Hepatocellular CarcinomaPhase 3SKYSCRAPER-14NCT05904886
A Study Evaluating Atezolizumab and Bevacizumab, With or Without Tiragolumab, in Participants With Untreated Locally Advanced or Metastatic Hepatocellular Carcinoma (HCC) (IMbrave152)
A Phase 3 study testing Atezolizumab, Bevacizumab and Tiragolumab in people with Hepatocellular Carcinoma, run by Hoffmann-La Roche at 171 sites in 27 countries.
Trial summary
The purpose of this study is to assess the efficacy and safety of tiragolumab, an anti-TIGIT monoclonal antibody, when administered in combination with atezolizumab and bevacizumab as first-line treatment, in participants with unresectable, locally advanced or metastatic HCC. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hepatocellular Carcinoma
- What is being tested?
- Atezolizumab, Bevacizumab and Tiragolumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 687 participants
- Where
- 171 sitesin 27 countries
- Study dates
- 14 Sep 2023to 1 Sep 2026
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Locally advanced or metastatic and/or unresectable HCC with diagnosis confirmed by histology/cytology or clinically by American Association for the Study of Liver Diseases (AASLD) criteria in cirrhotic participants
- Disease that is not amenable to curative surgical and/or locoregional therapies
- No prior systemic treatment for locally advanced or metastatic and/or unresectable HCC-measurable disease according to RECIST v1.1
- Eastern cooperative oncology group (ECOG) performance status of 0 or 1 within 7 days prior to randomization
- Child-pugh Class A within 7 days prior to randomization
- Adequate hematologic and end-organ function
- Female participants of childbearing potential must be willing to avoid pregnancy within 5 months after the final dose of atezolizumab, within 6 months after the final dose of bevacizumab, and within 90 days after the final dose of tiragolumab/placebo
- Male participants with a female partner of childbearing potential or pregnant female partner must remain abstinent or use a condom during the treatment period and for 6 months after the final dose of bevacizumab and for 90 days after the final dose of tiragolumab/placebo to avoid exposing the embryo.
Who cannot join
- Pregnancy or breastfeeding within 5 months after the final dose of atezolizumab, within 6 months after the final dose of bevacizumab, and within 90 days after the final dose of tiragolumab/placebo
- Prior treatment with cluster of differentiation 137 (CD137) agonists or immune checkpoint blockade therapies
- Treatment with investigational therapy within 28 days prior to initiation of study treatment
- Treatment with locoregional therapy to liver within 28 days prior to initiation of study treatment, or non-recovery from side effects of any such procedure
- Treatment with systemic immunostimulatory agents
- Treatment with systemic immunosuppressive medication
Show all 15Show fewer
- Untreated or incompletely treated esophageal and/or gastric varices with bleeding or that are at high risk for bleeding
- A prior bleeding event due to esophageal and/or gastric varices within 6 months prior to initiation of study treatment
- Active or history of autoimmune disease or immune deficiency
- History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan
- History of malignancy other than HCC within 5 years prior to screening, with the exception of malignancies with a negligible risk of metastasis or death
- Mixed histology or other subtypes/variants of HCC, including, but not limited to, known liver adenocarcinoma, fibrolamellar HCC, sarcomatoid HCC, other rare HCC variant, or mixed cholangiocarcinoma and HCC
- Co-infection with hepatitis B virus (HBV) and hepatitis C virus (HCV)
- Acute epstein-barr virus (EBV) infection or known or suspected chronic active EBV infection
- Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases.
Trial locations and contacts
171 sites in 27 countries.
171 sites in 27 countries
United States34 sites
Mercy Medical Center
Baltimore, Maryland, 21202
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27514
University of Illinois
Chicago, Illinois, 60612
UCSF Fresno at Community Cancer Institute
Clovis, California, 93611
North Texas VA Medical Center
Dallas, Texas, 75216
Henry Ford Health System
Detroit, Michigan, 48202
City of Hope Cancer Center
Duarte, California, 91010
Florida Cancer Specialists - Fort Myers (Broadway)
Fort Myers, Florida, 33901
Cancer & Hematology Centers of Western Michigan
Grand Rapids, Michigan, 49503
Hartford Healthcare Cancer Institute at Hartford Hospital
Hartford, Connecticut, 06106
Genesis Cancer Center
Hot Springs, Arkansas, 71913
Kelsey Seybold Clnic
Houston, Texas, 77005
University of California San Diego Moores Cancer Center
La Jolla, California, 92037
University of Southern California
Los Angeles, California, 90033
Norton Cancer Institute - Audubon
Louisville, Kentucky, 40217
Univ of Wisconsin-Madison
Madison, Wisconsin, 53792
Miami VA Healthcare System
Miami, Florida, 33125
Ochsner Cancer Inst.
