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Hepatocellular Carcinoma (HCC)Phase 2/3NCT07490262

A Study to Evaluate the Efficacy and Safety of IBI310 and Sintilimab Combination Therapy in Patients With Hepatocellular Carcinoma as First-line Treatment.

A Phase 2/3 study testing Bevacizumab, Capecitabine and Oxaliplatin in people with Hepatocellular Carcinoma (HCC), run by Innovent Biopharmaceutical Technology (Hangzhou) Co., LTD. at 2 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

This study is a randomized, controlled, open-label, multicenter, seamless Phase II/III trial designed to evaluate the efficacy and safety of the combination regimen of IBI310 and sintilimab in participants with locally advanced or metastatic hepatocellular carcinoma (HCC) who are: (1) treatment-naive to systemic… Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Hepatocellular Carcinoma (HCC)
What is being tested?
Bevacizumab, Capecitabine and Oxaliplatin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
680 participants
Where
2 sitesChina
Study dates
27 Mar 2026to 31 Dec 2030
Phase
Phase 2/3
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

  • Histologically or cytologically confirmed hepatocellular carcinoma (HCC).
  • Age ≥18 years and ≤75 years.
  • Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 or 1.
  • Barcelona Clinic Liver Cancer (BCLC) staging of Stage C, or Stage B that is unsuitable for curative-intent surgery and/or locoregional therapy.
  • No prior systemic antineoplastic therapy for HCC before first dose.
  • At screening, per RECIST 1.1, there must be at least one measurable lesion that has not undergone local therapy, or a measurable lesion that has clearly progressed following local therapy (per RECIST 1.1).
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  • Child-Pugh score ≤7.
  • Adequate organ and bone marrow function.
  • Expected survival ≥12 weeks at the time of treatment initiation.
  • Female participants of childbearing potential, or male participants whose sexual partners are of childbearing potential, must use effective contraception throughout the treatment period and for 15 months after the last dose of oxaliplatin (for females) / 12 months after the last dose of oxaliplatin (for males), or for 6 months after the last dose of any other investigational drug-whichever period ends later.
  • Signed written informed consent form, and ability to comply with scheduled visits and all protocol-specified procedures.

