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Hepatocellular Carcinoma (HCC)Phase 2NCT03419897

Study of BGB-A317 in Participants With Previously Treated Unresectable HCC

A Phase 2 study testing Tislelizumab in people with Hepatocellular Carcinoma (HCC), run by BeiGene at 54 sites in 8 countries.

Completed

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

Official record
Search all trials

Trial summary

This study investigated the efficacy, safety, and pharmacokinetics of the anti-PD-1 monoclonal antibody BGB-A317 in participants with previously treated hepatocellular unresectable carcinoma. 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
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
249 participants
Where
54 sitesin 8 countries
Study dates
9 Apr 2018to 6 Jul 2022
Phase
Phase 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 confirmed HCC
  • Participants with Barcelona Clinic Liver Cancer (BCLC) Stage C, or BCLC stage B not amenable to locoregional therapy or relapsed after locoregional therapy, and not amenable to a curative treatment approach
  • Has received at least 1 line of systemic therapy for unresectable HCC
  • Has at least 1 measurable lesion as defined per RECIST v1.1
  • Child-Pugh score A
  • Easter Cooperative Oncology Group (ECOG) Performance Status ≤ 1
  • Adequate organ function

Who cannot join

  • Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC histology
  • Prior therapies targeting PD-1 or PD-L1
  • Has known brain or leptomeningeal metastasis
  • Tumor thrombus involving main trunk of portal vein or inferior vena cava
  • Loco-regional therapy to the liver within 4 weeks before enrollment
  • Medical history of interstitial lung disease, non-infectious pneumonitis or uncontrolled systemic diseases, including diabetes, hypertension, pulmonary fibrosis, or acute lung diseases
Show all 12Show fewer
  • Has received:
  • Within 28 days or 5 half-lives (whichever is shorter) of the first study drug administration: any chemotherapy, immunotherapy (eg, interleukin, interferon, thymoxin) or any investigational therapies
  • Within 14 days of the first study drug administration: sorafenib, regorafenib, or any Chinese herbal medicine or Chinese patent medicines used to control cancer
  • Active autoimmune diseases or history of autoimmune diseases that may relapse
  • 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 study drug administration
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

54 sites in 8 countries.

54 sites in 8 countries

China25 sites
  • Military Hospital of China

    Beijing, Beijing Municipality, 100039

  • Beijing Cancer Hospital

    Beijing, Beijing Municipality, 100142

  • Chinese Pla General Hospital

    Beijing, Beijing Municipality, 100853

  • Jilin Cancer Hospital

    Changchun, Jilin, 130021

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

    Guangzhou, Guangdong, 510245

  • Nanfang Hospital of Southern Medical University

    Guangzhou, Guangdong, 510515

  • The First Affiliated Hospital, Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310003

  • Zhejiang University College of Medicine Second Affiliated Hospital

    Hangzhou, Zhejiang, 310009

  • 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 Second Hospital of Anhui Medical University

    Hefei, Anhui, 230601

  • The First Affiliated Hospital of Nanchang University Branch Donghu

    Nanchang, Jiangxi, 330006

  • The Second Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi, 330006

  • Fudan University Shanghai Cancer Center

    Shanghai, Shanghai Municipality, 200000

  • Affiliated Zhongshan Hospital of Fudan University

    Shanghai, Shanghai Municipality, 200032

  • Peking University Shenzhen Hospital

    Shenzhen, Guangdong, 518036

  • Tianjin Medical University Cancer Institute and Hospital

    Tianjin, Tianjin Municipality, 300060

  • Weifang Peoples Hospital

    Weifang, Shandong, 261000

  • The First Affiliated Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang, 325000

