Status:

RECRUITING

A Study of BL-B01D1 Combined With Lenvatinib in Patients With Advanced Hepatocellular Carcinoma

Lead Sponsor:

Sichuan Baili Pharmaceutical Co., Ltd.

Collaborating Sponsors:

Baili-Bio (Chengdu) Pharmaceutical Co., Ltd.

Conditions:

Advanced Hepatocellular Carcinoma

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

This study is a clinical study to explore the efficacy and safety of BL-B01D1 combined with lenvatinib in patients with advanced hepatocellular carcinoma.

Eligibility Criteria

Inclusion

  • Sign the informed consent form voluntarily and follow the protocol requirements;
  • Gender is not limited;
  • Age ≥18 years old and ≤75 years old;
  • Expected survival time ≥3 months;
  • Patients with advanced HCC confirmed by histology or cytology;
  • Consent to provide archived tumor tissue samples or fresh tissue samples from the primary or metastatic lesions;
  • At least one measurable lesion meeting the RECIST v1.1 definition was required;
  • ECOG score was 0-1;
  • The toxicity of previous antineoplastic therapy has returned to ≤ grade 1 as defined by NCI-CTCAE v5.0;
  • No severe cardiac dysfunction, left ventricular ejection fraction ≥50%;
  • Organ function level must meet the requirements;
  • Coagulation function: international normalized ratio (INR) ≤1.5×ULN, and activated partial thromboplastin time (APTT) ≤1.5×ULN;
  • Urinary protein ≤2+ or ≤1000mg/24h;
  • No cirrhosis or only Child-Pugh A cirrhosis;
  • If hepatitis B virus infection is negative or positive, the status of HBV surface antigen (HBsAg) should be confirmed by HBV serological test;
  • For premenopausal women of childbearing potential, a pregnancy test must be performed within 7 days before the start of treatment, a serum or urine pregnancy test must be negative, and the patient must not be lactating; All enrolled patients should take adequate barrier contraception during the entire treatment cycle and for 6 months after the end of treatment.

Exclusion

  • Patients with active central nervous system metastases;
  • Who had participated in any other clinical trial within 4 weeks before the trial dose;
  • Received anti-tumor therapy such as chemotherapy, radiotherapy and biological therapy within 4 weeks before the first use of study drug;
  • Had undergone major surgery (investigator-defined) within 4 weeks before the first dose;
  • Systemic corticosteroids or immunosuppressive therapy is required within 2 weeks before study dosing;
  • Pulmonary disease defined as ≥ grade 3 according to NCI-CTCAE v5.0; A history of ILD/pulmonary inflammation requiring steroid treatment;
  • Serious systemic infection within 4 weeks before screening;
  • Patients at risk for active autoimmune disease or with a history of autoimmune disease;
  • Other malignant tumors within 5 years before the first treatment;
  • Human immunodeficiency virus antibody positive, active tuberculosis or hepatitis C virus infection;
  • Poorly controlled hypertension by two antihypertensive drugs with different mechanisms;
  • Diabetic patients with poor glycemic control;
  • Had a history of severe cardiovascular and cerebrovascular diseases;
  • Previous history of autologous or allogeneic stem cell, bone marrow or organ transplantation;
  • Subjects with clinically significant bleeding or significant bleeding tendency within the previous 4 weeks were screened;
  • Patients with massive or symptomatic effusions or poorly controlled effusions;
  • Imaging examination showed that the tumor had invaded or wrapped around the chest, neck, pharynx and other large arteries or invaded the pericardium and heart;
  • Unstable thrombotic events requiring therapeutic intervention within 6 months before screening;
  • Prior treatment with an ADC drug with a topoisomerase I inhibitor as a toxin;
  • Patients with a history of allergy to recombinant humanized antibodies or to any excipients of the trial drug;
  • The cumulative dose of anthracyclines \> 360 mg/m2 in previous (new) adjuvant therapy;
  • Pregnant or lactating women;
  • Who have a history of psychotropic drug abuse and cannot quit or have mental disorders;
  • Other conditions for trial participation were not considered appropriate by the investigator.

Key Trial Info

Start Date :

June 24 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2027

Estimated Enrollment :

46 Patients enrolled

Trial Details

Trial ID

NCT06986785

Start Date

June 24 2025

End Date

December 1 2027

Last Update

August 20 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Zhongshan Hospital Fudan University

Shanghai, Shanghai Municipality, China