhi Sun, Doctor, +86 13840650008, cmushz@163.com

    Recruiting
  • Gansu Provincial Cancer Hospital

    Lanzhou, Gansu, 730000

    Yan Yang, Bachelor, +86 13639395521, Yangyantd1992@163.com

    Recruiting
  • Lanzhou University First Hospital

    Lanzhou, Gansu, 730000

    Lei Zhang, Doctor, +86 13993181644, 13993181644@139.com

    Not yet recruiting
  • Lanzhou University Second Hospital

    Lanzhou, Gansu, 730030

    Wence Zhou, Doctor, +86 13893699909, Zhouwc129@163.com

    Not yet recruiting
  • Gansu Provincial Hospital

    Lanzhou, Gansu, 730700

    Minggang Zheng, Doctor, +86 13893260496, zhengninggang0707@163.com

    Recruiting
  • The First Affiliated Hospital of Henan University of Science and Technology

    Luoyang, Henan, 471000

    Dianbao Zhang, Doctor, +86 15038628192, doctorzhangdianbao@163.com

    Recruiting
  • Affiliated Hospital of Southwest Medical University

    Luzhou, Sichuan, 646000

    Qinglian Wen, Doctor, +86 13518388130, zlkgcpqlw666@163.com

    Recruiting
  • The Second Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi, 330000

    Linquan Wu, Doctor, +86 13607912265, wulqnc@163.com

    Recruiting
  • Affiliated Hospital Of North Sichuan Medical College

    Nanchong, Sichuan, 637000

    Xiaojie Ma, Master, +86 13458406996, 992437730@qq.com

    Recruiting
  • Jiangsu Province People's Hospital

    Nanjing, Jiangsu, 210000

    Xiangcheng Li, Doctor, +86 18951999088, drlixc@163.com

    Recruiting
  • Guangxi Medical University Affiliated Tumor Hospital

    Nanning, Guangxi, 530000

    Feixiang Wu, Doctor, +86 13707873326, wufx2013@163.com

    Not yet recruiting
  • Affiliated Hospital of Nantong University

    Nantong, Jiangsu, 226006

    Shudong Gu, Doctor, +86 15851392808, gusdnt@foxmail.com

    Recruiting
  • Nantong Tumor Hospital

    Nantong, Jiangsu, 226361

    Bingfeng Shao, Bachelor, +86 13962981592, ntzlsbf@163.com

    Not yet recruiting
  • Ningbo Medical Center Lihuili Hospital

    Ningbo, Zhejiang, 315000

    Shengdong Wu, Doctor, +86 13567886669, arsdrell@hotmail.com

    Recruiting
  • The First Affiliated Hospital of Naval Medical University

    Shanghai, Shanghai Municipality, 200433

    Jijin Yang, Doctor, +86 13801676237, jijinyang@sina.com

    Recruiting
  • Third Affiliated Hospital of Naval Medical University

    Shanghai, Shanghai Municipality, 200433

    Feng Shen, Doctor, +86 13901651428, shenfengehbh@sina.com

    Recruiting
  • Shaoxing People's Hospital

    Shaoxing, Zhejiang, 312000

    Baochun Lu, Doctor, +86 13002638081, lbc111@yeah.net

    Recruiting
  • Shengjing Hospital of China Medical University

    Shenyang, Liaoning, 110000

    Chaoliu Dai, Doctor, +86 18940251697, daicl@sj-hospital.org

    Not yet recruiting
  • The Sixth People's Hospital of Shen Yang

    Shenyang, Liaoning, 110000

    Wei Wu, Bachelor, +86 18502460420, wuwei19700420@sina.com

    Recruiting
  • Liaoning Cancer Hospital

    Shenyang, Liaoning, 110801

    Xiangdong Hua, Doctor, +86 13940126803, LnzlHxd@163.com

    Not yet recruiting
  • Taizhou Hospital of Zhejiang Province

    Taizhou, Zhejiang, 317000

    Fabiao Zhang, Master, +86 13706760105, Zhangfabiao@enzemed.com

    Recruiting
  • Tianjin Third Central Hospital

    Tianjin, Tianjin Municipality, 300000

    Fengmei Wang, Doctor, +86 15522242696, wangfengmeitj@126.com

    Recruiting
  • Tianjin Medical University Cancer Institute & Hospital

    Tianjin, Tianjin Municipality, 300181

    Ningning Zhang, Doctor, +86 15822153931, mail4ningning@163.com

    Recruiting
  • Tianjin Cancer Hospital Airport Hospital

    Tianjin, Tianjin Municipality, 300308

    Huikai Li, Doctor, +86 18622228639, lihuikai@tjmuch.com

    Recruiting
  • The First Affiliated Hospital of Xinjiang Medical University

    Ürümqi, Xinjiang, 830000

    Weixin Reng, Doctor, +86 13909911031, rwx1031@163.com

    Not yet recruiting
  • The First Affiliated Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang, 325000

