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Hepatocellular Carcinoma (HCC)Phase 3NCT03412773

A Study of Tislelizumab Versus Sorafenib in Participants With Unresectable Hepatocellular Carcinoma (HCC)

A Phase 3 study testing Tislelizumab and Sorafenib in people with Hepatocellular Carcinoma (HCC), run by BeiGene at 122 sites in 11 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

This Phase 3 study was a global, multicenter trial that randomly assigned participants to either tislelizumab or sorafenib as a first-line treatment for adults with advanced liver cancer (hepatocellular carcinoma) that could not be surgically removed. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hepatocellular Carcinoma (HCC)
What is being tested?
Tislelizumab and Sorafenib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
684 participants
Where
122 sitesin 11 countries
Study dates
18 Dec 2017to 14 Dec 2023
Phase
Phase 3

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

Safety Run-In Sub-study Eligibility Criteria: The study included adult Japanese participants (≥ 20 years) with histologically confirmed hepatocellular carcinoma (HCC) at Barcelona Clinic Liver Cancer (BCLC) Stage C or B. Eligible participants had either received, were ineligible for, or declined standard treatment. Additional requirements were a Child-Pugh A classification within 7 days before enrollment, at least one measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, and an Eastern Cooperative Oncology Group (ECOG) Performance Status score of ≤ 1.

Main Study Key Inclusion Criteria:

  1. Histologically confirmed diagnosis of HCC
  2. Barcelona Clinic Liver Cancer (BCLC) Stage B or C disease not amenable to or progressing after loco-regional therapy and not amenable to a curative treatment approach
  3. No prior systemic therapy for HCC (with the exception of HCC participants enrolled in the safety run-in substudy [Japan only])
  4. Measurable disease
  5. Child-Pugh score A
  6. Easter Cooperative Oncology Group (ECOG) Performance Status ≤ 1
  7. Adequate organ function

Main Study Key Exclusion Criteria:

  1. Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC histology
  2. Tumor thrombus involving main trunk of portal vein or inferior vena cava
  3. Loco-regional therapy to the liver within 28 days before randomization
  4. Clinical evidence of portal hypertension with bleeding esophageal or gastric varices at Screening, or within 6 months before randomization
  5. Bleeding or thrombotic disorder or any prescribed anticoagulant requiring therapeutic international normalized ratio monitoring (eg, warfarin or similar agents) at Screening, or within 6 months before randomization/enrollment
  6. Presence at Screening of active immune deficiency or autoimmune disease and/or prior history of any immune deficiency or autoimmune disease that may relapse
  7. Participant with any condition requiring systemic treatment with either corticosteroids (> 10 mg daily of prednisone or equivalent) or other immunosuppressive medication within 14 days before randomization
  8. History of interstitial lung disease or non-infectious pneumonitis, unless induced by radiation therapy
  9. QT interval corrected for heart rate (QTc) (corrected by Fridericia's method) > 450 msec at Screening

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

122 sites in 11 countries.

122 sites in 11 countries

China37 sites
  • Cancer Hospital Chinese Academy of Medical Sciences

    Beijing, Beijing Municipality, 100021

  • Military Hospital of China

    Beijing, Beijing Municipality, 100039

  • Beijing Youan Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100069

  • Beijing Cancer Hospital

    Beijing, Beijing Municipality, 100142

  • Peking Union Medical College Hospital

    Beijing, Beijing Municipality, 100730

  • Chinese Pla General Hospital

    Beijing, Beijing Municipality, 100853

  • The First Affiliated Hospital of Bengbu Medical College

    Bengbu, Anhui, 233004

  • Jilin Province Peoples Hospital

    Changchun, Jilin, 130021

  • The First Hospital of Jilin University

    Changchun, Jilin, 130021

  • The First Affiliated Hospital of Chongqing Medical University

    Chongqing, Chongqing Municipality, 630014

  • Fujian Medical University Union Hospital

    Fuzhou, Fujian, 350001

  • Fujian Cancer Hospital

    Fuzhou, Fujian, 350014

  • Sun Yat Sen Memorial Hospital, Sun Yat Sen University (North)