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

    Wuhan, Hubei, 430022

  • Hubei Cancer Hospital

    Wuhan, Hubei, 430079

  • Xuzhou Central Hospital

    Xuzhou, Jiangsu, 221000

  • Henan Cancer Hospital

    Zhengzhou, Henan, 450000

Other trials in China

France9 sites
  • Hopital Beaujon

    Clichy, 92210

  • Hopital de La Croix Rousse

    Lyon, 69317

  • Chu Montpellier Hopital Saint Eloi

    Montpellier, 34295

  • Centre Hospitalier Universitaire Nantes Hotel Dieu

    Nantes, 44093

  • Hopital Larchet Chu Nice

    Nice, 6200

  • Groupe Hospitalier Du Haut Leveque

    Pessac, 33604

  • Chu de Poitiers Site de La Mileterie

    Poitiers, 86000

  • Centre Eugene Marquis

    Rennes, 35043

  • Institut Gustave Roussy

    Villejuif, 94805

Other trials in France

Taiwan5 sites
  • E Da Hospital Kaohsiung

    Kaohsiung City, 82445

  • National Cheng Kung University Hospital

    Tainan, 704

  • National Taiwan University Hospital

    Taipei, 10048

  • Taipei Veterans General Hospital

    Taipei, 11217

  • Linkou Chang Gung Memorial Hospital

    Taoyuan, 33305

Other trials in Taiwan

United Kingdom5 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

  • Freeman Hospital

    Newcastle upon Tyne, NE7 7DN

Other trials in United Kingdom

Spain4 sites
  • Hospital Universitario Vall Dhebron

    Barcelona, 08035

  • Ico Lhospitalet Hospital Duran I Reynals

    Barcelona, 08908

  • Hospital Universitario La Paz

    Madrid, 28046

  • Hospital Universitario Hm Madrid Sanchinarro

    Madrid, 28050

Other trials in Spain

Germany3 sites
  • Kliniken Essen Mitte Evang Huyssens Stiftung

    Essen, 45136

  • Universitatsklinikum Hamburg Eppendorf

    Hamburg, 20251

  • Klinikum Johannes Gutenberg Universitaet Mainz

    Mainz, 55131

Other trials in Germany

Italy2 sites
  • Azienda Ospedaliero Universitaria Pisana

    Pisa, 56126

  • Istituto Clinico Humanitas

    Rozzano, 20089

Other trials in Italy

Poland1 site
  • Narodowy Instytut Onkologii Im Marii Skodowskiej Curie Pastwowy Instytut Badawczy

    Warsaw, 02-034

Other trials in Poland

About this study

Official title: A Phase 2, Open-label, Multicenter Study to Investigate the Efficacy, Safety, and Pharmacokinetics of the Anti-PD-1 Monoclonal Antibody BGB-A317 in Patients With Previously Treated Hepatocellular Unresectable Carcinoma

This study investigated the efficacy, safety, and pharmacokinetics of the anti-PD-1 monoclonal antibody BGB-A317 in participants with previously treated hepatocellular unresectable carcinoma.

Being tested
Tislelizumab
Keywords
Advanced liver cancer, RATIONALE-208
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

    Administered intravenously

Study groups in NCT03419897
Study groupRoleWhat they receive
TislelizumabExperimental200 milligrams once every 3 weeks
Receives: Drug: Tislelizumab

What is being measured

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

  1. Objective Response Rate (ORR) Assessed by Independent Review Committee (IRC)

    ORR is defined as the percentage of participants with complete response (CR) and partial response (PR) as the best overall response, as determined by an IRC using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. CR is defined as disappearance of all target lesions and PR is defined as at least a 30% decrease in the sum of diameters of target lesions.

    Measured: From date of first dose to primary analysis data cut-off date of 30-June-2021 (up to approximately 3 years and 3 months)

Secondary outcomes (16)
  1. ORR Assessed by Investigator

    ORR is defined as the percentage of participants with CR and PR as the best overall response, as determined by investigator assessment using RECIST v1.1. CR is defined as disappearance of all target lesions and PR is defined as at least a 30% decrease in the sum of diameters of target lesions.

    Measured: From date of first dose to end of study (up to approximately 4 years and 3 months)

  2. Duration of Response (DOR) Assessed by IRC

    DOR is defined as the time from the date that response criteria are first met to the date that progressive disease is objectively documented or death, whichever comes first, as assessed by the IRC using RECIST v1.1

    Measured: From date of first dose to end of study (up to approximately 4 years and 3 months)

  3. DOR Event-Free Rate Assessed by IRC

    DOR is defined as the time from the date that response criteria are first met to the date that progressive disease is objectively documented or death, whichever comes first, as assessed by the IRC using RECIST v1.1. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for progression or death at 12 and 24 months with 95% confidence intervals estimated using Greenwood's formula.

    Measured: From date of first dose to end of study (up to approximately 4 years and 3 months); Months 12 and 24 reported

  4. DOR Assessed by Investigator

    DOR is defined as the time from the date that response criteria are first met to the date that progressive disease is objectively documented or death, whichever comes first, as assessed by the investigator using RECIST v1.1

    Measured: From date of first dose to end of study (up to approximately 4 years and 3 months)

  5. DOR Event-Free Rate Assessed by Investigator

    DOR is defined as the time from the date that response criteria are first met to the date that progressive disease is objectively documented or death, whichever comes first, as assessed by the investigator using RECIST v1.1. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for progression or death at 12 and 24 months with 95% confidence intervals estimated using Greenwood's formula.

