Non-small Cell Lung CancerPhase 3NCT04746924
A Study of Ociperlimab With Tislelizumab Compared to Pembrolizumab in Participants With Untreated Lung Cancer
A Phase 3 study testing Tislelizumab, Ociperlimab and Pembrolizumab in people with Non-small Cell Lung Cancer and NSCLC, run by BeiGene at 218 sites in 19 countries.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of ociperlimab + tislelizumab compared with that of pembrolizumab in adults with high levels of programmed cell death ligand-1 (PD-L1), locally advanced/recurrent or untreated metastatic non-small cell lung cancer (NSCLC). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-small Cell Lung Cancer, NSCLC
- What is being tested?
- Tislelizumab, Ociperlimab and Pembrolizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 669 participants
- Where
- 218 sitesin 19 countries
- Study dates
- 24 May 2021to 18 Mar 2026
- Phase
- Phase 3
- 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 documented locally advanced or recurrent non-small cell lung cancer (NSCLC) that is not eligible for curative surgery and/or definitive radiotherapy with or without chemoradiotherapy, or metastatic-nonsquamous or squamous NSCLC.
- No prior systemic treatment for metastatic NSCLC.
- Agreement to provide archival tissue or fresh biopsy (if archival tissue is not available).
- Tumors with PD-L1 expressed in ≥ 50% tumor cells.
- At least 1 measurable lesion as defined per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
- Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1.
Who cannot join
- Known mutations in the epidermal growth factor receptor (EGFR) gene, anaplastic lymphoma kinase (ALK) fusion oncogene, BRAF V600E, or ROS1.
- Prior therapy with an anti-programmed cell death protein (anti-PD)-1, anti-PD-ligand (L)-1, anti-PD-ligand-2, anti-T-cell immunoglobulin and ITIM (anti-TIGIT) domain, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways.
- Active leptomeningeal disease or uncontrolled, untreated brain metastasis.
- Active autoimmune diseases or history of autoimmune diseases that may relapse.
- Note: Other protocol defined Inclusion/Exclusion criteria may apply
Trial locations and contacts
218 sites in 19 countries.
218 sites in 19 countries
China52 sites
Beijing Chao Yang Hospital
Beijing, Beijing Municipality, 100020
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142
Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730
Beijing Chest Hospital, Capital Medical University
Beijing, Beijing Municipality, 101149
The Second Xiangya Hospital of Central South University
Changsha, Hunan, 410011
Hunan Cancer Hospital
Changsha, Hunan, 410013
Changzhou No Peoples Hospital, the Affiliated Hospital of Nanjing Medical University Branch Cheng
Changzhou, Jiangsu, 213003
Sichuan Cancer Hospital and Institute
Chengdu, Sichuan, 610041
West China Hospital, Sichuan University
Chengdu, Sichuan, 610041
Chongqing Cancer Hospital
Chongqing, Chongqing Municipality, 400030
The First Affiliated Hospital of Army Military Medical University
Chongqing, Chongqing Municipality, 400038
Daping Hospital, Third Military Medical University
Chongqing, Chongqing Municipality, 400042
Chongqing University Three Gorges Central Hospital
Chongqing, Chongqing Municipality, 404000
Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001
Fujian Cancer Hospital
Fuzhou, Fujian, 350014
Affiliated Cancer Hospital and Institute of Guangzhou Medical University
Guangzhou, Guangdong, 510030
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
Affiliated Hospital of North Sichuan Medical College
Nanchong, Sichuan, 637000
Nanjing First Hospital
Nanjing, Jiangsu, 210009
Nanjing Chest Hospital
Nanjing, Jiangsu, 210029
The Peoples Hospital of Guangxi Zhuang Autonomous Region
Nanning, Guangxi, 530021
The Tumor Hospital Affiliated to Guangxi Medical University
Nanning, Guangxi, 530021
The First Affiliated Hospital of Ningbo University
Ningbo, Zhejiang, 315010
The Affiliated Hospital of Qingdao University Branch Laoshan
Qingdao, Shandong, 266000
Shanghai Chest Hospital
Shanghai, Shanghai Municipality, 200030
Affiliated Zhongshan Hospital of Fudan University
Shanghai, Shanghai Municipality, 200032
Shanghai Pulmonary Hospital
Shanghai, Shanghai Municipality, 200433
Cancer Hospital of Shantou University Medical College
Shantou, Guangdong, 515031
Liaoning Cancer Hospital and Institute
Shenyang, Liaoning, 110042
Shenzhen Peoples Hospital
Shenzhen, Guangdong, 518020
The Second Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215000
The First Affiliated Hospital of Soochow University Branch Shizi
Suzhou, Jiangsu, 215006
Shanxi Bethune Hospital
Taiyuan, Shanxi, 030032
Taizhou Hospital of Zhejiang
