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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2600122298 |
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最近更新日期: Date of Last Refreshed on: |
2026-04-11 17:00:24 |
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注册时间: Date of Registration: |
2026-04-11 00:00:00 |
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注册号状态: |
补注册 |
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Registration Status: |
Retrospective registration |
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注册题目: |
阿得贝利单抗(PD-L1抑制剂)联合阿帕替尼用于既往接受过系统治疗的晚期肝细胞癌患者的有效性和安全性:一项单臂、II期临床研究 |
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Public title: |
Efficacy and safety of Adebrelimab plus Apatinib in patients with advanced hepatocellular carcinoma previously treated with systemic therapy: A single-arm, phase II study |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
阿得贝利单抗(PD-L1抑制剂)联合阿帕替尼用于既往接受过系统治疗的晚期肝细胞癌患者的有效性和安全性:一项单臂、II期临床研究 |
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Scientific title: |
Efficacy and safety of Adebrelimab plus Apatinib in patients with advanced hepatocellular carcinoma previously treated with systemic therapy: A single-arm, phase II study |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
宋鹏 |
研究负责人: |
宋鹏 |
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Applicant: |
Song Peng |
Study leader: |
Song Peng |
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申请注册联系人电话: Applicant telephone: |
+86 18888888888 |
研究负责人电话: Study leader's telephone: |
+86 10 12345678 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
songpeng@cicams-sz.org.cn |
研究负责人电子邮件: Study leader's E-mail: |
76743200@qq.com |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
中国广东省深圳市龙岗区宝荷路113号 |
研究负责人通讯地址: |
中国广东省深圳市龙岗区宝荷路113号 |
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Applicant address: |
113 Baohe Road, Longgang District, Shenzhen, Guangdong, China |
Study leader's address: |
113 Baohe Road, Longgang District, Shenzhen, Guangdong, China |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
中国医学科学院肿瘤医院深圳医院 |
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Applicant's institution: |
Shenzhen Hospital of Cancer Hospital, Chinese Academy of Medical Sciences |
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研究负责人所在单位: |
中国医学科学院肿瘤医院深圳医院 |
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Affiliation of the Leader: |
Shenzhen Hospital of Cancer Hospital, Chinese Academy of Medical Sciences |
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是否获伦理委员会批准: |
是/Yes |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
YW2025-17-1 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
中国医学科学院肿瘤医院深圳医院伦理委员会 |
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Name of the ethic committee: |
the Ethics Committee of Shenzhen Hospital, Cancer Hospital, Chinese Academy of Medical Sciences |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-04-17 00:00:00 |
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伦理委员会联系人: |
熊露丹 |
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Contact Name of the ethic committee: |
Xiong Ludan |
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伦理委员会联系地址: |
中国广东省深圳市龙岗区宝荷路113号 |
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Contact Address of the ethic committee: |
113 Baohe Road, Longgang District, Shenzhen, Guangdong, China |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 755 66618168 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
szchiec@163.com |
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研究实施负责(组长)单位: |
中国医学科学院肿瘤医院深圳医院 |
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Primary sponsor: |
Shenzhen Hospital of Cancer Hospital, Chinese Academy of Medical Sciences |
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研究实施负责(组长)单位地址: |
中国广东省深圳市龙岗区宝荷路113号 |
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Primary sponsor's address: |
113 Baohe Road, Longgang District, Shenzhen, Guangdong, China |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
自选课题(自筹) |
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Source(s) of funding: |
Self-selected project (self-funded) |
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Target disease: |
Patients with locally advanced unresectable or metastatic hepatocellular carcinoma who have progressed due to resistance after previous systemic therapy (targeted therapy with or without immunotherapy) |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