    Measured: From date of first dose to end of study (up to approximately 4 years and 3 months); Months 12 and 24 reported

  6. Progression-free Survival (PFS) Assessed by IRC

    PFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by the IRC using RECIST v1.1

    Measured: From date of first dose to end of study (up to approximately 4 years and 3 months)

  7. PFS Assessed by Investigator

    PFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by the investigator using RECIST v1.1

    Measured: From date of first dose to end of study (up to approximately 4 years and 3 months)

  8. Overall Survival (OS)

    OS is defined as the time from first study drug administration to the date of death due to any cause

    Measured: From date of first dose to end of study (up to approximately 4 years and 3 months)

  9. Disease Control Rate (DCR) Assessed by IRC

    DCR is defined as the percentage of participants whose best overall response is CR, PR, or stable disease (SD) as assessed by the IRC using RECIST v1.1

    Measured: From date of first dose to end of study (up to approximately 4 years and 3 months)

  10. DCR Assessed by Investigator

    DCR is defined as the percentage of participants whose best overall response is CR, PR, or stable disease (SD) as assessed by the investigator using RECIST v1.1

    Measured: From date of first dose to end of study (up to approximately 4 years and 3 months)

  11. Clinical Benefit Rate (CBR) Assessed by IRC

    CBR is defined as the percentage of participants who have CR, PR, or SD of ≥ 24 weeks in duration as assessed by the IRC using RECIST v1.1

    Measured: From date of first dose to end of study (up to approximately 4 years and 3 months)

  12. CBR Assessed by Investigator

    CBR is defined as the percentage of participants who have CR, PR, or SD of ≥ 24 weeks in duration as assessed by the investigator using RECIST v1.1

    Measured: From date of first dose to end of study (up to approximately 4 years and 3 months)

  13. European Quality of Life 5 Dimensions 5 Level Version (EQ-5D-5L) Visual Analogue Score (VAS)

    Mean change from baseline in EQ-5D-5L VAS. The EQ-5D-5L measures health outcomes using a VAS to record a participant's self-rated health on a scale from 0 to 100, where 100 is 'the best health you can imagine' and 0 is 'the worst health you can imagine.' A higher score indicates better health outcomes.

    Measured: Baseline to Cycle 6 Day 1 and Cycle 12 Day 1 (each cycle is 21 days)

  14. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status

    Mean change from baseline in EORTC QLQ-C30 Global Health Status/Quality of Life score. The EORTC QLQ-C30 v3.0 is a questionnaire that assesses quality of life of cancer patients. 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.

    Measured: Baseline to Cycle 6 Day 1 and Cycle 12 Day 1 (each cycle is 21 days)

  15. EORTC QLQ - Hepatocellular Carcinoma 18 Questions (HCC18): Index Scores

    Mean change from baseline in EORTC QLQ HCC18 Index Scores. The EORTC QLQ HCC18 is a specific questionnaire module that assesses quality of life of cancer patients 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.

    Measured: Baseline to Cycle 6 Day 1 and Cycle 12 Day 1 (each cycle is 21 days)

  16. Number of Participants With Adverse Events

    Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), which includes laboratory tests, physical exams, electrocardiogram results and vital signs

    Measured: From first dose up to 30 days after the last dose of study drug; up to approximately 4 years and 3 months

Timeline

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

  1. First posted5 Feb 2018
  2. Study start9 Apr 2018
  3. Primary completion30 Jun 2021
  4. Study completion6 Jul 2022

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
249 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03419897
Sponsor's protocol ID
BGB-A317-208
Other IDs
2017-003983-10, CTR20171257, 2017
Status last verified
Oct 2024
First submitted
29 Jan 2018
Last updated
26 Oct 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Ren Z, Ducreux M, Abou-Alfa GK, Merle P, Fang W, Edeline J, Li Z, Wu L, Assenat E, Hu S, Rimassa L, Zhang T, Blanc JF, Pan H, Ross P, Yen CJ, Tran A, Shao G, Bouattour M, Chen Y, Meyer T, Hou J, Tougeron D, Bai Y, Hou MM, Meng Z, Wu J, Li V, Chica-Duque S, Cheng AL. Tislelizumab in Patients with Previously Treated Advanced Hepatocellular Carcinoma (RATIONALE-208): A Multicenter, Non-Randomized, Open-Label, Phase 2 Trial. Liver Cancer. 2022 Oct 4;12(1):72-84. doi: 10.1159/000527175. eCollection 2023 Feb.

    PubMed 36872927
  • Serrano D, Podger L, Barnes G, Song J, Tang B. Psychometric validation of the EORTC QLQ-HCC18 in patients with previously treated unresectable hepatocellular carcinoma. Qual Life Res. 2022 Mar;31(3):937-950. doi: 10.1007/s11136-021-02992-1. Epub 2021 Sep 13.

    PubMed 34518988

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Tislelizumab in people with Hepatocellular Carcinoma (HCC), run by BeiGene at 54 sites in 8 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 7 inclusion and 12 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: finished, 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 54 sites in China, France, Taiwan, United Kingdom, Spain and 3 more countries. 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 phase mean?

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 27 Jul 2023). 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?

Objective Response Rate (ORR) Assessed by Independent Review Committee (IRC) (time frame: From date of first dose to primary analysis data cut-off date of 30-June-2021 (up to approximately 3 years and 3 months)). 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 NCT03419897, which also lists 2 linked publications.

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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