New Orleans, Louisiana, 70121
NYU Langone
New York, New York, 10016
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
Columbia University
New York, New York, 10032-3725
Stanford Cancer Center
Palo Alto, California, 94304
Va Palo Alto Health Care System
Palo Alto, California, 94304
Thomas Jefferson Uni
Philadelphia, Pennsylvania, 19107
Mayo Clinic Rochester
Rochester, Minnesota, 55905
UCLA Cancer Center
Santa Monica, California, 90404
Virginia Mason Medical Center
Seattle, Washington, 98101
Swedish Cancer Inst.
Seattle, Washington, 98104
Washington Uni School of Medicine
St Louis, Missouri, 63110
Florida Cancer Specialist, North Region
St. Petersburg, Florida, 33705
Montefiore Medical Center
The Bronx, New York, 10461
James J Peters VA Hospital / Mental Illness Research Education and Clinic Center
The Bronx, New York, 10468
MedStar Washington Hosp Center
Washington D.C., District of Columbia, 20010
Minnesota Oncology Hematology Woodbury
Woodbury, Minnesota, 55125
China22 sites
Baoji Central Hospital
Baoji, 721008
Beijing Cancer Hospital
Beijing, 100142
The First Hospital of Jilin University
Changchun, 130021
Peoples Hospital of Hunan Province
Changsha, 410007
Hunan Cancer Hospital
Changsha, 410013
West China Hospital - Sichuan University
Chengdu, 610047
Mengchao Hepatobiliary Hospital Of Fujian Medical University
Fuzhou, 350025
Nanfang Hospital, Southern Medical University
Guangzhou, 510515
Sun yat-sen University Cancer Center
Guangzhou
The First Affiliated Hospital of College of Medicine, Zhejiang University
Hangzhou, 310003
Zhejiang Provincial People?s Hospital
Hangzhou, 310014
Harbin Medical University Cancer Hospital
Harbin, 150081
Anhui Provincial Hospital
Hefei, 230001
The Second Affiliated Hospital of Anhui Medical University
Hefei, 230601
Lishui Central Hospital
Lishui, 323000
Zhongshan Hospital Fudan Unvierstiy
Shanghai, 200032
Renji Hospital Shanghai Jiaotong University School of Medicine
Shanghai, 200127
Shengjing Hospital of China Medical University
Shenyang, 110004
Tianjin Cancer Hospital
Tianjin, 300060
Tongji Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, 430030
First Affiliated Hospital of Medical College of Xi'an Jiaotong University
Xi'an, 710061
Xi'an Inernational Medical Center Hospital
Xi'an, 710119
Japan20 sites
Fujita Health University Hospital
Aichi, 470-1192
Chiba University Hospital
Chiba, 260-8677
National Cancer Center Hospital East
Chiba, 277-8577
Ehime Prefectural Central Hospital
Ehime, 790-0024
Kurume University Hospital
Fukuoka, 830-0011
Hiroshima University Hospital
Hiroshima, 734-8551
Sapporo Kosei General Hospital
Hokkaido, 060-0033
Hokkaido University Hospital
Hokkaido, 060-8648
Kanazawa University Hospital
Ishikawa, 920-8641
Toranomon Branch Hospital
Kanagawa, 213-8587
Kanagawa Cancer Center
Kanagawa, 241-8515
Kitasato University Hospital
Kanagawa, 252-0375
University Hospital Kyoto Prefectural University of Medicine
Kyoto, 602-8566
Kyoto University Hospital
Kyoto, 606-8507
Iwate Medical University Hospital
Numakunai, 028-3695
The University of Osaka Hospital
Osaka, 565-0871
Kindai University Hospital
Osaka, 589-8511
Jichi Medical University Hospital
Tochigi, 329-0498
Toranomon Hospital
Tokyo, 105-8470
Japanese Red Cross Musashino Hospital
Tokyo, 180-8610
Spain11 sites
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Duran i Reynals
Barcelona, 08907