Who cannot join

  • Histologically or cytologically confirmed diagnosis of fibrolamellar hepatocellular carcinoma (HCC), sarcomatoid HCC, cholangiocarcinoma, or other mixed hepatic malignancies containing these components.
  • History of hepatic encephalopathy or prior liver transplantation.
  • Clinically symptomatic pleural effusion, ascites, or pericardial effusion requiring therapeutic drainage; participants with only minimal (radiologically detected), asymptomatic effusions may be enrolled.
  • Active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection:
  • Known central nervous system (CNS) metastases or symptomatic spinal cord compression.
  • Esophageal or gastric variceal bleeding due to portal hypertension within the past 6 months; Grade 3 (G3) esophageal/gastric varices documented by endoscopy within 3 months prior to first dose; or evidence of portal hypertension.
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  • Life-threatening hemorrhagic event within the past 3 months, including but not limited to events requiring blood transfusion, surgical or local intervention, or ongoing pharmacologic hemostatic therapy.
  • Metastatic lesions invading major vessels, airways, or the mediastinum with clinically significant bleeding risk.
  • Arterial or venous thromboembolic event within the past 6 months, including myocardial infarction, unstable angina, cerebrovascular accident (stroke), transient ischemic attack (TIA), pulmonary embolism, deep vein thrombosis, or other severe thromboembolic conditions.
  • Portal vein tumor thrombus (PVTT) involving both the main portal vein and left/right branch; PVTT extending into the superior mesenteric vein; or PVTT involving the inferior vena cava.
  • Use of aspirin (>325 mg/day) or other known platelet-function-inhibiting agents (e.g., dipyridamole or clopidogrel) for therapeutic purposes within 10 days prior to randomization. Prophylactic use of anticoagulants is permitted.
  • Uncontrolled hypertension: systolic blood pressure >150 mmHg and/or diastolic blood pressure >100 mmHg despite optimal medical management; history of hypertensive crisis or hypertensive encephalopathy.
  • Persistent treatment-related toxicities from prior anticancer therapy not resolved to Grade 0 or Grade 1 according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0 at the time of randomization.
  • Symptomatic congestive heart failure (New York Heart Association [NYHA] Class II-IV); symptomatic or inadequately controlled arrhythmias; history of congenital long QT syndrome; or baseline corrected QT interval (QTcF, calculated using Fridericia's formula) >500 ms.
  • Severe bleeding diathesis or coagulopathy; or current thrombolytic therapy.
  • History of gastrointestinal perforation and/or fistula within the past 6 months; unresolved intestinal obstruction (including incomplete obstruction requiring parenteral nutrition); extensive bowel resection (e.g., partial colectomy or extensive small bowel resection leading to chronic diarrhea); Crohn's disease; ulcerative colitis; or chronic diarrhea of prolonged duration.
  • Prior radiotherapy within 3 weeks before randomization.
  • Clinically significant pre-existing pulmonary disease.
  • Active tuberculosis (TB), currently receiving anti-TB therapy, or having completed anti-TB therapy within the past year.
  • Known human immunodeficiency virus (HIV) infection (positive HIV-1/2 antibody test).
  • Active or inadequately controlled severe infection.
  • Known or suspected active autoimmune disease, or history of active autoimmune disease within the past 2 years.
  • Systemic immunosuppressive therapy within 2 weeks prior to randomization.
  • Receipt of live attenuated vaccines within 4 weeks prior to randomization, or planned administration during the study.
  • Major surgery (e.g., craniotomy, thoracotomy, laparotomy) or presence of unhealed wounds, ulcers, or fractures within 4 weeks prior to randomization.
  • Local therapy for HCC within 4 weeks prior to first dose.
  • Use of Traditional Chinese Medicine (TCM) with antitumor indications, or immunomodulatory agents (e.g., thymosin, interferons, interleukins), within 2 weeks prior to first dose.
  • Uncontrolled or uncorrectable metabolic disorders, non-malignant organ dysfunction, systemic illness, or cancer-related paraneoplastic syndromes posing substantial medical risk or introducing uncertainty in survival assessment - as determined by the investigator; or any other condition deemed unsuitable for enrollment by the investigator.
  • Diagnosis of another primary malignancy within 5 years prior to randomization.
  • Prior treatment with any anti-PD-1, anti-PD-L1/L2, anti-CTLA-4 antibodies, or other immune checkpoint inhibitors.
  • Known hypersensitivity to any active ingredient or excipient of the investigational product; or history of severe allergic reaction (e.g., anaphylaxis) to other monoclonal antibodies.
  • Receipt of treatment in another interventional clinical trial within 4 weeks prior to randomization.
  • Female participants who are pregnant or breastfeeding.
  • Any other acute or chronic medical condition, psychiatric disorder, or clinically significant laboratory abnormality that, in the Investigator's judgment: increases the risks associated with participation in the study or administration of the investigational product; or may interfere with the interpretation of study results - rendering the participant unsuitable for enrollment.

Trial locations and contacts

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

China2 sites, 2 recruiting
  • The First Affiliated Hosptial of USTC

    Hefei, Anhui, 230001

    Lianxin Liu, 0551-62283477, liulx@ustc.edu.cn

    Recruiting
  • Zhongshan Hospital, Fudan university

    Shanghai, Shanghai Municipality, 200032

    Jia Fan, PhD, 021-64041990, fan.jia@zs-hospital.sh.cn

    Not yet recruiting

Other trials in China

About this study

Official title: A Randomized, Open-label, Multicenter Study to Evaluate the Efficacy and Safety of IBI310 and Sintilimab Combination Therapy as First-line Treatment in Previously Untreated Patients With Unresectable or Metastatic Hepatocellular Carcinoma

This study is a randomized, controlled, open-label, multicenter, seamless Phase II/III trial designed to evaluate the efficacy and safety of the combination regimen of IBI310 and sintilimab in participants with locally advanced or metastatic hepatocellular carcinoma (HCC) who are: (1) treatment-naive to systemic therapy; and (2) either unsuitable for curative-intent surgical resection or local therapy, or have experienced disease progression following prior surgical resection or local therapy.

