Solid TumorsPhase 1NCT02660034
The Safety, Pharmacokinetics and Antitumor Activity of BGB-A317 in Combination With BGB-290 in Participants With Advanced Solid Tumors
A Phase 1 study testing Tislelizumab and Pamiparib in people with Solid Tumors, run by BeiGene at 29 sites in 6 countries.
Trial summary
This trial studied the safety, pharmacokinetics, and antitumor activity of the anti-programmed cell death 1 (PD-1) monoclonal antibody (mAb) BGB-A317 (tislelizumab) in combination with the poly(adenosine diphosphate ribose) polymerase (PARP) inhibitor BGB-290 (pamiparib) in participants with advanced solid tumors. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Solid Tumors
- What is being tested?
- Tislelizumab and Pamiparib
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 229 participants
- Where
- 29 sitesin 6 countries
- Study dates
- 2 Feb 2016to 9 Sep 2020
- Phase
- Phase 1
- 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
- Participants voluntarily agreed to participate by giving written informed consent.
- Must have received standard of care in the primary treatment of their disease.
- Participants who had the below specified histologically confirmed malignancies that had progressed to the advanced or metastatic stage:
- In Part A, the participants must have had an advanced malignancy, including but not limited to high-grade serous cancer of the ovary, fallopian tube, or peritoneum, triple negative breast cancer, small cell lung cancer (SCLC), primary peritoneal cancer, and any tumor likely to harbor DNA damage repair deficiencies susceptible to treatment with a PARP inhibitor or likely to be responsive to a PD-1 blocker.
- In Part B, the participants recruited to 1 of the 8 expansion arms must have had advanced solid tumors of the following types:
- Arm 1: Participants with relapsed, platinum-sensitive high-grade epithelial, non-mucinous, ovarian cancer, fallopian tube, or primary peritoneal cancer (EOC) must have met the following criteria:
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- Must have had at least 2 prior platinum-containing treatments in any treatment setting.
- Must have had platinum-sensitive recurrent disease and must not have progressed (by Response Evaluation Criteria in Solid Tumors [RECIST] v1.1 criteria) within 6 months of the completion of the last platinum-containing line of treatment.
- Note: Participants may have received additional non-platinum-based chemotherapy for recurrence after prior last platinum-containing regimen if the criteria for platinum sensitivity were met.
- Arm 1a: Participants with relapsed, platinum-sensitive high-grade EOC with either known deleterious or suspected deleterious germline or somatic breast cancer susceptibility gene 1/2 (BRCA1/2) mutations or with homologous recombination deficiency (HRD).
- If HRD or BRCA1/2 mutation status from archival tissue was unknown or had not been previously evaluated, then the archival tissue must have undergone tissue screening using a validated diagnostic test to determine eligibility. If the diagnostic test result was BRCA1/2 or HRD positive, the participant was eligible for enrollment in Arm 1a.
- Arm 1b: Participants with relapsed, platinum-sensitive high grade EOC who otherwise met the above criteria and were without known germline or somatic BRCA1/2 mutations and without HRD mutation.
- Arm 2: Participants with triple negative breast cancer must have met the following criteria:
- 0-1 prior platinum-containing treatment in any treatment setting.
- Note: participants could have received additional therapy after the last platinum-containing line of treatment if the other eligibility criteria were met.
- Participants who received at least 1 prior treatment but not more than 3 prior lines of treatment in the advanced or metastatic setting.
- Known deleterious or suspected deleterious germline or somatic BRCA1/2 mutations or with documented HRD.
- If HRD or BRCA1/2 mutation status from archival tissue was unknown or had not been previously evaluated, then the archival tissue must have undergone tissue screening using a validated diagnostic test to determine eligibility. If the diagnostic test result was HRD positive, then the participant was eligible for enrollment in Arm 2.
- If archival tissue was not available and the participant submitted a fresh tumor biopsy, then the diagnostic test needed to demonstrate somatic BRCA1/2 mutation or HRD positivity.
- Arm 3: Participants with metastatic castration-resistant prostate cancer, including but not limited to mutations in homologous recombination (HR) pathways and/or defined by HRD algorithms, and must have met the following criteria:
- May be either chemotherapy-naïve, but must have received prior abiraterone acetate and/or enzalutamide treatment, or have previously had no more than 2 taxane-based chemotherapy lines of treatment, including docetaxel and carbazitaxel. If docetaxel was used more than once, this was considered as 1 line of treatment.