    Chang Yu, Doctor, +86 13906650823, wzmcyc@126.com

    Recruiting
  • The Second Affiliated Hospital of Air Force Medical University

    Xi’an, Shanxi, 710038

    Xilin Du, Doctor, +86 13709267808, dxlin0705@163.com

    Not yet recruiting
  • First Affiliated Hospital of Xian Jiaotong University

    Xi’an, Shanxi, 710061

    Huanchen Sha, Doctor, +86 13152167215, shahuanchen229@xjtufh.edu.cn

    Not yet recruiting
  • Xi'an International Medical Center Hospital

    Xi’an, Shanxi, 710117

    Guohong Han, +86 13991969930, 13991969930@126.com

    Recruiting
  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450000

    Yuling Sun, Doctor, +86 13837184328, doctorssh@126.com

    Recruiting
  • Henan Cancer Hospital

    Zhengzhou, Henan, 450003

    Hongtao Hu, Doctor, +86 13592616373, 13592616373@163.com

    Not yet recruiting
  • Affiliated Hospital Of Zunyi Medical University

    Zunyi, Guizhou, 563000

    Lijin Zhao, Doctor, +86 13668526996, 386421696@qq.com

    Recruiting

Other trials in China

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Multicenter Phase 3 Study of Anlotinib Hydrochloride Capsules Combined With Penpulimab Injection in Patients With High Risk of Relapse After Radical Surgery or Ablation of Hepatocellular Carcinoma (HCC).

The primary objective of this study was to evaluate the efficacy of anlotinib hydrochloride capsules combined with penpulimab injection (test group) versus placebo (control group) for adjuvant therapy after radical surgery or ablation in HCC patients with high risk of recurrence by assessing recurrence-free survival (RFS).

Being tested
Anlotinib hydrochloride capsules, Penpulimab injection, Anlotinib hydrochloride capsules -matching placebo, Penpulimab injection -matching placebo
Medical subject headings
Carcinoma, Hepatocellular

What participants receive

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

  • Anlotinib hydrochloride capsules, Penpulimab injectionDrug

    Anlotinib hydrochloride capsules is a multitargeted receptor tyrosine kinase inhibitor.

    Penpulimab injection is a humanized monoclonal antibody targeting programmed cell death protein 1 (PD-1).

  • Anlotinib hydrochloride capsules -matching placebo, Penpulimab injection -matching placeboDrug

    placebo control, no active substance.

Study groups in NCT05862337
Study groupRoleWhat they receive
Anlotinib hydrochloride capsules + Penpulimab injectionExperimentalAnlotinib hydrochloride capsules + Penpulimab injection, 21 days as a treatment cycle.
Receives: Drug: Anlotinib hydrochloride capsules, Penpulimab injection
Anlotinib hydrochloride capsules -matching placebo+ Penpulimab injection -matching placeboPlacebo comparatorAnlotinib hydrochloride capsules -matching placebo+ penpulimab injection -matching placebo, 21 days as a treatment cycle.
Receives: Drug: Anlotinib hydrochloride capsules -matching placebo, Penpulimab injection -matching placebo

What is being measured

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

  1. Recurrence-free survival (RFS)

    RFS assessed by the Blinded Independent Image Review Committee and the investigator is the time from randomization to the first local, regional recurrence or distant metastasis, or death from any cause, whichever occurred first.

    Measured: Baseline up to 3 years.

Secondary outcomes (4)
  1. Time to recurrence(TTR)

    TTR assessed by the Blinded Independent Image Review Committee and the investigator is the time from randomization to the first local, regional recurrence or distant metastasis, whichever occurred first.

    Measured: Baseline up to 3 years.

  2. Time to extrahepatic metastasis or macrovascular invasion

    Time to extrahepatic metastasis or macrovascular invasion as assessed by the investigator.

    Measured: Baseline up to 3 years.

  3. Overall survival (OS)

    OS defined as the time from the date of randomization until the date of death due to any cause.

    Measured: Baseline up to 3 years.

  4. Objective response rate (ORR) after first recurrence

    subjects with evaluable tumor lesion status who were cross-treated with Anlotinib hydrochloride capsules combined with Penpulimab injection developed complete response or partial response after a first HCC relapse as assessed by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1.

    Measured: Baseline up to 3 years.

Timeline

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

  1. First posted17 May 2023
  2. Study start10 May 2023
  3. Primary completionAug 2024 (estimated)
  4. Study completionDec 2026 (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 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 (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05862337
Sponsor's protocol ID
ALTN-AK105-III-06
Status last verified
Jul 2022
First submitted
15 May 2023
Last updated
17 May 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Anlotinib hydrochloride capsules, Penpulimab injection in people with Hepatocellular Carcinoma, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 67 sites in China.

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 7 inclusion and 4 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: looking for participants now, as of the sponsor's last update on 17 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 67 sites in China. 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. Some participants in this study may receive a placebo. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Recurrence-free survival (RFS) (time frame: Baseline up to 3 years.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 17 May 2023.

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