    Guangzhou, Guangdong, 510000

  • Guangdong Provincial Peoples Hospital

    Guangzhou, Guangdong, 510080

  • The First Affiliated Hospital, Sun Yat Sen University

    Guangzhou, Guangdong, 510080

  • Nanfang Hospital of Southern Medical University

    Guangzhou, Guangdong, 510515

  • The First Affiliated Hospital, Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310003

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

    Hangzhou, Zhejiang, 310016

  • Zhejiang Cancer Hospital

    Hangzhou, Zhejiang, 310022

  • Harbin Medical University Cancer Hospital

    Harbin, Heilongjiang, 150000

  • Anhui Provincial Hospital

    Hefei, Anhui, 230000

  • The First Affiliated Hospital of Anhui Medical University

    Hefei, Anhui, 230000

  • The Second Hospital of Anhui Medical University

    Hefei, Anhui, 230601

  • The Second Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi, 330006

  • General Hospital of Eastern Theater Command

    Nanjing, Jiangsu, 210002

  • Jiangsu Province Cancer Hospital

    Nanjing, Jiangsu, 210008

  • The Affiliated Hospital of Qingdao University Branch Laoshan

    Qingdao, Shandong, 266000

  • Fudan University Shanghai Cancer Center

    Shanghai, Shanghai Municipality, 200000

  • Affiliated Zhongshan Hospital of Fudan University

    Shanghai, Shanghai Municipality, 200032

  • The First Affiliated Hospital of Soochow University

    Suzhou, Jiangsu, 215006

  • Tianjin Medical University Cancer Institute and Hospital

    Tianjin, Tianjin Municipality, 300060

  • Weifang Peoples Hospital

    Weifang, Shandong, 261000

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

    Wuhan, Hubei, 430022

  • Zhongnan Hospital of Wuhan University Wuhan

    Wuhan, Hubei, 430071

  • Hubei Cancer Hospital

    Wuhan, Hubei, 430079

  • The First Affiliated Hospital of Xian Jiaotong University

    Xi'an, Shaanxi, 710061

  • Henan Cancer Hospital

    Zhengzhou, Henan, 450000

Other trials in China

Japan26 sites
  • Sasaki Foundation Kyoundo Hospital Hepatology

    Bunkyoku, Tokyo, 1138655

  • Chiba University Hospital Gastroenterological Medicine

    Chiba, 260-8677

  • National Hospital Organization Kyushu Medical Center

    Fukuokacity, Fukuoka, 810-8563

  • Nihon University Itabashi Hospital Gastroenterological Surgery

    Itabashiku, Tokyo, 173-8610

  • Kanazawa University Hospital

    Kanazawa, Ishikawa-ken, 920-8641

  • Kumamoto University Hospital

    Kumamoto, 860-8556

  • University Hospital, Kyoto Prefectural Univ of Medicine

    Kyoto, 602-8566

  • Ehime Prefectural Central Hospital Gastroenterologic Medicine

    Matsuyama, Ehime, 790-0024

  • Hyogo Medical University Hospital

    Nishinomiyashi, Hyōgo, 663-8501

  • Ogaki Municipal Hospital Gastroenterological Medicine

    Ōgaki, Gifu, 503-8502

  • National Hospital Organization Nagasaki Medical Center Gastroenterology

    Ōmura, Nagasaki, 856-8562

  • Osaka City General Hospital

    Osaka, 534-0021

  • Osaka Metropolitan University Hospital

    Osaka, 545-8586

  • Nho Osaka National Hospital

    Osakashi, Osaka, 540-0006

  • Osaka International Cancer Institute

    Osakashi, Osaka, 541-8567

  • Hokkaido University Hospital

    Sapporo, Hokkaido, 060-8648

  • Kindai University Hospital

    Sayama, Osaka, 589-8511

  • Japanese Red Cross Medical Center Gastroenterology

    Shibuyaku, Tokyo, 150-8935

  • Center Hospital of the National Center For Global Health and Medicine

    Shinjukuku, Tokyo, 162-8655

  • Osaka University Hospital

    Suitashi, Osaka, 565-0871

  • Tottori University Hospital Multidisciplinary Internal Medicine