- At least 2 weeks since the completion of prior flutamide, bicalutamide, and nilutimide, or enzalutamide and abiraterone treatment.
- Documented prostate cancer with one of the following:
- Surgically or medically castrated. The testosterone levels did not need to be checked if the participant had undergone surgical castration for > 4 months. Participants receiving chemical castration should have had testosterone levels checked at baseline and confirmed to be in the castrate levels (< 0.5 ng/mL or 1.735 nM). In all cases, the luteinizing hormone-releasing hormone antagonist/agonist was to be continued in these participants.
- Participants with only non-measurable bone lesions must have had disease progression based on Prostate Cancer Clinical Trials Working Group with 2 or more new lesions or have had prostate-specific antigen progression before enrolment.
- Known deleterious or suspected deleterious germline or somatic BRCA1/2 mutations or with documented HRD.
- If HRD or BRCA1/2 mutation status from archival tissue was unknown or had not been previously evaluated, then the archival tissue must have undergone tissue screening using a validated diagnostic test to determine eligibility. If the diagnostic test result was HRD positive, then the participant was be eligible for enrollment in Arm 3.
- If archival tissue was not available and the participant summitted a fresh tumor biopsy, then the diagnostic test needed to demonstrate somatic BRCA1/2 mutation or HRD positivity.
- Arm 4: Participants with extensive-stage disease SCLC must have met the following criteria:
- Received at least 1 and not more than 2 prior lines of treatment; ii. At least 1 prior line of treatment must have contained a platinum agent
- Arm 5: Participants with human epidermal growth factor receptor-2 (HER2)-negative gastric or gastroesophageal junction cancer must have met the following criteria:
- May have received at least 1 and not more than 2 prior lines of treatment
- Arm 6: Participants with locally advanced or metastatic urothelial (muscle-invasive bladder, ureter, urethra, or renal pelvis) cancer must have met the following criteria:
- Received at least 1 and not more than 2 prior lines of treatment in the advanced or metastatic disease setting; ii. At least 1 prior line of treatment must have contained a platinum agent
- Arm 7: Participants with advanced or metastatic pancreatic adenocarcinoma must have met the following criteria:
- Received at least 1 but not more than 2 lines of treatment in either an advanced or metastatic setting; ii. At least 1 prior treatment for advanced or metastatic disease must have contained a platinum agent; iii. Participants with known deleterious germline or somatic BRCA1/2 mutation could be considered for the study even if platinum naïve.
- Arm 8: (Note: Closed to enrollment) Participants with advanced or metastatic recurrent non-ovarian gynecological cancers (endometrial cancer, cancer of the cervix and participants with tumors known to be mismatch repair deficient or HRD positive) must have met the following criteria:
- Participants with a complete response, partial response, or stable disease from at least 1 prior platinum-containing treatment in any treatment setting; ii. The Sponsor medical monitor would approve tumor types for Arm 8 prior to screening.
- Note: Excluded tumor types included participants with bone or soft tissue sarcoma; central nervous system (CNS) malignancies; colorectal cancer (except microsatellite instability-high colorectal cancer is permitted); cutaneous or ocular melanoma; hematologic malignancies; HER2-negative breast cancer without BRCA mutation; mesothelioma, papillary, follicular, medullary or Hürthle cell thyroid cancer; unknown primary malignancy.
- Participants who were treated with chemotherapy or any investigational therapies, if eligible, must have completed at least 4 weeks or at least 5 half-lives (whichever is longer, but no less than 3 weeks) before the study drug administration, and all adverse events (AEs) had either returned to baseline or stabilized.
- At least 2 weeks from palliative radiotherapy.
- Participants must have had archival tumor tissue or agree to a tumor biopsy for mutation and biomarkers analysis unless previously discussed with Sponsor's medical monitor or its designee (fresh tumor biopsies were recommended at baseline in participants with readily accessible tumor lesions and who consented to the biopsies). Participants with ovarian, fallopian tube, primary peritoneal, or breast cancer in Part A and all participants enrolled in Part B must also have agreed to provide fresh blood sample at the baseline for the evaluation of BRCA mutations and/or confirmation of prior BRCA results or other HR deficiency mutations, even if it was previously tested.
