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OncoMatch/Clinical Trials/NCT05882370

TIPS Plus Cadonilimab in Advanced HCC with Tumor Thrombosis-associated Portal Hypertension:a Prospective, Single-arm, Phase II Study

Is NCT05882370 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Cadonilimab for hepatocellular carcinoma.

Phase 2RecruitingFei GaoNCT05882370Data as of May 2026

Treatment: CadonilimabThe purpose of this study is to evaluate the efficacy and safety of transjugular intrahepatic portosystemic shunt (TIPS) plus Cadonilimab (a PD-1/CTLA-4 bispecific antibody) in advanced hepatocellular carcinoma (BCLC-C Stage) accompanied by tumor thrombosis-associated portal hypertension.

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Extracted eligibility criteria

Cancer type

Hepatocellular Carcinoma

Disease stage

Required: Stage BCLC-C (BCLC)

BCLC-C stage accompanied by tumor thrombosis-associated portal hypertension

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Max 1 prior line

Cannot have received: targeted therapy

Newly diagnosed patients who have not received targeted therapy or immunotherapy in the past

Cannot have received: immunotherapy

Newly diagnosed patients who have not received targeted therapy or immunotherapy in the past

Cannot have received: anti-PD-1 therapy

The patient has previously received other anti-PD-1 antibody therapy or other immunotherapy against PD-1/PD-L1

Cannot have received: molecular targeted therapy (apatinib)

or has previously received apatinib therapy

Cannot have received: radiotherapy

Exception: less than 4 weeks before the study medication

Patients who have previously received radiotherapy, chemotherapy, hormone therapy, and surgery, after the completion of the treatment (last medication) and less than 4 weeks before the study medication

Cannot have received: chemotherapy

Exception: less than 4 weeks before the study medication

Patients who have previously received radiotherapy, chemotherapy, hormone therapy, and surgery, after the completion of the treatment (last medication) and less than 4 weeks before the study medication

Cannot have received: hormone therapy

Exception: less than 4 weeks before the study medication

Patients who have previously received radiotherapy, chemotherapy, hormone therapy, and surgery, after the completion of the treatment (last medication) and less than 4 weeks before the study medication

Cannot have received: surgery

Exception: less than 4 weeks before the study medication

Patients who have previously received radiotherapy, chemotherapy, hormone therapy, and surgery, after the completion of the treatment (last medication) and less than 4 weeks before the study medication

Cannot have received: molecular targeted therapy

Exception: less than 5 drug half-lives before the study medication

molecular targeted therapy (including other oral targeted drugs used in clinical trials) is less than the first study medication <5 drug half-lives

Lab requirements

Blood counts

Absolute neutrophil count ≥ 1.5×10^9/L; Platelet ≥ 50×10^9/L; Hemoglobin ≥ 60 g/L

Kidney function

Serum creatinine ≤ 1.5×ULN

Liver function

Child-Pugh score ≤ 13 points; Bilirubin ≤ 2×ULN; ALT and AST ≤ 5×ULN; Serum albumin ≥ 28 g/L

Cardiac function

QTc ≤ 450ms (male); QTc ≤ 470ms (female); NYHA level <2 heart failure; no unstable angina; no MI within 1 year; no clinically significant arrhythmia requiring intervention

The functions of vital organs meet the following requirements... see inclusion 10 and exclusion 9

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

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