Anti-PD-1 in Combination With Chemotherapy as First-Line Treatment to Lung Cancer

NCT ID: NCT03432598

Last Updated: 2024-10-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-08-24

Study Completion Date

2020-12-21

Brief Summary

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This is a Phase II, open-label, 4-cohort study of the monoclonal antibody BGB-A317 in combination with standard platinum-based chemotherapy in participants with advanced NSCLC or SCLC. The 4 cohorts will be enrolled concurrently including non-squamous NSCLC Cohort, squamous NSCLC Cohort A, squamous NSCLC Cohort B and SCLC Cohort. Participants with a mixed adenocarcinoma and squamous cell NSCLC will be allocated to one of the NSCLC cohorts based on the predominant histopathological profile. (e.g., participants with adenocarcinoma component accounting for \> 50% will be allocated to non-squamous NSCLC cohort.). Participants with squamous NSCLC will be sequentially enrolled into either of the 2 squamous NSCLC cohorts by the trial stage i.e. the sequence of the enrollment for the squamous NSCLC cohorts will be as Cohort A safety run-in Stage, followed by Cohort B safety run-in Stage, Cohort A dose-expansion stage and Cohort B dose-expansion Stage.

Detailed Description

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Conditions

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Locally Advanced Lung Cancer; Metastatic Lung Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Non-squamous NSCLC

Day 1 of each 21-day (3 weeks) cycle: Tislelizumab + pemetrexed + cisplatin 75 mg/m²/day IV (or carboplatin AUC 5).

Pemetrexed plus cisplatin (or carboplatin) should be given for up to 4 cycles.

Following either completion of or discontinuation from chemotherapy, tislelizumab will be continued as scheduled, if clinically appropriate. Pemetrexed maintenance after completion of doublet chemotherapy is permitted.

Group Type EXPERIMENTAL

Tislelizumab

Intervention Type DRUG

Administered 200 mg intravenously (IV) as specified in the treatment arm

Pemetrexed

Intervention Type DRUG

Administered 500 mg/m² IV as specified in the treatment arm

Cisplatin

Intervention Type DRUG

Administered 75 mg/m²/day IV as specified in the treatment arm

Carboplatin

Intervention Type DRUG

Administered AUC 5 as specified in the treatment arm

Squamous NSCLC Cohort A

Tislelizumab every 3 weeks (Q3W) + paclitaxel + cisplatin (or carboplatin), Q3W.

Paclitaxel plus cisplatin (or carboplatin) will be administered for 4-6 cycles.

Following either completion of or discontinuation from chemotherapy, tislelizumab will be continued as scheduled, if clinically appropriate.

Group Type EXPERIMENTAL

Tislelizumab

Intervention Type DRUG

Administered 200 mg intravenously (IV) as specified in the treatment arm

Paclitaxel

Intervention Type DRUG

Administered 175 mg/m² IV as specified in the treatment arm

Cisplatin

Intervention Type DRUG

Administered 75 mg/m²/day IV as specified in the treatment arm

Carboplatin

Intervention Type DRUG

Administered AUC 5 as specified in the treatment arm

Squamous NSCLC Cohort B

Tislelizumab Q3W on Day 1 + gemcitabine on Day 1 and Day 8 + cisplatin IV (or carboplatin) on Day 1.

Gemcitabine plus cisplatin (or carboplatin) will be administered for 4-6 cycles.

Following either completion of or discontinuation from chemotherapy, tislelizumab will be continued as scheduled, if clinically appropriate.

Group Type EXPERIMENTAL

Tislelizumab

Intervention Type DRUG

Administered 200 mg intravenously (IV) as specified in the treatment arm

Gemcitabine

Intervention Type DRUG

Administered 1250 mg/m² IV as specified in the treatment arm

Cisplatin

Intervention Type DRUG

Administered 75 mg/m²/day IV as specified in the treatment arm

Carboplatin

Intervention Type DRUG

Administered AUC 5 as specified in the treatment arm

SCLC

Tislelizumab Q3W on Day 1, etoposide on Days 1, 2, and 3 + cisplatin (or carboplatin) on Day 1.

