NCT03745222

Brief Summary

This is a Phase 3, randomized, double-blind, placebo-controlled multicenter global study designed to compare the efficacy and safety of tislelizumab in combination with concurrent chemoradiotherapy (cCRT) followed by tislelizumab monotherapy versus cCRT alone, and tislelizumab given sequentially after cCRT versus cCRT alone, in newly diagnosed stage III subjects with locally advanced, unresectable non-small cell lung cancer (NSCLC). The primary endpoint is centrally-assessed progression free survival (PFS) in the intent-to-treat (ITT) population. .

Trial Health

68
Monitor

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
1

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started May 2019

Shorter than P25 for phase_3

Geographic Reach
23 countries

164 active sites

Status
terminated

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

November 9, 2018

Completed
10 days until next milestone

First Posted

Study publicly available on registry

November 19, 2018

Completed
6 months until next milestone

Study Start

First participant enrolled

May 22, 2019

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 26, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 26, 2019

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

July 15, 2020

Completed
Last Updated

July 15, 2020

Status Verified

June 1, 2020

Enrollment Period

1 month

First QC Date

November 9, 2018

Results QC Date

June 26, 2020

Last Update Submit

June 26, 2020

Conditions

Keywords

Locally Advanced, Unresectable Non-Small Cell Lung CancerNon-Small Cell Lung CancerNSCLCRandomizedBGB-A317TislelizumabPD-1

Outcome Measures

Primary Outcomes (1)

  • Progression-Free Survival (PFS)

    Progression-free survival was defined as the time from the date of randomization to the date of the first objectively tumor progression as assessed by the blinded independent central review per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 criteria (documented by radiological assessment) or death (any cause) on or prior to the clinical cut-off date, which ever occurred first. Stable disease-neither sufficient shrinkage to qualify for PR nor sufficient increase of lesions to qualify for Progressive disease (PD)• Progressive Disease- At least a 20% increase in the sum of diameters of target lesions from nadir.

    Up to approximately 5 years; date of randomization to the date of tumor progression or death; until study withdrawal date of 26 June 2019

Secondary Outcomes (10)

  • Overall Survival (OS)

    Up to approximately 5 years; date of randomization to date of death from any cause.

  • Overall Survival at 24 Months

    Up to approximately 24 months

  • Percentage of Participants Who Achieved a Best Overall Response of Complete Response or Partial Response

    Up to approximately 5 years

  • Duration of Response

    Up to approximately 5 years

  • Percentage of Participants Alive and Progression-Free at 12 Months (APF12)

    Up to 12 months

  • +5 more secondary outcomes

Study Arms (3)

Arm 1:Tislelizumab + cCRT followed by tislelizumab monotherapy

EXPERIMENTAL

Tislelizumab 200 mg is administered by intravenous (IV) administration and given together upfront with concurrent platinum-based chemoradiotherapy (cCRT) for the first 6 weeks, followed by tislelizumab 200 mg by IV adminstration monotherapy. The standard platinum-based chemotherapy options include carboplatin/ paclitaxel and cisplatin/etoposide

Drug: TislelizumabDrug: Concurrent chemoradiotherapy (cCRT)

Arm 2: Placebo + cCRT followed by tislelizumab monotherapy

EXPERIMENTAL

Placebo is given with concurrent platinum-based chemoradiotherapy (cCRT) for the first 6 weeks, followed by tislelizumab 200 mg by IV administration monotherapy. The standard platinum-based chemotherapy options include carboplatin/paclitaxel and cisplatin/etoposide.

Drug: TislelizumabDrug: Concurrent chemoradiotherapy (cCRT)Other: Placebo

Arm 3: Placebo + cCRT followed by placebo monotherapy

PLACEBO COMPARATOR

Placebo is given with concurrent platinum-based chemoradiotherapy (cCRT) for the first 6 weeks, followed by placebo monotherapy. The standard platinum-based chemotherapy options include carboplatin/paclitaxel and cisplatin/etoposide.

Drug: Concurrent chemoradiotherapy (cCRT)Other: Placebo

Interventions

PD-1 inhibitor (monoclonal antibody against PD-1)

Also known as: BGB-A317
Arm 1:Tislelizumab + cCRT followed by tislelizumab monotherapyArm 2: Placebo + cCRT followed by tislelizumab monotherapy

Chemotherapy options include carboplatin/paclitaxel and cisplatin/etoposide per standard of care. Radiotherapy will also be given concurrently with chemotherapy.

