Combining radiation therapy with immunotherapy for liver cancer
Official title: A Phase I Study of SBRT Vaccination With Atezolizumab and Bevacizumab for Patients With Advanced Hepatocellular Carcinoma
Run by Abramson Cancer Center at Penn Medicine · NCT05488522 · Data updated 2026-11-12
This study is testing a new treatment that combines radiation therapy with immunotherapy drugs to see if it can help people with advanced liver cancer who can't have surgery.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 99 Years |
| Sex | All |
| Enrollment | 18 (estimated) |
| Sponsor | Abramson Cancer Center at Penn Medicine Academic / other |
| Drugs / interventions | atezolizumab, bevacizumab |
| Locations | 1 site (Philadelphia, Pennsylvania) |
| Status | Recruiting |
| Started | September 1, 2022 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | February 20, 2026 |
| Trial ID | NCT05488522 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients with advanced hepatocellular carcinoma who are not eligible for curative surgery or ablation and require systemic therapy.
✕Probably not a fit
Patients with early-stage hepatocellular carcinoma who can undergo curative surgical or ablative treatments 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 phase I study investigates the safety and effectiveness of stereotactic body radiotherapy (SBRT) combined with the immunotherapy drugs atezolizumab and bevacizumab in patients with advanced hepatocellular carcinoma (HCC). The trial focuses on dose escalation to determine the optimal dosage and assess pharmacodynamic responses. Patients enrolled will receive repeated doses of SBRT alongside the immunotherapy agents to evaluate potential synergistic effects in treating HCC. The study aims to provide a new treatment option for patients whose cancer is not suitable for surgery or ablation.
Why it matters
Potential benefit: If successful, this approach could offer a novel treatment option that improves outcomes for patients with advanced liver cancer.
How similar studies have gone: While there is ongoing research in combining radiation with immunotherapy, this specific combination in advanced HCC is relatively novel and has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Subjects must have hepatocellular carcinoma (HCC) that is not amenable to curative-intent surgical or ablation (where surgery or ablation are not indicated due to disease extent, co-morbidities, or other technical reasons) and systemic therapy is indicated. Exclusion Criteria: \-
Where it's running
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Abramson Cancer Center of the University of Pennsylvania
Philadelphia, Pennsylvania, United States Recruiting
Study contacts
- Principal investigator: Edgar Ben-Josef, MD — Abramson Cancer Center
- Study coordinator: Edgar Ben-Josef, MD
- Email: edgar.ben-josef@pennmedicine.upenn.edu
- Phone: 215-615-6767
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Carbon ion radiotherapy plus atezolizumab and bevacizumab for advanced hepatocellular carcinoma
This trial will try adding carbon ion radiotherapy to standard atezolizumab‑bevacizumab treatment for adults with advanced hepatocellular carcinoma to see if it controls tumors better and improves survival.
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Combining atezolizumab and bevacizumab with Y-90 radioembolization to help people with liver cancer get to transplant
This trial tests whether adding immunotherapy (atezolizumab plus bevacizumab) to Y-90 radioembolization can help people with hepatocellular carcinoma bridge to or be downstaged for liver transplant.
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Preventive endoscopic banding for high-risk esophageal varices in people with hepatocellular carcinoma starting atezolizumab plus bevacizumab
This study will test whether doing preventive endoscopic banding of high-risk esophageal varices can reduce bleeding in people with hepatocellular carcinoma who are starting atezolizumab plus bevacizumab.
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Combination therapy for hepatocellular carcinoma using atezolizumab, bevacizumab, and memantine
This study is testing a new combination of three medications to see if it can help people with advanced liver cancer feel better and improve their quality of life.
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Combining Atezolizumab and Bevacizumab with Photon Radiotherapy for Liver Cancer
This study is testing if combining two cancer drugs, atezolizumab and bevacizumab, with radiation therapy can help people with liver cancer that can't be surgically removed live longer and feel better.
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Valemetostat with atezolizumab and bevacizumab for advanced hepatocellular carcinoma
This will test whether adding the oral drug valemetostat to atezolizumab and bevacizumab helps people with advanced hepatocellular carcinoma who have not received prior systemic therapy.
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.