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Advanced Solid TumorPhase 1NCT04215978

Safety and Preliminary Effectiveness of BGB-A445 in Combination With Tislelizumab in Participants With Advanced Solid Tumors

A Phase 1 study testing BGB-A445 and tislelizumab in people with Advanced Solid Tumor and Non Small Cell Lung Cancer, run by BeiGene at 30 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

The purpose of this study is to assess the safety and tolerability of BGB-A445 alone and in combination with tislelizumab in participants with advanced solid tumors; and to determine the maximum tolerated dose(s) (MTD) or maximum administered dose(s) (MAD) and recommended Phase 2 doses (RP2D) of BGB-A445 alone and in… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
BGB-A445 and tislelizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
204 participants
Where
30 sitesin 8 countries
Study dates
30 Jan 2020to 24 Jan 2025
Phase
Phase 1
Are there results?
None posted in the registry

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

  • 1. Phase 1a (dose escalation): Participants with histologically or cytologically confirmed advanced, metastatic, unresectable solid tumors who have previously received standard systemic therapy or for whom treatment is not available, not tolerated or refused.
  • Enrollment will be limited to participants with advanced solid tumors for which there is clinical evidence of response to T cell based immuno-oncology agents (eg, anti PD 1) or other scientific evidence in support of an immunologically sensitive tumor type.
  • Participant has not received prior therapy targeting OX40 or any other T cell agonist therapy (prior checkpoint inhibitor therapy is allowed)
  • 2. Phase 1b, the dose expansion phase, aims to include participants in specific tumor type cohorts who do not have access to standard systemic treatment, cannot tolerate it, or it is deemed inappropriate by the investigator. Cohort 1 focuses on non-small cell lung cancer (NSCLC) patients with advanced or metastatic disease, while Cohort 2 involves individuals with recurrent or metastatic head and neck squamous cell cancer (HNSCC). Cohort 3 includes participants with nasopharyngeal carcinoma (NPC), and Cohort 4 is for NSCLC patients with PD-L1 expression of at least 50%. Each cohort has specific eligibility criteria related to prior therapies, tumor characteristics, and treatment-free intervals.
  • 3. Has at least 1 measurable lesion as defined per RECIST 1.1. The target lesion(s) selected have not been previously treated with local therapy OR the target lesion(s) selected that are within the field of prior local therapy have subsequently progressed as defined by RECIST 1.1 4. Participants should be able to provide tumor tissue sample 5. Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1 and a life expectancy of ≥ 6 months.
  • 6. Adequate organ function as indicated by the following laboratory values up to first dose of study drug
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  • Participants must not have required blood transfusion or growth factor support ≤ 14 days before sample collection for the following:
  • Absolute neutrophil count ≥ 1.5 x 10^9/L
  • Platelet count ≥ 75 x 10^9/L
  • Hemoglobin ≥ 90 g/L
  • Estimated glomerular filtration rate (GFR) ≥ 60 mL/min/1.73 m^2 determined by the Cockcroft-Gault formula without correction for body surface area (BSA)
  • The estimated GFR for participants with renal cell carcinoma must be ≥ 30 mL/min/1.73 m^2 by the Cockcroft-Gault formula
  • Serum total bilirubin ≤ 1.5 x ULN (< 3 x ULN for participants with Gilbert syndrome) d. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 x ULN;
  • ≤ 5 x ULN for participants with hepatocellular carcinoma or liver metastases

Who cannot join

  • Active leptomeningeal disease or uncontrolled brain metastasis. Participants with equivocal findings or with confirmed brain metastases are eligible for enrollment provided they are asymptomatic and radiologically stable without the need for corticosteroid treatment for at least 4 weeks prior to the first dose of study drug(s)
  • Active autoimmune diseases or history of autoimmune diseases that may relapse or history of life-threatening toxicity related to prior immune therapy, with the following exceptions:
  • Controlled type 1 diabetes
  • Hypothyroidism (provided it is managed with hormone-replacement therapy only)
  • Controlled celiac disease
  • Skin diseases not requiring systemic treatment (eg, vitiligo, psoriasis, or alopecia)
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  • Any other disease that is not expected to recur in the absence of external triggering factors (requires consultation with the medical monitor prior to enrollment)
  • Any active malignancy ≤ 2 years before the first dose of study drug(s) except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated with curative intent (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast)
  • Any condition that required systemic treatment with either corticosteroids (> 10 mg daily of prednisone or equivalent) or other immunosuppressive medication ≤ 14 days before the first dose of study drug(s), with the following exceptions:
  • Adrenal replacement steroid (dose ≤ 10 mg daily of prednisone or equivalent)
  • Topical, ocular, intra-articular, intranasal, or inhalational corticosteroid with minimal systemic absorption
  • Short course (≤ 7 days) of corticosteroid prescribed prophylactically (eg, for contrast dye allergy) or for the treatment of a nonautoimmune condition (eg, delayed-type hypersensitivity reaction caused by contact allergen)
  • Any major surgical procedure occurring ≤ 28 days before the first dose of study drug(s). If surgical procedure occurs > 28 days, they must have recovered adequately from the toxicity
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

30 sites in 8 countries.

