Trial Outcomes & Findings for Preliminary Antitumor Activity, Safety and Tolerability of Tislelizumab in Combination With Lenvatinib for Hepatocellular Carcinoma (NCT NCT04401800)

NCT ID: NCT04401800

Last Updated: 2025-03-10

Results Overview

ORR was defined as the percentage of participants achieving the best overall response (BOR) of complete response (CR) or partial response (PR). The 95% confidence interval (CI) was estimated using the Clopper-Pearson method. Per Response evaluation criteria in solid tumors (RECIST) version (v)1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

64 participants

Primary outcome timeframe

Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months

Results posted on

2025-03-10

Participant Flow

The study was conducted at 9 study sites in China.

The study consisted of two parts: Part 1 (Safety run-in part) and Part 2 (Extension part). Results were planned to be reported and analyzed combined for Part 1 (safety-run) and Part 2 of the study as all participants received the same treatment.

Participant milestones

Participant milestones
Measure
Lenvatinib With Tislelizumab
Participants received lenvatinib based on baseline weight (12 milligrams \[mg\] or 8 mg once daily for participants with a baseline weight of \>= 60 kilograms \[kg\] or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Overall Study
STARTED
64
Overall Study
COMPLETED
38
Overall Study
NOT COMPLETED
26

Reasons for withdrawal

Reasons for withdrawal
Measure
Lenvatinib With Tislelizumab
Participants received lenvatinib based on baseline weight (12 milligrams \[mg\] or 8 mg once daily for participants with a baseline weight of \>= 60 kilograms \[kg\] or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Overall Study
Death
17
Overall Study
Lost to Follow-up
5
Overall Study
Withdrawal by Subject
4

Baseline Characteristics

Preliminary Antitumor Activity, Safety and Tolerability of Tislelizumab in Combination With Lenvatinib for Hepatocellular Carcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lenvatinib With Tislelizumab
n=64 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Age, Continuous
51.1 years
STANDARD_DEVIATION 11.24 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
53 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
64 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
64 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF) which included all dosed participants with measurable disease at baseline per RECIST v1.1 and who had at least one evaluable post-baseline tumor assessment unless treatment was discontinued due to clinical disease progression or death before the first post-treatment tumor assessment.

ORR was defined as the percentage of participants achieving the best overall response (BOR) of complete response (CR) or partial response (PR). The 95% confidence interval (CI) was estimated using the Clopper-Pearson method. Per Response evaluation criteria in solid tumors (RECIST) version (v)1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Overall Response Rate (ORR) as Assessed by Central Imaging Facility Based on RECIST v1.1
38.7 percentage of participants
Interval 26.6 to 51.9

SECONDARY outcome

Timeframe: From the date of the first dose of study drug up to 30 days after last dose of study drug (maximum time on treatment was 12 months)

Population: Analysis was performed on safety analysis set which included all participants who received at least 1 dose of any study drug (any component for the combination therapy).

A TEAE was defined as adverse event (AE) that had an onset date or a worsening in severity from baseline (pre-treatment) on or after the first dose of study drug(s) and up to 30 days following study drug(s) discontinuation or initiation of new anticancer therapy, whichever occurs first determined according to National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0. SAE: any untoward medical occurrence at any dose: resulted in death; was life threatening; required prolong inpatient hospitalization; resulted in persistent or significant disability/incapacity; resulted in a congenital anomaly/birth defect or was considered a significant medical event by the investigator.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=64 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and TEAEs Leading to Treatment Discontinuation and Modification
TEAE
64 Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and TEAEs Leading to Treatment Discontinuation and Modification
TESAE
11 Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and TEAEs Leading to Treatment Discontinuation and Modification
TEAE leading to treatment discontinuation
4 Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and TEAEs Leading to Treatment Discontinuation and Modification
TEAE leading to dose modification
37 Participants

SECONDARY outcome

Timeframe: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; i.e., up to 27 months

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF).

