Overview
Sponsor-declared trial summary
Advanced or unresectable Hepatocellular Carcinoma (HCC)
The main goal of phase 1 is to see if it is safe for people with liver cancer to take pumitamig with ipilimumab, and to find the best dose to use, while the main goal of phase 2 is to see which treatment works better at shrinking liver cancer: pumitamig with ipilimumab, pumitamig alone, or atezolizumab with bevacizumab…
Key facts
- Sponsor
- Bristol-Myers Squibb Services Unlimited Company
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 13 May 2026 → ongoing
- Decision date (initial)
- 2026-04-27
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
External identifiers
- EU CT number
- 2025-523602-33-00
- WHO UTN
- U1111-1327-4912
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Others, Pharmacokinetic, Safety, Efficacy, Dose response
The main goal of phase 1 is to see if it is safe for people with liver cancer to take pumitamig with ipilimumab, and to find the best dose to use, while the main goal of phase 2 is to see which treatment works better at shrinking liver cancer: pumitamig with ipilimumab, pumitamig alone, or atezolizumab with bevacizumab.
Secondary objectives 1
- Secondary goals are to check how safe the treatments are, how the body handles the medicine, if the body fights against the medicine, and how well each treatment works for liver cancer.
Conditions and MedDRA coding
Advanced or unresectable Hepatocellular Carcinoma (HCC)
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.0 | LLT | 10019828 | Hepatocellular carcinoma non-resectable | 10029104 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 6
- Age of Participant must be ≥ 18 years of age, or legal adult age according to the local regulation inclusive, at the time of signing the ICF.
- People with a certain kind of advanced liver cancer (HCC) that can't be removed by surgery.
- People who can still do most everyday things on their own.
- People whose liver is working well.
- People who haven't had certain treatments for their liver cancer before.
- People who have at least one tumor that shows up on a scan.
Exclusion criteria 6
- People with rare types of liver cancer.
- People who have serious bleeding problems or are likely to bleed easily.
- People who have had an organ transplant or have immune system diseases.
- People with high blood pressure that can’t be controlled, even with medicine.
- People whose urine has too much protein (sign of kidney problems).
- People taking strong blood-thinning medicines.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 2
- The main goal of phase 1 will check and count for how many people have problems or serious problems from the medicine, if anyone must stop taking it because of these problems, and if any problems cause death.
- The main goal of phase 2 will be to check and count how many people's liver cancer gets much smaller or completely goes away with the treatment (OR (Objective Response) confirmed CR (complete response) or PR (partial response)).
Secondary endpoints 6
- To check how many people’s liver cancer gets much smaller or goes away (cancer shrinkage).
- To count how many people have problems or serious problems from the medicines, including those who stop treatment or die because of them (safety)
- To measure how much pumitamig is in the blood after treatment and before the next dose (pumitamig levels).
- To measure how much ipilimumab is in the blood before the next dose (ipilimumab levels).
- To see if people’s bodies make fighters against the medicines (anti-drug antibodies).
- To see how long people live without the cancer getting worse, and how long the cancer stays smaller or goes away (progression delay (PFS, Progression-Free Survival and duration (DOR, Duration of Response).
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 4
PRD13426963 · Product
- Active substance
- Pumitamig
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Authorisation status
- Not Authorised
- MA holder
- BIONTECH SE
- Paediatric formulation
- No
- Orphan designation
- No
PRD13426964 · Product
- Active substance
- Pumitamig
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Authorisation status
- Not Authorised
- MA holder
- BIONTECH SE
- Paediatric formulation
- No
- Orphan designation
- No
SUB29397 · Substance
- Active substance
- Ipilimumab
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- The product will be removed from the carton, over-labeled, and repackaged. There will be no changes to the composition or to the primary packaging of the marketed products.
PRD191357 · Product
- Active substance
- Ipilimumab
- Other product name
- MDX-010
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Authorisation status
- Not Authorised
- MA holder
- BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 3
SUB16402MIG · Substance
- Active substance
- Bevacizumab
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- The product will be removed from the carton, over-labeled, and repackaged.
