NCT04866017

Brief Summary

The purpose of this study was to evaluate the safety and efficacy of ociperlimab in combination with tislelizumab compared to durvalumab in adults with stage III unresectable PD-L1-selected non-small cell lung cancer whose disease has not progressed after cCRT.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
63

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Jun 2021

Geographic Reach
5 countries

35 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

October 28, 2020

Completed
6 months until next milestone

First Posted

Study publicly available on registry

April 29, 2021

Completed
2 months until next milestone

Study Start

First participant enrolled

June 17, 2021

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 17, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 17, 2023

Completed
1 year until next milestone

Results Posted

Study results publicly available

October 31, 2024

Completed
Last Updated

October 31, 2024

Status Verified

October 1, 2024

Enrollment Period

2.3 years

First QC Date

October 28, 2020

Results QC Date

October 9, 2024

Last Update Submit

October 9, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Progression-Free Survival (PFS) as Assessed by the Independent Review Committee (IRC)

    PFS is defined as the time from the date of randomization to the date of first documentation of disease progression as assessed by the IRC per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 or death, whichever occurred first.

    From randomization through to the end of study, planned duration was 20 months

Secondary Outcomes (15)

  • Overall Survival (OS)

    From randomization through to the end of study, planned duration was 20 months

  • Overall Response Rate (ORR)

    From randomization through to the end of study, planned duration was 20 months

  • Duration of Response (DOR)

    From randomization through to the end of study, planned duration was 20 months

  • Time to Death or Distant Metastasis (TTDM) as Assessed by the Investigator

    From randomization through to the end of study, planned duration was 20 months

  • Progression-Free Survival 2 (PFS2)

    From randomization through to the end of study, planned duration was 20 months

  • +10 more secondary outcomes

Study Arms (3)

Ociperlimab + Tislelizumab + cCRT

EXPERIMENTAL

Participants enrolled under PA1 recieved two cycles of ociperlimab combined with tislelizumab and cCRT, followed by ociperlimab combined with tislelizumab up to 1 year after the cCRT phase

Drug: TislelizumabDrug: OciperlimabDrug: ChemotherapyRadiation: Radiotherapy

Tislelizumab + cCRT

EXPERIMENTAL

Participants enrolled under PA1 recieved two cycles of tislelizumab combined with cCRT, followed by tislelizumab up to 1 year after the cCRT phase

Drug: TislelizumabDrug: ChemotherapyRadiation: Radiotherapy

cCRT followed by Durvalumab

EXPERIMENTAL

Participants enrolled under PA1 recieved two cycles of cCRT, followed by durvalumab to 1 year after the cCRT phase

Drug: DurvalumabDrug: ChemotherapyRadiation: Radiotherapy

Interventions

200 mg intravenously every three weeks

Also known as: BGB-A317
Ociperlimab + Tislelizumab + cCRTTislelizumab + cCRT

10 milligrams per kilogram (mg/kg) intravenously once every 2 weeks (or 1500 mg intravenously once every 4 weeks where the dosage has been approved by a local health authority)

cCRT followed by Durvalumab

900 milligrams (mg) intravenously every three weeks

Also known as: BGB-A1217
Ociperlimab + Tislelizumab + cCRT

The chemotherapy regimen for the study treatment was selected at the investigator's discretion and may include one of the following options: * Cisplatin (50 mg/m²) on days 1 to 5 of each cycle, combined with etoposide (50 mg/m²) on days 1 and 8, both administered intravenously for 2 cycles. Each cycle was 28 days. * Carboplatin (AUC 2) weekly for 6 weeks, combined with paclitaxel (40-50 mg/m²) weekly for 6 weeks, both administered intravenously. * Cisplatin (75 mg/m²) combined with pemetrexed (500 mg/m²) on day 1 of each cycle, administered intravenously for 2 cycles. Each cycle was 21 days. * Carboplatin (AUC 5) combined with pemetrexed (500 mg/m²) on day 1 of each cycle, administered intravenously for 2 cycles. Each cycle was 21 days. The pemetrexed plus platinum regimen was only for participants with non-squamous histology.

Also known as: Concurrent Chemoradiotherapy (cCRT)
Ociperlimab + Tislelizumab + cCRTTislelizumab + cCRTcCRT followed by Durvalumab
RadiotherapyRADIATION

All participants recieved radiotherapy using either a standardized 3-dimensional conformal radiotherapy technique, or intensity modulated radiotherapy (IMRT) on a linear accelerator delivering a beam energy of ≥ 6 MV. The total dose of radiotherapy was 60 Gy, administered in 30 once-daily fractions of 2 Gy and 5 fractions per week for 6 weeks.

Also known as: Concurrent Chemoradiotherapy (cCRT)
Ociperlimab + Tislelizumab + cCRTTislelizumab + cCRTcCRT followed by Durvalumab

Eligibility Criteria

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

You may qualify if:

  • Age ≥ 18 years on the day of signing the informed consent form (or the legal age of consent in the jurisdiction in which the study is taking place).
  • Participant has histologically or cytologically confirmed, locally advanced, unresectable Stage III NSCLC (AJCC Cancer Staging Manual 2017, derived from IASLC) prior to initiation of cCRT.
  • Participant must have completed at least 2 cycles of platinum-based chemotherapy concurrent with radiotherapy
  • Participants must have not experienced PD following definitive, platinum-based cCRT.
  • Eastern Co-operative Oncology Group (ECOG) Performance Status of 0 or 1.
  • Participants must have adequate organ function
  • Agree to provide archival tissue (formalin-fixed paraffin-embedded block containing tumor \[preferred\] or approximately 6 to 15 freshly cut unstained slides) or fresh biopsy obtained prior to cCRT (if archival tissue is not available) for prospective central evaluation of PD-L1 levels and retrospective analysis of other biomarkers.

