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RecruitingInterventionalPhase 2

A Phase II, Open-label, Multi-cohort, Multicenter Study in Patients With Unresectable Hepatocellular Carcinoma and Child-pugh B7 and B8 Cirrhosis

NCT ID: NCT06096779Sponsor: Genentech, Inc.Last updated: 2026-06-01

Summary

The purpose of this study is to assess the safety of atezolizumab and bevacizumab, or atezolizumab alone, as first-line treatment in participants with unresectable, locally advanced or metastatic hepatocellular carcinoma (HCC) with Child-pugh B7 or B8 cirrhosis.

Detailed description

This is a Phase II, open-label, multicohort, multicenter study in participants with unresectable, locally advanced, or metastatic HCC who have Child-pugh B7 or B8 liver cirrhosis and have received no prior systemic therapy in this treatment setting. The study is designed to non-comparatively evaluate the safety of atezolizumab plus bevacizumab (Cohort A) or atezolizumab monotherapy (Cohort B) in this population.

Arms & interventions

  • DrugAtezolizumab

    Atezolizumab will be administered at a dose of 1200 milligrams (mg) by intravenous (IV) infusion on Day 1 of each 21-day cycle.

  • DrugBevacizumab

    Bevacizumab will be administered at a dose of 15 milligrams per kilogram (mg/kg) by IV infusion on Day 1 of each 21-day cycle.

Outcome measures

Primary

  • Percentage of Participants With Adverse Events (AEs)

    An AE is any untoward medical occurrence in a participant or clinical study participant temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Severity is determined according to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0) in Cohorts A and B.

    Time frame: Baseline through the end of the study (up to approximately 36 months)

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
General Inclusion Criteria: * Locally advanced or metastatic and/or unresectable HCC with diagnosis confirmed by histology/cytology or clinically by American Association for the Study of Liver Diseases (AASLD) criteria in cirrhotic participants * Disease that is not amenable to curative surgical and/or locoregional therapies * No prior systemic treatment (including systemic investigational agents) for locally advanced or metastatic and/or unresectable HCC * Measurable disease (at least one untreated target lesion) according to Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1) * Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 within 7 days prior to initiation of study treatment * Child-pugh B7 or B8 cirrhosis at screening and within 7 days prior to study treatment * Adequate hematologic and end-organ function * Life expectancy of at least 12 weeks * Female participants of childbearing potential must be willing to avoid pregnancy and egg donation * Absolute neutrophil count ≥1.0 x 10\^9 per liter (/L) (≥1000 per microliter \[/μL\]) without granulocyte colony-stimulating factor support * Platelet count ≥ 50 × 109/L (50,000/μL) without transfusion * Hemoglobin ≥ 80 grams per liter (g/L) (8 grams per deciliter \[g/dL\]) aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 5 × upper limit of normal (ULN) * Serum bilirubin ≤ 3 × ULN * Creatinine clearance ≥ 50 milliliters per minute (mL/min) (calculated using the Cockcroft-gault formula) * Serum albumin ≥ 20 g/L (2.0 g/dL) without transfusion in the prior 3 months * International normalized ratio (INR) ≤2.3 General Exclusion Criteria: * Pregnancy or breastfeeding * Prior treatment with cluster of differentiation 137 (CD137) agonists or immune checkpoint blockade therapies * Treatment with investigational therapy within 28 days prior to initiation of study treatment * Treatment with locoregional therapy to liver within 28 days prior to initiation of study treatment, or non-recovery from side effects of any such procedure * Treatment with systemic immunostimulatory agents * Treatment with systemic immunosuppressive medication * Treatment with a live, attenuated vaccine within 4 weeks prior to initiation of study treatment * Inadequately controlled hypertension * Active or history of autoimmune disease or immune deficiency * History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan * Participants who have a known concurrent malignancy that is progressing or requires active treatment, who have not completely recovered from treatment, or who have a significant malignancy history that, in the opinion of the investigator, should preclude participation * Participants on preventative hormonal therapies (i.e., tamoxifen and other hormonal inhibitors) are not excluded * Known fibrolamellar HCC, sarcomatoid HCC, other rare HCC variant, or mixed cholangiocarcinoma and HCC * Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases * Prior allogeneic stem cell or solid organ transplantation * Actively listed for liver transplantation * Co-infection with hepatitis B virus (HBV) and hepatitis C virus (HCV) * Untreated or incompletely treated esophageal and/or gastric varices with bleeding or that are at high risk for bleeding * A prior bleeding event due to esophageal and/or gastric varices within 6 months prior to initiation of study treatment * Grade ≥3 hemorrhage or bleeding event within 6 months prior to initiation of study treatment * Hepatic encephalopathy is allowed if no active symptoms or stable within 3 months of study treatment * History, planned, or recommended placement of transjugular intrahepatic portosystemic shunt (TIPS) is excluded from Cohort A only. TIPS is acceptable in Cohort B * Diagnostic paracentesis is allowed. Therapeutic paracentesis: one large volume paracentesis prior to enrollment with diuretic controlled ascites is allowed. * Participants with ascites controlled on diuretics are allowed * History of spontaneous bacterial peritonitis within last 12 months

Study locations (60)