    Tottori, 683-8504

  • Fujita Health University Hospital

    Toyoake, Aichi-ken, 470-1192

  • Wakayama Medical University

    Wakayama, Wakayama, 641-8510

  • Iwate Medical University Hospital

    Yahabacho Shiwagun, Iwate, 028-3695

  • Yokohama City University Medical Center Gastroenterological Center

    Yokohama, Kanagawa, 232-0024

  • Kanagawa Cancer Center

    Yokohama, Kanagawa, 241-8515

Other trials in Japan

France13 sites
  • Chu Caen Normandie

    Caen, 14033

  • Hopital Beaujon

    Clichy, 92210

  • Chu Besancon Hopital Jean Minjoz

    Doubs, 25030

  • Chu de Grenoble Oncology

    Grenoble, 38043

  • Chru de Lille Hopital Claude Huriez Hepato Gastro Enterologie

    Lille, 59037

  • Chu Montpellier Hopital Saint Eloi

    Montpellier, 34295

  • Centre Hospitalier Universitaire Nantes Hotel Dieu

    Nantes, 44093

  • Hopital Larchet Chu Nice

    Nice, 6200

  • Chu de Poitiers Site de La Mileterie

    Poitiers, 86000

  • Hopital Robert Debre

    Reims, 51056

  • Chu Saint Etienne Hopital Nord

    Saint-Priest-en-Jarez, 42270

  • Hopital Paul Brousse Aphp

    Villejuif, 94800

  • Institut Gustave Roussy

    Villejuif, 94805

Other trials in France

United States9 sites
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Xcancerdayton Physician Network

    Dayton, Ohio, 45409

  • Providence Medical Foundation

    Fullerton, California, 92835

  • Rj Zuckerberg Cancer Center

    Lake Success, New York, 11042

  • UCLA Hematologyoncology

    Los Angeles, California, 90095

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

  • Umdnj Njms

    Newark, New Jersey, 07840

  • Chao Family Comprehensive Cancer Center

    Orange, California, 92868

  • Ut Health San Antonio Mays Cancer Center

    San Antonio, Texas, 78229

Other trials in United States

Taiwan9 sites
  • Kaohsiung Medical University Chung Ho Memorial Hospital

    Kaohsiung City, 807

  • Kaohsiung Chang Gung Memorial Hospital

    Kaohsiung City, 83301

  • China Medical University Hospital

    Taichung, 40447

  • Taichung Veterans General Hospital Gastroenterology

    Taichung, 407

  • National Cheng Kung University Hospital

    Tainan, 704

  • Chi Mei Medical Center

    Tainan, 710

  • Taipei Veterans General Hospital

    Taipei, 11217

  • Tri Service General Hospital

    Taipei, 114

  • Linkou Chang Gung Memorial Hospital

    Taoyuan, 33305

Other trials in Taiwan

Germany7 sites
  • Charite Universitatsmedizin Berlin

    Berlin, 13353

  • Universitatsklinikum Bonn

    Bonn, 53127

  • Uniklinik Koln (Aor)

    Cologne, 50937

  • Universitatsklinikum Dusseldorf

    Düsseldorf, 40225

  • Kliniken Essen Mitte Evang Huyssens Stiftung

    Essen, 45136

  • Medizinische Hochschule Hannover

    Hanover, 30625

  • Universitaetsklinikum Leipzig Aor

    Leipzig, 04103

Other trials in Germany

Italy7 sites
  • Policlinico Sorsola Malpighi, Aou Di Bologna

    Bologna, 40138

  • Po Di Cremona, Asst Di Cremona Oncologia Medica

    Cremona, 26100

  • Universita Degli Studi Di Modena Azienda Ospedaliere Policlinco

    Modena, 41124

  • Irccs Policlinico San Matteo, Universita Degli Studi Di Pavi

    Pavia, 27100

  • Ulssdolomiti

    Peschiera del Garda, 37019

  • Po Umberto I, Ao Ordine Mauriziano

    Torino, 10128

  • Osp Sbortolo, Ulss Berica

    Vicenza, 36100

Other trials in Italy

Poland4 sites
  • Uniwersyteckie Centrum Kliniczne

    Gdansk, 80-952

  • Clinical Research Center Sp Z Oo, Medic R Sp K

    Poznan, 60-569

  • Narodowy Instytut Onkologii Im Marii Skodowskiej Curie Pastwowy Instytut Badawczy