ORR was defined as the percentage of participants achieving the BOR of CR or PR. The 95% CI was estimated using the Clopper-Pearson method. Per RECIST v1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Objective Response Rate (ORR) as Assessed by the Investigator Based on RECIST v1.1
41.9 percentage of participants
Interval 29.5 to 55.2

SECONDARY outcome

Timeframe: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF).

ORR was defined as the percentage of participants achieving the BOR of CR or PR. The 95% CI was estimated using the Clopper-Pearson method. Per modified RECIST (mRECIST), CR was defined as the disappearance of any intratumoral arterial enhancement in all target lesions. PR: at least a 30% decrease in the sum of diameters of viable (contrast enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Objective Response Rate (ORR) as Assessed by the Investigator and Central Site Imaging Facility Based on Modified Response Evaluation Criteria in Solid Tumors (mRECIST)
By investigator
46.8 percentage of participants
Interval 34.0 to 59.9
Objective Response Rate (ORR) as Assessed by the Investigator and Central Site Imaging Facility Based on Modified Response Evaluation Criteria in Solid Tumors (mRECIST)
By Central Site Imaging Facility
46.8 percentage of participants
Interval 34.0 to 59.9

SECONDARY outcome

Timeframe: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF).

ORR was defined as the percentage of participants achieving the BOR of immune complete response (iCR) or partial response (iPR). The 95% CI was estimated using the Clopper-Pearson method. Per iRECIST, iCR was defined as disappearance of all target and non-target lesions and any pathological lymph nodes must be \<10 mm in the short axis. iPR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters. iRECIST is a modification to RECIST that considers unique patterns of atypical response in immunotherapy and enables treatment beyond initial radiographic progression.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Objective Response Rate (ORR) as Assessed by the Investigator and Central Site Imaging Facility Based on Immune Related Response Evaluation Criteria in Solid Tumors (iRECIST)
By investigator
43.5 percentage of participants
Interval 31.0 to 56.7
Objective Response Rate (ORR) as Assessed by the Investigator and Central Site Imaging Facility Based on Immune Related Response Evaluation Criteria in Solid Tumors (iRECIST)
By Central Site Imaging Facility
38.7 percentage of participants
Interval 26.6 to 51.9

SECONDARY outcome

Timeframe: From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF) on the subset of participants with a response.

DOR was defined as the time interval between the date of the earliest qualifying response (CR or PR) and the date of PD or death (whichever occurred earlier). DOR was estimated using the Kaplan-Meier method. Per RECIST v1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=26 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Duration of Response (DOR) As Assessed by The Investigator Based on RECIST v1.1
NA months
Median and 95% Confidence Interval (CI) could not be calculated due to low number of participants with events.

SECONDARY outcome

Timeframe: From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF) on the subset of participants with a response.

DOR was defined as the time interval between the date of the earliest qualifying response (CR or PR) and the date of PD or death (whichever occurred earlier). DOR was estimated using the Kaplan-Meier method. Per RECIST v1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=24 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Duration of Response (DOR) As Assessed by The Central Site Imaging Facility Based on RECIST v1.1
NA months
Median and 95% CI could not be calculated due to low number of participants with events.

SECONDARY outcome

Timeframe: From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF) on the subset of participants with a response.

DOR was defined as the time interval between the date of the earliest qualifying response (CR or PR) and the date of PD or death (whichever occurs earlier). DOR was estimated using the Kaplan-Meier method. Per mRECIST, CR was defined as the disappearance of any intratumoral arterial enhancement in all target lesions. PR: at least a 30% decrease in the sum of diameters of viable (contrast enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions. PD: an increase of at least 20% in the sum of the diameters of viable (enhancing) target lesions, taking as reference the smallest sum of the diameters of viable (enhancing) target lesions recorded since the treatment started.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=29 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Duration of Response (DOR) As Assessed by The Investigator Based on mRECIST
9.7 months
Interval 5.6 to
Upper limit of 95% CI could not be calculated due to low number of participants with events.

SECONDARY outcome

Timeframe: From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF) on the subset of participants with a response.