Complejo Hospitalario de Jaen-Hospital Universitario Medico Quirurgico
Jaén, 23007
Hospital General Universitario Gregorio Marañon
Madrid, 28007
Clinica Universitaria de Navarra de Madrid;Servicio de Hepatologia
Madrid, 28027
Hospital Clinico San Carlos
Madrid, 28040
Hospital Universitario Puerta de Hierro
Madrid, 28222
Hospital de Navarra
Navarra, Navarre, 31008
Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, 33011
Clinica Universitaria de Navarra
Pamplona/iruña, Navarre, 31008
Hospital Clinico de Valencia
Valencia, 46010
France10 sites
CHU CAEN - Hôpital de la Côte de Nacre
Caen, 14033
CHRU de Lille - Hopital Claude Huriez
Lille, 59037
Hopital Dupuytren
Limoges, 87042
Fondation Hopital Saint Joseph
Marseille, 13285
Hopital Hotel Dieu Et Hme
Nantes, 44093
APHP - Hopital Saint Antoine
Paris, 75571
Hopital Robert Debre
Reims, 51092
Centre Hospitalier Valence
Valence, 26953
Hopitaux de Brabois - Gastro-Entereologie
Vandœuvre-lès-Nancy, 54511
Hopital Paul Brousse
Villejuif, 94804
Brazil8 sites
Hospital de Cancer de Barretos
Barretos, São Paulo, 14784-400
Oncoclínicas do Brasil - BELO HORIZONTE
Belo Horizonte, Minas Gerais, 30170-080
Santa Casa de Misericordia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90020-090
Hospital Sao Lucas - PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Hospital do Cancer de Pernambuco - HCP
Recife, Pernambuco, 50040-000
Clinicas Oncologicas Integradas - COI
Rio de Janeiro, 22290-160
Instituto do Cancer do Estado de Sao Paulo - ICESP
São Paulo, São Paulo, 01246-000
CEDOES - Diagnóstico e Pesquisa
Vitória, Espírito Santo, 29055-450
South Korea8 sites
National Cancer Center
Goyang-si, 10408
CHA Bundang Medical Center
Gyeonggi-do, 13496
Chonnam National University Hwasun Hospital
Jeollanam-do, 58128
Severance Hospital, Yonsei University Health System
Seoul, 003-722
Seoul National University Hospital
Seoul, 03080
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Ulsan University Hosiptal
Ulsan, 44033
Italy7 sites
A.O. S. Orsola Malpighi
Bologna, Emilia-Romagna, 40138
Az. Osp. Uni Ria San Martino
Genoa, Liguria, 16132
A.O.U. Policlinico Paolo Giaccone
Palermo, Sicily, 90127
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Rome, Lazio, 00168
IRCCS Istituto Clinico Humanitas
Rozzano, Lombardy, 20089
Az. Osp. G. Panico
Tricase, Apulia
A.O.U.I. Verona-Ospedale Policlinico G.B. Rossi Borgo Roma
Verona, Veneto, 37134
Taiwan5 sites
China Medical University Hospital
Taichung, 404
National Cheng Kung University Hospital
Tainan, 00704
Chi-Mei Medical Centre
Tainan, 710
National Taiwan Uni Hospital
Taipei, 100
Chang Gung Medical Foundation - Linkou
Taoyuan, 333
Turkey (Türkiye)5 sites
Adana Baskent University Medical Faculty
Adana, 01220
Ankara Bilkent City Hospital
Ankara, 06490
Gazi Uni Medical Faculty Hospital
Ankara, 06500
Trakya Universitesi Tip Fakultesi, Medikal Onkoloji Bilim Dali, Balkan Yerleskesi
Edirne, 22030
?zmir Medical Point
Kar?iyaka, 35575
Canada4 sites
Juravinski Hospital
Hamilton, Ontario, L8V 1C3
Jewish General Hospital
Montreal, Quebec, H3T 1E2
McGill University Health Centre - Glen Site
Montreal, Quebec, H4A 3J1
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
Germany4 sites
Klinikum Esslingen
Esslingen am Neckar, 73730
Universitätsklinikum Magdeburg Klinik für Gastroenterologie und Hepatologie
Magdeburg, 39120
Uniklinik Mainz
Mainz, 55131
Universität Tübingen