Taizhou, Zhejiang, 317000
Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300052
Tianjin Medical University Cancer Institute and Hospital
Tianjin, Tianjin Municipality, 300060
Affiliated Cancer Hospital of Xinjiang Medical University
Ürümqi, Xinjiang, 830000
Weifang Peoples Hospital
Weifang, Shandong, 261000
Union Hospital of Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430022
Renmin Hospital of Wuhan University
Wuhan, Hubei, 430060
Hubei Cancer Hospital
Wuhan, Hubei, 430079
The First Affiliated Hospital of Xian Jiaotong University
Xi'an, Shaanxi, 710061
The First Affiliated Hospital of Xiamen University
Xiamen, Fujian, 361003
Xuzhou Central Hospital
Xuzhou, Jiangsu, 221000
Yantai Yuhuangding Hospital
Yantai, Shandong, 264000
The Fourth Affiliated Hospital Zhejiang University School of Medicine
Yiwu, Zhejiang, 322000
Henan Cancer Hospital
Zhengzhou, Henan, 450000
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052
Spain24 sites
Hospital Universitario Fundacion Alcorcon
Alcorcón, 28922
Hospital Del Mar
Barcelona, 08003
Hospital de La Santa Creu I Sant Pau
Barcelona, 08025
Hospital Universitario Vall Dhebron
Barcelona, 08035
Hospital Universitari Quiron Dexeus
Barcelona, 8028
Hospital General Universitario de Elche
Elche, 3203
Ico Girona
Girona, 17007
Hospital Universitario de Jaen
Jaén, 23007
Complejo Hospitalario Universitario Insular Gran Canaria
Las Palmas, 35016
Hospital Universitario Lucus Augusti
Lugo, 27003
Hospital Clinico San Carlos
Madrid, 28040
Start Madrid Fundacion Jimenez Diaz
Madrid, 28040
Hospital Universitario Doce de Octubre
Madrid, 28041
Hospital Universitario La Paz
Madrid, 28046
Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, 28222
Hospital Regional Universitario de Malaga
Málaga, 29010
Hospital Universitario Virgen de La Victoria
Málaga, 29010
Hospital General Universitario Morales Meseguer
Murcia, 30008
Complexo Hospitalario Universitario de Ourense
Ourense, 32005
Hospital Universitari Son Espases
Palma de Mallorca, 07120
Hospital Universitario Virgen Del Rocio
Seville, 41013
Hospital Universitario Nuestra Senora de Valme
Seville, 41014
Hospital Arnau de Vilanova
Valencia, 46015
Hospital Universitari I Politecnic La Fe
Valencia, 46026
Japan23 sites
Nippon Medical School Hospital
Bunkyoku, Tokyo, 113-8603
Kansai Medical University Hospital
Hirakata, Osaka, 573-1191
Hirosaki University Hospital
Hirosaki, Aomori, 036-8563
Hiroshima University Hospital
Hiroshima, 734-8551
Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641
Kobe University Hospital
Kobe, Hyōgo, 650-0017
Kobe City Medical Center General Hospital
Kobe, Hyōgo, 650-0047
Cancer Institute Hospital of Jfcr
Kotoku, Tokyo, 135-8550
Kurume University Hospital
Kurume, Fukuoka, 830-0011
Nho Shikoku Cancer Center
Matsuyama, Ehime, 791-0280
Nagoya University Hospital
Nagoya, Aichi-ken, 466-8560
Miyagi Cancer Center
Natorishi, Miyagi, 981-1293
Niigata Cancer Center Hospital
Niigata, 951-8566
Hyogo Medical University Hospital
Nishinomiyashi, Hyōgo, 663-8501
Okayama University Hospital
Okayama, Okayama-ken, 700-8558
National Hospital Organization Kinki Chuo Chest Medical Center
Sakai, Osaka, 591-8555
Kindai University Hospital
Sayama, Osaka, 589-8511
National Hospital Organization Shibukawa Medical Center
Shibukawa, Gunma, 337-0280
Jichi Medical University Hospital
Shimonotsuke, Tochigi, 329-0498
Dokkyo Medical University Hospital
Shimotsugagun, Tochigi, 321-0293
Osaka Toneyama Medical Center
Toyonaka, Osaka, 560-8552
Tochigi Cancer Center
Utsunomiya, Tochigi, 320-0834
Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515
France13 sites
Centre Hospitalier de La Cote Basque Saint Leon Service de Pneumologie
Bayonne, 64100
Centre de Lutte Contre Le Cancer Institut Bergonie
Bordeaux, 33076
Hopital de La Croix Rousse
Lyon, 69317
Hopital Louis Pradel
Lyon, 69500
Icm Val Daurelle Oncologie Medicale
Montpellier, 24298
Polyclinique de Gentilly
Nancy, 54100
Hopital Cochin
Paris, 75014
Chu Hopital Lyon Sud
PierreBenite, 69495
Hia Begin
Saint-Mandé, 94160
Chu de La Reunion
Saint-Pierre, 97448
Centre de Lutte Contre Le Cancer Institut de Cancerologie de Louest Rene Gauducheau
SaintHerblain, 44805
Chu Nantes Hopital Nord Laennec
SaintHerblain, 44805
Chu Tours Hopital Bretonneau Service Pneumologie
Tours, 37000
Australia12 sites
Ballarat Health Services
Ballarat, Victoria, 3350
Pindara Private Hospital
Benowa, Queensland, 4217
The Prince Charles Hospital
Chermside, Queensland, 4032
Monash Health
Clayton, Victoria, 3168
Concord Repatriation General Hospital
Concord, New South Wales, 2139
Lyell McEwin Hospital
Elizabeth Vale, South Australia, 5112
St John of God, Murdoch
Murdoch, Western Australia, 6150