DOR was defined as the time interval between the date of the earliest qualifying response (CR or PR) and the date of PD or death (whichever occurs earlier). DOR was estimated using the Kaplan-Meier method. Per mRECIST, CR was defined as the disappearance of any intratumoral arterial enhancement in all target lesions. PR: at least a 30% decrease in the sum of diameters of viable (contrast enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions. PD: an increase of at least 20% in the sum of the diameters of viable (enhancing) target lesions, taking as reference the smallest sum of the diameters of viable (enhancing) target lesions recorded since the treatment started.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=29 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Duration of Response (DOR) As Assessed by the Central Site Imaging Facility Based on mRECIST
NA months
Median and 95% CI could not be calculated due to low number of participants with events.

SECONDARY outcome

Timeframe: From the date of earliest response to the date of first documentation of disease progression or death, whichever occurred first (up to 35 months)

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF) on the subset of participants with a response.

DOR was defined as the time interval between the date of the earliest qualifying response (iCR or iPR) and the date of confirmed progressive disease (iCPD) or death (whichever occurs earlier). DOR was estimated using the Kaplan-Meier method. Per iRECIST, iCR was defined as disappearance of all target and non-target lesions and any pathological lymph nodes must be \<10 mm in the short axis. iPR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters. PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. iRECIST is a modification to RECIST that considers unique patterns of atypical response in immunotherapy and enables treatment beyond initial radiographic progression.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=27 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Duration of Response (DOR) As Assessed by The Investigator Based on iRECIST
NA months
Interval 9.7 to
Median and Upper limit of 95% CI could not be calculated due to low number of participants with events.

SECONDARY outcome

Timeframe: From the date of earliest response to the date of first documentation of disease progression or death, whichever occurs first (up to 35 months)

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF) on the subset of participants with a response.

DOR was defined as the time interval between the date of the earliest qualifying response (iCR or iPR) and the date of confirmed progressive disease (iCPD) or death (whichever occurs earlier). DOR was estimated using the Kaplan-Meier method. Per iRECIST, iCR was defined as disappearance of all target and non-target lesions and any pathological lymph nodes must be \<10 mm in the short axis. iPR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters. PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. iRECIST is a modification to RECIST that considers unique patterns of atypical response in immunotherapy and enables treatment beyond initial radiographic progression.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=24 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Duration of Response (DOR) As Assessed by The Central Site Imaging Facility Based on iRECIST
NA months
Median and 95% CI could not be calculated due to low number of participants with events.

SECONDARY outcome

Timeframe: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF).

DCR was defined as the percentage of participants with BOR of CR, PR or SD. Participants without post-baseline tumor assessment were considered as failure in DCR. The 95% CI was estimated using the Clopper-Pearson method. Per RECIST v1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Disease Control Rate (DCR) As Assessed by The Investigator and Central Site Imaging Facility Based on RECIST v1.1
By investigator
85.5 percentage of participants
Interval 74.2 to 93.1
Disease Control Rate (DCR) As Assessed by The Investigator and Central Site Imaging Facility Based on RECIST v1.1
By Central Site Imaging Facility
90.3 percentage of participants
Interval 80.1 to 96.4

SECONDARY outcome

Timeframe: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF).

DCR was defined as the percentage of participants with BOR of CR, PR or SD. Participants without post-baseline tumor assessment were considered as failure in DCR. The 95% CI was estimated using the Clopper-Pearson method. Per mRECIST, CR was defined as the disappearance of any intratumoral arterial enhancement in all target lesions. PR: at least a 30% decrease in the sum of diameters of viable (contrast enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions. Stable disease (SD): any cases that do not qualify for either partial response or progressive disease.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Disease Control Rate (DCR) As Assessed by The Investigator and Central Site Imaging Facility Based on mRECIST
By investigator
85.5 percentage of participants
Interval 74.2 to 93.1
Disease Control Rate (DCR) As Assessed by The Investigator and Central Site Imaging Facility Based on mRECIST
By Central Site Imaging Facility
90.3 percentage of participants
Interval 80.1 to 96.4

SECONDARY outcome

Timeframe: Response was assessed every 6 weeks for the first year and approximately every 9 weeks thereafter through December 2022; up to 27 months

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF).