    Warsaw, 02-034

  • Centrum Badan Klinicznych

    Wroclaw, 51-149

Other trials in Poland

Spain4 sites
  • Hospital Universitario Vall Dhebron

    Barcelona, 08035

  • Institut Catala Doncologia

    Barcelona, 08908

  • Hospital Universitario Hm Madrid Sanchinarro

    Madrid, 28050

  • Hospital Universitari I Politecnic La Fe

    Valencia, 46026

Other trials in Spain

United Kingdom4 sites
  • Queen Elizabeth Hospital

    Birmingham, B15 2TH

  • The Christie Hospital

    Greater Manchester, M20 4BX

  • Royal Free Hospital London Nhs Trust

    London, NW3 2QG

  • Kings College

    London, SE5 9RS

Other trials in United Kingdom

Czechia2 sites
  • Fakultni Nemocnice Brno

    Brno, 62500

  • Fakultni Nemocnice V Motole

    Prague, 150 06

Other trials in Czechia

About this study

Official title: A Randomized, Open-label, Multicenter Phase 3 Study to Compare the Efficacy and Safety of BGB-A317 Versus Sorafenib as First-Line Treatment in Patients With Unresectable Hepatocellular Carcinoma

This Phase 3 study was a global, multicenter trial that randomly assigned participants to either tislelizumab or sorafenib as a first-line treatment for adults with advanced liver cancer (hepatocellular carcinoma) that could not be surgically removed. Before enrolling Japanese participants in the main Phase 3 study, a preliminary assessment of safety and tolerability (the Safety Run-In Sub-study) was conducted in Japan.

Being tested
Tislelizumab, Sorafenib
Keywords
Advanced liver cancer, RATIONALE-301
Medical subject headings
Carcinoma, Hepatocellular

What participants receive

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

  • TislelizumabDrug

    Also called BGB-A317

    Tislelizumab 200 mg intravenously (IV) once every three weeks (Q3W)

  • SorafenibDrug

    Also called Nexavar, BAY43-9006

    Sorafenib 400 mg orally (PO) twice daily (BID)

Study groups in NCT03412773
Study groupRoleWhat they receive
Safety Run-In Sub-studyExperimentalJapanese participants received 200 mg intravenous tislelizumab every 3 weeks to assess preliminary safety and tolerability.
Receives: Drug: Tislelizumab
Arm A: TislelizumabExperimentalParticipants received 200 mg of intravenous tislelizumab every 3 weeks until intolerable toxicity, withdrawal of consent, or the investigator determined no further benefit from the therapy.
Receives: Drug: Tislelizumab
Arm B: SorafenibActive comparatorParticipants received 400 mg of oral sorafenib twice daily until intolerable toxicity, consent withdrawal, or the investigator deemed no further benefit.
Receives: Drug: Sorafenib

What is being measured

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

  1. Safety Run-in Sub-study: Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    An adverse event (AE) is any unfavorable or unintended sign (e.g., abnormal lab result), symptom, or disease temporally associated with study drug use, regardless of causality.

    A serious adverse event (SAE) is defined as any adverse event that:

    • Resulted in death
    • Was life-threatening
    • Required or prolonged hospitalization
    • Caused disability/incapacity
    • Lead to a congenital anomaly/birth defect
    • Was deemed medically significant by the investigator (e.g., required intervention to prevent severe outcomes).

    Measured: From the first dose to 30 days after the last dose, new anticancer therapy, or the analysis cutoff of December 14th, 2023 (a maximum of 64 months)

  2. Safety Run-in Sub-study: Serum Concentration of Tislelizumab

    Serum concentration of tislelizumab was a pre-specified primary endpoint for the sub-study only.

    Measured: Cycle 1 and Cycle 5 at end of infusion, 24 hand 72 hours post-dose, and 8 days and 15 days post-dose (each cycle was 3 weeks).

  3. Main Study: Overall Survival (OS)

    Defined as the time from the date of randomization to the date of death due to any cause. Median OS was estimated using Kaplan-Meier methodology. Overall survival was a pre-specified primary endpoint for the main study only.

    Measured: Through the primary analysis data cut-off date of July 11th, 2022 (up to approximately 55 months)

Secondary outcomes (21)
  1. Overall Response Rate (ORR) as Assessed by Blinded Independent Review Committee (BIRC)

    Defined as the percentage of participants who had partial response or complete response as determined by Blinded Independent Review Committee (BIRC) per the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 in all randomized participants with measurable disease at baseline.