- Participants must have had measurable disease as defined in RECIST v1.1. Participants with metastatic castration-resistant prostate cancer and epithelial, non-mucinous, ovarian cancer, fallopian tube, or primary peritoneal cancer may have used separate disease-specific criteria.
- Male or female ≥ 18 years of age on the day of signing informed consent.
- Must have had an Eastern Cooperative Oncology Group Performance Status ≤ 1.
- Must have had a life expectancy ≥ 12 weeks.
- Must have had adequate organ function.
- Females of childbearing potential must have been willing to use a highly effective method of birth control for the duration of the study, and for at least 6 months after the last dose of investigational drug, and have had a negative serum pregnancy test within 7 days of the first dose of study drug(s).
- Non-sterile males and their female partners must have been willing to use a highly effective method of birth control for the duration of the study and for at least 6 months after the last dose of investigational drug. Nonsterile males must have avoided sperm donation for the duration of the study and for at least 6 months after last study drug.
- Females must have agreed not to breastfeed starting at screening and throughout the study period, and for 6 months after the final study drug administration.
Who cannot join
- Participants with ovarian cancer who have platinum-resistant/refractory disease, defined as progressive disease at the first tumor assessment while receiving platinum-containing chemotherapy.
- Participant had history of severe hypersensitivity reactions to other mAbs.
- Any major surgery within 28 days before first dose of study drugs.
- Prior allogeneic stem cell transplantation or organ transplantation.
- Participants with toxicities (as a result of prior anticancer therapy) that had not recovered to baseline or stabilized, except for AEs not considered a likely safety risk (for example, alopecia, neuropathy and specific laboratory abnormalities).
- Concurrent participation in another clinical trial.
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- Prior malignancy within the previous 2 years except for locally curable non-melanoma dermatologic cancers that had been apparently cured, such as basal or squamous cell skin cancer, or carcinoma in situ of the skin, cervix, breast, bladder, or prostate.
- Symptomatic CNS metastasis or leptomeningeal disease. Note: Baseline magnetic resonance imaging of the brain and spinal cord was required for SCLC participants enrolled in Arm 4 if they had a history of CNS disease.
- Note: Participants with previously treated CNS metastatic disease were eligible for any arm if CNS metastatic disease was asymptomatic, clinically stable, and did not require corticosteroids or anticonvulsants within a minimum of 4 weeks of enrollment.
- Prior therapies targeting PD-1, programmed death-ligand 1 (PD-L1), or PARP.
- Active autoimmune diseases or history of autoimmune diseases that may have relapsed.
- Note: Participants with the following diseases were not excluded and may have proceeded to further screening:
- Controlled Type I diabetes;
- Hypothyroidism managed with no treatment other than with hormone replacement therapy;
- Controlled celiac disease;
- Skin diseases not requiring systemic treatment (for example, vitiligo, psoriasis, alopecia);
- Any other disease that was not expected to recur in the absence of external triggering factors.
- Any condition that required systemic treatment with either corticosteroids (> 10 mg daily of prednisone or equivalent) or other immunosuppressive medication within 2 weeks of the study drug administration.
- Note: Participants who were currently or had previously been on any of the following steroid regimens were not excluded:
- 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 (for example, for contrast dye allergy) or for the treatment of a non-autoimmune condition (for example, delayed-type hypersensitivity reaction caused by contact allergen).
- With severe chronic or active infections requiring systemic antibacterial, antifungal or antiviral therapy, including tuberculosis infection, et cetera.
- History of interstitial lung disease, non-infectious pneumonitis or uncontrolled systemic diseases, including diabetes, hypertension, pulmonary fibrosis, acute lung diseases, et cetera.
- History of non-viral hepatitis or cirrhosis.
- Positive human immunodeficiency virus status.
- A known history of hepatitis B virus or hepatitis C virus infection.
- History of alcohol abuse.
- Underlying medical conditions or alcohol or drug abuse or dependence that, in the investigator's opinion, would be unfavorable for the administration of study drug or affect the explanation of drug toxicity or AEs; or insufficient compliance during the study according to investigator's judgement.
- Inability to swallow oral medications (capsules and tablets) without chewing, breaking, crushing, opening, or otherwise altering the product formulation. Participants should not have had gastrointestinal illnesses that would have precluded the absorption of pamiparib, which was an oral agent.