DCR was defined as the percentage of participants with BOR of iCR, iPR or immune stable disease (iSD). Participants without post-baseline tumor assessment were considered a failure in DCR. The 95% CI was estimated using the Clopper-Pearson method. Per iRECIST, iCR was defined as disappearance of all target and non-target lesions and any pathological lymph nodes must be \<10 mm in the short axis. iPR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters. iSD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. iRECIST is a modification to RECIST that considers unique patterns of atypical response in immunotherapy and enables treatment beyond initial radiographic progression.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Disease Control Rate (DCR) As Assessed by The Investigator and Central Site Imaging Facility Based on iRECIST
By investigator
88.7 percentage of participants
Interval 78.1 to 95.3
Disease Control Rate (DCR) As Assessed by The Investigator and Central Site Imaging Facility Based on iRECIST
By Central Site Imaging Facility
90.3 percentage of participants
Interval 80.1 to 96.4

SECONDARY outcome

Timeframe: From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF).

PFS was defined as the time from the date of the first dose of study drug(s) to the date of the confirmed documentation of PD or death, whichever occurred first. PFS was estimated using the Kaplan-Meier method. Per RECIST v1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Progression Free Survival (PFS) As Assessed by The Investigator Based on RECIST v1.1
9.6 months
Interval 5.3 to
Upper limit of 95% CI could not be calculated due to low number of participants with PFS events.

SECONDARY outcome

Timeframe: From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF).

PFS was defined as the time from the date of the first dose of study drug(s) to the date of the confirmed documentation of PD or death, whichever occurred first. PFS was estimated using the Kaplan-Meier method. Per RECIST v1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Progression Free Survival (PFS) As Assessed by The Central Site Imaging Facility Based on RECIST v1.1
8.2 months
Interval 6.8 to
Upper limit of 95% CI could not be calculated due to low number of participants with PFS events.

SECONDARY outcome

Timeframe: From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF).

PFS was defined as the time from the date of the first dose of study drug(s) to the date of the confirmed documentation of PD or death, whichever occurs first. PFS was estimated using the Kaplan-Meier method. Per mRECIST, PD was defined as an increase of at least 20% in the sum of the diameters of viable (enhancing) target lesions, taking as reference the smallest sum of the diameters of viable (enhancing) target lesions recorded since the treatment started.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Progression Free Survival (PFS) As Assessed by The Investigator Based on mRECIST
6.9 months
Interval 4.2 to 9.6

SECONDARY outcome

Timeframe: From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF).

PFS was defined as the time from the date of the first dose of study drug(s) to the date of the confirmed documentation of PD or death, whichever occurs first. PFS was estimated using the Kaplan-Meier method. Per mRECIST, PD was defined as an increase of at least 20% in the sum of the diameters of viable (enhancing) target lesions, taking as reference the smallest sum of the diameters of viable (enhancing) target lesions recorded since the treatment started.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Progression Free Survival (PFS) As Assessed by The Central Site Imaging Facility Based on mRECIST
8.3 months
Interval 6.7 to
Upper limit of 95% CI could not be calculated due to low number of participants with PFS events.

SECONDARY outcome

Timeframe: From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF).

PFS was defined as the time from the date of the first dose of study drug(s) to the date of the confirmed documentation of progressive disease (iCPD) or death, whichever occurs first. PFS was estimated using the Kaplan-Meier method. Per iRECIST v1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. iRECIST is a modification to RECIST that considers unique patterns of atypical response in immunotherapy and enables treatment beyond initial radiographic progression.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Progression Free Survival (PFS) As Assessed by The Investigator Based on iRECIST
11.1 months
Interval 6.8 to
Upper limit of 95% CI could not be calculated due to low number of participants with PFS events.

SECONDARY outcome

Timeframe: From date of first dose of study drug until the date of first documented progression or date of death from any cause, whichever came first (up to 35 months)

Population: Analysis was performed on Efficacy-Evaluable Analysis Set (EFF).

