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OncoMatch/Clinical Trials/NCT04380545

Nivolumab, Fluorouracil, and Interferon Alpha 2B for the Treatment of Unresectable Fibrolamellar Cancer

Is NCT04380545 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including Nivolumab and Recombinant Interferon Alpha 2b-like Protein for stage iii hepatocellular carcinoma ajcc v8.

Phase 1/2RecruitingM.D. Anderson Cancer CenterNCT04380545Data as of May 2026

Treatment: Fluorouracil · Nivolumab · Recombinant Interferon Alpha 2b-like ProteinThis phase I/II trial studies the side effects and how well nivolumab, fluorouracil, and interferon alpha 2b work for the treatment of fibrolamellar cancer (liver cell cancer) that cannot be removed by surgery (unresectable). Immunotherapy with monoclonal antibodies, such as nivolumab, may help the body's immune system attack the cancer and may interfere with the ability of tumor cells to grow and spread. Chemotherapy drugs, such as fluorouracil, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Interferon alpha 2b may help stimulate the immune system to fight cancer. Giving nivolumab, fluorouracil, and interferon alpha 2b may work better in treating unresectable fibrolamellar cancer compared to fluorouracil and interferon alpha 2b alone.

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Extracted eligibility criteria

Cancer type

Hepatocellular Carcinoma

Disease stage

Required: Stage III, IIIA, IIIB, IV, IVA, IVB (AJCC v8)

Unresectable Fibrolamellar Carcinoma; measurable disease defined as a lesion that can be accurately measured in at least one dimension (longest diameter to be recorded) and measures >= 15 mm with conventional techniques or >= 10 mm with more sensitive techniques such as MRI or spiral CT scan

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot have received: anti-PD-1 therapy

Exception: for FLHCC treatment

Patients must not have received prior anticancer therapy with anti-PD-1 for FLHCC treatment

Cannot have received: systemic therapy

Exception: concomitant therapy for FLHCC

Patients receiving any concomitant systemic therapy for FLHCC are excluded

Lab requirements

Blood counts

ANC >= 1,000 /mm^3; Platelets >= 100,000 /mm^3; Hemoglobin > 9.0 g/dL (may be transfused or receive epoetin alfa to maintain or exceed this level)

Kidney function

Serum creatinine <= 1.5x ULN or estimated creatinine clearance > 40 mL/min

Liver function

Total bilirubin <= 1.5 mg/dL; AST and/or ALT <= 5x institutional ULN; No advanced cirrhosis, with Child-Pugh A

No advanced cirrhosis, with Child-Pugh A; ANC >= 1,000 /mm^3; Platelets >= 100,000 /mm^3; Hemoglobin > 9.0 g/dL; Total bilirubin <= 1.5 mg/dL; Serum creatinine <= 1.5x ULN or estimated creatinine clearance > 40 mL/min; AST and/or ALT <= 5x institutional ULN

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • M D Anderson Cancer Center · Houston, Texas

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