You may not qualify if:

  • Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, TIGIT, or any other antibody or drugs specifically targeting T-cell co-stimulation or checkpoint pathways.
  • Diagnosed with NSCLC that harbors an epidermal growth factor receptor (EGFR) sensitizing mutation, anaplastic lymphoma kinase (ALK) gene translocation, ROS1 gene translocation or RET gene rearrangement.
  • Participants who received systemic anticancer treatment besides the specified cCRT.
  • Any unresolved toxicity CTCAE \> Grade 2 from the prior cCRT.
  • Active autoimmune diseases or history of autoimmune diseases that may relapse.
  • Any condition that required systemic treatment with either corticosteroids (\> 10 mg daily of prednisone \[in Japan, prednisolone\] or equivalent) or other immunosuppressive medication ≤ 14 days before the first dose of study treatment.
  • Infection (including tuberculosis infection, etc) requiring systemic antibacterial, antifungal, or antiviral therapy within 14 days before the first dose of study treatment.
  • Note: Antiviral therapy is permitted for participants with chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (35)

XCancer/Centeral Care Center

Bolivar, Missouri, 65613, United States

Location

Southern Medical Day Care Centre

Wollongong, New South Wales, NSW 2500, Australia

Location

Townsville Hospital

Douglas, Queensland, 4814, Australia

Location

Lyell McEwin Hospital

Elizabeth Vale, South Australia, 5112, Australia

Location

Royal Hobart Hospital

Hobart, Tasmania, Australia

Location

Cabrini Hospital

Malvern, Victoria, 3144, Australia

Location

Gold Coast University Hospital

Gold Coast, 4215, Australia

Location

Hollywood Private Hospital

Perth, Australia

Location

Beijing Cancer Hospital

Beijing, Beijing Municipality, 100142, China

Location

Chongqing University Cancer Hospital

Chongqing, Chongqing Municipality, 400030, China

Location

Fujian Cancer Hospital

Fuzhou, Fujian, 350014, China

Location

Nanfang Hospital of Southern Medical University

Guangzhou, Guangdong, 510515, China

Location

The First Affiliated Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Location

Hunan Cancer Hospital - GCP Office

Changsha, Hunan, 410013, China

Location

Nanjing First Hospital

Nanjing, Jiangsu, 210009, China

Location

The First Affiliated Hospital of Soochow University Branch Shizi

Suzhou, Jiangsu, 215006, China

Location

The First Affiliated Hospital of Nanchang University Branch Donghu

Nanchang, Jiangxi, 330006, China

Location

Jilin Cancer Hospital

Changchun, Jilin, 130021, China

Location

The First Hospital of Jilin University

Changchun, Jilin, 130021, China

Location

General Hospital of Ningxia Medical University

Yinchuan, Ningxia, 750004, China

Location

Shandong Cancer Hospital and Institute, Shandong First Medical University

Jinan, Shandong, 250117, China

Location

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, 200000, China

Location

West China Hospital, Sichuan University

Chengdu, Sichuan, 610041, China

Location

Tianjin Medical University Cancer Institute & Hospital

Tianjin, Tianjin Municipality, 300060, China

Location

Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine

Hangzhou, Zhejiang, 310016, China

Location

Peking University Third Hospital

Beijing, China

Location

Changzhou Cancer Hospital

Changzhou, 213000, China

Location

Jieyang People'S Hospital (Jieyang Affiliated Hospital, Sun Yat-Sen University )

Jieyang, 522091, China

Location

Hospital Universitario Fundación Jiménez Díaz

Alcorcón, Madrid, 28040, Spain

Location

Instituto Oncologico Dr. Rosell

Barcelona, 08028, Spain

Location

Ico Girona

Girona, 17007, Spain

Location

Changhua Christian Hospital

Changhua, 50006, Taiwan

Location

Chung Shan Medical University Hospital

Taichung, 40201, Taiwan

Location

Taichung Veterans General Hospital

Taichung, Taiwan

Location

Taipei Veterans General Hospital

Taipei, 11217, Taiwan

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

tislelizumabdurvalumabDrug TherapyChemoradiotherapyRadiotherapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

TherapeuticsCombined Modality Therapy

Limitations and Caveats

Since no participants were enrolled under PA 2, no analyses of the primary or secondary endpoints were conducted. Participants enrolled under PA 1 were excluded from the primary and secondary analyses outlined for PA 2.

Results Point of Contact

Title
Study Director
Organization
BeiGene

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 28, 2020

First Posted

April 29, 2021

Study Start

June 17, 2021

Primary Completion

October 17, 2023

Study Completion

October 17, 2023

Last Updated

October 31, 2024

Results First Posted

October 31, 2024

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will share

Locations