    ORR was not assessed by the BIRC for participants in the sub-study, and this was not a pre-specified sub-study endpoint.

    Measured: Through the primary analysis data cut-off date of July 11th, 2022 (up to approximately 55 months)

  2. Overall Response Rate (ORR) as Assessed by the Investigator

    Defined as the percentage of participants who had partial response or complete response as determined by the investigator per RECIST v1.1 in all randomized participants with measurable disease at baseline.

    Measured: Through the study completion data cut-off date of December 14th, 2023 (up to approximately 65 months)

  3. Progression Free Survival (PFS) as Assessed by BIRC

    Defined as the time from randomization to the first objectively documented disease progression, or death from any cause, whichever occurred first, as assessed by the BIRC per RECIST v1.1. Kaplan-Meier methodology was used to estimate the median PFS.

    PFS was not assessed by the BIRC for participants in the sub-study, and this was not a pre-specified sub-study endpoint.

    Measured: Through the primary analysis data cut-off date of July 11th, 2022 (up to approximately 55 months)

  4. Progression Free Survival (PFS) Assessed by the Investigator

    Defined as the time from randomization to the first objectively documented disease progression, or death from any cause, whichever occurred first, as assessed by the investigator per RECIST v1.1. Kaplan-Meier methodology was used to estimate the median PFS.

    Measured: Through the study completion data cut-off date of December 14th, 2023 (up to approximately 65 months)

  5. Duration of Response (DOR) as Assessed by BIRC

    Defined as the time from the first occurrence of a documented objective response until the first documentation of progression or death from any cause, whichever occurred first, as determined by the BIRC per RECIST v1.1. Median DOR was estimated using Kaplan-Meier methodology.

    DOR was not assessed by the BIRC for participants in the sub-study, and this was not a pre-specified sub-study endpoint.

    Measured: Through the primary analysis data cut-off date of July 11th, 2022 (up to approximately 55 months)

  6. Duration of Response (DOR) Assessed by the Investigator

    Defined as the time from the first occurrence of a documented objective response until the first documentation of progression or death from any cause, whichever occurred first, as assessed by the investigator per RECIST v1.1. Median DOR was estimated using Kaplan-Meier methodology.

    Measured: Through the study completion data cut-off date of December 14th, 2023 (up to approximately 65 months)

  7. Time to Progression (TTP) Assessed by BIRC

    Defined as the time from the date of randomization to the date of the first objectively documented tumor progression as assessed by the BIRC per RECIST v1.1. Median TTP was estimated using Kaplan-Meier methodology.

    TTP was not assessed by the BIRC for participants in the sub-study, and this was not a pre-specified sub-study endpoint.

    Measured: Through the primary analysis data cut-off date of July 11th, 2022 (up to approximately 55 months)

  8. Time to Progression (TTP) as Assessed by the Investigator

    Defined as the time from the date of randomization to the date of the first objectively documented tumor progression as assessed by the investigator per RECIST v1.1. Median TTP was estimated using Kaplan-Meier methodology.

    TTP was not a pre-specified sub-study endpoint.

    Measured: Through the study completion data cut-off date of December 14th, 2023 (up to approximately 65 months)

  9. Safety Run-in Sub-study: Overall Survival

    Defined as the time from the date of randomization to the date of death due to any cause. Median OS was estimated using Kaplan-Meier methodology.

    Measured: Up a to 64 months

  10. Disease Control Rate (DCR) as Assessed by BIRC

    Defined as the percentage of participants whose best overall response (BOR) was complete response, partial response, or stable disease as assessed by the BIRC per RECIST v1.1.

    DCR was not a pre-specified endpoint for participants in the sub-study.

    Measured: Through the primary analysis data cut-off date of July 11th, 2022 (up to approximately 55 months)

  11. Disease Control Rate (DCR) as Assessed by the Investigator

    Defined as the percentage of participants whose best overall response (BOR) was complete response, partial response, or stable disease as assessed by the investigator per RECIST v1.1.

    DCR was not a pre-specified endpoint for participants in the sub-study.

