Limited Stage Small Cell Lung CancerPhase 2NCT04952597
Study of Ociperlimab Plus Tislelizumab Plus Chemoradiotherapy in Participants With Untreated Limited-Stage Small Cell Lung Cancer
A Phase 2 study testing Ociperlimab, Tislelizumab and Concurrent Chemoradiotherapy in people with Limited Stage Small Cell Lung Cancer, run by BeiGene at 33 sites in 3 countries.
Trial summary
This phase 2 trial examined whether the preliminary efficacy and safety of ociperlimab, tislelizumab, and cCRT when used in combination is expected to advance treatment options in the serious unmet medical need population of Limited-Stage Small Cell Lung Cancer (LS-SCLC) participants . Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Limited Stage Small Cell Lung Cancer
- What is being tested?
- Ociperlimab, Tislelizumab and Concurrent Chemoradiotherapy
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 126 participants
- Where
- 33 sitesin 3 countries
- Study dates
- 15 Jul 2021to 26 Jul 2023
- 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
- Participant has pathologically (histologically or cytologically) proven diagnosis of small cell lung cancer
- Has limited-stage disease (stage Tx, T1-T4, N0-3, M0; AJCC staging, 8th edition), and can be safely treated with definitive radiation doses.
- Participant has not received any prior treatment for LS-SCLC.
- Participant has measurable disease as assessed according to RECIST v1.1 that is appropriate for selection as a target lesion for repeat measurement, as determined by local site investigator/radiology review
- ECOG Performance Status ≤ 2 assessed within 7 days before the first administration of study intervention, and must have a life expectancy of ≥ 12 weeks.
Who cannot join
- Mixed small cell lung cancer histology. Note: mixed SCLC with the component of neuroendocrine carcinoma origin is considered eligible
- Have received surgical resection for LS-SCLC
- Any participant for whom the tumor is considered resectable by surgery or stereotactic body radiation therapy/stereotactic ablative radiotherapy should be considered ineligible
- Is expected to require any other form of antineoplastic therapy while on study.
- Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-TIGIT, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways
- Note: Other protocol-defined Inclusion/Exclusion criteria may apply
Trial locations and contacts
33 sites in 3 countries.
33 sites in 3 countries
China27 sites
Peking University First Hospital
Beijing, Beijing Municipality, 100034
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142
The Second Xiangya Hospital of Central South University
Changsha, Hunan, 410011
Hunan Cancer Hospital
Changsha, Hunan, 410013
West China Hospital, Sichuan University
Chengdu, Sichuan, 610041
The First Affiliated Hospital, Sun Yat Sen University
Guangzhou, Guangdong, 510080
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022
Hanzhong Central Hospital
Hanzhong, Shaanxi, 72300
Huai An First Peoples Hospital
Huaian, Jiangsu, 223300
Qilu Hospital of Shandong University
Jinan, Shandong, 250000
The Second Affiliated Hospital of Kunming Medical University
Kunming, Yunnan, 650000
Gansu Provincial Cancer Hospital
Lanzhou, Gansu, 730050
Linyi Cancer Hospital
Linyi, Shandong, 276001
Affiliated Hospital of North Sichuan Medical College
Nanchong, Sichuan, 637000
Nanjing Chest Hospital
Nanjing, Jiangsu, 210029
The Tumor Hospital Affiliated to Guangxi Medical University
Nanning, Guangxi, 530021
Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No Hospital)
Ningbo, Zhejiang, 315000
Qingdao Central Hospital
Qingdao, Shandong, 266031
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200000
Affiliated Zhongshan Hospital of Fudan University
Shanghai, Shanghai Municipality, 200032
Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300052
Tianjin Medical University Cancer Institute and Hospital
Tianjin, Tianjin Municipality, 300060
Union Hospital of Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430022
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, 221000
Yantai Yuhuangding Hospital
Yantai, Shandong, 264000
Henan Cancer Hospital
Zhengzhou, Henan, 450000
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052
South Korea5 sites
Chungbuk National University Hospital
Cheongju-si, Chungcheongbukdo, 28644
Kyungpook National University Chilgok Hospital
Daegu, Gyeongsangbukdo, 41404
Cha Bundang Medical Center, Cha University
Gyeonggido, Gyeonggi-do, 13496
The Catholic University of Korea, St Vincents Hospital
Suwon, Gyeonggi-do, 16247
Ajou University Hospital
Suwon, Gyeonggi-do, 16499
United States1 site
Tennessee Cancer Specialist
Knoxville, Tennessee, 37909
About this study
Official title: A Phase 2, Multicenter, Randomized, 3-Arm, Open-Label Study to Investigate the Preliminary Efficacy and Safety of the Anti-TIGIT Monoclonal Antibody Ociperlimab (BGB-A1217) Plus Tislelizumab Plus Concurrent Chemoradiotherapy in Patients With Untreated Limited-Stage Small Cell Lung Cancer
This phase 2 trial examined whether the preliminary efficacy and safety of ociperlimab, tislelizumab, and cCRT when used in combination is expected to advance treatment options in the serious unmet medical need population of Limited-Stage Small Cell Lung Cancer (LS-SCLC) participants .
- Conditions
- Limited Stage Small Cell Lung Cancer
- Being tested
- Ociperlimab, Tislelizumab, Concurrent Chemoradiotherapy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OciperlimabDrug
Also called BGB-A1217
Ociperlimab 900 milligrams (mg) administered intravenously once every 3 weeks on Day 1 of each cycle
TislelizumabDrug
Also called BGB-A317
Tislelizumab 200 mg administered intravenously once every 3 weeks on Day 1 of each cycle
Concurrent ChemoradiotherapyDrug
Cisplatin/Carboplatin: Either cisplatin 75 milligrams/meters squared (mg/m2) administered intravenously once every 3 weeks on Day 1 of each cycle for 4 cycles or carboplatin at a dose of area under the curve (AUC) 5 administered intravenously once every 3 weeks on Day 1 of each cycle for 4 cycles.
Etoposide: (100 mg/m2) administered intravenously on Days 1, 2, and 3 of each cycle for 4 cycles
Thoracic radiation therapy (TRT): once daily fractions for 6 to 7 weeks for a total dose of 60 to 70 units of absorbed dose of ionizing radiation (Gy)
| Study group | Role | What they receive |
|---|---|---|
| Arm A: Ociperlimab + Tislelizumab | Experimental | Ociperlimab plus tislelizumab combined with cCRT (at the investigator's discretion) for 4 cycles (each cycle is 28 days), followed by ociperlimab plus tislelizumab Receives: Drug: Ociperlimab; Drug: Tislelizumab; Drug: Concurrent Chemoradiotherapy |
| Arm B: Tislelizumab | Experimental | Tislelizumab combined with cCRT (at the investigator's discretion) for 4 cycles, followed by tislelizumab alone Receives: Drug: Tislelizumab; Drug: Concurrent Chemoradiotherapy |
| Arm C: Concurrent Chemoradiotherapy (cCRT) | Experimental | cCRT only for 4 cycles at the investigator's discretion Receives: Drug: Concurrent Chemoradiotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS)
Defined as the time from the date of randomization to the date of the first documented disease progression as determined by the investigator per RECIST v1.1 or death from any cause (whichever occurs first)
Measured: Up to approximately 2 years
Secondary outcomes (12)
Complete Response Rate (CR)
defined as the percentage of participants who had CR as assessed by the investigator per RECIST v1.1
Measured: Up to approximately 2 years
Overall Response Rate (ORR)
defined as the percentage of participants who had CR or partial response (PR) as assessed by the investigator per RECIST v1.1
Measured: Up to approximately 2 years
Overall Response Rate (ORR) in the Programmed Death-Ligand 1 (PD-L1) Analysis Set
defined as the percentage of participants who had CR or partial response (PR) as assessed by the investigator per RECIST v1.1
Measured: Up to approximately 2 years
Overall Response Rate (ORR) in the T Cell Immunoreceptor With Immunoglobulin and ITIM Domain (TIGIT) Analysis Set
defined as the percentage of participants who had CR or partial response (PR) as assessed by the investigator per RECIST v1.1
Measured: Up to approximately 2 years
Duration of Response (DOR)
defined as the time from the date of the first occurrence of a documented objective response to the date of documented disease progression as assessed by the investigator per RECIST v1.1 or death from any cause (whichever occurs first)
Measured: Up to approximately 2 years
Overall Survival (OS) in the ITT Analysis Set
Defined as the time from the date of randomization to the date of death due to any cause
Measured: Up to approximately 2 years
Overall Survival (OS) in the PD-L1 Analysis Set
defined as the time from the date of randomization to the date of death due to any cause
Measured: Up to approximately 2 years
Overall Survival (OS) in the TIGIT Analysis Set
defined as the time from the date of randomization to the date of death due to any cause
Measured: Up to approximately 2 years
Distant Metastasis-free Survival (DMFS)
defined as the time from the date of randomization to the date of the first documented distant metastasis as assessed by the investigator per RECIST v1.1 or death from any cause (whichever occurs first)
Measured: Up to approximately 2 years
PFS in the PD-L1 Analysis Set
defined as the time from the date of randomization to the date of the first documented disease progression as determined by the investigator per RECIST v1.1 or death from any cause (whichever occurs first),
Measured: Up to approximately 2 years
PFS in the TIGIT Analysis Set
defined as the time from the date of randomization to the date of the first documented disease progression as determined by the investigator per RECIST v1.1 or death from any cause (whichever occurs first),
Measured: Up to approximately 2 years
Number of Participants Experiencing Adverse Events (AEs)
Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v4.03
Measured: From the first dose of study drug(s) to 30 days after the last dose; up to approximately 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jul 2021
- Study start15 Jul 2021
- Primary completion26 Jul 2023
- Study completion26 Jul 2023
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 Limited Stage 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 126 participants (actual)
Sponsor and investigators
- Lead sponsor
- BeiGene
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- BeiGene, Study director, Study Director
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04952597
- Sponsor's protocol ID
- AdvanTIG-204
- Other IDs
- CTR20211531, BGB-A317-A1217-204
- Status last verified
- Oct 2024
- First submitted
- 28 Jun 2021
- Last updated
- 26 Oct 2024
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
Youling Gong, Qingsong Pang, Rong Yu, Zhengfei Zhu, Jiangqiong Huang, Yufeng Cheng, Diansheng Zhong, Hongbo Wu, Seung Soo Yoo, Tracy Dobbs, Zinan Bao, Yunxia Zuo, Boxian Wei, Pu Sun, You Lu; Abstract CT255: AdvanTIG-204: A phase 2, multicenter, randomized, 3-arm, open-label study investigating the preliminary efficacy and safety of ociperlimab (anti-TIGIT) + tislelizumab (anti-PD-1) + concurrent chemoradiotherapy (cCRT) in patients with untreated limited-stage small cell lung cancer (SCLC). Cancer Res 1 April 2024; 84 (7_Supplement): CT255. https://doi.org/10.1158/1538-7445.AM2024-CT255
Study at a glance
From the registry record, last updated by the sponsor on 26 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Multicenter, Randomized, 3-Arm, Open-Label Study to Investigate the Preliminary Efficacy and Safety of the Anti-TIGIT Monoclonal Antibody Ociperlimab (BGB-A1217) Plus Tislelizumab Plus Concurrent Chemoradiotherapy in Patients With Untreated Limited-Stage Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT04952597
- Acronym / sponsor ID
- AdvanTIG-204
- Conditions
- Limited Stage Small Cell Lung Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 126 participants (actual)
- Lead sponsor
- BeiGeneIndustry (pharma, biotech, devices)
- Study start
- 15 Jul 2021 (actual)
- Primary completion
- 26 Jul 2023 (actual)
- Study completion
- 26 Jul 2023 (actual)
- First posted
- 7 Jul 2021 (actual)
- Results
- Posted 19 Sep 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This phase 2 trial examined whether the preliminary efficacy and safety of ociperlimab, tislelizumab, and cCRT when used in combination is expected to advance treatment options in the serious unmet medical need population of Limited-Stage Small Cell Lung Cancer (LS-SCLC) participants .
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm A: Ociperlimab + Tislelizumab | Experimental | Drug: Ociperlimab, Drug: Tislelizumab, Drug: Concurrent ChemoradiotherapyOciperlimab plus tislelizumab combined with cCRT (at the investigator's discretion) for 4 cycles (each cycle is 28 days), followed by ociperlimab plus tislelizumab |
| Arm B: Tislelizumab | Experimental | Drug: Tislelizumab, Drug: Concurrent ChemoradiotherapyTislelizumab combined with cCRT (at the investigator's discretion) for 4 cycles, followed by tislelizumab alone |
| Arm C: Concurrent Chemoradiotherapy (cCRT) | Experimental | Drug: Concurrent ChemoradiotherapycCRT only for 4 cycles at the investigator's discretion |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Participant has pathologically (histologically or cytologically) proven diagnosis of small cell lung cancer
- Has limited-stage disease (stage Tx, T1-T4, N0-3, M0; AJCC staging, 8th edition), and can be safely treated with definitive radiation doses.
- Participant has not received any prior treatment for LS-SCLC.
- Participant has measurable disease as assessed according to RECIST v1.1 that is appropriate for selection as a target lesion for repeat measurement, as determined by local site investigator/radiology review
- ECOG Performance Status ≤ 2 assessed within 7 days before the first administration of study intervention, and must have a life expectancy of ≥ 12 weeks.
Key exclusion criteria (6 listed)
- Mixed small cell lung cancer histology. Note: mixed SCLC with the component of neuroendocrine carcinoma origin is considered eligible
- Have received surgical resection for LS-SCLC
- Any participant for whom the tumor is considered resectable by surgery or stereotactic body radiation therapy/stereotactic ablative radiotherapy should be considered ineligible
- Is expected to require any other form of antineoplastic therapy while on study.
- Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-TIGIT, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways
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 |
|---|---|---|
| OciperlimabAlso: BGB-A1217Ociperlimab 900 milligrams (mg) administered intravenously once every 3 weeks on Day 1 of each cycle | Drug | Arm A: Ociperlimab + Tislelizumab |
| TislelizumabAlso: BGB-A317Tislelizumab 200 mg administered intravenously once every 3 weeks on Day 1 of each cycle | Drug | Arm A: Ociperlimab + Tislelizumab, Arm B: Tislelizumab |
| Concurrent ChemoradiotherapyCisplatin/Carboplatin: Either cisplatin 75 milligrams/meters squared (mg/m2) administered intravenously once every 3 weeks on Day 1 of each cycle for 4 cycles or carboplatin at a dose of area under the curve (AUC) 5 administered intravenously once every 3 weeks on Day 1 of each cycle for 4 cycles. Etoposide: (100 mg/m2) administered intravenously on Days 1, 2, and 3 of each cycle for 4 cycles Thoracic radiation therapy (TRT): once daily fractions for 6 to 7 weeks for a total dose of 60 to 70 units of absorbed dose of ionizing radiation (Gy) | Drug | Arm A: Ociperlimab + Tislelizumab, Arm B: Tislelizumab, Arm C: Concurrent Chemoradiotherapy (cCRT) |
Primary outcome
Progression Free Survival (PFS)
Time frame: Up to approximately 2 years
Defined as the time from the date of randomization to the date of the first documented disease progression as determined by the investigator per RECIST v1.1 or death from any cause (whichever occurs first)
12 secondary outcomes
Complete Response Rate (CR)
Time frame: Up to approximately 2 years
Overall Response Rate (ORR)
Time frame: Up to approximately 2 years
Overall Response Rate (ORR) in the Programmed Death-Ligand 1 (PD-L1) Analysis Set
Time frame: Up to approximately 2 years
Overall Response Rate (ORR) in the T Cell Immunoreceptor With Immunoglobulin and ITIM Domain (TIGIT) Analysis Set
Time frame: Up to approximately 2 years
Duration of Response (DOR)
Time frame: Up to approximately 2 years
Overall Survival (OS) in the ITT Analysis Set
Time frame: Up to approximately 2 years
Overall Survival (OS) in the PD-L1 Analysis Set
Time frame: Up to approximately 2 years
Overall Survival (OS) in the TIGIT Analysis Set
Time frame: Up to approximately 2 years
Distant Metastasis-free Survival (DMFS)
Time frame: Up to approximately 2 years
PFS in the PD-L1 Analysis Set
Time frame: Up to approximately 2 years
PFS in the TIGIT Analysis Set
Time frame: Up to approximately 2 years
Number of Participants Experiencing Adverse Events (AEs)
Time frame: From the first dose of study drug(s) to 30 days after the last dose; up to approximately 2 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Oct 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- BackgroundYouling Gong, Qingsong Pang, Rong Yu, Zhengfei Zhu, Jiangqiong Huang, Yufeng Cheng, Diansheng Zhong, Hongbo Wu, Seung Soo Yoo, Tracy Dobbs, Zinan Bao, Yunxia Zuo, Boxian Wei, Pu Sun, You Lu; Abstract CT255: AdvanTIG-204: A phase 2, multicenter, randomized, 3-arm, open-label study investigating the preliminary efficacy and safety of ociperlimab (anti-TIGIT) + tislelizumab (anti-PD-1) + concurrent chemoradiotherapy (cCRT) in patients with untreated limited-stage small cell lung cancer (SCLC). Cancer Res 1 April 2024; 84 (7_Supplement): CT255. https://doi.org/10.1158/1538-7445.AM2024-CT255
- Individual participant dataSharing planned: Yes
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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.
BeiGene study director
Study Director
33 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Ociperlimab, Tislelizumab and Concurrent Chemoradiotherapy in people with Limited Stage Small Cell Lung Cancer, run by BeiGene at 33 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: 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 33 sites in China, South Korea, United States. 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 19 Sep 2024). 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?
Progression Free Survival (PFS) (time frame: Up to approximately 2 years). 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 NCT04952597, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2024.