Medical subject headings
Carcinoma, Hepatocellular

What participants receive

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

  • BevacizumabBiological

    15 mg/kg intravenous infusion, administered on Day 1 of each 3-week treatment cycle

  • CapecitabineDrug

    1000 mg/m² orally, administered on Days 1-14 of each 3-week treatment cycle, maximum 4 cycles.

  • OxaliplatinDrug

    85 mg/m² intravenous infusion, administered on Day 1 of each 3-week treatment cycle, maximum 4 cycles.

  • IBI310Biological

    1 mg/kg intravenous infusion, administered on Day 1 of each 6-week treatment cycle

  • SintilimabBiological

    200 mg intravenous infusion, administered on Day 1 of each 3-week treatment cycle

Study groups in NCT07490262
Study groupRoleWhat they receive
Control GroupActive comparatorSintilimab+ Bevacizumab
Receives: Biological: Bevacizumab; Biological: Sintilimab
Treatment Group2ExperimentalSintilimab+ IBI310+Bevacizumab
Receives: Biological: Bevacizumab; Biological: IBI310; Biological: Sintilimab
Treatment Group3ExperimentalSintilimab+ IBI310+Oxaliplatin+Capecitabine
Receives: Drug: Capecitabine; Drug: Oxaliplatin; Biological: IBI310; Biological: Sintilimab
Treatment Group1ExperimentalSintilimab+ IBI310+Bevacizumab+Oxaliplatin+Capecitabine
Receives: Biological: Bevacizumab; Drug: Capecitabine; Drug: Oxaliplatin; Biological: IBI310; Biological: Sintilimab

What is being measured

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

  1. Phase II: ORR (Objective Response Rate) assessed by investigator per RECIST 1.1.

    Measured: up to 2 years

  2. Phase II: PFS(Progression-Free Survival) assessed by investigator per RECIST 1.1.

    Measured: up to 2 years

  3. Phase II: AEs(Adverse Event)

    Measured: up to 2 years

  4. Phase II: TRAES(Treatment Emergent Adverse Event)

    Measured: up to 2 years

  5. Phase II: SAEs(Serious Adverse Event)

    Measured: up to 2 years

  6. Phase III: OS(Overall Survival)

    Measured: up to 2 years

  7. Phase III: PFS(Progression-Free Survival)assessed by the Independent Radiologic Review Committee (IRRC) per RECIST 1.1.

    Measured: up to 2 years

Secondary outcomes (36)
  1. Phase II: OS

    Measured: up to 2 years

  2. Phase II: Incidence and characteristics of ADA&Nab.

    Measured: up to 2 years

  3. Phase II: DoR (Duration of Response )

    Measured: up to 2 years

  4. Phase II: DCR (Disease Control Rate )

    Measured: up to 2 years

  5. Phase II: TTR (Time to Response )

    Measured: up to 2 years

  6. Phase II:Cmax (maximum plasma concentration)

    One of the Pharmacokinetics parameters

    Measured: up to 2 years

  7. Phase II:Tmax (time to reach maximum concentration)

    One of the Pharmacokinetics parameters

    Measured: up to 2 years

  8. Phase II: AUC (time curve)

    One of the Pharmacokinetics parameters

    Measured: up to 2 years

  9. PhaseIII: ORR (Objective Response Rate)assessed by IRRC according to RECIST1.1.

    Measured: up to 2 years

  10. PhaseIII: DoR (Duration of Response)assessed by IRRC according to RECIST1.1.

    Measured: up to 2 years

  11. PhaseIII: DCR (Time to Response)assessed by IRRC according to RECIST1.1.

    Measured: up to 2 years

  12. PhaseIII: TTR(Time to Response) assessed by IRRC according to RECIST1.1.

    Measured: up to 2 years

  13. PhaseIII: ORR (Objective Response Rate)assessed by the investigator according to RECIST1.1.

    Measured: up to 2 years

  14. PhaseIII: PFS (Progression-Free Survival)assessed by the investigator according to RECIST1.1.

    Measured: up to 2 years

  15. PhaseIII: DoR (Duration of Response)assessed by the investigator according to RECIST1.1.

    Measured: up to 2 years

  16. PhaseIII: DCR(Time to Response) assessed by the investigator according to RECIST1.1.

    Measured: up to 2 years

  17. PhaseIII: TTR (Time to Response) assessed by the investigator according to RECIST1.1.

    Measured: up to 2 years

  18. Phase III: ORR (Objective Response Rate)assessed by IRRC according to mRECIST.

    Measured: up to 2 years

  19. Phase III: PFS(Progression-Free Survival) assessed by IRRC according to mRECIST.

    Measured: up to 2 years

  20. Phase III: DoR(Duration of Response) assessed by IRRC according to mRECIST.

    Measured: up to 2 years

  21. Phase III: DCR(Disease Control Rate) assessed by IRRC according to mRECIST.

    Measured: up to 2 years

  22. Phase III: TTR(Time to Response) assessed by IRRC according to mRECIST.

    Measured: up to 2 years

  23. Phase III: incidence rate of AEs(Adverse Event)

    Measured: up to 2 years

  24. Phase III: incidence rate of TEAEs(Treatment Emergent Adverse Event)

    Measured: up to 2 years

  25. Phase III: incidence rate of SAEs(Serious Adverse Event)

    Measured: up to 2 years

  26. Phase III: Cmax

    One of the Pharmacokinetics parameters

    Measured: up to 2 years

  27. Phase III: CL(Clearance)

    One of the Pharmacokinetics parameters

    Measured: up to 2 years

  28. Phase III: t1/2 (Half-Life)

    One of the Pharmacokinetics parameters

    Measured: up to 2 years

  29. Phase III: Volume

    One of the Pharmacokinetics parameters

    Measured: up to 2 years

  30. Phase III: AUC (Area Under the Curve)

    One of the Pharmacokinetics parameters

    Measured: up to 2 years

  31. Phase III: Incidence and characteristics of ADA&Nab.

    Measured: up to 2 years

  32. Phase II: Volume(PK)

    One of the Pharmacokinetics parameters

    Measured: up to 2 years

  33. Phase II: t1/2 (Half-Life)

    One of the Pharmacokinetics parameters

    Measured: up to 2 years

  34. phase III: score of (European Organization for Research and Treatment of Cancer, EORTC)EORTC QLQ-C30

    Measured: up to 2 years

  35. phase III: score of (Eropean Organization for Research and Treatment of Cancer, EORTC)EORTC QLQ-HCC18

    Measured: up to 2 years

  36. Phase II: CL (Clearance)

    One of the Pharmacokinetics parameters

    Measured: up to 2 years

Timeline

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

  1. First posted24 Mar 2026
  2. Study start27 Mar 2026
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2030 (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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
680 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07490262
Sponsor's protocol ID
CIBI310C302
Status last verified
Apr 2026
First submitted
16 Mar 2026
Last updated
16 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Bevacizumab, Capecitabine and Oxaliplatin in people with Hepatocellular Carcinoma (HCC), run by Innovent Biopharmaceutical Technology (Hangzhou) Co., LTD. at 2 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 11 inclusion and 34 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 16 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Contact Haiyun Zuo (021-31852088, Haiyun.zuo@innoventbio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase II: ORR (Objective Response Rate) assessed by investigator per RECIST 1.1. (time frame: up to 2 years). The study lists 7 primary outcomes in all. 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 16 Apr 2026.

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