Clinical Trials for Liver Cancer

Interleukin-15 Armored Glypican-3-specific Chimeric Antigen Receptor Expressing Autologous T Cells as Immunotherapy for Children With Solid Tumors

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Pediatric and young adult patients (1–21 years) with relapsed/refractory GPC3-positive solid tumors, including eligible hepatocellular carcinoma, receive autologous CAR T cells engineered to target glypican-3 and constitutively express IL-15, with an inducible caspase-9 safety switch, after fludarabine/cyclophosphamide lymphodepletion. Retreatment at the same dose is permitted for responders without dose-limiting toxicity; key exclusions include uncontrolled infection, prior transplant, and high-dose steroids.

ClinicalTrials.gov ID: NCT04377932

Interleukin-15 Armored Glypican-3-specific Chimeric Antigen Receptor Expressing Autologous T Cells as Immunotherapy for Patients With SOLID TUMORS (CATCH)

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Adults with relapsed/refractory GPC3-positive solid tumors (including HCC meeting BCLC A–C and Child-Pugh <7) receive lymphodepleting cyclophosphamide/fludarabine followed by a single infusion of autologous GPC3-targeted CAR T cells engineered to express IL-15 for enhanced persistence and an inducible caspase-9 safety switch. Key exclusions include prior organ transplant, uncontrolled infection, HIV, pregnancy, high-dose steroids at infusion, and murine protein hypersensitivity/HAMA.

ClinicalTrials.gov ID: NCT05103631

Open Label Phase II Trial of Cabozantinib in Patients With Metastatic Castrate Resistant Prostate Cancer (mCRPC) and Known Amplifications or Activating Mutations in Gene Targets of Cabozantinib or Liver Metastases Who Have Received Prior Anti-Androgen Therapy

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Enrolling adults with mCRPC who have either measurable liver metastases or molecular alterations in cabozantinib targets (e.g., MET, AXL, VEGFR1–3, RET, KIT, FLT3, TRKB, TIE2) after prior next‑generation antiandrogen therapy; excludes prior cabozantinib. Single‑arm cabozantinib monotherapy (oral multikinase inhibitor of MET/VEGFR/AXL and others) given with ongoing LHRH therapy until progression or toxicity.

ClinicalTrials.gov ID: NCT04631744

Phase 2 Study of Cabozantinib Combined With Ipilimumab/Nivolumab and Transarterial Chemoembolization (TACE) in Patients With Hepatocellular Carcinoma (HCC) Who Are Not Candidates for Curative Intent Treatment

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Adults with unresectable HCC not eligible for curative therapy (Child-Pugh A/B7, ECOG 0–2) and at least one TACE-amenable lesion receive TACE (up to 3 sessions) plus a single priming dose of nivolumab/ipilimumab followed by maintenance nivolumab and cabozantinib 40 mg daily. Cabozantinib is a multi–tyrosine kinase inhibitor (MET/VEGFR2/AXL) combined here with PD‑1 and CTLA‑4 blockade to enhance locoregional and systemic antitumor activity.

ClinicalTrials.gov ID: NCT04472767

A Phase I/II Study of Nivolumab Plus 5-Fluorouracil Plus Interferon-α2b for Unresectable Fibrolamellar Hepatocellular Carcinoma

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Single-center, single-arm study for adolescents and adults with unresectable fibrolamellar HCC, ECOG 0–1 and Child-Pugh A, excluding prior PD-1 for FLHCC and active autoimmune/hepatitis. Patients receive 5-FU plus interferon-α2b with nivolumab (anti–PD-1 checkpoint inhibitor) added from cycle 3, continuing in 28-day cycles up to 2 years to assess safety and preliminary efficacy, including potential conversion to resection.

ClinicalTrials.gov ID: NCT04380545

A Phase I, Open-label Multi-dose Pharmacokinetic and Safety Study of Oral Tazemetostat in Subjects With Moderate and Severe Hepatic Impairment With Advanced Malignancies

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Adults with advanced, metastatic, or unresectable solid tumors or relapsed/refractory hematologic malignancies without standard options, including cohorts with normal, moderate, or severe hepatic impairment, receive oral tazemetostat 800 mg (EZH2 histone methyltransferase inhibitor) with PK-intensive sampling. Continued twice-daily dosing in 28-day cycles is allowed until progression or intolerance.

ClinicalTrials.gov ID: NCT04241835

Study of Intratumoral Injection of Dendritic Cells After High-Dose Conformal External Beam Radiotherapy in Patients With Unresectable Liver Cancer

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Adults with unresectable primary liver cancer confined to the liver (ECOG 0–1) receive high-dose conformal EBRT followed by intratumoral autologous dendritic cell injections (with intramuscular Prevnar as an immune adjuvant); tumors must be accessible for ultrasound-guided injection. The HCC cohort also adds atezolizumab (anti–PD‑L1) plus bevacizumab (anti‑VEGF) to the DC/EBRT regimen.

ClinicalTrials.gov ID: NCT03942328

A Phase 1, Open-Label, Dose-Escalation Study to Determine an Appropriate Starting Dose of Sacituzumab Govitecan in Subjects With Advanced or Metastatic Solid Tumor and Moderate Liver Impairment

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Adults with advanced/metastatic solid tumors and ECOG 0–2, including a cohort with moderate hepatic impairment (bilirubin >1.5×–≤3× ULN), receive sacituzumab govitecan-hziy (Trop-2–targeted ADC delivering SN-38) on Days 1 and 8; dose-escalation (5→7.5→10 mg/kg) is tested in the impaired-liver cohort with a normal-liver comparator at 10 mg/kg. Excludes recent irinotecan, active CNS disease, Gilbert’s syndrome, strong UGT1A1 modulators, and significant liver-related complications in the impaired cohort.

ClinicalTrials.gov ID: NCT04617522

A Phase 1 Study of Combined Y-90 Selective Internal Radiation Therapy (Y-90 SIRT) and Stereotactic Body Radiation Therapy (SBRT) in Hepatic Malignancy.

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Adults with unresectable hepatocellular carcinoma or liver-only metastases receive Y-90 radioembolization (TheraSphere) followed by PET-CT–guided SBRT boost to underdosed tumor regions, with strict liver function and no progressive extrahepatic disease required. Aims to assess hepatic decompensation risk and early local control using adaptive dosimetry.

ClinicalTrials.gov ID: NCT04518748

A Phase Ib Study of Durvalumab (Medi4736) and Tremelimumab Following Radioembolization in Patients With Unresectable Locally Advanced Hepatocellular Carcinoma

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Adults with unresectable, locally advanced HCC confined to the liver (BCLC B/C; Child-Pugh A; ECOG 0–1; no extrahepatic disease; branch PVT allowed) receive Y-90 radioembolization followed ~2 weeks later by durvalumab (anti–PD-L1) every 4 weeks for up to 12 months plus a single priming dose of tremelimumab (anti–CTLA-4), with de-escalation to durvalumab alone if combination toxicity emerges. Excludes main portal vein/IVC/cardiac invasion, >50% diffuse liver involvement, metastatic disease, prior PD-1/PD-L1 or CTLA-4 therapy, and significant autoimmune disease.

ClinicalTrials.gov ID: NCT04605731