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Advanced Solid TumorsPhase 1/2NCT03379259

Study of BGB-A333 Alone and in Combination With Tislelizumab in Advanced Solid Tumors

A Phase 1/2 study testing BGB-A333 and BGB-A317 in people with Advanced Solid Tumors, run by BeiGene at 8 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

BGB-A333 is a humanized IgG1-variant monoclonal antibody against programmed cell death 1-ligand 1 (PD-L1), the ligand of an immune check point- receptor, programmed cell death-1 (PD-1). BGB-A317 is a humanized, IgG4-variant monoclonal antibody against PD-1. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Solid Tumors
What is being tested?
BGB-A333 and BGB-A317
Could I receive a placebo?
No, everyone receives an active treatment
How many people
39 participants
Where
8 sitesin 3 countries
Study dates
27 Nov 2017to 8 Sep 2020
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically or cytologically confirmed advanced or metastatic disease (unresectable) that is resistant to standard therapy or for which treatment is not available, not tolerated or refused
  • Has Eastern Cooperative Oncology Group (ECOG) Performance Status ≤1
  • Has adequate organ function

Who cannot join

  • Active brain or leptomeningeal metastasis.
  • Active autoimmune diseases or history of autoimmune diseases that may relapse.
  • With severe chronic or active infections requiring systemic antibacterial, antifungal or antiviral therapy, including tuberculosis infection, etc. (antiviral therapy is permitted for participants with hepatocellular carcinoma)
  • Concurrent participation in another therapeutic clinical trial.
  • Received prior therapies targeting PD-1 or PD-L1.
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

8 sites in 3 countries.

8 sites in 3 countries

Australia4 sites
  • Monash Health

    Clayton, Victoria, 3168

  • Peter Maccallum Cancer Centre

    Melbourne, Victoria, 3000

  • Nucleus Network

    Melbourne, Victoria, 3004

  • Linear Clinical Research

    Nedlands, Western Australia, 6009

Other trials in Australia

Spain3 sites
  • Institut Catala Doncologia

    Barcelona, 08908

  • Start Madrid Fundacion Jimenez Diaz

    Madrid, 28040

  • Centro Integral Oncologico Clara Campal

    Madrid, 28050

Other trials in Spain

New Zealand1 site
  • Auckland City Hospital

    Auckland, 1023

Other trials in New Zealand

About this study

Official title: Phase 1-2 Study Investigating Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of Anti-PD-L1 Monoclonal Antibody BGB-A333 Alone and in Combination With Anti-PD-1 Monoclonal Antibody Tislelizumab in Patients With Advanced Solid Tumors

BGB-A333 is a humanized IgG1-variant monoclonal antibody against programmed cell death 1-ligand 1 (PD-L1), the ligand of an immune check point- receptor, programmed cell death-1 (PD-1). BGB-A317 is a humanized, IgG4-variant monoclonal antibody against PD-1. This study tested the safety and anti-tumor effect of BGB-A333 alone and in combination with BGB-A317 in participants with advanced solid tumors.

Being tested
BGB-A333, BGB-A317

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BGB-A333Drug

    Anti-PD-L1 antibody

  • BGB-A317Drug

    Also called Tislelizumab

    Anti-PD-1 antibodies

Study groups in NCT03379259
Study groupRoleWhat they receive
Phase 1A: BGB-A333 monotherapy dose escalationExperimentalNot described
Receives: Drug: BGB-A333
Phase 2A: BGB-A333 monotherapy dose expansionExperimentalNot described
Receives: Drug: BGB-A333
Phase 1B: BGB-A333 and BGB-A317 dose confirmationExperimentalNot described
Receives: Drug: BGB-A333; Drug: BGB-A317
Phase 2B: BGB-A333 and BGB-A317 dose expansionExperimentalNot described
Receives: Drug: BGB-A333; Drug: BGB-A317

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Phase 1 and Phase 2 : Number of Participants With Adverse Events and Serious Adverse Events

    Adverse events were assessed per the National Cancer Institute Common Terminology Criteria for Adverse Events NCI-CTCAE Version 4.03 Serious Adverse Events (SAEs) were monitored from the date of informed consent. All adverse events (AEs) and SAEs, were reported until either 30 days after the last dose of study drug or until initiation of a new anticancer therapy, whichever occurred first.

    Measured: Up to 33.5 months

  2. Phase 1 and Phase 2 : Number of Participants With Abnormalities During Physical Examinations - Ophthalmology Findings

    Complete physical examination including an evaluation of 1) head, eyes, ears, nose, throat, 2) cardiovascular, 3) dermatological, 4) musculoskeletal, 5) respiratory, 6) gastrointestinal, and 7) neurological systems was required to be performed at Screening. At subsequent visits (or as clinically indicated), limited, symptom-directed physical examinations were performed. Clinically significant Ophthalmology abnormalities were collected from case report forms. All AEs and SAEs, were reported until either 30 days after the last dose of study drug or until initiation of a new anticancer therapy, whichever occurred first.

    Measured: Up to 33.5 months

  3. Phase 1 and Phase 2 : Number of Participants With Abnormal Electrocardiograms (ECG)

    Central ECG data was used and the abnormality was determined by the evaluator (Investigating physician). Multiple tests such as QT, HR, PR, RR were used by the evaluator to determine abnormality. All AEs and SAEs, were reported until either 30 days after the last dose of study drug or until initiation of a new anticancer therapy, whichever occurred first.

    Measured: Up to 33.5 months

  4. Phase 1 and Phase 2 : Number of Participants With Abnormal Lab Assessment Results

    Lab abnormality was based on ANRIND: if the measurement value > upper limit of normal (ULN), it was considered Abnormal. All AEs and SAEs, were reported until either 30 days after the last dose of study drug or until initiation of a new anticancer therapy, whichever occurred first.

