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NCT05185505
Atezolizumab and Bevacizumab Pre-Liver Transplantation for Patients With Hepatocellular Carcinoma Beyond Milan Criteria
Phase 4 trial testing Atezolizumab in Hepatocellular Carcinoma in 24 participants. Currently enrolling.
30 April 2027
Quick facts
| Lead sponsor | The Methodist Hospital Research Institute |
|---|---|
| Phase | Phase 4 |
| Status | Recruiting now |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 24 |
| Start date | 30 January 2023 |
| Primary completion | 30 April 2027 |
| Estimated completion | 31 October 2027 |
| Sites | 1 location across United States |
Drugs / interventions tested
- Atezolizumab (atezolizumab) — full drug profile →
- Bevacizumab (Bevacizumab-Bvzr) — full drug profile →
Conditions studied
- Hepatocellular Carcinoma — all drugs for Hepatocellular Carcinoma →
- Hepatocellular Cancer — all drugs for Hepatocellular Cancer →
Sponsor
The Methodist Hospital Research Institute
Who can join
18 and older, any sex, with Hepatocellular Carcinoma or Hepatocellular Cancer. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
Patients with hepatocellular carcinoma (HCC) beyond Milan Criteria (MC) who are transplant-eligible will be treated with 6 months of neoadjuvant/downstaging atezolizumab plus bevacizumab while receiving standard of care transarterial chemoembolization (TACE). We hypothesize that atezolizumab and bevacizumab can appropriately bridge patients with HCC beyond MC to transplantation and not increase the risk of 1-year post-transplant rejection.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
-
The Evasion Mechanisms of Cancer Immunity and Drug Intervention in the Tumor Microenvironment.
Kim SK, Cho SW. · · 2022 · cited 300× · PMID 35685630 · DOI 10.3389/fphar.2022.868695 -
Immunotherapy as a Neoadjuvant Therapy for a Patient with Hepatocellular Carcinoma in the Pretransplant Setting: A Case Report.
Abdelrahim M, Esmail A, Umoru G, Westhart K, et al · · 2022 · cited 41× · PMID 35735450 · DOI 10.3390/curroncol29060341 -
Immunotherapy and Liver Transplantation: A Narrative Review of Basic and Clinical Data.
Wassmer CH, El Hajji S, Papazarkadas X, Compagnon P, et al · · 2023 · cited 35× · PMID 37760542 · DOI 10.3390/cancers15184574 -
Utilization of Immunotherapy for the Treatment of Hepatocellular Carcinoma in the Peri-Transplant Setting: Transplant Oncology View.
Abdelrahim M, Esmail A, Saharia A, Abudayyeh A, et al · · 2022 · cited 34× · PMID 35406533 · DOI 10.3390/cancers14071760 -
Immunotherapy in liver cancer: overcoming the tolerogenic liver microenvironment.
Liu Y, Yang H, Li T, Zhang N. · · 2024 · cited 23× · PMID 39295859 · DOI 10.3389/fimmu.2024.1460282 -
Neoadjuvant systemic therapy for hepatocellular carcinoma.
Chick RC, Ruff SM, Pawlik TM. · · 2024 · cited 16× · PMID 38495884 · DOI 10.3389/fimmu.2024.1355812 -
Transplant oncology - Current indications and strategies to advance the field.
Krendl FJ, Bellotti R, Sapisochin G, Schaefer B, et al · · 2024 · cited 15× · PMID 38304238 · DOI 10.1016/j.jhepr.2023.100965 -
Hepatocellular Carcinoma: The Role of Immunotherapy and Transplantation in the Era of Transplant Oncology.
Alghamdi S, Al-Hamoudi W. · · 2023 · cited 8× · PMID 37958291 · DOI 10.3390/cancers15215115
Verify or expand the search:
- PubMed search for NCT05185505
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
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Currently open trials in the same condition.
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT05185505 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by The Methodist Hospital Research Institute
- Last refreshed: 1 February 2023
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05185505.
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