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Table 1 Clinical trials combining lenvatinib and ICIs

From: Lenvatinib and immune-checkpoint inhibitors in hepatocellular carcinoma: mechanistic insights, clinical efficacy, and future perspectives

Clinical trial registration number

Nature of the test

Basis for clustering

Treatment target

ORR

PFS(months)

OS(months)

Safety and adverse reactions

Number of persons included

References

NCT03006926

Phase Ib multicenter, single-arm,open-label study

Lenvatinib + Pembrolizumab

Unresectable hepatocellular carcinoma

46%

9.3

22

TRAE Grade ≥ 3: 67%

104

[76]

ChiCTR1900023914

A single-arm, phase II trial

Lenvatinib + sintilimab/pembrolizumab/toripalimab/tislelizumab

Unresectable liver Cancer stage B or C HCC

53.60%

8.9

23.9

TRAE Grade ≥ 3: 42.9%

56

[78]

 

Prospective clinical trial

Lenvatinib vs. lenvatinib + nivolumab

HCC

45.65% vs. 23.91%

  

NA

92

[79]

 

A retrospective study

Lenvatinib + nivolumab vs. lenvatinib

Advanced hepatocellular carcinoma (aHCC)

45.0% vs. 23.4%

7.5 vs. 4.8

22.9 vs. 10.3

HR 0.2,95% C.I. 0.1–0.7

87

[80]

NCT04401800

A multicenter, single-arm, phase 2 trial

Tislelizumab + lenvatinib

Unresectable hepatocellular carcinoma

38.70%

8.2

12: 88.6%

TRAE Grade ≥ 3: 28.1%

64

[81]

 

A retrospective, unpaired, single-center study

Lenvatinib + anti‐PD‐1 antibodies

Advanced or unresectable hepatocellular carcinoma (HCC)

28.10%

8.4

17.2

AE 79.5%

210

[82]

NCT03892577

A retrospective study

Lenvatinib + anti‐PD‐1 antibodies

Unresectable hepatocellular carcinoma

19.60%

6.9

17.8

AE Grade ≥ 3: 57.9

378

[83]

 

A retrospective study

Lenvatinib + anti‐PD‐1 antibodies vs. lenvatinib

Unresectable hepatocellular carcinoma

41.5% vs. 20.0%

8.0 vs. 3.0

not reached vs. 13.0

hypertension: 20% vs. 17.8%

127

[84]

 

A prospective trial

Synchronous + asynchronous of lenvatinib + PD‐1 inhibitor

HCC

35.9% vs.19.8%

10.5 vs. 3.6

24.6 vs. 14.8

40.2% vs. 41.3%

213

[85]

NCT04444167

A phase Ib/II single-arm clinical trial

Time and dose of cardonizumab combined with lenvatinib

Advanced hepatocellular carcinoma (aHCC)

6 mg/kg/2 weeks: 35.5% 15 mg/kg/3 weeks: 35.7%

6 mg/kg/2 weeks: 8.6 months15 mg/kg/3 weeks: 9.8 months

6 mg/kg/2 weeks: 27.1 months15 mg/kg/3 weeks: NA

NA

59

[86]

 

A retrospective study

Lenvatinib + pembrolizumab/toripalimab/sintilimab/nivolumab/camrelizumab

Tumor occupation ≥ 50% volume of liver (TO ≥ 50%) or invasion in Vp4

20.20%

6.6

11.4

NA

84

[87]

NCT03892577

A multicenter observational retrospective real-world study

ICI + lenvatinib vs. ICI + others (apatinib/regorafenib/bevacizumab/sorafenib/donafenib)

 

13.8% vs. 3.7%

6.1 vs. 3.4

22.1 vs. 21.3

TRAE: 46.6% vs. 70.4%

85

[96]