Arm 1:Tislelizumab + cCRT followed by tislelizumab monotherapyArm 2: Placebo + cCRT followed by tislelizumab monotherapyArm 3: Placebo + cCRT followed by placebo monotherapy
PlaceboOTHER

Placebo

Arm 2: Placebo + cCRT followed by tislelizumab monotherapyArm 3: Placebo + cCRT followed by placebo monotherapy

Eligibility Criteria

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

You may qualify if:

  • Newly diagnosed, histologically confirmed, locally advanced, stage III unresectable non small cell lung cancer (NSCLC).
  • Staging will be confirmed at screening by positron emission tomography-computed tomography (PET/CT) and brain imaging by magnetic resonance imaging (MRI) or computed tomography (CT) with contrast.
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
  • Epidermal growth factor receptor (EGFR) mutation and anaplastic lymphoma kinase (ALK) gene translocation status available prior to randomization.
  • Provision of fresh or archival tumor tissue or discussion with Sponsor.
  • Adequate hematologic and end-organ function.

You may not qualify if:

  • Prior therapies including those targeting PD-1 or PD-L1 or chemotherapy, radiation, targeted therapy, biologic therapy, immunotherapy or investigational agent used to control non-small cell lung cancer (NSCLC).
  • History of severe hypersensitivity reactions to other monoclonal antibodies or any contraindication to the planned chemotherapy regimen.
  • History of, or ongoing, interstitial lung disease; pneumonitis requiring steroids; or clinically significant pericardial effusion.
  • Any active malignancy less than or equal to 2 years before randomization, with the exception of non-small cell lung cancer (NSCLC) and any locally recurring cancer that has been treated curatively.
  • Severe chronic or active infections including those requiring systemic antibacterial, antifungal or antiviral therapy; known human immunodeficiency virus (HIV) infection; untreated chronic hepatitis B or chronic hepatitis B virus carries or active hepatitis C; or active autoimmune disease.
  • Prior allogeneic stem cell transplantation or organ transplantation.
  • Significant cardiovascular disease or other condition which places the patient at risk.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (164)

USC Norris Comprehensive Cancer Center

Los Angeles, California, 90033, United States

Location

Cancer Specialists of North Florida - Jacksonville

Jacksonville, Florida, 32258-5472, United States

Location

Bond Clinic, P.A.

Winter Haven, Florida, 33881, United States

Location

University of Chicago Medical Center

Chicago, Illinois, 60637, United States

Location

Fort Wayne Medical Oncology and Hematology

Fort Wayne, Indiana, 46845, United States

Location

Appalachian Regional Healthcare, Inc.

Hazard, Kentucky, 41701, United States

Location

Norton Healthcare - Norton Cancer Institute

Louisville, Kentucky, 40202, United States

Location

Center For Cancer and Blood Disorders

Bethesda, Maryland, 20817, United States

Location

University of Mississippi Medical Center

Jackson, Mississippi, 39216, United States

Location

Dayton Physicians, LLC

Kettering, Ohio, 45409, United States

Location

Mercy Health Youngstown Hospital, LLC

Youngstown, Ohio, 44504, United States

Location

Allegheny General Hospital

Pittsburgh, Pennsylvania, 15212, United States

Location

Millennium Oncology

Houston, Texas, 77090, United States

Location

Medical Oncology Associates, P.S.

