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Trial · NCT04696055

Regorafenib Plus Pembrolizumab in Patients With Advanced or Spreading Liver Cancer Who Have Been Previously Treated With PD-1/PD-L1 Immune Checkpoint Inhibitors

NCT04696055, Phase 2, Completed, Bayer; results first posted 2023-05-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Regorafenib Plus Pembrolizumab in Patients With Advanced or Spreading Liver Cancer Who Have Been Previously Treated With PD-1/PD-L1 Immune Checkpoint Inhibitors. Trials, record NCT04696055. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04696055

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Regorafenib Plus Pembrolizumab in Patients With Advanced or Spreading Liver Cancer Who Have Been Previously Treated With PD-1/PD-L1 Immune Checkpoint Inhibitors
NCT number
NCT04696055
Status
Completed
Phases
Phase 2
Enrollment
95 participants, actual
Lead sponsor
Bayer
Conditions
Hepatocellular Carcinoma
Interventions
Pembrolizumab, Regorafenib (Stivarga, BAY73-4506)
First posted
2021-01-06
Last updated
2025-05-13
Other registries' IDs
eudract:2020-003555-16
Results first posted
2023-05-30

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOverall Response Rate (ORR) Per RECIST 1.1 by Central AssessmentUp to 15 months. Data up to 38 months are now available and are also reported for full transparency.
Overall response rate (ORR) is defined as the percentage of participants with best overall response of confirmed complete response (CR) or partial response (PR). ORR per RECIST 1.1 by independent central assessment is reported). RECIST 1.1: response evaluation criteria in solid tumors version 1.1
SecondaryOverall Response Rate (ORR) Per RECIST 1.1 by Investigator AssessmentUp to 38 months
Overall response rate (ORR) is defined as the percentage of participants with best overall response of confirmed complete response (CR) or partial response (PR). ORR by RECIST 1.1 investigator review is reported. RECIST 1.1: response evaluation criteria in solid tumors version 1.1
SecondaryDuration of Response (DOR) Per RECIST 1.1 by Central Assessment and Investigator AssessmentUp to 38 months
Duration of response (DOR) for partial response (PR) and complete response (CR) was defined as the time from the first documented objective response of PR or CR, whichever noted earlier, to disease progression or death (if death occurs before progression was documented). DOR was defined for confirmed responders only, i.e., participants with a CR or PR. RECIST 1.1: response evaluation criteria in solid tumors version 1.1
SecondaryNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Up to 38 months
An AE was considered as treatment-emergent (TEAE) if arising or worsening after start of first study intervention administration until 30 days after administration of any study intervention. In addition, any AEs qualifying as a serious adverse event (SAE) were collected for 90 days after the last dose of pembrolizumab, unless a new anti-cancer therapy had been initiated.
SecondaryNumber of Participants With Safety-relevant Changes in Clinical ParametersUp to 38 monthsNumber of participants with clinically relevant trends observed in laboratory data, ECG data, or ECOG performance status is reported.
SecondaryPercentage of Participants With Dose ModificationUp to 38 monthsDose modification included dose interruption, dose reduction, dose discontinuation.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Response Rate (ORR) Per RECIST 1.1 by Central AssessmentUp to 15 months. Data up to 38 months are now available and are also reported for full transparency.Full Analysis Set (FAS)Percentage of participantsNUMBER
SECONDARYOverall Response Rate (ORR) Per RECIST 1.1 by Investigator AssessmentUp to 38 monthsFull Analysis Set (FAS)Percentage of participantsNUMBER
SECONDARYDuration of Response (DOR) Per RECIST 1.1 by Central Assessment and Investigator AssessmentUp to 38 monthsConfirmed responders in Full Analysis Set (FAS)DaysMEDIAN
SECONDARYNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Up to 38 monthsFull Analysis Set (FAS)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Safety-relevant Changes in Clinical ParametersUp to 38 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants With Dose ModificationUp to 38 monthsFull Analysis Set (FAS)Percentage of participantsNUMBER