    Measured: Through the study completion data cut-off date of December 14th, 2023 (up to approximately 65 months)

  12. Clinical Benefit Rate (CBR) as Assessed by BIRC

    Defined as the percentage of participants whose best overall response (BOR) was complete response, partial response, or stable disease greater than or equal to 24 weeks in duration, as assessed by the BIRC per RECIST v1.1.

    CBR was not a pre-specified endpoint for participants in the sub-study.

    Measured: Through the primary analysis data cut-off date of July 11th, 2022 (up to approximately 55 months)

  13. Clinical Benefit Rate (CBR) as Assessed by the Investigator

    Defined as the percentage of participants whose best overall response (BOR) is complete response, partial response, or stable disease greater than or equal to 24 weeks in duration, as assessed by the investigator per RECIST v1.1.

    CBR was not a pre-specified endpoint for participants in the sub-study.

    Measured: Through the study completion data cut-off date of December 14th, 2023 (up to approximately 65 months)

  14. Change From Baseline in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Hepatocellular Carcinoma 18 Questions (EORTC QLQ HCC 18) Index Score at Cycle 4

    The EORTC QLQ-HCC18 is a questionnaire specifically designed to assess health-related quality of life in participants with hepatocellular carcinoma. It includes six symptom scales measuring Fatigue (3 items), Jaundice (2 items), Body Image (2 items), Nutrition (5 items), Pain (2 items), Fever (2 items) and two single items measuring Sex Life and Abdominal Swelling. Participants respond on a scale from 1 = "Not at all" to 4 = "Very Much. Raw scores are transformed into a 0 to 100 scale using linear transformation. The HCC18 Index score is calculated from each of the 6 symptom scales and the 2 single items, and ranges from 0 to 100. Higher scores indicate greater symptom burden or worse quality of life.

    The EORTC QLQ-HCC18 was not assessed for participants in the sub-study.

    Measured: Baseline to Cycle 4 (each cycle was 21 days)

  15. Change From Baseline in the European EORTC QLQ HCC 18 Index Score at Cycle 6

    The EORTC QLQ-HCC18 is a questionnaire specifically designed to assess health-related quality of life in participants with hepatocellular carcinoma. It includes six symptom scales measuring Fatigue (3 items), Jaundice (2 items), Body Image (2 items), Nutrition (5 items), Pain (2 items), Fever (2 items) and two single items measuring Sex Life and Abdominal Swelling. Participants respond on a scale from 1 = "Not at all" to 4 = "Very Much. Raw scores are transformed into a 0 to 100 scale using linear transformation. The HCC18 Index score is calculated from each of the 6 symptom scales and the 2 single items, and ranges from 0 to 100. Higher scores indicate greater symptom burden or worse quality of life.

    The HEORTC QLQ-HCC18 was not assessed in participants in the sub-study.

    Measured: Baseline to Cycle 6 (Each cycle was 21 days)

  16. Change From Baseline in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status/Quality of Life Score at Cycle 4

    The EORTC QLQ-C30 v3.0 is a questionnaire that assesses quality of life of participants with cancer. It includes global health status and quality of life questions related to overall health in which participants respond based on a 7-point scale, where 1 is very poor and 7 is excellent. Raw scores are transformed into a 0 to 100 scale via linear transformation. A higher score indicates better health outcomes.

    The EORTC QLQ-C30 was not assessed in participants in the sub-study.

    Measured: Baseline to Cycle 4 (each cycle was 21 days)

  17. Change From Baseline in the EORTC QLQ-C30 Global Health Status/Quality of Life Score at Cycle 6

    The EORTC QLQ-C30 v3.0 is a questionnaire that assesses quality of life of participants with cancer. It includes global health status and quality of life questions related to overall health in which participants respond based on a 7-point scale, where 1 is very poor and 7 is excellent. Raw scores are transformed into a 0 to 100 scale via linear transformation. A higher score indicates better health outcomes.

    The EORTC QLQ-C30 was not assessed in participants in the sub-study.

    Measured: Baseline to Cycle 6 (each cycle was 21 days)

  18. Change From Baseline in the European Quality of Life 5 Dimensions, 5-level (EQ-5D-5L) Visual Analogue Scale (VAS) at Cycle 4

    The EQ-5D-5L comprises a descriptive module and a Visual Analogue scale (VAS). The EQ-5D-5L VAS measures respondent's self-rated health status on a 0 to 100 scale, with 100 = 'the best health you can imagine' and 0 = 'the worst health you can imagine'. Higher scores on VAS indicate higher health status.