Mater Cancer Care Centre
South Brisbane, Queensland, 4101
Western Health Sunshine Hospital
St Albans, Victoria, 3021
Northern Cancer Institute
St Leonards, New South Wales, 2065
John Flynn Private Hospital
Tugun, Queensland, 4224
Calvary Mater Newcastle
Waratah, New South Wales, 2298
Turkey (Türkiye)12 sites
Acibadem Adana Hospital
Adana, 01130
Baskent University Practice and Research Hospital Adana Medical Oncology Department
Adana, 1240
Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital
Ankara, 06200
Memorial Ankara Hospital
Ankara, 6520
Inonu Universitesi Tip Fakultesi
Battalgazi, 44280
Tr Trakya University Health Research and Application Center (Hospital)
Edirne, 22030
Iu C, Clinical Research Excellence Application and Research Center
Istanbul, 34098
Tr Ministry of Health Goztepe Prof Dr Suleyman Yalcin City Hospital
Istanbul, 34722
Ege University Medical Faculty
Izmir, 35100
Kocaeli Universitesi Tip Fakultesi
Kocaeli, 41380
Necmettin Erbakan University Selcuklu Faculty of Medicine
Meram, 42090
Mersin City Hospital
Mersin City Hospital, 33240
Georgia10 sites
High Technology Hospital Medcenter Ltd
Batumi, 6000
Acad Fridon Todua Medical Center Ltd Research Institute of Clinical Medicine Ltd
Tbilisi, 0112
Israel Georgian Medical Research Clinic Helsicore Ltd
Tbilisi, 0112
Jsc German Hospital
Tbilisi, 0119
Institute of Clinical Oncology Ltd
Tbilisi, 0159
Jsc Evex Hospitals Tbilisi
Tbilisi, 0159
Tim Tbilisi Institute of Medicine Ltd
Tbilisi, 0160
Caucasus Medical Centre Ltd
Tbilisi, 0186
Multiprofile Clinic Consilium Medulla Ltd
Tbilisi, 0186
Oncology Research Center Ltd
Tbilisi, 0186
United States9 sites
Providence Medical Foundation St Jude Heritage Healthcare
Fullerton, California, 92835
Goshen Center For Cancer Care
Goshen, Indiana, 46526
Baptist Health Lexington
Lexington, Kentucky, 40503
Valkyrie Clinical Trials
Los Angeles, California, 90067
University Medical Center New Orleans West Jefferson Medical Center
New Orleans, Louisiana, 70112
Ocala Oncology Center Pl Dba Florida Cancer Affiliates Ocala
Ocala, Florida, 34474
Advent Health Cancer Institute
Orlando, Florida, 32804
West Penn Hospital
Pittsburgh, Pennsylvania, 15224
Metro Minnesota Community Oncology Research Consortium (Mmcorc)
Saint Paul, Minnesota, 55101
Germany8 sites
Universitaetsklinikum Aachen
Aachen, 52074
Universitatsklinikum Bonn
Bonn, 53127
Kliniken Der Stadt Koeln Ggmbh
Cologne, 51109
Uniklinikum Giessen Marburg
Giessen, 35392
Lungenclinic Grosshansdorf Gmbh
Grohansdorf, 22927
Ambulantes Krebszentrum Hamburg
Hamburg, 20251
Munchen Klinik Bogenhausen
Munich, 81925
Agaplesion Diakonieklinikum Rotenburg Gemeinnutzige Gmbh
Rotenburg (Wümme), 27356
Russia8 sites
Arkhangelsk Regional Clinical Oncological Dispensary
Arkhangelsk, Arkhangelskaya oblast, 163045
State Budgetary Healthcare Institution Regional Oncology Dispensary Number
Magnitogorsk, Chelyabinsk Oblast, 455001
Vitamed Llc
Moscow, Moscow, 121309
State Budgetary Healthcare Institution Nizhny Novgorod Regional Clinical Oncology Dispensary
Nizhny Novgorod, Nizhny Novgorod Oblast, 603081
Bih of Omsk Region Clinical Oncology Dispensary
Omsk, Omsk Oblast, 644013
Llc Av Medical Group
Saint Petersburg, Sankt-Peterburg, 197082
State Budgetary Healthcare Institution Samara Regional Clinical Oncology Dispensary
Samara, Samaraskaya Oblast', 443031
State Autonomous Healthcare Institution Republican Clinical Oncological Dispensary of the Republic
Ufa, Bashkortostan Republic, 450054
South Korea8 sites
The Catholic University of Korea Bucheon St Marys Hospital
Bucheon-si, Gyeonggi-do, 14647
Chungbuk National University Hospital
Cheongju-si, Chungcheongbukdo, 28644
Kyungpook National University Chilgok Hospital
Daegu, Gyeongsangbukdo, 41404
Keimyung University Dongsan Hospital
Dalseogu, Daegu Gwang'yeogsi, 42601
The Catholic University of Korea, Eunpyeong St Marys Hospital
Eunpyeonggu, Seoul Teugbyeolsi, 03312
Cha Bundang Medical Center, Cha University
Gyeonggido, Gyeonggi-do, 13496
Severance Hospital Yonsei University Health System
Seoul, Seoul Teugbyeolsi, 03722
The Catholic University of Korea, St Vincents Hospital
Suwon, Gyeonggi-do, 16247
Taiwan7 sites
Changhua Christian Hospital
Changhua, 50006
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 83301
Chung Shan Medical University Hospital
Taichung, 40201
Taipei Veterans General Hospital
Taipei, 11217
Taipei Tzu Chi Hospital
Taipei, 231405
Linkou Chang Gung Memorial Hospital
Taoyuan, 33305
National Taiwan University Hospital Yunlin Branch
Yunlin, 640
Thailand7 sites
Siriraj Hospital
Bangkok, 10700
Songklanagarind Hospital (Prince of Songkhla University)
Hat Yai, 90110
Chulabhorn Research Institute
