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NCT04294498

Durvalumab for Advanced Hepatocellular Carcinoma in Patients With Active Chronic Hepatitis B Virus Infection

Active, enrolled Phase 2 Last updated 26 March 2025
What this trial tests

Phase 2 trial testing Durvalumab in Advanced Hepatocellular Carcinoma in 30 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
2 November 2020
Primary endpoint
1 September 2024
1 September 2026

Quick facts

Lead sponsorNational Taiwan University Hospital
PhasePhase 2
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment30
Start date2 November 2020
Primary completion1 September 2024
Estimated completion1 September 2026
Sites1 location across Taiwan

Drugs / interventions tested

Conditions studied

Sponsor

National Taiwan University Hospital

Who can join

20 and older, any sex, with Advanced Hepatocellular Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

PD1 blockade has been approved as salvage therapy for advanced hepatocellular carcinoma (HCC). Although there is not solid evidence that PD1 blockade would induce hepatitis B virus (HBV) reactivation, previous clinical trials of PD1 blockade required enrolled patients to receive anti-HBV medications and control the viral load to be under 100-2000 IU/mL before initiation of PD1 blockade therapy. Such a requirement may not be necessary and could delay the treatment. Guidelines for prevention of chemotherapy induced HBV reactivation only suggest combining anti-HBV medications during the chemotherapy course without such a requirement of very load HBV viral load. The investigators hypothesized that under anti-HBV medications, patients with advanced HCC and active chronic hepatitis B virus (HBV) infection can receive durvalumab treatment without increased risks of HBV reactivation and related complications.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Emerging Therapies for Hepatocellular Carcinoma (HCC).
    Chakraborty E, Sarkar D. · · 2022 · cited 236× · PMID 35681776 · DOI 10.3390/cancers14112798
  2. Research Status and Outlook of PD-1/PD-L1 Inhibitors for Cancer Therapy.
    Ai L, Chen J, Yan H, He Q, et al · · 2020 · cited 149× · PMID 32982171 · DOI 10.2147/dddt.s267433
  3. Tumor Microenvironment of Hepatocellular Carcinoma: Challenges and Opportunities for New Treatment Options.
    Sas Z, Cendrowicz E, Weinhäuser I, Rygiel TP. · · 2022 · cited 124× · PMID 35409139 · DOI 10.3390/ijms23073778
  4. Immune Checkpoint Inhibitors for Unresectable Hepatocellular Carcinoma.
    Abd El Aziz MA, Facciorusso A, Nayfeh T, Saadi S, et al · · 2020 · cited 57× · PMID 33086471 · DOI 10.3390/vaccines8040616
  5. Viral oncogenesis in cancer: from mechanisms to therapeutics.
    Xiao Q, Liu Y, Li T, Wang C, et al · · 2025 · cited 45× · PMID 40350456 · DOI 10.1038/s41392-025-02197-9
  6. Immune Checkpoint Inhibitors in Hepatocellular Carcinoma: An Overview.
    van Doorn DJ, Takkenberg RB, Klümpen HJ. · · 2020 · cited 18× · PMID 33374927 · DOI 10.3390/ph14010003
  7. Immune checkpoints on T and NK cells in the context of HBV infection: Landscape, pathophysiology and therapeutic exploitation.
    Dumolard L, Aspord C, Marche PN, Macek Jilkova Z. · · 2023 · cited 15× · PMID 37056774 · DOI 10.3389/fimmu.2023.1148111
  8. Hepatitis B Virus Reactivation in Cancer Patients Undergoing Immune Checkpoint Inhibitors Therapy: A Systematic Review.
    Zhao J, Zhang Y, Qin S, Zou B, et al · · 2022 · cited 10× · PMID 36484006 · DOI 10.7150/jca.77247

Verify or expand the search:

Other trials of Durvalumab

Trials testing the same drug.

Other recruiting trials for Advanced Hepatocellular Carcinoma

Currently open trials in the same condition.

Other National Taiwan University Hospital trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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