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Table 1 Clinical trials of radiotherapy combined with immunotherapy

From: Advances in radiotherapy and immunity in hepatocellular carcinoma

Clinical trial identification(study name)

Phase

Disease

Type of radiotherapy

Type of immunotherapy

Treatment design

Estimated enrollment

Primary outcome measures

NCT04913480

II

HCC

SBRT

Durvalumab (anti-PD-L1)

SBRT → durvalumab

37

Progression-free survival (PFS)

NCT05225116

I

HCC

Radiotherapy

Sintilimab (anti-PD-1)

(Sintilimab + lenvatinib) → radiotherapy

20

Safety (number of participants with adverse events)

NCT05185531

I

HCC

SBRT

Tislelizumab (anti-PD-1)

Neoadjuvant tislelizumab + SBRT

20

ORR, pCR (pathological complete response), pPR (pathological partial response), MPR (major pathologic response)

NCT04169399

II

HCC

SBRT

Toripalimab (anti-PD-1)

Toripalimab + sBRT

30

PFS

NCT04709380

III

Advanced HCC

Radiotherapy

Toripalimab (anti-PD-1)

(Radiotherapy + toripalimab) vs sorafenib

85

Time to progression (TTP)

NCT03482102

II

HCC

Radiation

Durvalumab (anti-PD-L1) and Tremelimumab (anti-CTLA-4)

Tremelimumab + durvalumab + radiation

70

Overall response rate (ORR)

NCT03316872

II

HCC

SBRT

Pembrolizumab (anti-PD-1)

Pembrolizumab + SBRT

30

Overall response rate (ORR)

NCT05530785

II

Non-resectable HCC

Radiotherapy

Sintilimab (anti-PD-1)

radiotherapy + (sintilimab and bevacizumab biosimilar)

35

Overall response rate (ORR)

NCT04104074

I

HCC

Radiotherapy

Sintilimab (anti-PD-1)

Radiotherapy + sintilimab

20

Safety (number of participants with adverse events)

NCT03857815

II

HCC

SBRT

Sintilimab (anti-PD-1)

SBRT + sintilimab

30

PFS

NCT04857684

I

HCC

SBRT

Atezolizumab (anti-PD-L1)

SBRT + atezolizumab + bevacizumab

20

Safety (number of participants with adverse events)

NCT03203304

I

HCC

SBRT

Nivolumab (anti-PD-1) and Ipilimumab (anti-CTLA-4)

SBRT + nivolumab OR SBRT + nivolumab + ipilimumab

14

Safety (number of participants with adverse events)

NCT05096715

I

Non-resectable HCC

SBRT

Atezolizumab (anti-PD-L1)

SBRT + atezolizumab + bevacizumab

20

Dose limiting toxicity rate

NCT04611165

II

Advanced HCC

EBRT (External beam radiotherapy)

Nivolumab (anti-PD-1)

Nivolumab → EBRT

50

PFS

NCT04850157

II

HCC with portal vein tumor thrombus (PVTT)

Intensity modulated radiation therapy (IMRT)

Tislelizumab (anti-PD-1)

Tislelizumab + IMRT

30

Relapse-free survival ( RFS)

NCT04167293

II

HCC

SBRT

Sintilimab (anti-PD-1)

SBRT or SBRT + sintilimab

116

PFS

NCT05010434

II

Recurrent HCC

Radiotherapy

Sintilimab (anti-PD-1)

Radiotherapy + sintilimab + bevacizumab

46

Overall response rate (ORR)

NCT05366829

II

HCC

Radiotherapy

Toripalimab (anti-PD-1)

Radiotherapy + tislelizumab

35

Safety (number of participants with adverse events)

NCT04430452

II

Advanced HCC

Hypofractionated radiotherapy (HPT)

Durvalumab (anti-PD-L1) and Tremelimumab (anti-CTLA-4)

HPT + durvalumab ± tremelimumab

30

Overall response rate (ORR)

NCT03380130

II

HCC

Selective internal radiation therapy (SIRT) using Y-90-loaded microspheres

Nivolumab (anti-PD-1)

SIRT + nivolumab

41

Incidence of adverse event

NCT05625893

II

HCC

proton beam therapy (PBT)

Atezolizumab (anti-PD-L1)

PBT → (atezolizumab + bevacizumab)

63

Incidence of adverse event, PFS

NCT04547452

II

Stage IV HCC

SBRT

Sintilimab (anti-PD-1)

SBRT + sintilimab OR sintilimab

84

PFS

NCT05377034

II

Locally Advanced HCC

SIRT

Atezolizumab (anti-PD-L1)

SIRT + atezolizumab + bevacizumab

176

Best overall response rate (BORR)

NCT05701488

I

HCC

SIRT

Durvalumab (anti-PD-L1) and Tremelimumab (anti-CTLA-4)

Durvalumab + tremelimumab vs durvalumab + tremelimumab + SIRT

20

Safety (number of participants with adverse events)

NCT02837029

I

Stage IIIA—IVB HCC

SIRT

Nivolumab (anti-PD-1)

SIRT + nivolumab

27

Maximum tolerated dose (MTD), overall response rate (ORR)

NCT04785287

I/II

Metastatic liver carcinoma

SBRT

Nivolumab (anti-PD-1) and BMS986218 (anti-CTLA-4)

SBRT + BMS986218 ± nivolumab

13

Incidence of adverse event