Lak Si, 10210
Srinagarind Hospital (Khon Kaen University)
Muang, 40002
Maharaj Nakorn Chiang Mai Hospital (Chiang Mai University)
Muang, 50200
Phramongkutklao Hospital
Ratchathewi, 10400
Rajavithi Hospital
Ratchathewi, 10400
Brazil6 sites
Instituto Dor de Pesquisa E Ensino Distrito Federal
Brasília, 70390140
Hospital Evangelico de Cachoeiro de Itapemirim
Cachoeiro de Itapemirim, 29308-020
Centro de Pesquisas Oncologicas Cepon
Florianópolis, 88034-000
Cancer Institute of Ceara
Fortaleza, 60430-235
Cepho Centro de Estudos E Pesquisas de Hematologia E Oncologia
Santo André, 09060-650
Fundacao Faculdade Regional de Medicina de Sao Jose Do Rio Preto
São José do Rio Preto, 15090-000
Poland6 sites
Uniwersytecki Szpital Kliniczny W Bialymstoku
Bialystok, 15-276
Centrum Terapii Wspoczesnej
Lodz, 90-338
Wielospecjalistyczne Centrum Onkologii I Traumatologii Im M Kopernika W Lodzi
Lodz, 93-510
Wielkopolskie Centrum Pulmonologii I Torakochirurgii
Poznan, 60-569
Przychodnia Med Polonia Sp Z Oo
Poznan, 60-693
Etg Zamosc
Zamość, 22-400
Netherlands5 sites
Meander Medisch Centrum
Amersfoort, 3813 TZ
Rijnstate
Arnhem, 6815 AD
Ziekenhuis St Jansdal
Harderwijk, 3844 DG
Stichting Zuyderland Medisch Centrum
Heerlen, 6419 PC
Isala Klinieken Zwolle
Zwolle, 8025 AB
Italy3 sites
Azienda Ospedaliera Universitaria Policlinico Santorsola Malpighi
Bologna, 40138
Azienda Ospedaliera Papardo
Messina, 98158
Aou San Luigi Gonzaga
Orbassano, 10043
Ukraine3 sites
Medical Center of Limited Liability Company Mriya Med Service
Kryvyi Rih, 50000
Communal Non Profit Enterprisecentral Municipal Clinical Hospital of Uzhhorod City Council
Uzhhorod, 88000
Zakarpatska Regional Clinical Oncological Center
Uzhhorod, 88011
Argentina2 sites
Centro Medical Austral
Buenos Aires, 1409
Centro Para La Atencion Del Paciente Oncologico (Caipo)
San Miguel de Tucumán, 4000
About this study
Official title: A Phase 3, Randomized, Double-Blind Study of Ociperlimab, an Anti-TIGIT Antibody, in Combination With Tislelizumab Compared to Pembrolizumab in Patients With Previously Untreated, PD-L1-Selected, and Locally Advanced, Unresectable, or Metastatic Non-Small Cell Lung Cancer
The purpose of this study is to evaluate the efficacy and safety of ociperlimab + tislelizumab compared with that of pembrolizumab in adults with high levels of programmed cell death ligand-1 (PD-L1), locally advanced/recurrent or untreated metastatic non-small cell lung cancer (NSCLC).
- Conditions
- Non-small Cell Lung Cancer, NSCLC
- Being tested
- Tislelizumab, Ociperlimab, Pembrolizumab, Placebo
- Keywords
- Locally Advanced, Unresectable, Metastatic, Tislelizumab, BGB-A317, Ociperlimab, BGB-A1217, Pembrolizumab, Anti-TIGIT
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Neoplasm Metastasis
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 is a monoclonal antibody formulated for intravenous injection.
OciperlimabDrug
Also called BGB-A1217
Ociperlimab is a monoclonal antibody formulated for intravenous injection.
PembrolizumabDrug
Also called KEYTRUDA
Pembrolizumab is a monoclonal antibody formulated for intravenous injection.
PlaceboDrug
Placebo infusions will consist of a sterile, normal saline solution.
| Study group | Role | What they receive |
|---|---|---|
| Arm A: Ociperlimab plus Tislelizumab | Experimental | Participants received ociperlimab 900 mg and tislelizumab 200 mg intravenously every 3 weeks. Treatment continued until lack of benefit, unacceptable toxicity, or withdrawal for other reasons. Receives: Drug: Tislelizumab; Drug: Ociperlimab |
| Arm B: Pembrolizumab plus Placebo | Active comparator | Participants received pembrolizumab 200 mg and placebo intravenously every 3 weeks. Treatment continued until lack of benefit, unacceptable toxicity, or withdrawal for other reasons. Receives: Drug: Pembrolizumab; Drug: Placebo |
| Arm C: Tislelizumab plus Placebo | Placebo comparator | Participants received tislelizumab 200 mg and placebo intravenously every 3 weeks. Treatment continued until lack of benefit, unacceptable toxicity, or withdrawal for other reasons. Receives: Drug: Tislelizumab; Drug: Placebo |
| Safety Run-In Substudy | Experimental | Japanese participants received ociperlimab 900 mg and tislelizumab 200 mg every 3 weeks. Treatment continued until lack of benefit, unacceptable toxicity, or withdrawal for other reasons. Receives: Drug: Tislelizumab; Drug: Ociperlimab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS) in Arms A and B
OS is defined as the time from the date of randomization to the date of death due to any cause. Median OS was estimated using the Kaplan-Meier method. OS was a pre-specified primary endpoint for Arms A and B only.
