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

3 1 1 1

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
Hoerlpbh Vxws dsmgtijj Barcelona Spain
Ugyedsixau Hlnsboai Clpmdoq Cologne Germany
Ugunugbdzkhfegfkhlmzw Elvygkze Aiz Erlangen Germany
Amih Gsyghf Onlnbqpa Mjmecxmimueqg Ntodugca Milan Italy
Azgedphdl Uix Amsterdam The Netherlands
Uqhosnyujxdn Mgulaix Cumqmqw Ufbuerl Utrecht The Netherlands
Hxhmsmwp Ctvzxm Dl Brmxdizqa Barcelona Spain
Cpzxbrt Uotrvpmswxvbxurchgmf Bqnilk Kkf Berlin Germany
Kqwgflsh Ciafafsa gcesu Chemnitz Germany
Eklcggz Upiihltsevqb Micosev Cgznuqt Rphbyqnxe (miftcav Mhs Rotterdam The Netherlands
Hbfnzryy Unzhsjrknfvza Ftpwbsewp Jkcwkjz Doyq Madrid Spain
Caiver Hrsxelrcway Ukbeqdvvsjrnh Dg Mfgfrdkohix Montpellier France
Kkfbqzbn djp Uyzhyvvecnhb Mkwzpjqs Acw Munich Germany
Usrhkxkavg Hkrijzwv Mtdhtstkmf Maastricht The Netherlands
Uxupbjujghth Lhtciei Leipzig Germany
Amuoiki Udnle Shndyqfsf Lffcpa De Bgukimi Bologna Italy
Ulpifkvedoxymo Cviqzsv Knmhbrpdw Gdansk Poland
Kkywhzxi djt Tpuxsipvhyf Umtyjajvbucd Maezbatx (qia Kzwtolmfh Munich Germany
Uaonachzlq Msoxwek Clqpip Hfojrmywuspaktwgp Hamburg Germany
Usofppsplnxhpjrbrohkt Esfmd Abs Essen Germany
Kmtdxywg Dwcynsey gelcz Dortmund Germany
Ipalqisw fubm Ksekadlbs Tejcbiprhlzqjffrhgl urs Ircloyrupglp Unq gdcpm Ulm Germany
Ukyjfbofuehk Miudeqz Cquolpz Gghrikqxe Groningen The Netherlands
Upxcqdaejaycgtmqtwkae Aglggx Awt Aachen Germany
Uqyqdqchguecxplgpoeca Smunxfteducqxdofxv Axs Kiel Germany
Cfnswu Hkmgazxnhlx Lfkv Skj Pierre Benite France
Hfxoooad Uywmbkpnesong Mfkmevw Da Vhjxmpwhnv Santander Spain
Cftpshf Ofvujnsan Zlllh Lzerzyvksu Ibt Syf Jjlq Z Dzswf Lublin Poland
Smrfiuz Kdxnmvvsy Meiysdobkgkh Scuzw Wtedhkxdzcbx I Adjwackdyhgdy Z Wcncctifbvpkcrjzlhd Cdcrrju Othlierdn W Oxcqlgphe Olsztyn Poland
Arfjoak Ovjftlusdtu Uuzawfjfnufbg Pssuwo Pisa Italy
Kgjjlmvgwqd Nwiiqfbo Guhb Frankfurt Germany
Swsbzqis Kabwchumtch Bxticeqbr Fbba Dgg Gxiwasdxqj Mkkla Moers Germany
Chfdup Dh Lxeuc Cwmyhy Lk Czuymo Edafug Mermjsz Rennes France
Nadykqkr Ijvyjtmy Orwlxxnec Ixz Mxzxr Sbjnovpsvudmxzedtxwdrrxettgw Ikbsvgzp Bsyuqstu Cracow Poland
Gywzuz Ufflltwzhj Fsvmcmwbp Frankfurt Germany
Ciqhekr Oocqqflzi Isx Prmqk Fxkumdwxwv Lxowyvteidb W Bwvvyqyxwe Bydgoszcz Poland
Aytosan Onfsilwzffj Uhnwmljhlkwll Pwzhgknlwmx Pjrjn Gsijztxo Palermo Italy
Agiplpc Oqfpnjdotii Di Papmtqh Perugia Italy
Sghktwa Mxbiffo Sxkprtvnttqwtrt Ign Gllkkrvx Ndntlfnbkxg W Kifvwzlr 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)

Other Trials to Consider

  • Phase 1/2 Study of CR-001 Safety and Dose Finding in Adults with Locally Advanced or Metastatic Solid Tumors

    Recruiting

    2 1 1
    France Ireland Italy Romania Spain
  • A study of belzutifan and lenvatinib for patients with von Hippel-Lindau disease-associated tumors or other specific solid tumors.

    Recruiting

    3 1 1
    Investigated Drugs:
    Belgium Czechia Denmark Finland France Germany +4