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OncoMatch/Clinical Trials/NCT07246668

A Phase II Single-Arm Clinical Study to Evaluate the Efficacy and Safety of Carbon Ion Radiotherapy With Atezolizumab and Bevacizumab Combination Therapy in Patients With Advanced Hepatocellular Carcinoma

Is NCT07246668 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies non-drug interventions for hepatocellular carcinoma.

Phase 2RecruitingYonsei UniversityNCT07246668Data as of May 2026

This single-center, prospective phase II clinical trial evaluates the safety and therapeutic efficacy of combining carbon ion radiotherapy with the standard first-line regimen of atezolizumab and bevacizumab in patients with advanced hepatocellular carcinoma. The study aims to determine whether the addition of carbon ion radiotherapy enhances tumor control and improves clinical outcomes beyond those achieved with systemic therapy alone. Key endpoints include overall survival, progression-free survival, objective response rate, and treatment-related adverse events.

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Extracted eligibility criteria

Cancer type

Hepatocellular Carcinoma

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot have received: anti-PD-1 therapy

Prior systemic therapy with anti-PD-1, anti-PD-L1, or anti-VEGF agents within the past year.

Cannot have received: anti-PD-L1 therapy

Prior systemic therapy with anti-PD-1, anti-PD-L1, or anti-VEGF agents within the past year.

Cannot have received: anti-VEGF therapy

Prior systemic therapy with anti-PD-1, anti-PD-L1, or anti-VEGF agents within the past year.

Cannot have received: carbon ion radiotherapy

Exception: to the same anatomical region

Prior carbon ion radiotherapy to the same anatomical region.

Lab requirements

Blood counts

Absolute neutrophil count ≥ 1,500/μL; Platelet count ≥ 75,000/μL; Hemoglobin ≥ 8.5 g/dL

Kidney function

Serum creatinine ≤ 1.5 × ULN or creatinine clearance ≥ 50 mL/min

Liver function

AST/ALT ≤ 5 × ULN; Total bilirubin ≤ 3 mg/dL; Child-Pugh class A liver function

Adequate organ and marrow function, including: Absolute neutrophil count ≥ 1,500/μL Platelet count ≥ 75,000/μL Hemoglobin ≥ 8.5 g/dL Serum creatinine ≤ 1.5 × ULN or creatinine clearance ≥ 50 mL/min AST/ALT ≤ 5 × ULN Total bilirubin ≤ 3 mg/dL Child-Pugh class A liver function

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

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