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ACTIVE NOT RECRUITINGPhase2

Study of Novel Immunomodulators as Monotherapy and in Combination With Anticancer Agents in Participants With Advanced Hepatobiliary Cancer

Sponsor: AstraZeneca

NCT ID: NCT05775159

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Volrustomig (drug), Bevacizumab (drug), Lenvatinib (drug), Rilvegostomig (drug)
How long the study runs
Study runs about 54 months (dates as stated)
About the drug or intervention
Volrustomig — drug: CTLA-4/Anti-PD-1 Bispecific Antibody · Bevacizumab — drug: 15 mg/kg, IV (in the vein) on day 1 of each 21 day cycle. · Lenvatinib — drug: Daily use per oral (8 mg capsules/day for participants \< 60 kg or 12 mg/day for participants ≥ 60 kg) of 21 day cycle. · Rilvegostomig — drug: anti- PD-1 and TIGIT bispecific antibody · Gemcitabine — drug: 1000 mg/m2, IV infusion · Cisplatin — drug: 25 mg/m2, IV infusion
Patient visit burden
Not specified by the sponsor
Type of study
Testing a treatment
Ages
18 Years and over
Who
All
Number of participants
294
Started
2023-04-24
Last checked
2026-08

Plain English Summary

What is this study?

  • • Testing a new treatment for hepatocellular carcinoma
  • • Phase2 - 294 participants
  • • GEMINI-Hepatobiliary study will assess the efficacy, safety and tolerability of novel immunomodulators alone and in combination with other anticancer drugs in participants with specified advanced solid tumors

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with hepatocellular carcinoma

Where?

  • • Cambridge - Research Site
  • • London - Research Site
  • • Manchester - Research Site

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

GEMINI-Hepatobiliary study will assess the efficacy, safety and tolerability of novel immunomodulators alone and in combination with other anticancer drugs in participants with specified advanced solid tumors.

More detail

This Phase II, open-label, uncontrolled, multicentre study evaluating the preliminary efficacy and safety of Volrustomig or Rilvegostomig as monotherapy (MONO) and/or in combination with anticancer agents (COMBO) in participants with advanced hepatobiliary cancer (e.g., HCC, BTC, etc.). This study has a modular design with independent substudies. In Substudy 1, Volrustomig and Rilvegostomig will be evaluated as monotherapy and/or in combination with other anticancer drugs in approximately 200 evaluable participants with advanced HCC. In Substudy 2, the efficacy and safety of Rilvegostomig or Volrustomig plus gemcitabine and cisplatin are investigated in approximately 90 evaluable participants with advanced BTC who have not received previous treatment for advanced/metastatic disease.

Hepatocellular CarcinomaBiliary Tract Cancer

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

What the study is looking for

  • ✓Age ≥18 years at the time of signing the ICF.
  • ✓Provision of a signed and dated written ICF.
  • ✓Confirmed that has grown locally or that has spread solid tumor specified in substudy based on histopathology.
  • ✓Adequate organ and bone marrow function.
  • ✓At least 1 measurable not previously irradiated lesion per (standard scan measurements)

Who cannot take part

  • ✗History of allogeneic organ transplantation.
  • ✗Active or prior documented autoimmune or inflammatory disorders.
  • ✗Uncontrolled intercurrent illness.
  • ✗History of another primary cancer, leptomeningeal carcinomatosis, and active primary immunodeficiency.
  • ✗Active infection, brain metastases or spinal cord compression.
See the full criteria
Inclusion Criteria: * Age ≥18 years at the time of signing the ICF. * Provision of a signed and dated written ICF. * Confirmed locally advanced or metastatic solid tumor specified in substudy based on histopathology. * Adequate organ and bone marrow function. * At least 1 measurable not previously irradiated lesion per RECIST 1.1 * Life expectancy of at least 12 weeks at the time of screening. * Willing and able to provide an adequate tumor sample. Exclusion Criteria: * History of allogeneic organ transplantation. * Active or prior documented autoimmune or inflammatory disorders. * Uncontrolled intercurrent illness. * History of another primary malignancy, leptomeningeal carcinomatosis, and active primary immunodeficiency. * Active infection, brain metastases or spinal cord compression. * Participants co-infected with HBV and hepatitis D virus (HDV). * Previous treatment in the present study. * For substudy 1, history of hepatic encephalopathy within 12 months prior to treatment allocation.

Where Is This Study? (3 UK sites)

Research Site

Cambridge CB2 0QQ, United Kingdom

Research Site

London NW3 2QG, United Kingdom

Research Site

Manchester M20 4BX, United Kingdom

Data sourced from ClinicalTrials.gov · Last verified: 2026-08