SUB178312 · Substance
- Active substance
- Atezolizumab
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- The product will be removed from the carton, over-labeled, and repackaged.
SUB178312 · Substance
- Active substance
- Atezolizumab
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- The product will be removed from the carton, over-labeled, and repackaged.
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Bristol-Myers Squibb Services Unlimited Company
- Sponsor organisation
- Bristol-Myers Squibb Services Unlimited Company
- Address
- Plaza 254, Blanchardstown Corporate Park 2 Blanchardstown Corporate Park 2
- City
- Dublin 15
- Postcode
- D15 T867
- Country
- Ireland
Scientific contact point
- Organisation
- Bristol-Myers Squibb Services Unlimited Company
- Contact name
- GSM-CT
Public contact point
- Organisation
- Bristol-Myers Squibb Services Unlimited Company
- Contact name
- GSM-CT
Third parties 6
| Organisation | City, country | Duties |
|---|---|---|
| Mural Health Technologies Inc. ORG-100051510
|
Berwyn, United States | Other |
| Medidata Solutions Inc. ORG-100016256
|
New York, United States | Other |
| Iqvia Inc. ORG-100010622
|
Durham, United States | Other |
| Accenture Solutions Private Limited ORG-100032592
|
Bangaluru, India | Other |
| Labcorp Central Laboratory Services SARL ORG-100011524
|
Meyrin, Switzerland | Other, Laboratory analysis |
| Accenture Solutions Private Limited ORG-100032592
|
Bangaluru, India | Other, Data management |
Locations
5 EU/EEA countries · 16 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| France | Ongoing, recruiting | 14 | 4 |
| Germany | Ongoing, recruiting | 9 | 3 |
| Italy | Authorised, recruiting | 9 | 3 |
| Poland | Authorised, recruitment pending | 9 | 3 |
| Spain | Ongoing, recruiting | 6 | 3 |
| Rest of world
China, United Kingdom, Taiwan, Singapore, Korea, Democratic People's Republic of, United States, Australia, Chile
|
— | 82 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| France | 2026-05-13 | 2026-05-19 | |||
| Germany | 2026-05-13 | 2026-05-20 | |||
| Italy | 2026-05-14 | ||||
| Spain | 2026-05-13 | 2026-05-14 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 38 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2025-523602-33_redacted | 02 EU |
| Recruitment arrangements (for publication) | K Recruitment arrangement_PL | 2.0 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements_ES | 1 |
| Recruitment arrangements (for publication) | K1_DE_Recruitment arrangements_ | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure_FR | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_IT | 1 |
| Subject information and informed consent form (for publication) | L1_ ICF Main_GER_DE_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF_Future Research ICF_ES | 2 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF_Main ICF_ES | 4 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF_Optional Sample Collection ICF_ES | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF_Pregnant Partner ICF_ES | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF_Treatment Beyond Progression ICF_ES | 1 |
| Subject information and informed consent form (for publication) | L1_ICF FR_GER_DE_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_ICF opt sample_GER_DE_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_ICF TBP_GER_DE_unredacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Future Research_PL_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_FR_Redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_PL_Redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Future Research_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Samples Collection_FR_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Samples_PL_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Participant who Becomes Pregnant_PL_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Treatment Beyond Progression_FR | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Treatment Beyond Progression_PL | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main IC_IT_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Future Research IC_IT_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Sample Collection IC_IT_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Participant IC_IT_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Privacy notice_IT_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Reimbursement IC_IT_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Treatment Beyond Progression IC_IT | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Bevacizumab | 65 |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC Atezolizumab | 32 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis 2025-523602-33-00_PL | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2025-523602-33_EN | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2025-523602-33_IT | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2025-523602-33-00_ESP | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2025-523602-33-00_FR | 2 |
Application history
4 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-12-12 | Spain | Acceptable 2026-04-20
|
2026-04-22 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2026-04-27 | Acceptable 2026-04-20
|
2026-04-27 | |
| 3 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2026-04-27 | Acceptable 2026-04-20
|
2026-04-27 | |
| 4 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2026-04-30 | Acceptable 2026-04-20
|
2026-04-30 |