30 sites in 8 countries

Australia7 sites
  • Pindara Private Hospital

    Benowa, Queensland, 4217

  • Blacktown Cancer And Haematology Centre

    Blacktown, New South Wales, 2148

  • Princess Alexandra Hospital

    Brisbane, Queensland, 4102

  • 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

China7 sites
  • The Second Xiangya Hospital Of Central South University

    Changsha, Hunan, 410011

  • Sir Run Run Shaw Hospital Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310000

  • Zhejiang Cancer Hospital

    Hangzhou, Zhejiang, 310022

  • Jinan Central Hospital

    Jinan, Shandong, 250013

  • Linyi Cancer Hospital

    Linyi, Shandong, 276001

  • Affiliated Zhongshan Hospital Of Fudan University

    Shanghai, Shanghai Municipality, 200032

  • Union Hospital Of Tongji Medical College, Huazhong University Of Science And Technology

    Wuhan, Hubei, 430022

Other trials in China

South Korea5 sites
  • National Cancer Center (NCC)

    Goyang-si, Gyeonggi-do, 10408

  • Cha Bundang Medical Center, Cha University

    Gyeonggido, Gyeonggi-do, 13496

  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggido, 13620

  • Severance Hospital Yonsei University Health System

    Seoul, Seoul Teugbyeolsi, 03722

  • The Catholic University of Korea, St. Vincent's Hospital

    Suwon, Gyeonggi-do, 16247

Other trials in South Korea

United States3 sites
  • Valkyrie Clinical Trials

    Los Angeles, California, 90067

  • UPMC Hillman Cancer Center (Univ Of Pittsburgh)

    Pittsburgh, Pennsylvania, 15232

  • California Cancer Associates for Research & Excellence (cCARE)

    San Diego, California, 92127

Other trials in United States

Thailand3 sites
  • King Chulalongkorn Memorial Hospital (Chulalongkorn University)

    Bangkok, 10330

  • Ramathibodi Hospital Mahidol University

    Bangkok, 10400

  • Srinagarind Hospital (Khon Kaen University)

    Muang, 40002

Other trials in Thailand

Malaysia2 sites
  • University of Malaya Medical Centre

    Kuala Lumpur, 50603

  • Sarawak General Hospital

    Kuching, 93586

Other trials in Malaysia

Taiwan2 sites
  • Changhua Christian Hospital

    Changhua, NAP, 500-06

  • National Cheng Kung University Hospital

    Tainan, 704

Other trials in Taiwan

New Zealand1 site
  • Auckland City Hospital

    Auckland, 1023

Other trials in New Zealand

About this study

Official title: Phase 1 Study Investigating the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of the Anti OX40 Agonist Monoclonal Antibody BGB-A445 in Combination With the Anti-PD-1 Monoclonal Antibody Tislelizumab in Patients With Advanced Solid Tumors

The purpose of this study is to assess the safety and tolerability of BGB-A445 alone and in combination with tislelizumab in participants with advanced solid tumors; and to determine the maximum tolerated dose(s) (MTD) or maximum administered dose(s) (MAD) and recommended Phase 2 doses (RP2D) of BGB-A445 alone and in combination with tislelizumab.

Being tested
BGB-A445, tislelizumab
Keywords
OX40, PD-1
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Squamous Cell Carcinoma of Head and Neck, Nasopharyngeal Carcinoma

What participants receive

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

  • BGB-A445Drug

    Also called Gimistotug

    Administered as specified in the treatment arm

  • tislelizumabDrug

    Also called BGB-A317

    Administered as specified in the treatment arm

Study groups in NCT04215978
Study groupRoleWhat they receive
Phase 1a: BGB-A445 MonotherapyExperimentalDose Escalation Part A: Participants will receive intravenous (IV) infusion of BGB-A445 in sequential cohorts of approximately 8 increasing dose levels on day 1 of each 21-day cycle
Receives: Drug: BGB-A445
Phase 1a: BGB-A445 + Tislelizumab Combination TherapyExperimentalDose Escalation Part B: Participants will receive IV infusion of BGB-A445 in sequential cohorts of approximately 6 increasing dose levels plus 200mg tislelizumab on day 1 of each 21-day cycle
Receives: Drug: BGB-A445; Drug: tislelizumab
Phase 1b:BGB-A445 MonotherapyExperimentalDose Expansion Part A: Participants will receive recommended doses of IV BGB-A445 as determined from Phase 1a Dose Escalation; BGB-A445 will be evaluated in two tumor types
Receives: Drug: BGB-A445
Phase 1b: BGB-A445 + Tislelizumab and Chemotherapy Combination TherapyExperimentalDose Expansion Part B: Participants will receive recommended dose IV infusion of BGB-A445 plus 200mg tislelizumab and chemotherapy
Receives: Drug: BGB-A445; Drug: tislelizumab
Phase 1b: BGB-A445 MonotherapyExperimentalDose Expansion Part C: Participants will receive 1 dose level of BGB-A445
Receives: Drug: BGB-A445

