The Absolute Effect / Evidence index

Locoregional / Embolisation-Eligible · Phase III global randomized open-label; N=760; embolisation-eligible HCC. STRIDE (durvalumab+tremelimumab) + lenvatinib + TACE; STRIDE+TACE; or TACE. PFS and OS assessed. · STRIDE+lenvatinib+TACE vs TACE: median PFS 13.0 vs 9.8 months

EMERALD-3

Clinical question: Does STRIDE plus lenvatinib added to TACE improve PFS over TACE alone in embolisation-eligible hepatocellular carcinoma?

STRIDE+lenvatinib+TACE vs TACE: median PFS 13.0 vs 9.8 months; HR 0.70 (95% CI 0.57–0.86; P=0.0007). Median OS 39.5 vs 34.7 months; HR 0.84 (95% CI 0.65–1.09; P=0.18). · Registry:

Design, population and treatment

Phase III global randomized open-label; N=760; embolisation-eligible HCC. STRIDE (durvalumab+tremelimumab) + lenvatinib + TACE; STRIDE+TACE; or TACE. PFS and OS assessed.

Key efficacy outcome

13 · intervention
9.8
13 · comparator
Not calculable from median PFS/OS.

Grade-specific toxicity not reproduced in the retrieved abstract summary; consult primary paper tables.

Safety and absolute effect

Median PFS (months)

https://www.sciencedirect.com/science/article/pii/S1470204526002780

Interpretation and limitations

Current-practice context · 14 November 2026: Primary publication/abstract and trial identifier checked. Guideline-level current-practice mapping was not established in this publication-led batch; no NCCN citation provenance is claimed. Where detailed QoL, follow-up or toxicity data were not present in the retrieved abstract, they are not inferred.

Primary source

Primary publication · DOI: 10.1016/S1470-2045(26)00278-0