PFS was defined as the time from the date of the first dose of study drug(s) to the date of the confirmed documentation of progressive disease (iCPD) or death, whichever occurs first. PFS was estimated using the Kaplan-Meier method. Per iRECIST v1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. iRECIST is a modification to RECIST that considers unique patterns of atypical response in immunotherapy and enables treatment beyond initial radiographic progression.

Outcome measures

Outcome measures
Measure
Lenvatinib With Tislelizumab
n=62 Participants
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Progression Free Survival (PFS) As Assessed by The Central Site Imaging Facility Based on iRECIST
8.2 months
Interval 6.8 to
Upper limit of 95% CI could not be calculated due to low number of participants with PFS events.

Adverse Events

Tislelizumab + Lenvatinib

Serious events: 11 serious events
Other events: 63 other events
Deaths: 17 deaths

Serious adverse events

Serious adverse events
Measure
Tislelizumab + Lenvatinib
n=64 participants at risk
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Eye disorders
Retinal detachment
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Duodenal ulcer perforation
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Gastrointestinal haemorrhage
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Immune-mediated enterocolitis
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Pancreatitis
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Pancreatitis acute
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Small intestinal haemorrhage
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
General disorders
Death
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Hepatobiliary disorders
Hepatic function abnormal
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Infections and infestations
Abdominal infection
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Nervous system disorders
Dizziness
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Nervous system disorders
Hepatic encephalopathy
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Nervous system disorders
Paraplegia
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Renal and urinary disorders
Ureterolithiasis
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
1.6%
1/64 • Number of events 1 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.

