Study of Rilvegostomig with Bevacizumab and Tremelimumab as First-line Treatment for Patients with Advanced Liver Cancer

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What is this study about?

This study focuses on patients with advanced hepatocellular carcinoma, which is a type of liver cancer that has spread or cannot be removed by surgery. The research evaluates several medications including rilvegostomig, bevacizumab, and tremelimumab, which are drugs that work with the immune system to fight cancer cells. Another medication being studied is atezolizumab, which also helps the immune system target cancer cells.

The main purpose of this research is to determine if combining rilvegostomig with tremelimumab and bevacizumab is more effective than using atezolizumab with bevacizumab in treating advanced hepatocellular carcinoma. These medications are given through intravenous infusion, which means they are delivered directly into the bloodstream through a vein.

During the study, patients will be randomly assigned to different treatment groups. One group will receive rilvegostomig together with tremelimumab and bevacizumab, while another group will receive atezolizumab with bevacizumab. The study will monitor how patients respond to these treatments over time, particularly focusing on how long patients survive after starting treatment.

1 Initial treatment assignment

You will be randomly assigned to one of the treatment groups for advanced liver cancer (hepatocellular carcinoma)

Your treatment will be determined by random selection – either combination therapy with rilvegostomig, tremelimumab, and bevacizumab or atezolizumab with bevacizumab

2 Medical evaluation

Your liver function will be assessed to confirm you have Child-Pugh Score class A

Your overall physical condition will be evaluated using a standard scale (WHO/ECOG) to confirm your ability to perform daily activities

Your organ function and blood tests will be reviewed to ensure they are at appropriate levels

3 Treatment administration

You will receive your assigned medications through intravenous infusion

Regular imaging scans will be performed to measure how your tumor responds to treatment

Your overall health and any side effects will be monitored throughout the treatment period

4 Follow-up assessments

Regular medical examinations will track your progress

Imaging scans will be reviewed by independent specialists to assess how your tumor is responding to treatment

The duration of your response to treatment will be monitored and documented

5 Study completion

The study is expected to continue until March 2030

Your participation will help evaluate how effective these treatment combinations are for advanced liver cancer

Your overall survival and how long the treatment keeps the cancer under control will be key measures of the treatment’s effectiveness

Who Can Join the Study?

  • Must have advanced liver cancer (hepatocellular carcinoma) that has spread or cannot be surgically removed
  • Must be able to perform daily activities with minimal assistance (WHO/ECOG status of 0 or 1, where 0 means fully active and 1 means restricted in strenuous activities but able to carry out light work)
  • Must have liver cancer at BCLC stage B (intermediate stage not suitable for local treatment) or stage C (advanced stage), with good liver function (Child-Pugh class A)
  • Must have at least one tumor that can be measured on scans
  • Must not have both hepatitis B and hepatitis C infections
  • Must have adequate liver, kidney, and blood test results during the screening period
  • Must not have received any previous systemic treatment (medication that travels through the bloodstream) for intermediate or advanced liver cancer
  • Must not be eligible for curative surgery or local treatments. If previously received treatment, must wait:
    • At least 6 months after completing preventive therapy before having confirmed spread of cancer
    • At least 28 days after completing local treatment before baseline scan
  • Both men and women can participate
  • Must be an adult (18 years or older)

Who Cannot Join the Study?

  • Have received prior systemic therapy for advanced liver cancer (hepatocellular carcinoma)
  • Have active or untreated brain tumors or brain metastases (cancer that has spread to the brain)
  • Have active autoimmune disease requiring systemic treatment
  • Have uncontrolled high blood pressure
  • Have significant heart disease or had a heart attack within the past 6 months
  • Have active bleeding or high risk of bleeding
  • Have active hepatitis B or C infection
  • Are pregnant or breastfeeding
  • Have received organ transplant and are taking medications to prevent organ rejection
  • Have had major surgery within 28 days before starting the study
  • Are currently participating in another clinical trial
  • Have severe liver dysfunction
  • Have history of other cancers within the past 3 years, except for successfully treated skin cancer or early-stage cancer
  • Have known allergy or sensitivity to any of the study medications

