OncoMatch

OncoMatch/Clinical Trials/NCT07884877

PULSAR Radiotherapy Combined With Immunotherapy for High-Risk Advanced Liver Cancer

Official title: A Prospective Phase II Study of Personalized Ultrafractionated Stereotactic Adaptive Radiotherapy (PULSAR) Combined With Immunotherapy in Patients With Advanced Hepatocellular Carcinoma

Is NCT07884877 recruiting? Yes, currently enrolling (Oct 2026). This Phase 2 trial studies Immune checkpoint inhibitor-based therapy for hepatocellular carcinoma (hcc).

Phase 2RecruitingSamsung Medical CenterNCT07884877Data as of Oct 2026Location: South Korea

Treatment: Immune checkpoint inhibitor-based therapy — The goal of this clinical trial is to learn if adding PULSAR, a personalized adaptive stereotactic radiotherapy, to standard immunotherapy can control cancer longer in adults with high-risk advanced hepatocellular carcinoma (liver cancer). It will also learn about the safety of this combination. The main questions it aims to answer are: * What percentage of participants are alive without cancer progression 12 months after starting PULSAR? * What medical problems do participants have after PULSAR with immunotherapy? There is no comparison group. Results will be compared with published results of immunotherapy alone. Participants will: * Continue their usual immunotherapy * Receive 2 to 3 PULSAR sessions, 3 to 4 weeks apart, with the plan adjusted before each session * Give blood samples and fill out symptom questionnaires * Have checkups and scans for up to 3 years

Check if I qualify

Extracted eligibility criteria

Treatments studied

Other

Immune checkpoint inhibitor-based therapy

Cancer type

Hepatocellular Carcinoma

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≥ 19

Prior therapy

Must have received: immune checkpoint inhibitor-based systemic therapy (atezolizumab, bevacizumab, durvalumab, tremelimumab)

currently receiving or scheduled to receive immune checkpoint inhibitor-based systemic therapy (e.g., atezolizumab plus bevacizumab or durvalumab plus tremelimumab)

Cannot have received: radiotherapy to the treatment site

Prior radiotherapy to the treatment site

Lab requirements

Liver function

child-pugh score 7 or lower

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

Frequently asked questions

Is NCT07884877 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior radiotherapy to the treatment site disqualifies patients from enrollment.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

Check if I qualify