- Had been administered a live vaccine within 4 weeks (28 days) of initiation of study therapy.
- Any of the following cardiovascular criteria:
- Current evidence of cardiac ischemia;
- Current symptomatic pulmonary embolism;
- Acute myocardial infarction ≤ 6 months prior to Day 1;
- Heart failure of New York Heart Association Classification III or IV ≤ 6 months prior to Day 1;
- Grade ≥ 2 ventricular arrhythmia ≤ 6 months prior to Day 1;
- History of cerebrovascular accident within 6 months before first dose of study drugs.
- Use or had anticipated need for food or drugs known to be strong or moderate cytochrome P450 (CYP)3A inhibitors or strong CYP3A inducers ≤ 10 days (or ≤ 5 half-lives, whichever is shorter) prior to Day 1.
- Note: Other protocol-defined Inclusion/Exclusion criteria may have applied.
Trial locations and contacts
29 sites in 6 countries.
29 sites in 6 countries
United States12 sites
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Roswell Park Cancer Institute
Buffalo, New York, 14263
Texas Oncology
Dallas, Texas, 75246
Rocky Mountain Cancer Centers
Denver, Colorado, 80218
Virginia Cancer Specialists
Fairfax, Virginia, 22031
Cedars Sinai Medical Center
Los Angeles, California, 90048
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida, 33140
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
Pinnacle Oncology Hematology
Scottsdale, Arizona, 85258
Texas Oncology
Tyler, Texas, 75702
Australia10 sites
Icon Cancer Care
Brisbane, Queensland, 4101
Monash Health
Clayton, Victoria
Mid North Coast Cancer Institute
Coffs Harbour, New South Wales, 2450
The Canberra Hospital
Garran, Australian Capital Territory, 2605
Peter MacCallum Cancer Centre
Melbourne, Victoria
Linear Clinical Research Ltd
Nedlands, Western Australia
Calvary Mater Newcastle
Newcastle, New South Wales, 2298
Westmead Hospital
Parramatta, New South Wales
Prince of Wales
Randwick, New South Wales
Northern Cancer Institute
St Leonards, New South Wales, 2065
France2 sites
Institut Gustave Roussy
Paris, 94800
Centre Eugene Marquis
Rennes, 35042
New Zealand2 sites
Auckland City Hospital
Auckland, 1023
Capital and Coast District Health Board
Wellington, 6021
Spain2 sites
Hospital Universitario Vall d'Hebrón
Barcelona, 08035
Hospital Clínico Universitario de Valencia
Valencia, 46010
About this study
Official title: A Phase 1/1b, Open Label, Multiple Dose, Dose Escalation and Expansion Study to Investigate the Safety, Pharmacokinetics and Antitumor Activity of the Anti-PD-1 Monoclonal Antibody BGB-A317 in Combination With the PARP Inhibitor BGB-290 in Subjects With Advanced Solid Tumors
This trial studied the safety, pharmacokinetics, and antitumor activity of the anti-programmed cell death 1 (PD-1) monoclonal antibody (mAb) BGB-A317 (tislelizumab) in combination with the poly(adenosine diphosphate ribose) polymerase (PARP) inhibitor BGB-290 (pamiparib) in participants with advanced solid tumors.
- Conditions
- Solid Tumors
- Being tested
- Tislelizumab, Pamiparib
- Keywords
- Dose Escalation, Dose Expansion, BGB-A317, BGB-290, Tislelizumab, Pamiparib
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TislelizumabBiological
Also called BGB-A317
PamiparibDrug
Also called BGB-290
| Study group | Role | What they receive |
|---|---|---|
| Part A: Dose Escalation Phase | Experimental | Participants received tislelizumab and pamiparib (dose escalation) until determination of the maximum tolerated dose/recommended Phase 2 dose. Receives: Biological: Tislelizumab; Drug: Pamiparib |
| Part B: Dose Expansion Phase | Experimental | Participants received tislelizumab and pamiparib (dose expansion). Receives: Biological: Tislelizumab; Drug: Pamiparib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part A: Number Of Participants Experiencing Adverse Events (AEs)
An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study drug, whether considered related to study drug or not. All AEs reported are treatment-emergent, which was defined as having a reported onset time or worsening in severity on or after the date of the first dose of study treatment through 30 days after the last dose (permanent discontinuation of study treatment) or initiation of new anticancer therapy. A summary of serious and all other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.