Tübingen, 72076
Mexico4 sites
OncoMed
Mexico City, Mexico CITY (federal District), 03100
Centro Medico Nacional Siglo Xxi - Imss
Mexico City, Mexico CITY (federal District), 06720
Instituto Nacional de Ciencias Médicas Y de Nutricion Salvador Zubirán
Mexico City, Mexico CITY (federal District), 14000
Centro de Investigacion Clinica de Oaxaca
Oaxaca City, Oaxaca, 68020
Thailand4 sites
Chulalongkorn Hospital
Bangkok, 10330
Ramathibodi Hospital
Bangkok, 10400
Maharaj Nakorn Chiang Mai Hospital
Chiang Mai, 50200
Khon Kaen Uni
Khon Kaen, 40002
Belgium3 sites
Cliniques Universitaires St-Luc
Brussels, 1200
UZ Antwerpen
Edegem, 2650
AZ Delta (Campus Rumbeke)
Roeselare, 8800
New Zealand3 sites
Auckland City Hospital
Auckland, 1023
Christchurch Hospital
Christchurch, 8011
Wellington Hospital
Wellington, 6021
United Kingdom3 sites
Western General Hospital
Edinburgh, EH4 2XU
Royal Free Hospital
London, NW3 2QG
Hammersmith Hospital
London, W12 0HS
Côte d’Ivoire2 sites
Polyclinique Internationale Sainte Anne- Marie (PISAM)
Abidjan, BP 1463 Abidjan
Centre National d'Oncologie Médicale et de Radiothérapie Alassane Ouattara (CNRAO)
Abidjan
Nigeria2 sites
Jos University Teaching Hospital
Jos, 930232
Lagos University Teaching Hospital Lagos (LUTH), Lagos State
Lagos
Poland2 sites
ID Clinic
Mysłowice, 41-400
NIO im Marii Sklodowskiej-Curie
Warsaw, 02-034
South Africa2 sites
Charlotte Maxeke Johannesburg Academic Hospital
Johannesburg, 2193
Limpopo Cancer Research Institute
Polokwane, 0700
Kenya1 site
University of Nairobi - Institute of Tropical and Infectious Diseases
Nairobi
About this study
Official title: A Phase III, Randomized, Double-blind, Placebo-controlled Study Evaluating Atezolizumab and Bevacizumab, With or Without Tiragolumab, in Patients With Untreated Locally Advanced or Metastatic Hepatocellular Carcinoma
The purpose of this study is to assess the efficacy and safety of tiragolumab, an anti-TIGIT monoclonal antibody, when administered in combination with atezolizumab and bevacizumab as first-line treatment, in participants with unresectable, locally advanced or metastatic HCC.
Per amendment version 5, following a memo issued by the Sponsor, participants receiving treatment in the atezolizumab plus bevacizumab plus tiragolumab arm are recommended to discontinue tiragolumab treatment unless the investigator decides the benefit outweighs the risk. Participants receiving treatment in atezolizumab plus bevacizumab plus placebo arm must discontinue placebo treatment. Participants may continue receiving active treatment(s) per protocol until loss of clinical benefit or unacceptable toxicity, whichever occurs first.
- Conditions
- Hepatocellular Carcinoma
- Being tested
- Atezolizumab, Bevacizumab, Tiragolumab, Placebo
- Medical subject headings
- Carcinoma, Hepatocellular
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AtezolizumabDrug
Also called Tecentriq; MPDL3280A; RO5541267
Atezolizumab will be administered by intravenous (IV) infusion at a fixed dose of 1200 milligrams (mg) on Day 1 of each 21-day cycle.
BevacizumabDrug
Also called Avastin
Bevacizumab will be administered by IV infusion at a dose of 15 milligrams per kilogram (mg/kg) on Day 1 of each 21-day cycle.
TiragolumabDrug
Also called MTIG7192A; RO7092284
Tiragolumab will be administered by IV infusion at a fixed dose of 600 mg on Day 1 of each 21-day cycle.
