NCT03493451

Brief Summary

This was a multi-center, prospective, non-randomized, open-label, Phase 2 clinical study to evaluate the safety and efficacy of BGB-A317 in participants with relapsed or refractory mature T- and natural killer (NK)-cell neoplasms. There were three cohorts:

  • Cohort 1: Relapsed or refractory (R/R) extranodal NK/T cell lymphoma (ENKTL; nasal or non-nasal type)
  • Cohort 2: Other R/R mature T-cell neoplasms, limited to the following histologies: peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS), angioimmunoblastic T-cell lymphoma (AITL), or anaplastic large-cell lymphoma (ALCL)
  • Cohort 3: R/R cutaneous T-cell lymphoma, limited to mycosis fungoides (MF) or Sèzary syndrome (SS) Study procedures included a Screening phase (up to 35 days); Treatment phase (until disease progression, intolerable toxicity, or withdrawal of informed consent, whichever occurs first); Safety Follow-up phase (up to 90 days following last study treatment for all adverse events (AEs) and serious adverse events (SAEs)); and Survival follow-up phase (duration varying by participant).

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
77

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Apr 2018

Typical duration for phase_2

Geographic Reach
5 countries

24 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 4, 2018

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 10, 2018

Completed
3 days until next milestone

Study Start

First participant enrolled

April 13, 2018

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 21, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 21, 2021

Completed
1 year until next milestone

Results Posted

Study results publicly available

May 4, 2022

Completed
Last Updated

October 26, 2024

Status Verified

October 1, 2024

Enrollment Period

3 years

First QC Date

April 4, 2018

Results QC Date

March 25, 2022

Last Update Submit

October 23, 2024

Conditions

Keywords

T/NK-cellNK/T-cellextranodalnasalNK-cellENKTLperipheral T-cellanaplastic large cellALCLangioimmunoblasticPTCL-NOSRelapsedRefractory

Outcome Measures

Primary Outcomes (1)

  • Overall Response Rate (ORR)

    ORR is defined as the percentage of participants achieving a best overall response of complete response or partial response as determined by the investigator using Lugano criteria with Lymphoma Response to Immunomodulatory Therapy Criteria (LYRIC) modification for cohorts 1 and 2 and International Society for Cutaneous Lymphomas/European Organization of Research and Treatment of Cancer (ISCL/EORTC) guidelines for cohort 3.

    Up to approximately 3 years and 1 week

Secondary Outcomes (9)

  • Duration of Response (DOR)

    Up to approximately 3 years and 1 week

  • Progression-free Survival (PFS)

    Up to approximately 3 years and 1 week

  • Overall Survival (OS)

    Up to approximately 3 years and 1 week

  • Complete Response Rate (CRR)

    Up to approximately 3 years and 1 week

  • Time to Response (TTR)

    Up to approximately 3 years and 1 week

  • +4 more secondary outcomes

Study Arms (3)

Cohort 1: ENKTL

EXPERIMENTAL

Participants with relapsed or refractory (R/R) extranodal natural killer-/T-cell lymphoma (ENKTL; nasal or non-nasal type) were treated with tislelizumab 200 mg intravenously (IV) on Day 1 of each cycle until disease progression, intolerable toxicity, or treatment discontinuation for any other reason (21 days per cycle)

Drug: Tislelizumab

Cohort 2: PTCL-NOS, AITL, and ALCL

EXPERIMENTAL

Participants with other R/R mature T-cell neoplasms \[limited to peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS), angioimmunoblastic T-cell lymphoma (AITL), and anaplastic large-cell lymphoma (ALCL)\] were treated with tislelizumab 200 mg intravenously (IV) on Day 1 of each cycle until disease progression, intolerable toxicity, or treatment discontinuation for any other reason (21 days per cycle)

Drug: Tislelizumab

Cohort 3: MF and SS

EXPERIMENTAL

Participants with R/R cutaneous T-cell lymphoma \[limited to mycosis fungoides (MF) and Sèzary syndrome (SS)\] were treated with tislelizumab 200 mg intravenously (IV) on Day 1 of each cycle until disease progression, intolerable toxicity, or treatment discontinuation for any other reason (21 days per cycle)

Drug: Tislelizumab

Interventions

Administered intravenously

Also known as: BGB-A317
Cohort 1: ENKTLCohort 2: PTCL-NOS, AITL, and ALCLCohort 3: MF and SS

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Confirmed diagnosis of relapsed or refractory extranodal NK/T-cell lymphoma (nasal or non-nasal type, peripheral T-cell lymphoma - not otherwise specified, angioimmunoblastic T-cell lymphoma, anaplastic large cell lymphoma, mycosis fungoides, or Sezary syndrome)
  • Age 18 years or older
  • Relapsed or refractory to at least 1 prior systemic therapy
  • Measurable disease by computed tomography (CT)/magnetic resonance imaging (MRI) for participants in Cohort 1 and 2
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
  • Life expectancy ≥ 6 months
  • Adequate respiratory function
  • Adequate bone marrow function
  • Adequate renal and hepatic function

