VRT106 plus camrelizumab and apatinib for advanced HCC in patients who have tried prior ICIs
Official title: A Multicenter, Open-label Phase II/III Clinical Trial of VRT106 in Combination With Camrelizumab and Apatinib in Patients With Advanced Hepatocellular Carcinoma Who Have Failed Immune Checkpoint Inhibitor Therapy
Run by Guangzhou Virotech Pharmaceutical Co., Ltd. · NCT07589244 · Data updated 2026-11-12
This study tests VRT106, with camrelizumab and apatinib, to see if it helps people with advanced hepatocellular carcinoma who have already had prior immune checkpoint inhibitors fail.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 66 (estimated) |
| Sponsor | Guangzhou Virotech Pharmaceutical Co., Ltd. Industry-sponsored |
| Drugs / interventions | camrelizumab, apatinib |
| Locations | 1 site (Guangzhou, Guangdong) |
| Status | Recruiting |
| Started | May 13, 2026 |
| Main results expected | December 31, 2028 |
| Study ends | June 30, 2029 |
| Registry record updated | October 30, 2026 |
| Trial ID | NCT07589244 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–75 with advanced HCC, ECOG 0–1, adequate organ function, and no prior exposure to camrelizumab, apatinib, oncolytic viruses, or other gene therapies.
✕Probably not a fit
Patients with poor baseline organ function, high-risk comorbidities, or those not tolerating the drug combination may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a phase II/III open-label trial evaluating VRT106 in combination with camrelizumab and apatinib for advanced HCC after prior ICIs. Phase II includes a dose-escalation part to identify a safe and effective dose, followed by a dose-expansion part to assess efficacy. Phase III will compare the combination to the investigator's choice of standard care, using safety, pharmacokinetics, and pharmacodynamics data from phase II to inform the protocol. Enrollment hinges on regulatory discussions with the NMPA and will progress to OS assessment if warranted by phase II results.
Why it matters
Potential benefit: If successful, the combination could improve survival or disease control for patients with advanced HCC who have exhausted prior ICIs.
How similar studies have gone: Prior studies in similar multi-agent combinations for advanced HCC have shown signal of activity but results vary; this approach is part of ongoing exploration rather than a fully established standard.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Voluntarily sign the informed consent form (ICF), understand the nature of this study, and agree to comply with and complete all required study procedures. * Be aged between 18 and 75 years (inclusive) on the date of signing the ICF, regardless of gender. * Have a histologically or cytologically confirmed diagnosis of advanced hepatocellular carcinoma (HCC), or a clinical diagnosis of advanced HCC according to the Standard for Diagnosis and Treatment of Primary Liver Cancer(2024 Edition). * Have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. * Have an anticipated life expectancy of ≥ 3 months. * Have no severe hematologic, hepatic, renal, coagulation, or cardiac function abnormalities. Exclusion Criteria: * Prior receipt of camrelizumab, apatinib, oncolytic viruses, or other gene therapies. * Receipt of other unapproved investigational drugs/devices within 4 weeks or 5 half-lives (whichever is shorter) prior to first dose administration in this study, or immunocompromised status. * History of splenectomy. * Pregnant or breastfeeding women.
Where it's running
-
The Third Affiliated Hospital of Sun Yat-sen University
Guangzhou, Guangdong, China Recruiting
Study contacts
- Study coordinator: Liang Peng
- Email: pliang@mail.sysu.edu.cn
- Phone: 020-85252621
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Y-90 microspheres with camrelizumab and/or apatinib versus Y-90 alone or cTACE for unresectable liver cancer
This trial will test whether adding camrelizumab and/or apatinib to Y-90 microsphere treatment helps people with unresectable, non-metastatic hepatocellular carcinoma more than Y-90 alone or conventional TACE.
-
Camrelizumab plus apatinib with or without FOLFOX chemotherapy for advanced liver cancer
This research will test whether adding FOLFOX chemotherapy to camrelizumab plus apatinib helps adults with advanced hepatocellular carcinoma who have not received prior systemic treatment.
-
Apatinib and camrelizumab plus TACE before liver resection for centrally-located BCLC‑B hepatocellular carcinoma
This trial tests whether giving apatinib and camrelizumab together with TACE before planned liver surgery can shrink tumors and improve outcomes for adults with centrally-located BCLC stage B hepatocellular carcinoma who are eligible for resection.
-
Perioperative radiotherapy with SOX chemotherapy plus apatinib and camrelizumab for esophagogastric cancer
This trial tests whether adding apatinib and camrelizumab to SOX chemotherapy and radiotherapy before and after surgery helps adults with locally advanced gastric or GEJ adenocarcinoma.
-
Camrelizumab plus apatinib and eribulin versus physician's choice chemotherapy for advanced triple-negative breast cancer
This trial tests whether combining camrelizumab, apatinib, and eribulin works better than your doctor's chosen chemotherapy for adults with advanced triple-negative breast cancer who have had 1–4 prior systemic treatments.
-
Combination therapy for advanced liver cancer patients
This study is testing a new combination treatment for patients with advanced liver cancer to see if it can improve their chances of survival and how well they tolerate it.
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.