Clinical trial Recruiting at 4 sites Phase 3 Interventional Ages 18 to 75

Combining AK104 and Lenvatinib with TACE for treating liver cancer

Official title: A Phase III, Randomized, Double-blinded, Multicenter Study of Cadonilimab (AK104) + Lenvatinib in Combination With Transarterial Chemoembolization (TACE) Versus TACE in Participants With Incurable/Non-metastatic Hepatocellular Carcinoma

Run by Akeso · NCT06371157 · Data updated 2026-11-12

This study is testing if combining two treatments, AK104 and lenvatinib, with a procedure called TACE can help people with liver cancer who can't have surgery feel better compared to just having TACE alone.

More Hepatocellular Carcinoma trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment469 (estimated)
SponsorAkeso
Industry-sponsored
Drugs / interventionscadonilimab, lenvatinib
Locations4 sites (Zhengzhou, Henan and 3 other locations)
StatusRecruiting
StartedAugust 2, 2024
Main results expectedOctober 25, 2025
Study endsMay 23, 2026
Registry record updatedMarch 12, 2025
Trial IDNCT06371157 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults diagnosed with non-metastatic hepatocellular carcinoma who are not eligible for curative treatments but can undergo TACE.

Probably not a fit

Patients with a history of liver transplantation, uncontrolled hypertension, or co-infection with HBV and HCV may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effectiveness of combining cadonilimab (AK104) and lenvatinib with transarterial chemoembolization (TACE) compared to TACE alone in patients with incurable, non-metastatic hepatocellular carcinoma (HCC). Participants must have a confirmed diagnosis of HCC and be unsuitable for curative surgery or transplantation. The study aims to assess the potential benefits of this combination therapy in improving patient outcomes. It is a Phase 3 interventional trial, indicating a focus on determining the efficacy and safety of the treatment.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced liver cancer who currently have limited treatment choices.

How similar studies have gone: Other studies have explored similar combination therapies in liver cancer, showing promising results, but this specific combination is being evaluated for the first time.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Has a diagnosis of HCC confirmed by histology/cytology,or meet the clinical diagnostic criteria of the American Association for the Study of Liver Diseases (AASLD)
2. No evidence of metastasis
3. Not amenable to curative surgery or transplantation or curative ablation but amenable to TACE
4. Child Pugh score class A
5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at enrollment
6. Measurable disease by RECIST 1.1
7. Adequate organ function

Exclusion Criteria:

1. History of liver transplantation
2. History of hepatic encephalopathy
3. Uncontrolled arterial hypertension
4. Deep venous thrombosis within 3 months before first treatment
5. Bleeding events within the last 6 months
6. Co-infection with HBV and HCV

Where it's running

  • Henan Cancer Hospital
    Zhengzhou, Henan, China
    Recruiting
  • Hunan Cancer Hospital
    Changsha, Hunan, China
    Recruiting
  • Zhongda Hospital Southeast University
    Nanjing, Jiangsu, China
    Recruiting
  • Zhejiang Cancer Hospital
    Hangzhou, Zhejiang, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.