Spokane, Washington, 99208, United States

Location

Universitair Ziekenhuis Brussel

Brussels, 1090, Belgium

Location

Cliniques Universitaires Saint-Luc

Brussels, 1200, Belgium

Location

Jewish General Hospital

Montreal, Quebec, H3T 1E2, Canada

Location

Cancer Hospital Chinese Academy of Medical Sciences

Beijing, 100021, China

Location

Chinese PLA General Hospital / 307 Hospital

Beijing, 100071, China

Location

Beijing Cancer Hospital - Beijing Institute for Cancer Research

Beijing, 100142, China

Location

Bengbu Medical College - First Affiliated Hospital

Bengbu Shi, 233004, China

Location

Jilin Province Cancer Hospital

Changchun, 130012, China

Location

First Hospital of Jilin University

Changchun, 130021, China

Location

Central South University - Xiangya School of Medicine - Hunan Cancer Hospital

Changsha, 410013, China

Location

Central South University - Xiangya School of Medicine - Hunan Cancer Hospital

Changsha-shi, 410013, China

Location

Sichuan Cancer Hospital & Institute

Chengdu, 610041, China

Location

Sichuan University - West China Hospital

Chengdu, 610041, China

Location

Foshan First People's Hospital

Foshan, 528000, China

Location

Cancer Center of Guangzhou Medical University

Guangzhou, 510095, China

Location

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, 510120, China

Location

Zhejiang University School of Medicine - The Second Affiliated Hospital

Hangzhou, 310016, China

Location

Zhejiang Medical University - Zhejiang Cancer Hospital

Hangzhou, 310022, China

Location

The First Affiliated Hospital of Harbin Medical University

Harbin, 150081, China

Location

Yunnan Cancer Hospital

Kunming, 650118, China

Location

Guangxi Tumour Institute and Hospital

Nanning, 530021, China

Location

Nantong Tumor Hospital

Nantong, 226361, China

Location

Fudan University Shanghai Cancer Center

Shanghai, 200032, China

Location

Shanghai Chest Hospital

Shanghai Shi, 200030, China

Location

Chongqing Cancer Hospital

Shapingbaqu, 400030, China

Location

Liaoning Cancer Hospital & Institute

Shenyang, 110042, China

Location

The First Hospital of Xinjiang Medical University

Ürümqi, 830054, China

Location

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, 430022, China

Location

Zhongnan Hospital of Wuhan University

Wuhan, 430023, China

Location

Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology

Wuhan, 430030, China

Location

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, 710061, China

Location

First Hospital of Xiamen

Xiamen, 361003, China

Location

Fujian Medical University - Fujian Provincial Cancer Hospital

Xidajie, 350014, China

Location

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, 221002, China

Location

Zhengzhou University (ZZU) - Henan Cancer Hospital

Zhengzhou, 450008, China

Location

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, 450052, China

Location

Tampereen yliopistollinen sairaala

Tampere, 33521, Finland

Location

Turku University Hospital

Turku, 20521, Finland

Location

Centre Francois Baclesse

Caen, 14076, France

Location

Clinique Victor Hugo

Le Mans, 72015, France

Location

Institut de Cancerologie de l'Ouest (ICO) - Saint-Herblain

Saint-Herblain, 44805, France

Location

Medical Study Company NORD-WEST GmbH Oncology Aurich

Aurich, 26603, Germany

Location

Helios Klinikum Emil Von Behring

Berlin, 14165, Germany

Location

Kliniken der Stadt Koln gGmbH - Krankenhaus Merheim

Cologne, 51109, Germany

Location

Florence Nightingale KH der Kaiserwerther Diakonie

Düsseldorf, 40489, Germany

Location

Klinikum Esslingen GmbH

Esslingen am Neckar, 73730, Germany

Location

Asklepios Fachkliniken Muenchen Gauting

Gauting, 82131, Germany

Location

Oncological practice Goslar

Goslar, 38642, Germany

Location

Evangelisches Krankenhaus Hamm

Hamm, 59063, Germany

Location

Health Nordhessen Holding AG - Klinikum Kassel - Medical Clinic IV

Kassel, 34125, Germany

Location

Klinik Loewenstein gGmbH

Löwenstein, 74245, Germany

Location

LMU Klinikum der Universität

München, 81377, Germany

Location

St. Antonius-Hospital

Schweiler, 52249, Germany

Location

Medizinische Studiengesellschaft Nord-West

Westerstede, 26655, Germany

Location

Sotiria Chest Hospital of Athens

Athens, 11527, Greece

Location

IASO General

Athens, 15562, Greece

Location

University General Hospital of Heraklion

Heraklion, 71110, Greece

Location

Agioi Anargyroi Cancer Hospital

Kifissia, 14564, Greece

Location

Metaxa Cancer Hospital of Piraeus

Piraeus, 18537, Greece

Location

Interbalkan Medical Center of Thessaloniki

Pylaia, 570 01, Greece

Location

University General Hospital of Patras

Rio Patras, 26500, Greece

Location

Bioclinic Thessaloniki Galinos clinic

Thessaloniki, 54622, Greece

Location

EUROMEDICA General Clinic of Thessaloniki

Thessaloniki, 54645, Greece

Location

Papageorgiou General Hospital of Thessaloniki

Thessaloniki, 56429, Greece

Location

Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz

Székesfehérvár, 8000, Hungary

Location

Pulmonary Institute Torokbalint

Törökbálint, 2045, Hungary

Location

Beacon Hospital

Dublin, D18 AK68, Ireland

Location

St James Hospital

Dublin, Dublin 8, Ireland

Location

MidWestern Regional Hospital

Limerick, Ireland

Location

Azienda Ospedaliero - Universitaria Policlinico - Vittorio Emanuele - Ospedale Gaspare Rodolico

Catania, 95123, Italy

Location

IRCCS AziendaOspedaliera Universitaria San Martino

Genova, 16132, Italy

Location

Istituto Scientifico Romagnolo Per Lo Studio e La Cura Dei Tumori (I.R.S.T.)