PlaceboOther
Placebo matching tiragolumab will be administered by IV infusion on Day 1 of each 21-day cycle.
| Study group | Role | What they receive |
|---|---|---|
| Atezolizumab + Bevacizumab + Tiragolumab | Experimental | Atezolizumab plus bevacizumab plus tiragolumab will be administered every 3 weeks (Q3W) until unacceptable toxicity or loss of clinical benefit as determined by the investigator. Receives: Drug: Atezolizumab; Drug: Bevacizumab; Drug: Tiragolumab |
| Atezolizumab + Bevacizumab + Placebo | Placebo comparator | Atezolizumab, bevacizumab plus placebo will be administered Q3W until unacceptable toxicity or loss of clinical benefit as determined by the investigator. Receives: Drug: Atezolizumab; Drug: Bevacizumab; Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Investigator-assessed Progression-free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
Measured: From randomization to the first occurrence of disease progression (PD) or death from any cause, whichever occurs first (up to approximately 21 months)
Overall Survival (OS)
Measured: From randomization to death from any cause (up to approximately 36 months)
Secondary outcomes (14)
Investigator-assessed Confirmed Objective Response Rate (ORR) According to RECIST v1.1
Measured: From randomization up to approximately 21 months
Investigator-assessed Duration of Response (DOR) According to RECIST v1.1
Measured: From the first occurrence of a documented confirmed objective response to the first occurrence of PD or death from any cause, whichever occurs first (up to approximately 21 months)
Investigator-assessed PFS Rate According to RECIST v1.1 at 6 and 12 Months
Measured: Month 6, Month 12
OS Rate at 1 and 2 Years
Measured: Year 1, Year 2
Investigator-assessed PFS According to HCC mRECIST
Measured: From randomization to the first occurrence of PD or death from any cause, whichever occurs first (up to approximately 21 months)
Investigator-assessed Confirmed ORR According to HCC mRECIST
Measured: From randomization up to approximately 21 months
Investigator-assessed DOR According to HCC mRECIST
Measured: From the first occurrence of a documented confirmed objective response to the first occurrence of PD or death from any cause, whichever occurs first (up to approximately 21 months)
Time to Confirmed Deterioration (TTCD) Assessed Using European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer 30 (EORTC QLQ-C30) Subscales
The following subscales of the EORTC QLQ-C30 will be used for the assessment: global health status/quality-of-life (GHS/QoL), physical functioning and role functioning. GHS and QoL are scored on a 7-point scale: 1=Very poor to 7=Excellent. Functioning items are scored on a 4-point scale: 1=Not at all to 4=Very much, with a higher score indicating a worse outcome. Scores will be linearly transformed with a minimum score of 0 and maximum score of 100. A higher score indicates a better outcome.
Measured: Up to approximately 21 months
Change from Baseline in GHS/QoL, Physical Functioning, and Role Functioning Assessed Using the EORTC QLQ-C30
GHS and QoL are scored on a 7-point scale: 1=Very poor to 7=Excellent. Functioning items are scored on a 4-point scale: 1=Not at all to 4=Very much, with a higher score indicating a worse outcome. Scores will be linearly transformed with a minimum score of 0 and maximum score of 100. A higher score indicates a better outcome.
Measured: Up to approximately 21 months
Percentage of Participants With Adverse Events (AEs)
Measured: Up to approximately 36 months
Serum Concentrations of Atezolizumab
Measured: Prior to the first infusion and 30 minutes after atezolizumab infusion on Day 1 of Cycle 1 (cycle = 21 days), prior to infusion on Day 1 of Cycles 2, 3, 4, 8, 12, 16 and at treatment discontinuation visit (up to approximately 21 months)
Serum Concentrations of Tiragolumab
Measured: Prior to the first infusion and 30 minutes after tiragolumab infusion on Day 1 of Cycle 1 (cycle = 21 days), prior to infusion on Day 1 of Cycles 2, 3, 4, 8, 12, 16 and at treatment discontinuation visit (up to approximately 21 months)
Percentage of Participants With Anti-drug Antibodies (ADAs) to Tiragolumab
Measured: Prior to the first infusion on Day 1 of Cycles (cycle = 21 days) 1, 2, 3, 4, 8, 12, 16 and at treatment discontinuation visit (up to approximately 21 months)
Percentage of Participants With ADAs to Atezolizumab
Measured: Prior to the first infusion on Day 1 of Cycles (cycle = 21 days) 1, 2, 3, 4, 8, 12, 16 and at treatment discontinuation visit (up to approximately 21 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jun 2023
- Study start14 Sep 2023
- Primary completion8 May 2025
- Study completion1 Sep 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Hepatocellular CarcinomaStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 687 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Chugai Pharmaceutical
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05904886
- Sponsor's protocol ID
- CO44668
- Other IDs
- 2023-503422-39-00, 2023
- Acronym
- SKYSCRAPER-14
- Status last verified
- Dec 2025
- First submitted
- 23 May 2023
- Last updated
- 31 Dec 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing
Publications
Badhrinarayanan S, Cotter C, Zhu H, Lin YC, Kudo M, Li D. IMbrave152/SKYSCRAPER-14: a Phase III study of atezolizumab, bevacizumab and tiragolumab in advanced hepatocellular carcinoma. Future Oncol. 2024;20(28):2049-2057. doi: 10.1080/14796694.2024.2355863. Epub 2024 Jun 10.
