Hepatocellular carcinoma (HCC) is a common cancer worldwide and a leading cause of cancer-related death. The majority of participants first presenting with HCC have advanced unresectable or metastatic disease. The purpose of this study is to evaluate the optimized dose, adverse events, and efficacy of livmoniplimab in combination with budigalimab. Livmoniplimab is an investigational drug being developed for the treatment of HCC. There are 3 treatment arms in this study and participants will be randomized in a 1:1:1 ratio. Participants will either receive livmoniplimab (at different doses) in combination with budigalimab (another investigational drug), lenvatinib, or sorafenib. Approximately 120 adult participants will be enrolled in the study across 60 sites worldwide. In arm 1 (control), participants will receive the investigator's choice: lenvatinib as an oral capsule or sorafenib as an oral tablet, once daily. In arm 2, participants will receive intravenously (IV) infused livmoniplimab (dose A) in combination with IV infused budigalimab, every 3 weeks. In arm 3, participants will receive intravenously (IV) infused livmoniplimab (dose B) in combination with IV infused budigalimab, every 3 weeks. The estimated duration of the study is up to 2 years There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic and may require frequent medical assessments, blood tests, questionnaires, and scans.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
130
Intravenous (IV) Infusion
Intravenous (IV) Infusion
Oral: Capsule
Oral: Tablet
Arizona Oncology Associates, PC - NAHOA Prescott Valley /ID# 254313
Prescott Valley, Arizona, United States
Highlands Oncology Group, PA /ID# 253158
Springdale, Arkansas, United States
University of California, Los Angeles /ID# 253292
Los Angeles, California, United States
UC Irvine /ID# 252707
Orange, California, United States
California Pacific Medical Center - San Francisco - Webster Street /ID# 253291
San Francisco, California, United States
Best Overall Response (BOR) per Investigator
BOR is defined as a subject achieving confirmed complete response (CR) or confirmed partial response (PR) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) as determined by investigators at any time prior to subsequent anticancer therapy.
Time frame: Through Study Completion, Up to Approximately 27 Months
Duration of response (DOR) per Investigator
DOR is defined as the time from first confirmed CR or PR until the first documentation of progressive disease according to RECIST 1.1 as determined by investigators or death from any cause, whichever occurs first.
Time frame: Through Study Completion, Up to Approximately 27 Months
Number of Participants with Progression-free Survival (PFS)
PFS is defined as the time from randomization until the first documentation of progressive disease according to RECIST 1.1 as determined by investigators or death from any cause, whichever occurs first.
Time frame: Through Study Completion, Up to Approximately 27 Months
Overall Survival (OS)
OS is defined as the time from randomization until death from any cause.
Time frame: Through Study Completion, Up to Approximately 27 Months
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Rocky Mountain Cancer Centers - Denver Midtwon /ID# 254163
Denver, Colorado, United States
AdventHealth Orlando /ID# 252865
Orlando, Florida, United States
The University of Chicago Medical Center /ID# 252870
Chicago, Illinois, United States
Hematology/Oncology Clinic /ID# 253851
Baton Rouge, Louisiana, United States
Dana-Farber Cancer Institute /ID# 252696
Boston, Massachusetts, United States
...and 49 more locations