University of Arizona Cancer Center

Tucson, Arizona, 85724

Recruiting

UC San Diego Moores Cancer Center

La Jolla, California, 92093

Recruiting

University of Southern California-Keck School of Medicine -1975 Zonal Ave

Los Angeles, California, 90089-5601

Recruiting

University of Southern California

Newport Beach, California, 92663

Recruiting

University of California Irvine Medical Center

Orange, California, 92868

Completed

California Liver Research Institute

Pasadena, California, 91105-2561

Recruiting

University of California Davis Medical Center

Sacramento, California, 95817

Completed

Stanford Health Care

Stanford, California, 94305

Recruiting

Harbor UCLA Medical Center

Torrance, California, 90502-2006

Recruiting

Cedars Sinai Comprehensive Transplant Center

West Hollywood, California, 90048-2422

Recruiting

Rocky Mountain Cancer Centers (Williams) - USOR

Denver, Colorado, 80218-1237

Recruiting

Hartford Healthcare Cancer Institute at Hartford Hospital

Hartford, Connecticut, 06106

Recruiting

Washington DC VA Medical Center

Washington D.C., District of Columbia, 20422-0001

Recruiting

Orlando Health Inc.

Orlando, Florida, 32806

Recruiting

Northwestern University

Chicago, Illinois, 60611-2908

Recruiting

University of Illinois Health Outpatient Care Center

Chicago, Illinois, 60612-4795

Recruiting

The Duchossois Center for Advanced Medicine

Chicago, Illinois, 60637-1426

Recruiting

University of Kentucky - Markey Cancer Center

Lexington, Kentucky, 40536-7001

Recruiting

LSU Health Baton Rouge

Baton Rouge, Louisiana, 70805

Recruiting

Our Lady of the Lake Cancer Institute

Baton Rouge, Louisiana, 70808-4300

Recruiting

Tufts Medical Center

Boston, Massachusetts, 02111

Recruiting

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215

Recruiting

Veterans Affairs Ann Arbor Healthcare System

Ann Arbor, Michigan, 48105

Recruiting

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, 48201

Recruiting

Henry Ford Health System

Detroit, Michigan, 48202

Recruiting

Saint Luke?s Hospital of Kansas City

Kansas City, Missouri, 64111

Recruiting

MorristownMedicalCenter

Morristown, New Jersey, 07962

Recruiting

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, 08901

Recruiting

Rutgers Cancer Institute of New Jersey at University Hospital

Newark, New Jersey, 07103

Recruiting

NYU Langone Hospital - Long Island

Mineola, New York, 11501-4064

Recruiting

R.J. Zuckerberg Cancer Hospital/Northwell Health - BRANY - PPDS

New Hyde Park, New York, 11042-1118

Withdrawn

NYU Langone Medical Center

New York, New York, 10016-9451

Recruiting

Icahn School of Medicine at Mount Sinai

New York, New York, 10029

Recruiting

Montefiore Medical Center

The Bronx, New York, 10467

Recruiting

James J Peters Veterans Administration Medical Center - NAVREF

The Bronx, New York, 10468-3904

Recruiting

Levine Cancer Institute

Charlotte, North Carolina, 28204

Recruiting

University Hospitals Cleveland Medical Center

Cleveland, Ohio, 44106

Withdrawn

Dayton VA Medical Center - NAVREF - PPDS

Dayton, Ohio, 45428-9000

Recruiting

The University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73104-5020

Recruiting

Kaiser Permanente Westside Medical Center

Hillsboro, Oregon, 97124-5806

Recruiting

OHSU Knight Cancer Institute Hematology Oncology

Portland, Oregon, 97239-3011

Recruiting

Jefferson Health Honickman Center

Philadelphia, Pennsylvania, 19107

Recruiting

Veterans Affairs Pittsburgh Healthcare System - NAVREF - PPDS

Pittsburgh, Pennsylvania, 15240

Completed

The West Clinic (East Campus)

Germantown, Tennessee, 38138-1762

Active Not Recruiting

Nashville General Hospital at Meharry

Nashville, Tennessee, 37208-2918

Recruiting

Liver Institute at Methodist Dallas

Dallas, Texas, 75203-1260

Recruiting

Moody Outpatient Center ? Parkland Health

Dallas, Texas, 75235

Recruiting

Texas Oncology (Worth) - USOR

Dallas, Texas, 75246-2008

Recruiting

University of Texas Southwestern Medical Center

Dallas, Texas, 75390-0001

Recruiting

Texas Oncology - Denison Cancer Center

Denison, Texas, 75020-0084

Recruiting

Kelsey Research Foundation

Houston, Texas, 77025-1669

Recruiting

Michael E Debakey VA Medical Center - NAVREF - PPDS

Houston, Texas, 77030-4211

Recruiting

Houston Methodist Hospital

Houston, Texas, 77030

Recruiting

Intermountain Healthcare

Murray, Utah, 84107-5741

Recruiting

Intermountain Cancer Center

St. George, Utah, 84790

Recruiting

Inova Schar Cancer Institute

Falls Church, Virginia, 22042

Completed

Maryview Hospital, Inc.

Newport News, Virginia, 23602

Withdrawn

Bon Secours St. Mary's Hospital

Richmond, Virginia, 23226-1925

Recruiting

VCU Medical Center North Hospital

Richmond, Virginia, 23298-5028

Recruiting

Virginia Mason Medical Center

Seattle, Washington, 98101

Recruiting