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Other Sites

Site Name City Country Status
Ospedale San Raffaele S.r.l. Milan Italy
Rheinische Friedrich-Wilhelms-Universitaet Bonn Bonn Germany
Centre Hospitalier Universitaire De Nantes Nantes France
Centre Hospitalier Universitaire De Nice Nice France
Hospital General Universitario Gregorio Maranon Madrid Spain
Hopital Beaujon Clichy France
Otto Von Guericke Universitaet Magdeburg Magdeburg Germany
Hjyvuqqi Vdrl dcwcwpel Barcelona Spain
Uglgiwlbrh Hmmgbkgp Cikbhze Cologne Germany
Uipyvkioleyzhsilbtuei Egwiuyxn Art Erlangen Germany
Ausy Gajxxp Oadttppt Msynjlfezowee Nmitgxqc Milan Italy
Afoxzvfyy Uaq Amsterdam The Netherlands
Uedgwtkeyzmu Mvjmdsm Ckladmb Ufoojwg Utrecht The Netherlands
Havvhvqu Cmuzhu Di Bqqhhfbpz Barcelona Spain
Cqfvrfk Utwdnttjickoupqjqyfl Bdngmc Kgz Berlin Germany
Kokxqiyw Clqpapym gtylk Chemnitz Germany
Ezmifbf Ubpnrlksqcnh Mogsjtg Csrkinf Rtjvbynvc (cbugdib Mmp Rotterdam The Netherlands
Htwwijlw Uicejdvfofivb Fpujxocag Jddoerj Dcvr Madrid Spain
Cmjabn Hckhzyahimb Uklvsytsshvcg Dt Mscvpeyrzhb Montpellier France
Kfjhqlou dcq Uejcmbpduspl Mnpuchch Aix Munich Germany
Umqmskxtxr Hxaupejq Mdzczbssfc Maastricht The Netherlands
Usvtvmsxqzhy Lqbejqo Leipzig Germany
Atyiatz Uplyl Swbkwkilu Lnccwq Db Bsmvszq Bologna Italy
Ugcdkhcldvdkug Crndwuk Kwmdwrrda Gdansk Poland
Kwpdddgw dlb Tqhxzryamsp Ukvtuvbzukde Meayyfzk (vob Kynaeofzv Munich Germany
Ukwmrsghum Mnulbwu Craadb Hrzzxqirvbboylzdr Hamburg Germany
Unjgfhfgpsnxoccmktmnc Efgou Aop Essen Germany
Kmmslrqp Dtbxjkls gasnv Dortmund Germany
Ieujqvwk fjil Kgejuphrm Tnbgffxcpmlntimvvtu ulz Ivgmlmolodrt Uec ghxoo Ulm Germany
Utyzyvivnnme Mbinigb Cjxthlb Gowawcgvh Groningen The Netherlands
Ustpuumanqiezhylswiwu Aqwjpb Ayv Aachen Germany
Umbnvzmccytdbfketwhzp Sfzwuhetzzpkoqdbgz Ajr Kiel Germany
Ckszmh Hsrtzjqgpte Licx Srr Pierre Benite France
Hmmeyulj Uhkurowvlurnz Mxgryal Dv Vmuqwxqwhg Santander Spain
Cybismv Ozrlgppxs Zzoau Ljlferyerd Iqe Sty Joxg Z Dtgdv Lublin Poland
Snisqau Kbcoqojmq Mrvwhhjxxxht Scvnh Wyluxkvddalq I Anxdwqivhrdap Z Wchvcihcrrdlpdfbfbh Cllmvwh Ogecwaeay W Olxrlklrf Olsztyn Poland
Aholmqi Omohjrgbibp Urmoydyyhezol Ppwwia Pisa Italy
Kfgaddvejsx Ntcirpyi Gkdt Frankfurt Germany
Senrxfkw Kvyfxajlmgx Bpgjtjffc Fygw Dao Gdbauhsslm Maptu Moers Germany
Cralmg Dw Lnebd Cwxtde Lg Cqnusj Etugtu Mmrbgtj Rennes France
Nvdaufwl Ihftvmjq Orqhczglw Iaq Mhchq Slmglxxbogoogeimshczefkbpejk Igbfbjry Bejevrat Cracow Poland
Gwojqe Uvirycguug Fijpgwamc Frankfurt Germany
Cfxrsgf Orpcmdcfw Ied Pfboe Fnfgjfswzt Limyhipkvfo W Bzdhwjoaqe Bydgoszcz Poland
Ayiawgy Ociodjaalxv Uvazatyyulvmz Pfzpjoqxzkv Pvaku Gwykpfwj Palermo Italy
Aasbmso Oqfnxtjkqry Dc Ppvudqk Perugia Italy
Sttaelj Mbvznvg Sqaaflnluetpqsr Iho Goqrqroy Nlkxtmvswyg W Kobfjtbh Cracow Poland

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
France France
Recruiting
01.01.2026
Germany Germany
Recruiting
01.01.2026
Italy Italy
Recruiting
01.01.2026
Poland Poland
Recruiting
01.01.2026
Spain Spain
Recruiting
01.01.2026
The Netherlands The Netherlands
Recruiting
01.01.2026

Trial locations

Rilvegostomig is an investigational medication being studied for the treatment of advanced liver cancer (hepatocellular carcinoma). It belongs to a class of drugs that help the immune system fight cancer cells.

Bevacizumab is a medication that works by blocking the growth of blood vessels that feed tumors. It helps prevent the tumor from growing and spreading by cutting off its blood supply.

Tremelimumab is an immunotherapy medication that helps activate the body’s immune system to fight cancer cells. It works by blocking signals that prevent immune cells from attacking cancer.

Atezolizumab is an immunotherapy medication that helps the body’s immune system detect and fight cancer cells. It works by blocking a protein that cancer cells use to hide from immune cells.

Hepatocellular Carcinoma – A primary type of liver cancer that begins in the main type of liver cells (hepatocytes). The disease typically develops in people who have chronic liver diseases, such as cirrhosis. It starts as small clusters of abnormal cells in the liver that gradually grow larger. As the cancer grows, it can spread within the liver and potentially to other parts of the body. The condition affects liver function and can cause symptoms like abdominal pain, unexplained weight loss, and yellowing of the skin.

Trial ID:
2024-518210-81-00
Protocol code:
D7029C00001
NCT ID:
NCT06921785
Trial Phase:
Therapeutic confirmatory (Phase III)

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