Meldola, 47014, Italy

Location

Universita Campus Bio-Medico di Roma

Roma, 00128, Italy

Location

Istituto Nazionale Tumori Regina Elena di Roma

Roma, 00144, Italy

Location

Osaka Prefectural Medical Center for Respiratory and Allergic Diseases

Habikino-shi, 583-8588, Japan

Location

Kansai Medical University Hospital

Hirakata-shi, 573-1191, Japan

Location

Hiroshima University Hospital

Hiroshima, 734-8551, Japan

Location

Kanazawa University Hospital

Kanazawa, Japan

Location

Matsusaka Municipal Hospital

Matsusaka-shi, 515-8544, Japan

Location

Toranomon Hospital

Minatoku, 105-8470, Japan

Location

Iwate Medical University Hospital

Morioka, 020-8505, Japan

Location

National Hospital Organization - Nagoya Medical Center

Nagoya, 460-0001, Japan

Location

Nagoya University Hospital

Nagoya, 466-8560, Japan

Location

Niigata Cancer Center Hospital

Niigata, 951-8566, Japan

Location

Osaka City University Hospital

Osaka, 545-8586, Japan

Location

Gunma Prefectural Cancer Center

Ōta-ku, 373-8550, Japan

Location

Kitasato University Hospital

Sagamihara, 252-0375, Japan

Location

Sendai Kousei Hospital

Sendai, 980-0873, Japan

Location

Kanagawa Cardiovascular and Respiratory Center

Yokohama, 236-0051, Japan

Location

Yokohama Municipal Citizen's Hospital

Yokohama, 240-8555, Japan

Location

Vrije Universiteit Medisch Centrum (VUMC)

Amsterdam, 1081 HV, Netherlands

Location

Gelre Hospitals

Zutphen, 7207 AE, Netherlands

Location

Waikato Hospital

Hamilton, 3204, New Zealand

Location

Tauranga Hospital

Tauranga, 3112, New Zealand

Location

Centrum Onkologii im. prof. Franciszka Lukaszczyka w Bydgoszczy

Bydgoszcz, 85796, Poland

Location

Centrum Onkologii - Instytut im. Marii Sklodowskiej-Curie

Gliwice, 44-101, Poland

Location

Med Polonia Sp. z o.o. NSZOZ

Poznan, 60-693, Poland

Location

Centrum Onkologii-Instytut im.Marii Sklodowskiej-Curie

Warsaw, 02-781, Poland

Location

Hospital Prof. Doutor Fernando Fonseca

Amadora, 2720-276, Portugal

Location

Centro Hospitalar E Universitario de Coimbra EPE

Coimbra, 3000-075, Portugal

Location

Centro Hospitalar do Alto Ave, Hospital da Senhora da Oliveira Guimaraes

Guimarães, 4835-044, Portugal

Location

CUF Descobertas Hospital

Lisbon, 1998-018, Portugal

Location

Centro Hospitalar do Porto - Hospital de Santo António

Porto, 4099-001, Portugal

Location

CUF Porto Hospital

Porto, 4100-180, Portugal

Location

Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe

Porto, 4200-072, Portugal

Location

Oncology Institute Professor Doctor Alexandru Trestioreanu

Bucharest, 022328, Romania

Location

Prof. Dr. I. Chiricuta Institute of Oncology

Cluj-Napoca, 400015, Romania

Location

Medisprof SRL

Cluj-Napoca, 400058, Romania

Location

Sf. Apostol Andrei Constanta Emergency Clinical County Hospital

Constanța, 900591, Romania

Location

Oncology Center Sfantul Nectarie

Craiova, Romania

Location

Life Search SRL

Timișoara, 300167, Romania

Location

Oncocenter Clinical Oncology

Timișoara, 300210, Romania

Location

Principal Military Clinical Hospital n.a. N.N. Burdenko

Moscow, 105229, Russia

Location

Omsk Regional Oncology Center

Omsk, 610013, Russia

Location

Ryazan State Medical University n.a. I.P. Pavlov

Ryazan, 390026, Russia

Location

Clinical Hospital of the Russian Academy of Sciences

Saint Petersburg, 194017, Russia

Location

GBUZ Saint Petersburg Clinical Research Center of Specialized Types of Care (Oncology)