Measured: From randomization until the end of the study. Maximum time on study was 45.0 months
Safety Run-In Substudy: Number of Participants Experiencing Adverse Events (AEs)
The severity of AEs was determined according to National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI CTCAE v5.0). AEs were graded on a scale of Grade 1 to Grade 5, with Grade 1 being the least severe and Grade 5 being the most severe.
An AE is defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a study drug, whether considered related to study drug or not. A serious adverse event (SAE) is any untoward medical occurrence that, at any dose resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect, was considered a significant medical AE by the investigator based on medical judgement.
Measured: From first dose of study drug to 30 days after last dose. Maximum treatment duration was 12.45 months.
Safety Run-In Substudy: Serum Concentration of Ociperlimab
Measured: Cycle 1 Day 1 (C1D1) Postdose (30 minutes after end of infusion), 24 and 72 Hours Postdose; C1D8; C1D15; C2D1 Predose and Postdose; C5D1 Predose; C5D1 Postdose; C5D8; C5D15; C6D1 Predose and Postdose; C9D1 Predose; C13D1 Predose; End of Treatment.
Secondary outcomes (13)
Progression-free Survival (PFS) for Arm A Versus Arm B As Assessed By the Investigator
PFS is defined as the time from the date of randomization to the date of the first objectively documented tumor progression per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death, whichever occurs first. Median PFS was estimated using the Kaplan-Meier method. PFS was a pre-specified secondary endpoint for Arms A and B only.
Progressive disease is defined as at least a 20% increase in the sum of diameters of target lesions, unequivocal progression of existing non-target lesions, or new lesions.
Measured: Up to 45.0 months
Progression-free Survival (PFS) for Safety Run-In Substudy As Assessed By the Investigator
PFS is defined as the time from the date of randomization to the date of the first objectively documented tumor progression per RECIST v1.1, or death, whichever occurs first. Median PFS was estimated using the Kaplan-Meier method.
Measured: Up to 38.9 months
Overall Response Rate (ORR) for Arm A Versus Arm B As Assessed By the Investigator
ORR is defined as the percentage of participants with a documented, confirmed complete response or partial response per RECIST v1.1. ORR was a pre-specified secondary endpoint for Arms A and B only.
Complete response is defined as disappearance of all target lesions, disappearance of all nontarget lesions and normalization of tumor marker level, and no new lesions.
Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, no unequivocal progression of non-target lesions, and no new lesions.
Measured: Response was assessed every 9 weeks from randomization for the first 52 weeks and then every 12 weeks thereafter, up to 45.0 months
Overall Response Rate (ORR) for Safety Run-In Substudy As Assessed By the Investigator
ORR is defined as the percentage of participants with a documented, confirmed complete response or partial response per RECIST v1.1.
Measured: Response was assessed every 9 weeks from randomization for the first 52 weeks and then every 12 weeks thereafter, up to 38.9 months
Duration Of Response (DOR) for Arm A Versus Arm B As Assessed By the Investigator
DOR is defined as the time from the first determination of an objective response per RECIST v1.1 until the first documentation of progression or death, whichever occurs first. Median DOR was estimated using the Kaplan-Meier method. DOR was a pre-specified secondary endpoint for Arms A and B only.
Measured: Up to 45.0 months
Duration Of Response (DOR) for Safety Run-In Substudy As Assessed By the Investigator
DOR is defined as the time from the first determination of an objective response per RECIST v1.1 until the first documentation of progression or death, whichever occurs first. Median DOR was estimated using the Kaplan-Meier method.
Measured: Up to 38.9 months
Change From Baseline in Global Health Status (GHS)/Quality of Life (QoL), Physical Functioning, and Pain Scores: European Organization For Research And Treatment Of Cancer Quality Of Life Questionnaire Core 30 (EORTC QLQ-C30) in Arms A and B
The EORTC QLQ-30 contains 30 questions that incorporate 5 functional scales (physical, role, emotional, cognitive, and social functioning), 1 GHS scale, 3 symptom scales (fatigue, nausea and vomiting, and pain), and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). The participant answers questions about their health during the past week. There are 28 questions answered on a 4-point scale where 1 = Not at all (best) and 4 = Very Much (worst) and 2 global health QoL questions answered on a 7-point scale where 1 = Very poor and 7 = Excellent. Raw scores are transformed into a 0 to 100 scale via linear transformation. Higher scores in GHS and functional scales indicate better quality of life. Lower scores in symptom scales indicate better quality of life. Included in this outcome measure were evaluation of GHS/QoL, physical functioning, and fatigue.
This was a pre-specified secondary endpoint for Arms A and B only.