其它 | ||||||||||||||||||||||
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Study phase: |
N/A |
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研究设计: |
单臂 |
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Study design: |
Single arm |
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研究目的: |
主要目的:通过评估客观缓解率(ORR)评价阿得贝利单抗(PD-L1抑制剂)联合阿帕替尼用于既往接受过系统治疗的晚期肝细胞癌患者的有效性。 次要目的:通过评估疾病进展时间(TTP)、无进展生存期(PFS),疾病控制率(DCR)、缓解持续时间(DoR)和总生存期(OS)评价阿得贝利单抗(PD-L1抑制剂)联合阿帕替尼用于既往接受过系统治疗的晚期肝细胞癌患者的有效性;评价阿得贝利单抗(PD-L1抑制剂)联合阿帕替尼用于既往接受过系统治疗的晚期肝细胞癌患者的安全性。 |
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Objectives of Study: |
Primary objective: To evaluate the efficacy of adebrelimab (a PD-L1 inhibitor) in combination with apatinib in patients with advanced hepatocellular carcinoma who have previously received systemic therapy by assessing the objective response rate (ORR). Secondary objectives: To evaluate the efficacy of adebrelimab (a PD-L1 inhibitor) in combination with apatinib in patients with advanced hepatocellular carcinoma who have previously received systemic therapy by assessing time to progression (TTP), progression-free survival (PFS), disease control rate (DCR), duration of response (DoR), and overall survival (OS); and to evaluate the safety of adebrelimab (a PD-L1 inhibitor) in combination with apatinib in these patients. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1. 患者自愿加入本研究,签署知情同意书; 2. 年龄>=18周岁(以签署知情同意当日计算),男女皆可; 3. 病理或临床确诊的HCC; 4. 既往至少接受过1种及以上系统治疗(靶向伴或不伴免疫治疗); 5. 巴塞罗那临床肝癌分期(BCLC分期)B期或C期,且不适合手术或局部治疗,或经过手术和/或局部治疗后进展; 6. 局部治疗(包括但不限于手术、放疗、肝动脉栓塞、TACE、肝动脉灌注、射频消融、冷冻消融或经皮乙醇注射)至少在基线影像学扫描前4周已完成(姑息性放疗2周即可),且局部治疗引起的毒性反应(脱发除外)必须恢复至美国国家癌症研究所-不良事件通用术语标准第5.0版(NCI-CTCAE v5.0)评级<=1级; 7. 基线影像学检查上有符合mRECIST标准的可测量病灶; 8. Child-Pugh肝功能分级:A级; 9. ECOG-PS评分:0-1分; 10. 预计生存期大于3个月; 11. 主要器官功能基本正常,无严重血液、心、肺、肝、肾、骨髓等功能异常和免疫缺陷疾病,符合方案要求:(1)血常规检查:(除外血红蛋白,筛查前14天内未输血、未使用粒细胞集落刺激因子[G-CSF]、7天内未使用纠正治疗) 1)血红蛋白 >= 90 g/L; 2)中性粒细胞计数 >= 1.5×10^9/L; 3)血小板计数 >= 50×10^9/L; (2)生化检查:(14天内未输白蛋白) 1)血清白蛋白 >= 29 g/L; 2)丙氨酸氨基转移酶(ALT)和天门冬氨酸氨基转移酶(AST)<= 2.5倍正常值上限(ULN); 3)总胆红素(TBIL)<= 1.5倍ULN; 4)肌酐Cr <= 1.5倍ULN或Cr清除率 > 50 mL/min(Cockcroft-Gault公式如下): 男性:Cr清除率=((140-年龄)×体重)/(72×血Cr) 女性:Cr清除率=((140-年龄)×体重)/(72×血Cr) × 0.85 体重单位:kg;血Cr单位:mg/mL; 5)尿蛋白 < 2+(若尿蛋白 >= 2+,可以进行24小时(h)尿蛋白定量,24h尿蛋白定量<1.0 g 可以入组); (3)凝血功能:活化部分凝血活酶时间(APTT)和国际标准化比值(INR)<= 1.5×ULN(对于使用稳定剂量的抗凝治疗如低分子肝素或者华法林且INR在抗凝血剂的预期治疗范围内可以筛选); (4)促甲状腺激素(TSH)<= ULN;如果异常应考察T3和T4水平,T3和T4水平正常则可以入选。 12. 若患者患有活动性乙型肝炎病毒(HBV)感染且愿意在研究期间全程接受抗病毒治疗(依据当地标准治疗进行治疗,例如恩替卡韦),在监测病毒拷贝数的情况下,由医生根据患者个体情况判断是否符合入组; 13. 丙型肝炎病毒(HCV)核糖核酸(RNA)阳性患者必须按当地标准治疗指南接受抗病毒治疗且肝功能在CTCAE 1级升高以内; 14. 有生育能力的女性:必须同意从签署知情同意书开始直到研究药物末次给药后至少120天内禁欲(避免异性性交)或使用可靠、有效方法避孕。且在开始研究治疗前的7天内血清HCG检查必须为阴性;而且必须为非哺乳期。如果女性患者已来月经、尚未达到绝经后状态(连续无月经时间>=12个月,除绝经之外未发现其他原因),且未接受过绝育手术(如子宫切除术、双侧输卵管结扎术或双侧卵巢切除术),则认为该患者有生育能力; 15. 对于伴侣为育龄妇女的男性患者,必须同意从签署知情同意书开始直到研究药物末次给药后至少120天内禁欲,或使用可靠、有效方法避孕。在同一时间段内男性受试者也必须同意不捐精子。伴侣已怀孕的男性受试者须使用避孕套,无须再采用其它避孕方法。 |
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Inclusion criteria |
1. Patients voluntarily participate in this study and sign the informed consent form; 2. Aged >= 18 years (calculated as of the date of signing the informed consent form), male or female; 3. Pathologically or clinically confirmed hepatocellular carcinoma (HCC); 4. Have previously received at least one or more lines of systemic therapy (targeted therapy with or without immunotherapy); 5. Barcelona Clinic Liver Cancer (BCLC) stage B or C, unsuitable for surgery or local treatment, or progressed after surgery and/or local treatment; 6. Local treatment (including but not limited to surgery, radiotherapy, hepatic artery embolization, transcatheter arterial chemoembolization [TACE], hepatic artery infusion, radiofrequency ablation, cryoablation, or percutaneous ethanol injection) must have been completed at least 4 weeks before the baseline imaging scan (palliative radiotherapy requires only 2 weeks), and toxic reactions caused by local treatment (except alopecia) must have recovered to <= Grade 1 according to the National Cancer Institute Cnology Criteria for Adverse Events version ommon Termi5.0 (NCI-CTCAE v5.0); 7. Presence of measurable lesions meeting the modified Response Evaluation Criteria in Solid Tumors (mRECIST) on baseline imaging; 8. Child-Pugh liver function class A; 9. Eastern Cooperative Oncology Group Performance Status (ECOG-PS) score of 0-1; 10. Expected survival time > 3 months; 11. Basic normal function of major organs, without severe abnormalities in