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OncoMatch/Clinical Trials/NCT05920863

Lenvatinib Combined with Tislelizumab and TACE Applied As Neoadjuvant Regimen for the Patients of CNLC Stage IB and IIA Hepatocellular Carcinoma with High-risk Recurrence Factors

Is NCT05920863 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Tislelizumab, Lenvatinib for hepatocellular carcinoma.

Phase 2RecruitingZhejiang Cancer HospitalNCT05920863Data as of May 2026

Treatment: Tislelizumab, LenvatinibThis is a monocenter, single-arm, open-label study to evaluate the efficacy and safety of Lenvatinib combined with Tislelizumab and TACE applied as neoadjuvant regimen for the patients of CNLC stage IB and IIA hepatocellular carcinoma with high risk of recurrence Primary outcome: Major pathological response (MPR) Secondary outcomes: pathological complete response (pCR), R0 resection rate, objective response rate (ORR), disease control rate (DCR), treatment-related adverse events (TRAE)

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Extracted eligibility criteria

Cancer type

Hepatocellular Carcinoma

Disease stage

Required: Stage CNLC IB, CNLC IIA (CNLC)

Excluded: Stage CNLC IA, CNLC IIB

Patients with CNLC IB or IIA stage tumors before surgery...Exclusion: CNLC stage is IA, IIB or worse.

Performance status

ECOG 0–0(Fully active)

Prior therapy

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

Cannot have received: systemic chemotherapy

No prior systemic chemotherapy, immunotherapy, targeted therapy, or other anti-tumor treatments for HCC

Cannot have received: immunotherapy

No prior systemic chemotherapy, immunotherapy, targeted therapy, or other anti-tumor treatments for HCC

Cannot have received: targeted therapy

No prior systemic chemotherapy, immunotherapy, targeted therapy, or other anti-tumor treatments for HCC

Cannot have received: other anti-tumor treatments

No prior systemic chemotherapy, immunotherapy, targeted therapy, or other anti-tumor treatments for HCC

Cannot have received: chemotherapy

Previously received anti-tumor treatments such as chemotherapy, radiotherapy, radiofrequency ablation, intervention, targeted therapy, immunotherapy or surgical treatment for liver cancer (excluding previous non-tumor-related surgery or diagnostic biopsy)

Cannot have received: radiotherapy

Previously received anti-tumor treatments such as chemotherapy, radiotherapy, radiofrequency ablation, intervention, targeted therapy, immunotherapy or surgical treatment for liver cancer (excluding previous non-tumor-related surgery or diagnostic biopsy)

Cannot have received: radiofrequency ablation

Previously received anti-tumor treatments such as chemotherapy, radiotherapy, radiofrequency ablation, intervention, targeted therapy, immunotherapy or surgical treatment for liver cancer (excluding previous non-tumor-related surgery or diagnostic biopsy)

Cannot have received: intervention

Previously received anti-tumor treatments such as chemotherapy, radiotherapy, radiofrequency ablation, intervention, targeted therapy, immunotherapy or surgical treatment for liver cancer (excluding previous non-tumor-related surgery or diagnostic biopsy)

Cannot have received: targeted therapy

Previously received anti-tumor treatments such as chemotherapy, radiotherapy, radiofrequency ablation, intervention, targeted therapy, immunotherapy or surgical treatment for liver cancer (excluding previous non-tumor-related surgery or diagnostic biopsy)

Cannot have received: immunotherapy

Previously received anti-tumor treatments such as chemotherapy, radiotherapy, radiofrequency ablation, intervention, targeted therapy, immunotherapy or surgical treatment for liver cancer (excluding previous non-tumor-related surgery or diagnostic biopsy)

Cannot have received: surgical treatment for liver cancer

Exception: excluding previous non-tumor-related surgery or diagnostic biopsy

Previously received anti-tumor treatments such as chemotherapy, radiotherapy, radiofrequency ablation, intervention, targeted therapy, immunotherapy or surgical treatment for liver cancer (excluding previous non-tumor-related surgery or diagnostic biopsy)

Lab requirements

Blood counts

hemoglobin ≥90g/L, neutrophil count ≥1.5×10⁹/L, platelet count ≥100×10⁹/L

Kidney function

serum creatinine <1.5 ULN; creatinine clearance rate ≥60 mL/min

Liver function

Child-Pugh scores is 5-6 points and liver function is grade A; aspartate aminotransferase or alanine aminotransferase ≤5 times the upper limit of normal (ULN), alkaline phosphatase ≤2.5 ULN, serum albumin ≥30g/L

Pre-administration organ function levels meet the requirements and are tolerant of surgery. The functional indicators of important organs meet the following requirements: hemoglobin ≥90g/L, neutrophil count ≥1.5×10⁹/L, platelet count ≥100×10⁹/L; aspartate aminotransferase or alanine aminotransferase ≤5 times the upper limit of normal (ULN), alkaline phosphatase ≤2.5 ULN, serum albumin ≥30g/L; serum creatinine <1.5 ULN; international normalized ratio (INR) ≤2 or prothrombin time (PT) within the upper limit of normal range ≤6 seconds; serum creatinine ≤1.5 ULN, creatinine clearance rate ≥60 mL/min.

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

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