PubMed 38861301
Study at a glance
From the registry record, last updated by the sponsor on 31 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomized, Double-blind, Placebo-controlled Study Evaluating Atezolizumab and Bevacizumab, With or Without Tiragolumab, in Patients With Untreated Locally Advanced or Metastatic Hepatocellular Carcinoma
- ClinicalTrials.gov ID
- NCT05904886
- Acronym / sponsor ID
- SKYSCRAPER-14 / CO44668
- Conditions
- Hepatocellular Carcinoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 687 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Collaborators
- Chugai Pharmaceutical
- Study start
- 14 Sep 2023 (actual)
- Primary completion
- 8 May 2025 (actual)
- Study completion
- 1 Sep 2026 (estimated)
- First posted
- 15 Jun 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the efficacy and safety of tiragolumab, an anti-TIGIT monoclonal antibody, when administered in combination with atezolizumab and bevacizumab as first-line treatment, in participants with unresectable, locally advanced or metastatic HCC.
Per amendment version 5, following a memo issued by the Sponsor, participants receiving treatment in the atezolizumab plus bevacizumab plus tiragolumab arm are recommended to discontinue tiragolumab treatment unless the investigator decides the benefit outweighs the risk. Participants receiving treatment in atezolizumab plus bevacizumab plus placebo arm must discontinue placebo treatment. Participants may continue receiving active treatment(s) per protocol until loss of clinical benefit or unacceptable toxicity, whichever occurs first.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Atezolizumab + Bevacizumab + Tiragolumab | Experimental | Drug: Atezolizumab, Drug: Bevacizumab, Drug: TiragolumabAtezolizumab plus bevacizumab plus tiragolumab will be administered every 3 weeks (Q3W) until unacceptable toxicity or loss of clinical benefit as determined by the investigator. |
| Atezolizumab + Bevacizumab + Placebo | Placebo comparator | Drug: Atezolizumab, Drug: Bevacizumab, Other: PlaceboAtezolizumab, bevacizumab plus placebo will be administered Q3W until unacceptable toxicity or loss of clinical benefit as determined by the investigator. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Locally advanced or metastatic and/or unresectable HCC with diagnosis confirmed by histology/cytology or clinically by American Association for the Study of Liver Diseases (AASLD) criteria in cirrhotic participants
- Disease that is not amenable to curative surgical and/or locoregional therapies
- No prior systemic treatment for locally advanced or metastatic and/or unresectable HCC-measurable disease according to RECIST v1.1
- Eastern cooperative oncology group (ECOG) performance status of 0 or 1 within 7 days prior to randomization
- Child-pugh Class A within 7 days prior to randomization
Key exclusion criteria (15 listed)
- Pregnancy or breastfeeding within 5 months after the final dose of atezolizumab, within 6 months after the final dose of bevacizumab, and within 90 days after the final dose of tiragolumab/placebo
- Prior treatment with cluster of differentiation 137 (CD137) agonists or immune checkpoint blockade therapies
- Treatment with investigational therapy within 28 days prior to initiation of study treatment
- Treatment with locoregional therapy to liver within 28 days prior to initiation of study treatment, or non-recovery from side effects of any such procedure
- Treatment with systemic immunostimulatory agents
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AtezolizumabAlso: Tecentriq; MPDL3280A; RO5541267Atezolizumab will be administered by intravenous (IV) infusion at a fixed dose of 1200 milligrams (mg) on Day 1 of each 21-day cycle. | Drug | Atezolizumab + Bevacizumab + Placebo, Atezolizumab + Bevacizumab + Tiragolumab |
| BevacizumabAlso: AvastinBevacizumab will be administered by IV infusion at a dose of 15 milligrams per kilogram (mg/kg) on Day 1 of each 21-day cycle. | Drug | Atezolizumab + Bevacizumab + Placebo, Atezolizumab + Bevacizumab + Tiragolumab |
| TiragolumabAlso: MTIG7192A; RO7092284Tiragolumab will be administered by IV infusion at a fixed dose of 600 mg on Day 1 of each 21-day cycle. | Drug | Atezolizumab + Bevacizumab + Tiragolumab |
| PlaceboPlacebo matching tiragolumab will be administered by IV infusion on Day 1 of each 21-day cycle. | Other | Atezolizumab + Bevacizumab + Placebo |