    Measured: Up to 33.5 months

  5. Phase 1 A: Recommended Phase 2 Dose (RP2D) for BGB-333

    RP2D for BGB-A333 alone and in combination with tislelizumab was the maximum tolerated dose (MTD) or less, which was determined by testing increasing doses up to 1800 mg.

    Measured: Up to 28 months

  6. Phase 2B: Overall Response Rate (ORR) Determined by Investigators Based on RECIST Version 1.1

    The ORR is defined as the percentage of participants who had confirmed Complete Response (CR) or Partial response (PR) assessed by investigator using RECIST version 1.1

    Measured: Up to 33.5 months

Secondary outcomes (10)
  1. Phase 1A and Phase 1B: Overall Response Rate (ORR) Determined by Investigators Based on RECIST Version 1.1

    ORR is defined as the percentage of participants who had confirmed CR or PR assessed by investigator using RECIST version 1.1.

    Measured: Up to 33.5 months

  2. Phase 2B: Duration of Response (DOR) Determined by Investigators Based on RECIST Version 1.1

    DOR was defined as the time from the first determination of an objective response per RECIST version 1.1, until the first documentation of progression or death, whichever occurs first. DOR was not evaluable in Phase 1A and Phase 1B.

    Measured: Up to 33.5 months

  3. Phase 1 and Phase 2: Disease Control Rate (DCR) Determined by Investigators Based on RECIST Version 1.1

    DCR is defined as the percentage of participants with best overall response of CR, PR and Stable Disease.

    Measured: Up to 33.5 months

  4. Phase 2B: Progression-free Survival (PFS) Determined by Investigators Based on RECIST Version 1.1

    PFS was defined as the time from the date of the first dose of study drug(s) to the date of the first documentation of disease progression assessed by investigator using RECIST v1.1 or death, whichever occurs first

    Measured: Up to 33.5 months

  5. Phase 1: Maximum Plasma Concentration (Cmax) of BGB-A333

    PK parameters were derived only for Phase 1A and Phase 1B. Phase 2B pharmacokinetic (PK) parameters were not estimated due to limited sampling.

    Measured: Cycle 1 Day 1 (Pre-dose, End of infusion, 6 hours), Day 2, Day 4, Day 8, Day 15 and Day 21

  6. Phase 1: Time to Cmax (Tmax) of BGB-A333

    PK parameters were derived only for Phase 1A and Phase 1B. Phase 2B PK parameters were not estimated due to limited sampling.

    Measured: Cycle 1 Day 1 (Pre-dose, End of infusion, 6 hours), Day 2, Day 4, Day 8, Day 15 and Day 21

  7. Phase 1:Trough Serum Concentration (Ctrough) of BGB-A333

    PK parameters were derived only for Phase 1A and Phase 1B. Phase 2B PK parameters were not estimated due to limited sampling.

    Measured: Cycle 1 Day 1 (Pre-dose, End of infusion, 6 hours), Day 2, Day 4, Day 8, Day 15 and Day 21

  8. Phase 1: Time to Last Observed Concentration (Tlast) of BGB-A333

    PK parameters were derived only for Phase 1A and Phase 1B. Phase 2B PK parameters were not estimated due to limited sampling. Actual observed time values for PK sampling, have an allowable time deviation (+/- 3 days) from the planned nominal time as pre-specified in the Visit Window section of the study protocol.

    Measured: Cycle 1 Day 1 (Pre-dose, End of infusion, 6 hours), Day 2, Day 4, Day 8, Day 15 and Day 21

  9. Phase 1: Area Under the Concentration-time Curve From 0 to 21 Days Post-dose (AUC 0-21day) of BGB-A333

    PK parameters were derived only for Phase 1A and Phase 1B. Phase 2B PK parameters were not estimated due to limited sampling.

    Measured: Cycle 1 Day 1 (Pre-dose, End of infusion, 6 hours), Day 2, Day 4, Day 8, Day 15 and Day 21

  10. Phase 1A and Phase 2: Number of Participants With Detectable Treatment-Emergent Anti-BGB-A333 Antibodies

    Treatment-emergent anti drug antibodies (ADA) was the sum of both treatment-induced ADA and treatment-boosted ADA, synonymous with "ADA Incidence."

    Measured: Up to 33.5 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Dec 2017
  2. Study start27 Nov 2017
  3. Primary completion8 Sep 2020
  4. Study completion8 Sep 2020

Why it stopped: Study Was Terminated Early

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
39 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03379259
Sponsor's protocol ID
BGB-900-101
Other IDs
2018-000265-37, 2018
Status last verified
Oct 2024
First submitted
11 Dec 2017
Last updated
26 Oct 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Desai J, Fong P, Moreno V, Frentzas S, Meniawy T, Markman B, Voskoboynik M, Rahman T, Budha N, Wu J, Marlow J, Yang S, Calvo E, Martin-Liberal J. A Phase 1/2 study of the PD-L1 inhibitor, BGB-A333, alone and in combination with the PD-1 inhibitor, tislelizumab, in patients with advanced solid tumours. Br J Cancer. 2023 Apr;128(8):1418-1428. doi: 10.1038/s41416-022-02128-3. Epub 2023 Feb 16.

    PubMed 36797356

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing BGB-A333 and BGB-A317 in people with Advanced Solid Tumors, run by BeiGene at 8 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 26 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Australia, Spain, New Zealand. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Nov 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1 and Phase 2 : Number of Participants With Adverse Events and Serious Adverse Events (time frame: Up to 33.5 months). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03379259, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2024.

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