What is being measured

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

  1. Phase 1a: Number of Participants Experiencing Adverse Events (AEs)

    Measured: Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy

  2. Phase 1a: Number of Participants Experiencing Serious Adverse Events (SAEs)

    Measured: Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy

  3. Phase 1a: Number of Participants Experiencing AEs meeting protocol defined Dose-Limiting Toxicity (DLT) criteria

    Measured: Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy

  4. Phase 1a: Maximum Tolerated Dose (MTD) of BGB-A445

    The MTD is defined as the highest dose evaluated for which the estimated toxicity rate is closest to the target toxicity rate of 30%

    Measured: Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

  5. Phase 1b: RP2D of BGB-A445 when Administered Alone

    Measured: Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

  6. Phase 1b: Overall Response Rate (ORR) as Assessed by the Investigator

    ORR is defined as the proportion of participants who had confirmed complete response Complete Response (CR) or Partial Response (PR)

    Measured: Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

Secondary outcomes (25)
  1. Phase 1a: Overall Response Rate (ORR) as Assessed by the Investigator

    Measured: Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

  2. Phase 1a: Duration of Response (DOR) as Assessed by the Investigator

    Measured: Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

  3. Phase 1a: Disease-Control Rate (DCR) as Assessed by the Investigator

    Measured: Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

  4. Phase 1a: Serum Concentration of BGB-A445

    Measured: 60 minutes predose up to 72 hours postdose

  5. Phase 1a: Serum Concentration of tislelizumab

    Measured: 60 minutes predose up to 72 hours postdose

  6. Phase 1a: Maximum Observed Plasma Concentration (Cmax) of BGB-A445

    Measured: 60 minutes predose up to 72 hours postdose

  7. Phase 1a: Maximum Observed Plasma Concentration (Cmax) of tislelizumab

    Measured: 60 minutes predose up to 72 hours postdose

  8. Phase 1a: Minimum Observed Plasma Concentration (Cmin) of BGB-A445

    Measured: 60 minutes predose up to 72 hours postdose

  9. Phase 1a: Minimum Observed Plasma Concentration (Cmin) of tislelizumab

    Measured: 60 minutes predose up to 72 hours postdose

  10. Phase 1a: Time to Maximum Plasma Concentration (Tmax) of BGB-A445

    Measured: 60 minutes predose up to 72 hours postdose

  11. Phase 1a: Time to Maximum Plasma Concentration (Tmax) of tislelizumab

    Measured: 60 minutes predose up to 72 hours postdose

  12. Phase 1a: Area Under the Concentration-Time Curve of 0-21 Days (AUC0-21d) of BGB-A445

    Measured: 60 minutes predose up to 21 days postdose

  13. Phase 1a: Immunogenic Responses to BGB-A445 as assessed through the detection of antidrug antibodies

    Measured: Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

  14. Phase 1a: Immunogenic Responses to tislelizumab as assessed through the detection of antidrug antibodies

    Measured: Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

  15. Phase 1b: Progression-free survival (PFS) as Assessed by the Investigator

    Determined from investigator derived tumor assessments as per RECIST 1.1

    Measured: Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

  16. Phase 1b: Duration of Response (DOR) as Assessed by the Investigator

    Measured: Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

  17. Phase 1b: Disease-Control Rate (DCR) as Assessed by the Investigator

    Measured: Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

  18. Phase 1b: Number of Participants Experiencing Adverse Events (AEs)

    Measured: Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy

  19. Phase 1b: Number of Participants Experiencing Serious Adverse Events (SAEs)

    Measured: Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy

  20. Phase 1b: Serum Concentration of BGB-A445

    Measured: 60 minutes predose up to 72 hours postdose

  21. Phase 1b: Maximum Observed Plasma Concentration (Cmax) of BGB-A445

    Measured: 60 minutes predose up to 72 hours postdose

  22. Phase 1b: Minimum Observed Plasma Concentration (Cmin) of BGB-A445

    Measured: 60 minutes predose up to 72 hours postdose

  23. Phase 1b: Time to Maximum Plasma Concentration (Tmax) of BGB-A445

    Measured: 60 minutes predose up to 72 hours postdose

  24. Phase 1b: Area Under the Concentration-Time Curve of 0-21 Days (AUC0-21d) of BGB-A445

    Measured: 60 minutes predose up to 21 days postdose

  25. Phase 1b: Immunogenic Responses to BGB-A445 as assessed through the detection of antidrug antibodies

    Measured: Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

Timeline

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

  1. First posted2 Jan 2020
  2. Study start30 Jan 2020
  3. Primary completion24 Jan 2025
  4. Study completion24 Jan 2025

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
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
204 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04215978
Sponsor's protocol ID
BGB-A317-A445-101
Other IDs
2022-501177-39-00, CTR20220453
Status last verified
Feb 2025
First submitted
30 Dec 2019
Last updated
3 Oct 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BGB-A445 and tislelizumab in people with Advanced Solid Tumor and Non Small Cell Lung Cancer, run by BeiGene at 30 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 14 inclusion and 14 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 3 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in Australia, China, South Korea, United States, Thailand 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 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.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 1a: Number of Participants Experiencing Adverse Events (AEs) (time frame: Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy). 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?
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 3 Oct 2025.

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