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Table 2 Combination treatment of hepatocellular carcinoma (HCC) in clinical trials

From: Advances in drug development for hepatocellular carcinoma: clinical trials and potential therapeutic targets

Drug

Targets

Stage and conditions

Phase

Primary endpoint(s)

ClinicalTrials.gov Identifier

Study start

Immunotherapy plus Anti-angiogenesis

 Atezolizumab plus Lenvatinib or Sorafenib

PD-L1 + VEGFRs, FGFRs, PDGFR α, RET, KIT and RAF

Advanced;

Second-line

III

OS

NCT04770896

2021

 SHR-1210 plus Apatinib

PD-1 + VEGFR-2

Advanced;

First-line

III

OS/PFS

NCT03764293

2019

 CS1003 plus Lenvatinib

PD-1 + VEGFRs, FGFRs, PDGFR α, RET and KIT

Advanced;

First-line

III

OS/PFS

NCT04194775

2019

 Durvalumab plus Bevacizumab

PD-L1 + VEGFA

High risk of recurrence;

Second-line

III

RFS

NCT03847428

2019

 Atezolizumab plus Bevacizumab

PD-L1 + VEGFA

Locally advanced or metastatic; First-line

III

OS/PFS

NCT03434379

2018

 Atezolizumab plus Cabozantinib

PD-L1 + VEGFR, MET, RET, KIT and AXL

Advanced;

First-line

III

OS/PFS

NCT03755791

2018

 Pembrolizumab plus Lenvatinib

PD-1 + VEGFRs, FGFRs, PDGFR α, RET and KIT

Advanced;

First-line

III

OS/PFS

NCT03713593

2018

 Nivolumab plus Sorafenib

PD-1 + VEGFRs, KIT, PDGFRs, and RAF

Locally Advanced or Metastatic; First-line

II

MTD/ORR

NCT03439891

2018

 Avelumab plus Regorafenib

PD-L1 + VEGFR1–3, PDGFR-β, FGFR1, KIT, RET and B-RAF

Advanced or metastatic

I/II

RP2D/ORR

NCT03475953

2018

 Nivolumab plus Cabozantinib

PD-1 + VEGFR, MET, RET, KIT and AXL

Locally Advanced; Neoadjuvant

I

AEs

NCT03299946

2018

 Nivolumab plus Bevacizumab

PD-1 + VEGFA

Advanced or Metastatic

I

AEs/MTD or RP2D

NCT03382886

2018

 Durvalumab plus Cabozantinib

PD-L1 + VEGFR, MET, RET, KIT and AXL

Advanced;

Second-line

I

MTD

NCT03539822

2018

 Nivolumab plus Vorolanib

PD-1 + VEGFR, PDGFR

/

I

RP2D

NCT03511222

2018

 PDR001 plus Sorafenib

PD-1 + VEGFRs, KIT, PDGFRs, and RAF

Advanced;

First-line

I

AEs

NCT02988440

2017

 Pembrolizumab plus Regorafenib

PD-1 + VEGFR1–3, PDGFR-β, FGFR1, KIT, RET and B-RAF

Advanced;

First-line

I

AEs/DLTs

NCT03347292

2018

 Durvalumab plus Ramucirumab

PD-L1 + VEGFR2

Advanced or metastatic

I

DLTs

NCT02572687

2016

Immunotherapy plus other agents

 IBI310 plus Sintilimab

CTLA-4 + PD-1

Advanced;

First-line

III

OS/ORR

NCT04720716

2021

 Nivolumab plus Ipilimumab

PD-1 + CTLA-4

Advanced;

First-line

III

OS

NCT04039607

2019

 Durvalumab plus Tremelimumab

PD-L1 + CTLA-4

Advanced;

First-line

III

OS

NCT03298451

2017

 TSR-042 plus TSR-022

PD-1 + TIM-3

Locally advanced or metastatic

II

ORR

NCT03680508

2018

 Pembrolizumab plus Bavituximab

PD-1 + PS

Advanced;

First-line

II

ORR

NCT03519997

2018

 Nivolumab plus BMS-986205

PD-1 + IDO1

Advanced;

