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OncoMatch/Clinical Trials/NCT05733598

Study of RP2 in Combination With Second-line Therapy in Patients With Locally Advanced or Metastatic HCC

Is NCT05733598 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments for hepatocellular carcinoma.

Phase 2RecruitingReplimune Inc.NCT05733598Data as of May 2026

Treatment: RP2 · Bevacizumab · Atezolizumab · Durvalumab · RP2 MonotherapyThe purpose of this study is to assess the efficacy and safety of RP2 in combination with atezolizumab plus bevacizumab (Cohorts 1a and 1b) and RP2 monotherapy (Cohort 2) in the as second line treatment in patients with locally advanced unresectable, recurrent, and/or metastatic HCC and in combination with durvalumab as treatment in patients with unresectable locally advanced or metastatic BTC.

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Extracted eligibility criteria

Cancer type

Hepatocellular Carcinoma

Cholangiocarcinoma

Disease stage

Required: Stage III, IV

Has at least 1 measurable tumor of ≥ 1 cm in longest diameter (or ≥ 1.5 cm shortest diameter for lymph nodes) as defined by RECIST 1.1.

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: anti-PD-1 therapy (atezolizumab, durvalumab, pembrolizumab, nivolumab) — first-line

(HCC only) Must have progressed while on first and only systemic therapy, which must have included anti PD-1 or anti-PD-L1 therapy (eg, atezolizumab plus bevacizumab combination, durvalumab plus tremelimumab combination, durvalumab, pembrolizumab, or nivolumab monotherapy or nivolumab in combination with ipilimumab) as their immediate prior treatment regimen.

Must have received: checkpoint inhibitor — concurrent with gemcitabine and platinum chemotherapy

(BTC only) Patients must be on combination treatment with gemcitabine, platinum containing chemotherapy, and a checkpoint inhibitor for a minimum of 12 weeks and maximum of 24 weeks. After the last combination chemotherapy treatment (gemcitabine plus platinum chemotherapy), checkpoint inhibitor treatment must be limited to 2 doses (8 weeks).

Cannot have received: oncolytic virus therapy

Received prior treatment with an oncolytic virus therapy.

Lab requirements

Blood counts

WBC ≥ 2.0 × 10^9/L; ANC ≥ 1.5 × 10^9/L (without G-CSF); platelets ≥ 75 × 10^9/L (without transfusion); hemoglobin ≥ 8.5 g/dL (not transfusion-dependent)

Kidney function

serum creatinine ≤ 1.5 × ULN or creatinine clearance ≥ 30 mL/minute

Liver function

total bilirubin ≤ 3.0 × ULN; AST, ALT, and ALP ≤ 5.0 × ULN; Child-Pugh A required for HCC

Has adequate hematologic function... Has adequate hepatic function... Has adequate renal function...

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

US trial sites

  • Beverly Hills Cancer Center · Beverly Hills, California
  • UC San Diego Moores Cancer Center · La Jolla, California
  • Sylvester Comprehensive Cancer Center (University of Miami Hospital and Clinics) · Miami, Florida
  • Moffitt Cancer Center · Tampa, Florida
  • University of Maryland Medical Center · Baltimore, Maryland

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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