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OncoMatch/Clinical Trials/NCT05844046

Sequential or Up-front Triple Treatment With Durvalumab, Tremelimumab and Bevacizumab for Non-resectable Hepatocellular Carcinoma (HCC) Patients

Is NCT05844046 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies durvalumab, tremelimumab, bevacizumab for hepatocellular carcinoma.

Phase 2RecruitingEnrico De ToniNCT05844046Data as of May 2026

Treatment: durvalumab, tremelimumab, bevacizumabThis is a randomized, open-label, multi-center, international, Phase II study to assess the efficacy and safety of sequential or up-front triple treatment with durvalumab, tremelimumab and bevacizumab for non-resectable hepatocellular carcinoma. Patients will be randomized in a 1:1 ratio to one of the following arms: Arm A: initial treatment with durvalumab plus tremelimumab followed by treatment escalation with the addition of bevacizumab upon radiological progression or in the absence of objective response Arm B: up-front treatment with durvalumab, tremelimumab and bevacizumab Patients will be stratified according to macrovascular invasion and etiology of liver disease (viral etiologies versus others).

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Extracted eligibility criteria

Cancer type

Hepatocellular Carcinoma

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: systemic therapy

Must not have received prior systemic therapy for HCC.

Cannot have received: durvalumab and/or tremelimumab (durvalumab, tremelimumab)

Prior randomization or treatment in a previous durvalumab and/or tremelimumab clinical study regardless of treatment arm assignment.

Lab requirements

Blood counts

Adequate organ and marrow function

Kidney function

Adequate organ and marrow function

Liver function

Child-Pugh Score class A

Child-Pugh Score class A; Adequate organ and marrow function

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

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