First-line

I/II

AEs/ORR

NCT03695250

2018

 Pembrolizumab plus Epacadostat

PD-1 + IDO1

/

I/II

DLTs/ORR

NCT02178722

2014

 Pembrolizumab plus INCAGN01876 plus Epacadostat

PD-1 + GITR+IDO1

Advanced

I/II

AEs/ORR

NCT03277352

2017

 Nivolumab plus Galunisertib

PD-1 + TβRI

Advanced; Recurrent

I/II

MTD

NCT02423343

2015

 Nivolumab plus Avadomide

PD-1 + CRBN

Unresectable

I/II

DLT/AEs/ORR

NCT02859324

2016

 Pembrolizumab plus VSV-IFNβ-NIS

PD-1 + Oncolytic virus

Refractory

I

ORR/AEs

NCT03647163

2019

 Durvalumab plus Guadecitabine

PD-L1 + DNMT

Advanced; Metastatic

I

AEs/ORR

NCT03257761

2018

 Pembrolizumab plus XL888

PD-1 + Hsp90

Advanced; Metastatic

I

RP2D

NCT03095781

2017

 Pembrolizumab plus Vaccine

PD-1 + Modified Vaccinia Virus Ankara Vaccine Expressing p53

Unresectable;

Second-line

I

Tolerability

NCT02432963

2015

 PDR001 plus NIS793

PD-1 + TGF-β

Advanced

I

DLTs/AEs

NCT02947165

2017

 Nivolumab plus SF1126

PD-1 + PI3K

Advanced

I

DLT

NCT03059147

2017

Other combination

 Apatinib plus Capecitabine

VEGFR-2 + DNA/RNA Synthesis

Advanced

II

TTP

NCT03114085

2017

 Temsirolimus plus Sorafenib

mTOR+VEGFRs, KIT, PDGFRs, and RAF

Advanced;

First-line

II

TTP

NCT01687673

2012

 Trametinib plus Sorafenib

MEK 1/2 + VEGFRs, KIT, PDGFRs, and RAF

Advanced

I

MTD

NCT02292173

2014

 CVM-1118 plus Sorafenib

VM + VEGFRs, KIT, PDGFRs, and RAF

Advanced

II

ORR

NCT03582618

2018

 mFOLFOX plus Sorafenib

DNA Synthesis+VEGFRs, KIT, PDGFRs, and RAF

/

II

TTP

NCT01775501

2013

Erlotinib plus Bevacizumab

EGFR+VEGFA

Advanced;

Second-line

II

PFS (16 W)

NCT01180959

2011

 TRC 105 plus Sorafenib

Endoglin+VEGFRs, KIT, PDGFRs, and RAF

/

I/II

MTD/ORR

NCT02560779

2016

 Enzalutamide plus Sorafenib

AR + VEGFRs, KIT, PDGFRs, and RAF

Advanced;

First-line

I/II

PFS

NCT02642913

2015

 Napabucasin or Amcasertib plus Sorafenib

STAT3, cancer stemness kinase+VEGFRs, KIT, PDGFRs, and RAF

Advanced;

First-line

I/II

RP2D/AEs/AA

NCT02279719

2014

 ADI-PEG 20 plus FOLFOX

Arginine+DNA Synthesis

Advanced

I/II

ORR

NCT02102022

2014

 FATE-NK100 plus Cetuximab or Trastuzumab

NK cell immunotherapy+EGFR or EGFR2

EGFR1+ or HER2+; Advanced

I

DLT

NCT03319459

2018

 Navitoclax plus Sorafenib

Bcl-2 + VEGFRs, KIT, PDGFRs, and RAF

Relapsed or refractory

I

MTD/AEs

NCT02143401

2014

  1. Abbreviations: PD-1 programmed cell death-1, VEGFR vascular endothelial growth factor receptor, VEGF vascular endothelial growth factor, PD-L1 programmed cell death ligand 1, FGFR fibroblast growth factor receptor, FGF fibroblast growth factor, PDGFR platelet derived growth factor receptor, CTLA-4 cytotoxic T lymphocyte–associated antigen-4, TIM-3 T-Cell immunoglobulin and mucin domain-containing molecule 3, PS phosphatidylserine, IDO1 indoleamine 2,3-Dioxygenase 1, GITR glucocorticoid-induced tumor necrosis factor receptor, TβRI transforming growth factor beta receptor 1, CRBN cereblon, DNMT DNA methyltransferase, Hsp90 heat shock protein 90, TGF-β transforming growth factor beta, PI3K phosphatidylinositol 3-kinase, mTOR mechanistic target of rapamycin kinase, VM vasculogenic mimicry, EGFR epidermal growth factor receptor, AR androgen receptor, STAT3 signal transducer and activator of transcription 3, OS overall survival, PFS progress free survival, MTD maximum tolerated dose, ORR objective response rate, RP2D recommended phase II dose, AEs adverse events, DLT dose limited toxicity, TTP time to progress, AA antitumor activity, RFS recurrence free survival