Etoposide and cisplatin (or carboplatin) will be administered for 4-6 cycles.

Following either completion of or discontinuation from chemotherapy, tislelizumab will be continued as scheduled, if clinically appropriate.

Group Type EXPERIMENTAL

Etoposide

Intervention Type DRUG

Administered 100 mg/m2 IV as specified in the treatment arm

Cisplatin

Intervention Type DRUG

Administered 75 mg/m²/day IV as specified in the treatment arm

Carboplatin

Intervention Type DRUG

Administered AUC 5 as specified in the treatment arm

Interventions

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Tislelizumab

Administered 200 mg intravenously (IV) as specified in the treatment arm

Intervention Type DRUG

Paclitaxel

Administered 175 mg/m² IV as specified in the treatment arm

Intervention Type DRUG

Gemcitabine

Administered 1250 mg/m² IV as specified in the treatment arm

Intervention Type DRUG

Etoposide

Administered 100 mg/m2 IV as specified in the treatment arm

Intervention Type DRUG

Pemetrexed

Administered 500 mg/m² IV as specified in the treatment arm

Intervention Type DRUG

Cisplatin

Administered 75 mg/m²/day IV as specified in the treatment arm

Intervention Type DRUG

Carboplatin

Administered AUC 5 as specified in the treatment arm

Intervention Type DRUG

Other Intervention Names

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BGB-A317

Eligibility Criteria

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Inclusion Criteria

1. Male or female, aged 18-75 years on the day of signing informed consent.
2. Have histologically or cytologically confirmed locally advanced or metastatic non-squamous NSCLC, squamous NSCLC, or extensive-stage SCLC.

Note: Participants with mixed adenosquamous carcinoma may also be enrolled on a case-by-case basis after discussion with the medical monitors.
3. Have had no prior systemic therapy for advanced or metastatic disease. Prior neoadjuvant/adjuvant therapy or chemoradiation therapy with curative intent should have been completed at least 6 months prior to documentation of recurrence of disease.
4. Participants must be able to provide fresh or archival tumor tissues (formalin-fixed paraffin-embedded \[FFPE\] blocks or at least 10 unstained FFPE slides) with an associated pathological report.

Exclusion Criteria

1. Participants with a sensitizing mutation in EGFR gene or an ALK fusion oncogene (specifically for participants with non- squamous NSCLC). Participants with unknown mutation/fusion status of EGFR and/or ALK must take the respective test at the investigational sites (or other designated sites) prior to enrolment.
2. Prior malignancy active within the previous 2 years exceptions include the tumor under investigation in this trial, and locally recurring cancers that have undergone curative treatment, such as resected basal or squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the cervix or breast
3. Prior therapies targeting PD-1, PD-L1 or PD-L2
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BeiGene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jie Wang, MD

Role: PRINCIPAL_INVESTIGATOR

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Locations

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Cancer Hospital Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Site Status

Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Chest Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status

Jilin Cancer Hospital

Changchun, Jilin, China

Site Status

The First Hospital of Jilin University

Changchun, Jilin, China

Site Status

Countries

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China

References

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Wang Z, Zhao J, Ma Z, Cui J, Shu Y, Liu Z, Cheng Y, Leaw SJ, Wu Y, Ma Y, Tan W, Ma X, Zhang Y, Wang J. A Phase 2 Study of Tislelizumab in Combination With Platinum-Based Chemotherapy as First-line Treatment for Advanced Lung Cancer in Chinese Patients. Lung Cancer. 2020 Sep;147:259-268. doi: 10.1016/j.lungcan.2020.06.007. Epub 2020 Jun 20.

Reference Type BACKGROUND
PMID: 32769013 (View on PubMed)

Other Identifiers

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CTR20170361

Identifier Type: REGISTRY

Identifier Source: secondary_id

BGB-A317-206

Identifier Type: -

Identifier Source: org_study_id

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