Measured: Baseline to Cycle 5 and Cycle 7, each cycle was 3 weeks
Change From Baseline in EORTC Lung Cancer Module Quality of Life Questionnaire Lung Cancer 13 (QLQ-LC13) Index Score, Dyspnea, Coughing, Hemoptysis, Pain in Chest, Pain in Arms/Shoulders, and Peripheral Neuropathy Scores in Arms A and B
The EORTC QLQ-LC13 is the lung cancer module of the QLQ-C30 and measures lung cancer-specific disease and treatment symptoms. It includes 13 questions about specific symptoms in which participants respond based on a 4-point scale, where 1 is "not at all" and 4 is "very much". Raw scores are transformed into a 0 to 100 scale via linear transformation. The symptom index scale was calculated by taking the mean of all symptom scale scores, and ranges from 0 to 100. Lower scores indicate an improvement in symptoms.
This was a pre-specified secondary endpoint for Arms A and B only.
Measured: Baseline to Cycle 5 and Cycle 7, each cycle was 3 weeks
Change From Baseline in European Quality of Life-5 Level- 5 Dimension (EQ-5D-5L) Visual Analog Scale in Arms A and B
The EQ-5D-5L comprises a descriptive module that includes five dimensions (mobility, self-care, usual activities, pain/discomfort and anxiety/depression) and a Visual Analog Scale (VAS). The VAS records a participant's self-rated health on a vertical scale from 0 to 100, where 0 is 'the worst health you can imagine' and 100 is 'the best health you can imagine'. A higher score indicates better health outcomes.
This was a pre-specified secondary endpoint for Arms A and B only.
Measured: Baseline to Cycle 5 and Cycle 7, each cycle was 3 weeks
Time To Deterioration (TTD) in Arms A and B Based on QLQ-LC13 Index Score, Cough, Chest Pain, Dyspnea, Hemoptysis, Arm or Shoulder Pain, and Peripheral Neuropathy
TTD is defined as the time from randomization to the first occurrence of worsening scores of ≥ 10 points from baseline for 2 consecutive assessments or 1 assessment followed by death from any cause. TTD was estimated using the Kaplan-Meier method. TTD was a pre-specified secondary endpoint for Arms A and B only.
Measured: Up to 45.0 months
Time To Deterioration (TTD) in Arms A and B Based on QLQ-C30 GHS/QoL Score, Physical Functioning, and Fatigue
TTD is defined as the time from randomization to the first occurrence of worsening scores of ≥10 points from baseline for 2 consecutive assessments or 1 assessment followed by death from any cause. TTD was estimated using the Kaplan-Meier method. TTD was a pre-specified secondary endpoint for Arms A and B only.
Measured: Up to 45.0 months
Number Of Participants Experiencing Adverse Events (AEs) in Arm A
The severity of AEs was determined according to National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI CTCAE v5.0). AEs were graded on a scale of Grade 1 to Grade 5, with Grade 1 being the least severe and Grade 5 being the most severe.
An AE is defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a study drug, whether considered related to study drug or not. An SAE is any untoward medical occurrence that, at any dose resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect, was considered a significant medical AE by the investigator based on medical judgement.
This was a pre-specified secondary endpoint for Arm A only.
Measured: From first dose of study drug up to 30 days after last dose (or 90 days for immune-mediated AEs); maximum treatment duration was 45.0 months
Safety Run-In Substudy: Participants With Anti-Drug Antibodies
Measured: Up to 38.9 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Feb 2021
- Study start24 May 2021
- Primary completion30 May 2025
- Study completion18 Mar 2026
Why it stopped: This decision was conducted by the sponsor based on lack of efficacy and not driven by safety concerns.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Non-small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by BeiGeneThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 669 participants (actual)
Sponsor and investigators
- Lead sponsor
- BeiGene
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04746924
- Sponsor's protocol ID
- AdvanTIG-302
- Other IDs
- BGB-A317-A1217-302, CTR20211476/CTR20211464, 2020-004985-21, 2023-507317-10-00, 2023
- Status last verified
- Apr 2026
- First submitted
- 5 Feb 2021
- Last updated
- 12 May 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: BeiGene shares data on completed studies responsibly and provides qualified scientific and medical researchers access to data and supporting documentation for clinical trials in dossiers for medicines and indications after submission and approval in the United States, China, and Europe. Clinical trials supporting subsequent local approvals, new indications, or combination products are eligible for sharing once corresponding regulatory approvals are achieved. BeiGene shares data only when permitted by applicable data privacy and security laws and regulations, when it is feasible to do so without compromising the privacy of study participants, and other considerations. Qualified researchers with appropriate competencies who are engaged in novel scientific research may submit a request for participant-level data with a research proposal for BeiGene review. Research teams must include a biostatistician and sign a Data Sharing Agreement prior to receiving access to clinical trial data.
Publications
Socinski MA, Reck M, Paz-Ares L, Nishio M, Spira AI, Yu X, Melkadze T, Zeng A, Martinez-Bueno A, Li X, Arulananda S, Zuo Y, Chica-Duque S, Dai W, Zhou J, Tan W, Lu S. AdvanTIG-302: Phase 3 Study of Ociperlimab (Anti-TIGIT) + Tislelizumab (Anti-PD-1) Versus Pembrolizumab in Untreated, Locally Advanced, Unresectable, or Metastatic Non-Small Cell Lung Cancer With PD-L1 >/=50. J Thorac Oncol. 2026 Jul 14:104089. doi: 10.1016/j.jtho.2026.104089. Online ahead of print.