    The EQ-5D-5L VAS was not assessed in participants in the sub-study.

    Measured: Baseline to Cycle 4 (each cycle was 21 days)

  19. Change From Baseline in the EQ-5D-5L VAS at Cycle 6

    The EQ-5D-5L comprises a descriptive module and a visual analogue scale (VAS). The EQ-5D-5L VAS measures respondent's self-rated health status on a 0 to 100 scale, with 100 = 'the best health you can imagine' and 0 = 'the worst health you can imagine'. Higher scores on VAS indicate higher health status.

    The EQ-5D-5L VAS was not assessed in participants in the sub-study.

    Measured: Baseline to Cycle 6 (each cycle was 21 days)

  20. Main Study: Number of Participants With Treatment-emergent Adverse Events

    An adverse event (AE) is any unfavorable or unintended sign (e.g., abnormal lab result), symptom, or disease temporally associated with study drug use, regardless of causality.

    A serious adverse event (SAE) is defined as any adverse event that:

    • Resulted in death
    • Was life-threatening
    • Required or prolonged hospitalization
    • Caused disability/incapacity
    • Lead to a congenital anomaly/birth defect
    • Was deemed medically significant by the investigator (e.g., required intervention to prevent severe outcomes).

    Measured: From the first dose to 30 days after the last dose, new anticancer therapy, or the study completion analysis cutoff on December 14th, 2023 (a maximum of 61 months for participants in Arm A and 63 months for participants in Arm B).

  21. Safety Run-in Sub-study: Number of Participants Who Developed Anti-tislelizumab Antibodies

    Treatment-emergent anti-drug antibodies (ADA): participants who were ADA negative at baseline and ADA positive post-baseline.

    Treatment-boosted ADA: participants who were ADA positive at baseline that was boosted to a 4-fold or higher-level following drug administration.

    ADA assessments were not performed for participants enrolled in the main study.

    Measured: From the first dose to 30 days after the last dose, new anticancer therapy, or the analysis cutoff of December 14th, 2023 (a maximum of 64 months)

Timeline

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

  1. First posted26 Jan 2018
  2. Study start18 Dec 2017
  3. Primary completion11 Jul 2022
  4. Study completion14 Dec 2023

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
684 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03412773
Sponsor's protocol ID
BGB-A317-301
Other IDs
2017-002423-19, CTR20170882, JapicCTI-194569, RATIONALE-301, 2017
Status last verified
Sep 2025
First submitted
3 Jan 2018
Last updated
14 Oct 2025
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Qin S, Finn RS, Kudo M, Meyer T, Vogel A, Ducreux M, Macarulla TM, Tomasello G, Boisserie F, Hou J, Li X, Song J, Zhu AX. RATIONALE 301 study: tislelizumab versus sorafenib as first-line treatment for unresectable hepatocellular carcinoma. Future Oncol. 2019 Jun;15(16):1811-1822. doi: 10.2217/fon-2019-0097. Epub 2019 Apr 10.

    PubMed 30969136
  • Qin S, Kudo M, Meyer T, Bai Y, Guo Y, Meng Z, Satoh T, Marino D, Assenat E, Li S, Chen Y, Boisserie F, Abdrashitov R, Finn RS, Vogel A, Zhu AX. Tislelizumab vs Sorafenib as First-Line Treatment for Unresectable Hepatocellular Carcinoma: A Phase 3 Randomized Clinical Trial. JAMA Oncol. 2023 Dec 1;9(12):1651-1659. doi: 10.1001/jamaoncol.2023.4003.

    PubMed 37796513
  • Finn RS, Kudo M, Barnes G, Meyer T, Boisserie F, Abdrashitov R, Chen Y, Li S, Zhu AX, Qin S, Vogel A. Tislelizumab versus Sorafenib in First-Line Treatment of Unresectable Hepatocellular Carcinoma: Impact on Health-Related Quality of Life in RATIONALE-301 Study. Liver Cancer. 2024 Feb 21;13(5):548-560. doi: 10.1159/000537966. eCollection 2024 Oct.

    PubMed 39435268

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