Results by group26

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Overall Response Rate (ORR) Per RECIST 1.1 by Central AssessmentCohort 1 (Regorafenib + Pembrolizumab [1L: Atezolizumab + Bevacizumab])Up to 15 months (primary outcome as previously reported)5.995% Confidence Interval 1.6 to 14.4Percentage of participants
Overall Response Rate (ORR) Per RECIST 1.1 by Central AssessmentCohort 2 (Regorafenib + Pembrolizumab [1L: Any Other IO Containing Treatment])Up to 15 months (primary outcome as previously reported)11.195% Confidence Interval 2.4 to 29.2Percentage of participants
Overall Response Rate (ORR) Per RECIST 1.1 by Central AssessmentCohort 1 (Regorafenib + Pembrolizumab [1L: Atezolizumab + Bevacizumab])Up to 38 months (as of study completion)7.495% Confidence Interval 2.4 to 16.3Percentage of participants
Overall Response Rate (ORR) Per RECIST 1.1 by Central AssessmentCohort 2 (Regorafenib + Pembrolizumab [1L: Any Other IO Containing Treatment])Up to 38 months (as of study completion)14.895% Confidence Interval 4.2 to 33.7Percentage of participants
Overall Response Rate (ORR) Per RECIST 1.1 by Investigator AssessmentCohort 1 (Regorafenib + Pembrolizumab [1L: Atezolizumab + Bevacizumab])7.495% Confidence Interval 2.4 to 16.3Percentage of participants
Overall Response Rate (ORR) Per RECIST 1.1 by Investigator AssessmentCohort 2 (Regorafenib + Pembrolizumab [1L: Any Other IO Containing Treatment])18.595% Confidence Interval 6.3 to 38.1Percentage of participants
Duration of Response (DOR) Per RECIST 1.1 by Central Assessment and Investigator AssessmentCohort 1 (Regorafenib + Pembrolizumab [1L: Atezolizumab + Bevacizumab])Central assessment210Full Range 158 to 937Days
Duration of Response (DOR) Per RECIST 1.1 by Central Assessment and Investigator AssessmentCohort 2 (Regorafenib + Pembrolizumab [1L: Any Other IO Containing Treatment])Central assessment195Full Range 83 to 280Days
Duration of Response (DOR) Per RECIST 1.1 by Central Assessment and Investigator AssessmentCohort 1 (Regorafenib + Pembrolizumab [1L: Atezolizumab + Bevacizumab])Investigator assessment431Full Range 82 to 893Days
Duration of Response (DOR) Per RECIST 1.1 by Central Assessment and Investigator AssessmentCohort 2 (Regorafenib + Pembrolizumab [1L: Any Other IO Containing Treatment])Investigator assessment364Full Range 117 to 839Days

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1 (Regorafenib + Pembrolizumab [1L: Atezolizumab + Bevacizumab])68
Overall StudySTARTEDCohort 2 (Regorafenib + Pembrolizumab [1L: Any Other IO Containing Treatment])27
Overall StudyCOMPLETEDCohort 1 (Regorafenib + Pembrolizumab [1L: Atezolizumab + Bevacizumab])0
Overall StudyCOMPLETEDCohort 2 (Regorafenib + Pembrolizumab [1L: Any Other IO Containing Treatment])0
Overall StudyNOT COMPLETEDCohort 1 (Regorafenib + Pembrolizumab [1L: Atezolizumab + Bevacizumab])68
Overall StudyNOT COMPLETEDCohort 2 (Regorafenib + Pembrolizumab [1L: Any Other IO Containing Treatment])27

Adverse events228

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersRegorafenib+Pembrolizumab [1L: Atezolizumab + Bevacizumab]116822
otherAnaemiaBlood and lymphatic system disordersRegorafenib+Pembrolizumab [Any Other IO Containing Treatment]22712
otherHypothyroidismEndocrine disordersRegorafenib+Pembrolizumab [1L: Atezolizumab + Bevacizumab]5685
otherHypothyroidismEndocrine disordersRegorafenib+Pembrolizumab [Any Other IO Containing Treatment]0270
otherAbdominal painGastrointestinal disordersRegorafenib+Pembrolizumab [1L: Atezolizumab + Bevacizumab]156817
otherAbdominal painGastrointestinal disordersRegorafenib+Pembrolizumab [Any Other IO Containing Treatment]5279
otherAbdominal pain upperGastrointestinal disordersRegorafenib+Pembrolizumab [1L: Atezolizumab + Bevacizumab]4686
otherAbdominal pain upperGastrointestinal disordersRegorafenib+Pembrolizumab [Any Other IO Containing Treatment]4276
otherAscitesGastrointestinal disordersRegorafenib+Pembrolizumab [1L: Atezolizumab + Bevacizumab]5689
otherAscitesGastrointestinal disordersRegorafenib+Pembrolizumab [Any Other IO Containing Treatment]3273

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRegorafenib+Pembrolizumab [1L: Atezolizumab + Bevacizumab]5368
Total, all-cause mortalityRegorafenib+Pembrolizumab [Any Other IO Containing Treatment]2027
Total, other adverse eventsRegorafenib+Pembrolizumab [1L: Atezolizumab + Bevacizumab]6368
Total, other adverse eventsRegorafenib+Pembrolizumab [Any Other IO Containing Treatment]2727
Total, serious adverse eventsRegorafenib+Pembrolizumab [1L: Atezolizumab + Bevacizumab]3768
Total, serious adverse eventsRegorafenib+Pembrolizumab [Any Other IO Containing Treatment]1127

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Cohort 1 (Regorafenib + Pembrolizumab [1L: Atezolizumab + Bevacizumab]) vs Cohort 2 (Regorafenib + Pembrolizumab [1L: Any Other IO Containing Treatment]): Number of Participants With Safety-relevant Changes in Clinical Parameters
Trial comparisons
Regorafenib+Pembrolizumab [1L: Atezolizumab + Bevacizumab] vs Regorafenib+Pembrolizumab [Any Other IO Containing Treatment]: deaths from any causeTrial comparisons
Regorafenib+Pembrolizumab [1L: Atezolizumab + Bevacizumab] vs Regorafenib+Pembrolizumab [Any Other IO Containing Treatment]: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04696055

GET https://conductscience.org/api/trials/v1/NCT04696055/results?page=2