PubMed 42448175
Study at a glance
From the registry record, last updated by the sponsor on 12 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-Blind Study of Ociperlimab, an Anti-TIGIT Antibody, in Combination With Tislelizumab Compared to Pembrolizumab in Patients With Previously Untreated, PD-L1-Selected, and Locally Advanced, Unresectable, or Metastatic Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT04746924
- Acronym / sponsor ID
- AdvanTIG-302
- Conditions
- Non-small Cell Lung Cancer, NSCLC
- Keywords
- Locally Advanced, Unresectable, Metastatic, Tislelizumab, BGB-A317, Ociperlimab, BGB-A1217, Pembrolizumab
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: This decision was conducted by the sponsor based on lack of efficacy and not driven by safety concerns.
- Enrolment
- 669 participants (actual)
- Lead sponsor
- BeiGeneIndustry (pharma, biotech, devices)
- Study start
- 24 May 2021 (actual)
- Primary completion
- 30 May 2025 (actual)
- Study completion
- 18 Mar 2026 (actual)
- First posted
- 10 Feb 2021 (actual)
- Results
- Posted 12 May 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy and safety of ociperlimab + tislelizumab compared with that of pembrolizumab in adults with high levels of programmed cell death ligand-1 (PD-L1), locally advanced/recurrent or untreated metastatic non-small cell lung cancer (NSCLC).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Arm A: Ociperlimab plus Tislelizumab | Experimental | Drug: Tislelizumab, Drug: OciperlimabParticipants received ociperlimab 900 mg and tislelizumab 200 mg intravenously every 3 weeks. Treatment continued until lack of benefit, unacceptable toxicity, or withdrawal for other reasons. |
| Arm B: Pembrolizumab plus Placebo | Active comparator | Drug: Pembrolizumab, Drug: PlaceboParticipants received pembrolizumab 200 mg and placebo intravenously every 3 weeks. Treatment continued until lack of benefit, unacceptable toxicity, or withdrawal for other reasons. |
| Arm C: Tislelizumab plus Placebo | Placebo comparator | Drug: Tislelizumab, Drug: PlaceboParticipants received tislelizumab 200 mg and placebo intravenously every 3 weeks. Treatment continued until lack of benefit, unacceptable toxicity, or withdrawal for other reasons. |
| Safety Run-In Substudy | Experimental | Drug: Tislelizumab, Drug: OciperlimabJapanese participants received ociperlimab 900 mg and tislelizumab 200 mg every 3 weeks. Treatment continued until lack of benefit, unacceptable toxicity, or withdrawal for other reasons. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Histologically or cytologically documented locally advanced or recurrent non-small cell lung cancer (NSCLC) that is not eligible for curative surgery and/or definitive radiotherapy with or without chemoradiotherapy, or metastatic-nonsquamous or squamous NSCLC.
- No prior systemic treatment for metastatic NSCLC.
- Agreement to provide archival tissue or fresh biopsy (if archival tissue is not available).
- Tumors with PD-L1 expressed in ≥ 50% tumor cells.
- At least 1 measurable lesion as defined per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Key exclusion criteria (5 listed)
- Known mutations in the epidermal growth factor receptor (EGFR) gene, anaplastic lymphoma kinase (ALK) fusion oncogene, BRAF V600E, or ROS1.
- Prior therapy with an anti-programmed cell death protein (anti-PD)-1, anti-PD-ligand (L)-1, anti-PD-ligand-2, anti-T-cell immunoglobulin and ITIM (anti-TIGIT) domain, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways.
- Active leptomeningeal disease or uncontrolled, untreated brain metastasis.
- Active autoimmune diseases or history of autoimmune diseases that may relapse.
- Note: Other protocol defined Inclusion/Exclusion criteria may apply
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TislelizumabAlso: BGB-A317Tislelizumab is a monoclonal antibody formulated for intravenous injection. | Drug | Arm A: Ociperlimab plus Tislelizumab, Arm C: Tislelizumab plus Placebo, Safety Run-In Substudy |
| OciperlimabAlso: BGB-A1217Ociperlimab is a monoclonal antibody formulated for intravenous injection. | Drug | Arm A: Ociperlimab plus Tislelizumab, Safety Run-In Substudy |
| PembrolizumabAlso: KEYTRUDAPembrolizumab is a monoclonal antibody formulated for intravenous injection. | Drug | Arm B: Pembrolizumab plus Placebo |
| PlaceboPlacebo infusions will consist of a sterile, normal saline solution. | Drug | Arm B: Pembrolizumab plus Placebo, Arm C: Tislelizumab plus Placebo |
Primary outcome
Overall Survival (OS) in Arms A and B
Time frame: From randomization until the end of the study. Maximum time on study was 45.0 months
OS is defined as the time from the date of randomization to the date of death due to any cause. Median OS was estimated using the Kaplan-Meier method. OS was a pre-specified primary endpoint for Arms A and B only.
Safety Run-In Substudy: Number of Participants Experiencing Adverse Events (AEs)
Time frame: From first dose of study drug to 30 days after last dose. Maximum treatment duration was 12.45 months.
The severity of AEs was determined according to National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI CTCAE v5.0). AEs were graded on a scale of Grade 1 to Grade 5, with Grade 1 being the least severe and Grade 5 being the most severe. An AE is defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a study drug, whether considered related to study drug or not. A serious adverse event (SAE) is any untoward medical occurrence that, at any dose resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect, was considered a significant medical AE by the investigator based on medical judgement.
Safety Run-In Substudy: Serum Concentration of Ociperlimab
Time frame: Cycle 1 Day 1 (C1D1) Postdose (30 minutes after end of infusion), 24 and 72 Hours Postdose; C1D8; C1D15; C2D1 Predose and Postdose; C5D1 Predose; C5D1 Postdose; C5D8; C5D15; C6D1 Predose and Postdose; C9D1 Predose; C13D1 Predose; End of Treatment.
13 secondary outcomes
Progression-free Survival (PFS) for Arm A Versus Arm B As Assessed By the Investigator
Time frame: Up to 45.0 months
Progression-free Survival (PFS) for Safety Run-In Substudy As Assessed By the Investigator
Time frame: Up to 38.9 months
Overall Response Rate (ORR) for Arm A Versus Arm B As Assessed By the Investigator
Time frame: Response was assessed every 9 weeks from randomization for the first 52 weeks and then every 12 weeks thereafter, up to 45.0 months
Overall Response Rate (ORR) for Safety Run-In Substudy As Assessed By the Investigator
Time frame: Response was assessed every 9 weeks from randomization for the first 52 weeks and then every 12 weeks thereafter, up to 38.9 months
Duration Of Response (DOR) for Arm A Versus Arm B As Assessed By the Investigator
Time frame: Up to 45.0 months
Duration Of Response (DOR) for Safety Run-In Substudy As Assessed By the Investigator
Time frame: Up to 38.9 months
Change From Baseline in Global Health Status (GHS)/Quality of Life (QoL), Physical Functioning, and Pain Scores: European Organization For Research And Treatment Of Cancer Quality Of Life Questionnaire Core 30 (EORTC QLQ-C30) in Arms A and B
Time frame: Baseline to Cycle 5 and Cycle 7, each cycle was 3 weeks
Change From Baseline in EORTC Lung Cancer Module Quality of Life Questionnaire Lung Cancer 13 (QLQ-LC13) Index Score, Dyspnea, Coughing, Hemoptysis, Pain in Chest, Pain in Arms/Shoulders, and Peripheral Neuropathy Scores in Arms A and B
Time frame: Baseline to Cycle 5 and Cycle 7, each cycle was 3 weeks
Change From Baseline in European Quality of Life-5 Level- 5 Dimension (EQ-5D-5L) Visual Analog Scale in Arms A and B
Time frame: Baseline to Cycle 5 and Cycle 7, each cycle was 3 weeks
Time To Deterioration (TTD) in Arms A and B Based on QLQ-LC13 Index Score, Cough, Chest Pain, Dyspnea, Hemoptysis, Arm or Shoulder Pain, and Peripheral Neuropathy
Time frame: Up to 45.0 months
Time To Deterioration (TTD) in Arms A and B Based on QLQ-C30 GHS/QoL Score, Physical Functioning, and Fatigue
Time frame: Up to 45.0 months
Number Of Participants Experiencing Adverse Events (AEs) in Arm A
Time frame: From first dose of study drug up to 30 days after last dose (or 90 days for immune-mediated AEs); maximum treatment duration was 45.0 months
Safety Run-In Substudy: Participants With Anti-Drug Antibodies
Time frame: Up to 38.9 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 May 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42448175Socinski MA, Reck M, Paz-Ares L, Nishio M, Spira AI, Yu X, Melkadze T, Zeng A, Martinez-Bueno A, Li X, Arulananda S, Zuo Y, Chica-Duque S, Dai W, Zhou J, Tan W, Lu S. AdvanTIG-302: Phase 3 Study of Ociperlimab (Anti-TIGIT) + Tislelizumab (Anti-PD-1) Versus Pembrolizumab in Untreated, Locally Advanced, Unresectable, or Metastatic Non-Small Cell Lung Cancer With PD-L1 >/=50. J Thorac Oncol. 2026 Jul 14:104089. doi: 10.1016/j.jtho.2026.104089. Online ahead of print.
- Individual participant dataSharing planned: Yes. BeiGene shares data on completed studies responsibly and provides qualified scientific and medical researchers access to data and supporting documentation for clinical trials in dossiers for medicines and indications after submission and approval in the United States, China, and Europe. Clinical trials supporting subsequent local approvals, new indications, or combination products are eligible for sharing once corresponding regulatory approvals are achieved. BeiGene shares data only when permitted by applicable data privacy and security laws and regulations, when it is feasible to do so without compromising the privacy of study participants, and other considerations. Qualified researchers with appropriate competencies who are engaged in novel scientific research may submit a request for participant-level data with a research proposal for BeiGene review. Research teams must include a biostatistician and sign a Data Sharing Agreement prior to receiving access to clinical trial data.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
218 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Tislelizumab, Ociperlimab and Pembrolizumab in people with Non-small Cell Lung Cancer and NSCLC, run by BeiGene at 218 sites in 19 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 6 inclusion and 5 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 12 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 218 sites in China, Spain, Japan, France, Australia and 14 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 12 May 2026). 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?
Overall Survival (OS) in Arms A and B (time frame: From randomization until the end of the study. Maximum time on study was 45.0 months). The study lists 3 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 NCT04746924, 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 12 May 2026; AzTrials last refreshed its copy on 8 Nov 2026.