blood, heart, lung, liver, kidney, bone marrow, or immunodeficiency diseases, meeting the protocol requirements: (1) Blood routine examination: (except hemoglobin; no blood transfusion, no use of granulocyte colony-stimulating factor [G-CSF] within 14 days before screening, and no corrective treatment within 7 days) 1) Hemoglobin >= 90 g/L; 2) Neutrophil count >= 1.5×10^9/L; 3) Platelet count >= 50×10^9/L; (2) Biochemical examination: (no albumin transfusion within 14 days) 1) Serum albumin >= 29 g/L; 2) Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) <= 2.5×upper limit of normal (ULN); 3) Total bilirubin (TBIL) < 1.5×ULN; 4) Creatinine (Cr) <= 1.5×ULN or creatinine clearance > 50 mL/min (calculated using the Cockcroft-Gault formula as follows): For males: Creatinine clearance = ((140 - age) × weight) / (72 × serum Cr) For females: Creatinine clearance = ((140 - age) × weight) / (72 × serum Cr) × 0.85 (Weight unit: kg; Serum Cr unit: mg/mL) 5) Urinary protein < 2+; if urinary protein >= 2+, a 24-hour urinary protein quantification can be performed, and patients with 24-hour urinary protein quantification < 1.0 g are eligible for enrollment; (3) Coagulation function: Activated partial thromboplastin time (APTT) and international normalized ratio (INR) <= 1.5×ULN (patients receiving stable-dose anticoagulant therapy such as low-molecular-weight heparin or warfarin with INR within the expected therapeutic range of anticoagulants can be screened); (4) Thyroid-stimulating hormone (TSH) <= ULN; if abnormal, triiodothyronine (T3) and thyroxine (T4) levels should be examined, and patients with normal T3 and T4 levels are eligible; 12. Patients with active hepatitis B virus (HBV) infection who are willing to receive full-course antiviral therapy during the study (according to local standard treatment, such as entecavir) may be eligible for enrollment based on the doctor's judgment of individual patient conditions under viral load monitoring; 13. Patients with positive hepatitis C virus (HCV) ribonucleic acid (RNA) must receive antiviral therapy according to local standard treatment guidelines, and liver function elevation must be within CTCAE Grade 1; 14. Female patients of childbearing potential: Must agree to abstain from heterosexual intercourse or use reliable and effective contraception from the signing of the informed consent form until at least 120 days after the last dose of the study drug. Additionally, serum human chorionic gonadotropin (HCG) must be negative within 7 days before the start of study treatment; and must be non-lactating. A female patient is considered to have childbearing potential if she has menstruated, has not reached postmenopausal status (amenorrhea for >= 12 consecutive months with no other identified causes except menopause), and has not undergone sterilization (such as hysterectomy, bilateral salpingectomy, or bilateral oophorectomy); 15. Male patients whose partners are women of childbearing potential must agree to abstain from heterosexual intercourse or use reliable and effective contraception from the signing of the informed consent form until at least 120 days after the last dose of the study drug. Male subjects must also agree not to donate sperm during the same period. Male subjects whose partners are pregnant must use condoms and do not need to adopt other contraceptive methods. |
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排除标准: |
1. 既往接受过PD-L1免疫治疗或者阿帕替尼靶向药物治疗; |
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Exclusion criteria: |
1. Previously received PD-L1 immunotherapy or apatinib targeted therapy; |
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研究实施时间: Study execute time: |
从 From 2025-12-30 00:00:00至 To 2028-06-30 00:00:00 |
征募观察对象时间: Recruiting time: |
从From 2025-12-30 00:00:00 至 To 2027-03-31 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
无 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
无 |
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Blinding: |
None |
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是否共享原始数据: IPD sharing |
Yes |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
研究结束后半年;Resman(http://www.medresman.org.cn/) |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Half a year after the conclusion of the research; Resman (http://www.medresman.org.cn/) |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
病例记录表(CRF) |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Case Report Form (CRF) |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |