Biomarkers to predict outcomes in liver cancer treated with tremelimumab plus durvalumab
Official title: Identification of Innovative Biomarkers to Predict Outcomes in Hepatocellular Carcinoma Treated With Tremelimumab and Durvalumab
Run by Centre Hospitalier Universitaire de Besancon · NCT06796114 · Data updated 2026-11-12
This study will test whether blood biomarkers can predict how adults with unresectable or metastatic hepatocellular carcinoma respond to tremelimumab plus durvalumab (STRIDE regimen).
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | Centre Hospitalier Universitaire de Besancon Academic / other |
| Drugs / interventions | immunotherapy, radiation, atezolizumab, bevacizumab, tremelimumab, durvalumab |
| Locations | 10 sites (Besançon and 9 other locations) |
| Status | Recruiting |
| Started | June 25, 2025 |
| Main results expected | June 25, 2027 |
| Study ends | January 31, 2030 |
| Registry record updated | July 23, 2026 |
| Trial ID | NCT06796114 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults (≥18) in France with histologically confirmed unresectable, locally advanced, or metastatic hepatocellular carcinoma who have not received prior systemic immunotherapy and are eligible for STRIDE treatment.
✕Probably not a fit
Patients previously treated with PD-1, PD-L1, or CTLA-4 immune therapies, those with resectable disease, or people not eligible for STRIDE or not covered by the French social security system are unlikely to benefit from joining.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional biomarker study enrolls adults with histologically confirmed, locally advanced, metastatic, or unresectable hepatocellular carcinoma who are starting tremelimumab plus durvalumab (STRIDE) in routine care. Participants provide blood samples at scheduled timepoints so researchers can measure immune and molecular markers and link them to radiologic response and clinical outcomes using RECIST v1.1. Patients with prior exposure to PD-1, PD-L1, or CTLA-4 therapies are excluded to focus on first-line treatment effects. The multi-center effort is led by CHU de Besançon in collaboration with AstraZeneca and collects samples at French hospital sites.
Why it matters
Potential benefit: If successful, the biomarkers could help doctors predict who is likely to benefit from the STRIDE tremelimumab‑durvalumab regimen and personalize treatment choices.
How similar studies have gone: Combination tremelimumab plus durvalumab showed clinical benefit in the phase 3 HIMALAYA trial, but predictive biomarkers for response remain exploratory and are not yet clinically validated.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Signed informed consent 2. Histologically confirmed hepatocellular carcinoma 3. Locally advanced, metastatic, or unresectable disease 4. Patient who had not previously received systemic anti-cancer treatment and are eligible to STRIDE therapy according to investigator decision in routine care and who have no contraindications to STRIDE treatment according to approved product label. 5. Measurable disease defined according to RECIST v1.1 guidelines (Note: Previously irradiated lesions can be considered as measurable disease only if disease progression has been unequivocally documented at that site since radiation.) 6. Age ≥ 18 years 7. Patient affiliated to or beneficiary of French social security system 8. Ability to comply with the study protocol, in the Investigator's judgment. Exclusion Criteria: 1. Patients previously exposed to anti-tumor immunotherapy as anti-PD-1, anti-PD-L1, or anti-CTLA4 agent or any immune therapy. 2. Patient with any medical or psychiatric condition or disease, which would make the patient inappropriate for entry into this study 3. Patient under guardianship, curatorship or under the protection of justice
Where it's running
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CHU de Besançon
Besançon, France Recruiting -
CH de Chalon sur Saône
Chalon-sur-Saône, France Recruiting -
CHU Grenoble
Grenoble, France Recruiting -
CH de Mulhouse
Mulhouse, France Recruiting -
Hôpital Beaujon - APHP
Paris, France Recruiting -
Hôpital Henri Mondor - APHP
Paris, France Recruiting
Show 4 more locations
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Hôpital La Pitié Salpêtrière - APHP
Paris, France Recruiting -
CHU Poitiers
Poitiers, France Recruiting -
CHU de Reims
Reims, France Recruiting -
Centre Paul Strauss
Strasbourg, France Recruiting
Study contacts
- Study coordinator: Angélique VIENOT, Dr
- Email: a3vienot@chu-besancon.fr
- Phone: +33 3 81 66 81 66
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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STRIDE combination in advanced liver cancer: a first-line look at tremelimumab plus durvalumab
This study tests tremelimumab plus durvalumab as a first-line treatment in adults with advanced or unresectable hepatocellular carcinoma to see how it affects liver health, quality of life, effectiveness, and safety.
-
Durvalumab plus tremelimumab with or without liver-directed GEMOX chemotherapy for hepatocellular carcinoma
This trial tests whether adding hepatic arterial infusion chemotherapy (GEMOX) to the immunotherapy combination durvalumab plus tremelimumab helps people with hepatocellular carcinoma who have a high tumor burden in the liver.
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Durvalumab + Tremelimumab with or without Lenvatinib for unresectable liver cancer
This trial tests whether adding lenvatinib to the STRIDE regimen (durvalumab plus tremelimumab) helps people with unresectable hepatocellular carcinoma who have not received prior systemic therapy.
-
Combining Zanzalintinib with Immunotherapy for Liver Cancer
This study is testing a new combination of a cancer drug and immunotherapy to see if it can help people with advanced liver cancer feel better and fight their disease.
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Treatment for advanced liver cancer with specific cirrhosis
This study is testing a new combination treatment for advanced liver cancer in patients with specific cirrhosis to see if it can help them better than current options, especially focusing on those from underserved communities.
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Triple treatment for advanced liver cancer patients
This study is testing two different ways to treat advanced liver cancer to see which one works better for patients who can't have surgery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.