You may not qualify if:

  • Known central nervous system (CNS) involvement by lymphoma
  • Previously received immune checkpoint therapy
  • Prior malignancy within the past 3 years, except for curatively treated basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast, or localized Gleason score 6 or lower prostate cancer
  • Active autoimmune disease or history of autoimmune diseases that may relapse with some exceptions
  • Severe or debilitating pulmonary disease
  • Clinically significant cardiovascular disease
  • Active fungal, bacterial, and/or viral infection requiring systemic therapy
  • Known infection with HIV or active viral hepatitis B or C infection
  • Major surgery within 4 weeks of the first dose of study drug
  • Pregnant or lactating women
  • Vaccination with a live vaccine within 35 days prior to the first dose of study drug
  • Hypersensitivity to tislelizumab
  • Concurrent participation in another therapeutic clinical trial

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (24)

British Columbia Cancer Agency the Vancouver Centre

Vancouver, British Columbia, V5Z 4E6, Canada

Location

Peking University Third Hospital

Beijing, Beijing Municipality, 100000, China

Location

Beijing Hospital

Beijing, Beijing Municipality, 100730, China

Location

Peking Union Medical College Hospital

Beijing, Beijing Municipality, 100730, China

Location

Fujian Medical University Union Hospital

Fuzhou, Fujian, 350001, China

Location

Sun Yat Sen University Cancer Center

Guangzhou, Guangdong, 510060, China

Location

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, 150000, China

Location

Henan Cancer Hospital

Zhengzhou, Henan, 450000, China

Location

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, Jiangsu, 221000, China

Location

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, 200000, China

Location

Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, 200092, China

Location

West China Hospital, Sichuan University

Chengdu, Sichuan, 610041, China

Location

Tianjin Medical University Cancer Institute and Hospital

Tianjin, Tianjin Municipality, 300060, China

Location

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, 310022, China

Location

Institut Dhematologie de Basse Normandie Chu Caen Normandie

Caen, 14033, France

Location

Chu Hopital Lyon Sud

PierreBenite, 69495, France

Location

Asst Papa Giovanni Xxiii, Medicina Trasfusionale Ed Ematologia

Bergamo, 24127, Italy

Location

Policlinico Sorsola Malpighi, Aou Di Bologna

Bologna, 40138, Italy

Location

Ospedale Policlinico San Martino Irccs Per L Oncologia, Divisione Ematologia Centro Trapianti Di Mid

Genova, 16121, Italy

Location

Ospedale San Raffaele

Milan, 20132, Italy

Location

Ospedale Maggiore, Ematologia E Centro Trapianti Midollo Osseo (Ctmo), Aou Parma

Parma, 43126, Italy

Location

Aou Pisana, Stabilimento Di Santa Chiara

Pisa, 56126, Italy

Location

Azienda Ospedaliera S Maria Di Terni

Terni, 05100, Italy

Location

National Taiwan University Hospital

Taipei, 10048, Taiwan

Location

Related Publications (3)

  • Huiqiang Huang, et al. Tislelizumab (BGB-A317) for relapsed/refractory extranodal NK/T-cell lymphoma: preliminary efficacy and safety results from a phase 2 study. Poster Abstract EP1268, European Hematology Association 2020.

    BACKGROUND
  • Pier Luigi Zinzani, et al. Tislelizumab (BGB-A317) for relapsed/refractory peripheral T-cell lymphomas: Safety and efficacy results from a phase 2 study. Poster Abstract EP1235, European Hematology Association 2020.

    BACKGROUND
  • Bachy E, Savage KJ, Huang H, Kwong YL, Gritti G, Zhang Q, Liberati AM, Cao J, Yang H, Hao S, Hu J, Zhou K, Petrini M, Russo F, Zhang H, Sang W, Ji J, Ferreri AJM, Damaj GL, Liu H, Zhang W, Ke X, Ghiggi C, Huang S, Li X, Yao H, Paik J, Novotny W, Zhou W, Zhu H, Zinzani PL. Treating relapsed/refractory mature T- and NK-cell neoplasms with tislelizumab: a multicenter open-label phase 2 study. Blood Adv. 2023 Aug 22;7(16):4435-4447. doi: 10.1182/bloodadvances.2022009575.

MeSH Terms

Conditions

Lymphoma, T-Cell, PeripheralLymphoma, Extranodal NK-T-CellImmunoblastic LymphadenopathyLymphoma, T-CellLymphoma, Large-Cell, AnaplasticLymphoma, T-Cell, CutaneousRecurrence

Interventions

tislelizumab

Condition Hierarchy (Ancestors)

Lymphoma, Non-HodgkinLymphomaNeoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesLymphadenopathyDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Study Director
Organization
BeiGene

Study Officials

  • Study Director

    BeiGene

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 4, 2018

First Posted

April 10, 2018

Study Start

April 13, 2018

Primary Completion

April 21, 2021

Study Completion

April 21, 2021

Last Updated

October 26, 2024

Results First Posted

May 4, 2022

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will share

Locations