Primary outcome
Investigator-assessed Progression-free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
Time frame: From randomization to the first occurrence of disease progression (PD) or death from any cause, whichever occurs first (up to approximately 21 months)
Overall Survival (OS)
Time frame: From randomization to death from any cause (up to approximately 36 months)
14 secondary outcomes
Investigator-assessed Confirmed Objective Response Rate (ORR) According to RECIST v1.1
Time frame: From randomization up to approximately 21 months
Investigator-assessed Duration of Response (DOR) According to RECIST v1.1
Time frame: From the first occurrence of a documented confirmed objective response to the first occurrence of PD or death from any cause, whichever occurs first (up to approximately 21 months)
Investigator-assessed PFS Rate According to RECIST v1.1 at 6 and 12 Months
Time frame: Month 6, Month 12
OS Rate at 1 and 2 Years
Time frame: Year 1, Year 2
Investigator-assessed PFS According to HCC mRECIST
Time frame: From randomization to the first occurrence of PD or death from any cause, whichever occurs first (up to approximately 21 months)
Investigator-assessed Confirmed ORR According to HCC mRECIST
Time frame: From randomization up to approximately 21 months
Investigator-assessed DOR According to HCC mRECIST
Time frame: From the first occurrence of a documented confirmed objective response to the first occurrence of PD or death from any cause, whichever occurs first (up to approximately 21 months)
Time to Confirmed Deterioration (TTCD) Assessed Using European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer 30 (EORTC QLQ-C30) Subscales
Time frame: Up to approximately 21 months
Change from Baseline in GHS/QoL, Physical Functioning, and Role Functioning Assessed Using the EORTC QLQ-C30
Time frame: Up to approximately 21 months
Percentage of Participants With Adverse Events (AEs)
Time frame: Up to approximately 36 months
Serum Concentrations of Atezolizumab
Time frame: Prior to the first infusion and 30 minutes after atezolizumab infusion on Day 1 of Cycle 1 (cycle = 21 days), prior to infusion on Day 1 of Cycles 2, 3, 4, 8, 12, 16 and at treatment discontinuation visit (up to approximately 21 months)
Serum Concentrations of Tiragolumab
Time frame: Prior to the first infusion and 30 minutes after tiragolumab infusion on Day 1 of Cycle 1 (cycle = 21 days), prior to infusion on Day 1 of Cycles 2, 3, 4, 8, 12, 16 and at treatment discontinuation visit (up to approximately 21 months)
Percentage of Participants With Anti-drug Antibodies (ADAs) to Tiragolumab
Time frame: Prior to the first infusion on Day 1 of Cycles (cycle = 21 days) 1, 2, 3, 4, 8, 12, 16 and at treatment discontinuation visit (up to approximately 21 months)
Percentage of Participants With ADAs to Atezolizumab
Time frame: Prior to the first infusion on Day 1 of Cycles (cycle = 21 days) 1, 2, 3, 4, 8, 12, 16 and at treatment discontinuation visit (up to approximately 21 months)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Dec 2025.
- Derived from this study: PubMed 38861301Badhrinarayanan S, Cotter C, Zhu H, Lin YC, Kudo M, Li D. IMbrave152/SKYSCRAPER-14: a Phase III study of atezolizumab, bevacizumab and tiragolumab in advanced hepatocellular carcinoma. Future Oncol. 2024;20(28):2049-2057. doi: 10.1080/14796694.2024.2355863. Epub 2024 Jun 10.
- Individual participant dataSharing planned: Yes. For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
171 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Atezolizumab, Bevacizumab and Tiragolumab in people with Hepatocellular Carcinoma, run by Hoffmann-La Roche at 171 sites in 27 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 31 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 171 sites in United States, China, Japan, Spain, France and 22 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Investigator-assessed Progression-free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) (time frame: From randomization to the first occurrence of disease progression (PD) or death from any cause, whichever occurs first (up to approximately 21 months)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05904886, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Dec 2025.