Clinical trial Recruiting at 1 site Phase2; Phase3 Interventional Ages 18 to 75

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

PhasePhase2; Phase3
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment66 (estimated)
SponsorGuangzhou Virotech Pharmaceutical Co., Ltd.
Industry-sponsored
Drugs / interventionscamrelizumab, apatinib
Locations1 site (Guangzhou, Guangdong)
StatusRecruiting
StartedMay 13, 2026
Main results expectedDecember 31, 2028
Study endsJune 30, 2029
Registry record updatedOctober 30, 2026
Trial IDNCT07589244 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

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.