Saint Petersburg, 197758, Russia

Location

Research Oncology Institute of Rosmed Technologies n.a. prof. N.N. Petrov

Saint Petersburg, 197758, Russia

Location

Mordovia State University

Saransk, 43002, Russia

Location

National University Hospital

Singapore, 119074, Singapore

Location

Raffles Hospital

Singapore, 188770, Singapore

Location

Chungbuk National University Hospital

Cheongju-si, 138-736, South Korea

Location

Seoul National University Bundang Hospital

Seongnam-si, 13620, South Korea

Location

Asan Medical Center

Seoul, 5505, South Korea

Location

Ajou University Hospital

Suwon, 16499, South Korea

Location

Hospital Universitario a Coruna

A Coruña, 15006, Spain

Location

Hospital General Universitario de Alicante

Alicante, 03010, Spain

Location

Hospital Universitario Germans Trias i Pujol

Barcelona, 08916, Spain

Location

Insular-Maternal and Child University Hospital Complex

Las Palmas de Gran Canaria, 35016, Spain

Location

Hospital Universitario Fundacion Jimenez Diaz

Madrid, 28040, Spain

Location

Hospital Universitario 12 de Octubre

Madrid, 28041, Spain

Location

Hospital Universitario Puerta de Hierro-Majadahonda

Majadahonda, Madrid, 28222, Spain

Location

Hospital General Carlos Haya

Málaga, 29010, Spain

Location

Hospital Universitario Central de Asturias

Oviedo, 33011, Spain

Location

Hospital Universitari i Politecnic La Fe de Valencia

Valencia, 46026, Spain

Location

Buddhist Dalin Tzu Chi General Hospital

Dalin, 62247, Taiwan

Location

E-DA Hospital

Kaohsiung City, 82445, Taiwan

Location

Kaohsiung Medical University Hospital

Kaohsiung, San Ming Dist., 807, Taiwan

Location

Chang Gung Medical Foundation, Kaohsiung Memorial Hospital

Niao-Sung Hsiang Kaohsiung County, 83301, Taiwan

Location

National Taiwan University Hospital

Taipei, Zhongzheng Dist., 100, Taiwan

Location

University Hospitals Birmingham NHS Foundation Trust - Queen Elizabeth Hospital

Birmingham, B15 2TH, United Kingdom

Location

East Suffolk and North Essex NHS Foundation Trust - Colchester Hospital

Colchester, CO4 5JL, United Kingdom

Location

University College London Hospitals NHS Foundation Trust - University College Hospital

London, NW1 2BU, United Kingdom

Location

Guys Hospital

London, SE1 9RT, United Kingdom

Location

Royal Marsden Hospital

London, SW3 6JJ, United Kingdom

Location

Maidstone and Tunbridge Wells NHS Trust - Maidstone Hospital

Maidstone, ME16 9QQ, United Kingdom

Location

Manchester University NHS Foundation Trust - Wythenshawe Hospital - North West Lung Centre

Manchester, M23 9LT, United Kingdom

Location

The Hillingdon Hospitals NHS Foundation Trust - Mount Vernon Hospital

Northwood, HA6 2RN, United Kingdom

Location

Sheffield Teaching Hospitals NHS Foundation Trust - Weston Park Hospital

Sheffield South Yorkshire, S10 2SS, United Kingdom

Location

Royal Cornwall Hospitals Trust

Truro, TR1 3LJ, United Kingdom

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

tislelizumabChemoradiotherapy

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Combined Modality TherapyTherapeuticsDrug TherapyRadiotherapy

Results Point of Contact

Title
Anne McClain
Organization
Celgene Corporation

Study Officials

  • Marie Nguyen, MD

    Celgene

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 9, 2018

First Posted

November 19, 2018

Study Start

May 22, 2019

Primary Completion

June 26, 2019

Study Completion

June 26, 2019

Last Updated

July 15, 2020

Results First Posted

July 15, 2020

Record last verified: 2020-06

Locations