Other adverse events

Other adverse events
Measure
Tislelizumab + Lenvatinib
n=64 participants at risk
Participants received lenvatinib based on baseline weight (12 mg or 8 mg once daily for participants with a baseline weight of \>= 60 kg or \< 60 kg, respectively) along with tislelizumab 200 mg on Day 1 of each 21-day cycle (once every 3 weeks) until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Blood and lymphatic system disorders
Anaemia
4.7%
3/64 • Number of events 4 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Blood and lymphatic system disorders
Leukopenia
4.7%
3/64 • Number of events 7 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Blood and lymphatic system disorders
Thrombocytopenia
4.7%
3/64 • Number of events 4 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Cardiac disorders
Sinus bradycardia
4.7%
3/64 • Number of events 5 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Endocrine disorders
Hyperthyroidism
4.7%
3/64 • Number of events 3 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Endocrine disorders
Hypothyroidism
31.2%
20/64 • Number of events 20 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Endocrine disorders
Thyroid disorder
6.2%
4/64 • Number of events 4 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Endocrine disorders
Thyroid mass
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Abdominal pain
9.4%
6/64 • Number of events 6 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Abdominal pain lower
3.1%
2/64 • Number of events 3 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Abdominal pain upper
3.1%
2/64 • Number of events 3 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Ascites
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Diarrhoea
17.2%
11/64 • Number of events 18 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Gastrooesophageal reflux disease
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Gingival swelling
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Stomatitis
6.2%
4/64 • Number of events 4 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Gastrointestinal disorders
Toothache
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
General disorders
Fatigue
9.4%
6/64 • Number of events 8 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
General disorders
Pyrexia
6.2%
4/64 • Number of events 7 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Hepatobiliary disorders
Hepatic function abnormal
7.8%
5/64 • Number of events 7 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Infections and infestations
Pharyngitis
4.7%
3/64 • Number of events 3 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Infections and infestations
Pneumonia
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Infections and infestations
Upper respiratory tract infection
4.7%
3/64 • Number of events 3 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Infections and infestations
Urinary tract infection
7.8%
5/64 • Number of events 5 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Alanine aminotransferase increased
12.5%
8/64 • Number of events 9 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Amylase increased
17.2%
11/64 • Number of events 15 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Aspartate aminotransferase increased
34.4%
22/64 • Number of events 25 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Bilirubin conjugated increased
4.7%
3/64 • Number of events 4 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Blood alkaline phosphatase increased
12.5%
8/64 • Number of events 9 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Blood bilirubin increased
18.8%
12/64 • Number of events 20 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Blood chloride decreased
4.7%
3/64 • Number of events 3 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Blood creatine phosphokinase MB increased
15.6%
10/64 • Number of events 20 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Blood creatine phosphokinase increased
12.5%
8/64 • Number of events 12 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Blood creatinine increased
3.1%
2/64 • Number of events 3 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Blood lactate dehydrogenase increased
17.2%
11/64 • Number of events 14 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Blood thyroid stimulating hormone increased
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
C-reactive protein increased
7.8%
5/64 • Number of events 11 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Electrocardiogram ST segment abnormal
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Electrocardiogram ST-T change
4.7%
3/64 • Number of events 3 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Electrocardiogram T wave abnormal
6.2%
4/64 • Number of events 4 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Gamma-glutamyltransferase increased
10.9%
7/64 • Number of events 7 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Glomerular filtration rate decreased
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Lipase increased
18.8%
12/64 • Number of events 14 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Lymphocyte count decreased
6.2%
4/64 • Number of events 4 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Neutrophil count decreased
9.4%
6/64 • Number of events 11 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Platelet count decreased
26.6%
17/64 • Number of events 28 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Prealbumin decreased
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Thyroid function test abnormal
4.7%
3/64 • Number of events 4 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Total bile acids increased
6.2%
4/64 • Number of events 8 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Urinary occult blood positive
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
Weight decreased
31.2%
20/64 • Number of events 24 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Investigations
White blood cell count decreased
12.5%
8/64 • Number of events 14 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Metabolism and nutrition disorders
Decreased appetite
7.8%
5/64 • Number of events 5 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Metabolism and nutrition disorders
Hyperkalaemia
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Metabolism and nutrition disorders
Hyperuricaemia
4.7%
3/64 • Number of events 6 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Metabolism and nutrition disorders
Hypoalbuminaemia
6.2%
4/64 • Number of events 7 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Metabolism and nutrition disorders
Hyponatraemia
6.2%
4/64 • Number of events 4 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Musculoskeletal and connective tissue disorders
Back pain
6.2%
4/64 • Number of events 5 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Musculoskeletal and connective tissue disorders
Myalgia
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Musculoskeletal and connective tissue disorders
Myositis
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Nervous system disorders
Headache
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Psychiatric disorders
Insomnia
3.1%
2/64 • Number of events 2 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Renal and urinary disorders
Haematuria
10.9%
7/64 • Number of events 15 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Renal and urinary disorders
Proteinuria
45.3%
29/64 • Number of events 60 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Respiratory, thoracic and mediastinal disorders
Dysphonia
10.9%
7/64 • Number of events 8 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Respiratory, thoracic and mediastinal disorders
Haemoptysis
3.1%
2/64 • Number of events 3 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysaesthesia syndrome
20.3%
13/64 • Number of events 13 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Skin and subcutaneous tissue disorders
Pruritus
6.2%
4/64 • Number of events 5 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Skin and subcutaneous tissue disorders
Rash
12.5%
8/64 • Number of events 9 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.
Vascular disorders
Hypertension
35.9%
23/64 • Number of events 31 • All-cause mortality data were collected through the end of the study, up to 35 months. Adverse events were collected from first dose up to 30 days after last dose; maximum time on treatment was 12 months
Analysis was performed on safety analysis set.

Additional Information

Study Director

BeiGene

Phone: +1-877-828-5568

Results disclosure agreements

  • Principal investigator is a sponsor employee BeiGene has 18 months from the end of the study at all sites to publish overall study results. After the 1st multi-site publication or the expiration of publication period, Investigators are free to publish/present the results of the study. Investigators must submit all draft publications/presentations to us for review 60 days prior to the planned publication/presentation date. BeiGene may request deletion of its confidential information \& may request a further delay to protect its IP rights.
  • Publication restrictions are in place

Restriction type: OTHER