Measured: From Day 1 up to 4 years and 7 months
Part A: Number Of Participants Experiencing Dose-limiting Toxicity (DLT)
DLT was defined as an AE or abnormal laboratory value assessed as unrelated to disease progression, intercurrent illness, or concomitant medications, and occurs during the first 21 days following the first dose of tislelizumab and pamiparib in Cycle 1 and meets protocol-specified criteria. A summary of serious and all other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.
Measured: 21 days following the first dose of tislelizumab and pamiparib in Cycle 1
Part B: Objective Response Rate (ORR)
ORR was defined as the percentage of participants with a best overall response of complete response (CR) and partial response (PR).
Measured: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part B: Progression-free Survival (PFS)
PFS was defined as the time from first dose of study medication to the first documented objective disease progression or death due to any cause, whichever occurred first.
Measured: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part B: Duration Of Response (DOR)
DOR, defined as the time from the first determination of an objective response, was assessed by investigator per Response Evaluation Criteria in Solid Tumors v1.1 until the first documentation of progression or death, whichever occurred first. Results are reported only for arms with responders.
Measured: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part B: Disease Control Rate (DCR)
DCR was defined as the percentage of participants with a best overall response of CR, PR, and stable disease (SD).
Measured: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part B: Clinical Benefit Rate (CBR)
CBR was defined as the percentage of participants with a best overall response of CR, PR, and SD lasting ≥ 24 weeks.
Measured: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part B: Overall Survival (OS)
OS was defined as the time from the date of first dose of study drug to death due to any cause.
Measured: From Day 1 Every 3 months following completion or discontinuation of the treatment (up to 4 years and 7 months)
Secondary outcomes (17)
Part A: Minimum Observed Plasma Concentration (Ctrough) Of Tislelizumab
Measured: Cycle 4 Day 1 (0 hours and 4 hours) post dose
Part A: Ctrough Of Pamiparib
Measured: Cycle 2 Day 1 (Pre-dose and 7 hours Post-dose)
Part A: Maximum Observed Plasma Concentration At Steady State (Cmax,ss) Of Pamiparib
Measured: Cycle 2 Day 1 (Pre-dose and 7 hours Post-dose)
Part A: Time To Reach Maximum Plasma Concentration At Steady State (Tmax,ss) Of Pamiparib
Measured: Cycle 2 Day 1 (Pre-dose and 7 hours Post-dose)
Part A: Ctrough At Steady State (Ctrough,ss) Of Pamiparib
Measured: Cycle 2 Day 1 (Pre-dose and 7 hours Post-dose)
Part A: ORR
ORR was defined as the percentage of participants with a best overall response of CR and PR.
Measured: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part A: PFS
PFS was defined as the time from first dose of study medication to the first documented objective disease progression or death due to any cause, whichever occurred first.
Measured: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part A: DCR
DCR was defined as the percentage of participants with a best overall response of CR, PR, and SD.
Measured: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part A: CBR
CBR was defined as the percentage of participants with a best overall response of CR, PR, and SD lasting ≥ 24 weeks.
Measured: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part A: OS
OS was defined as the time from the date of first dose of study drug to death due to any cause.
Measured: Starting from Day 1 Every 3 months following completion or discontinuation of the treatment (up to 4 years and 7 months)
Part A: Percentage Of Participants With Anti-drug Antibodies (ADAs) For Tislelizumab
Immunogenicity was summarized by participants who were ADA positive and developed detectable ADAs.
Measured: Within 24 hours before the start of the first dose of tislelizumab in Cycle 1, Day 8 of Cycle 1, and Day 1 of Cycle 2, Cycle 3, Cycle 4, Cycle 5, Cycle 9, and Cycle 17
Part B: Number Of Participants Experiencing AEs
An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study drug, whether considered related to study drug or not. All AEs reported are treatment-emergent, which was defined as having a reported onset time or worsening in severity on or after the date of the first dose of study treatment through 30 days after the last dose (permanent discontinuation of study treatment) or initiation of new anticancer therapy. A summary of serious and all other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.
Measured: Day 1 of Cycle 1 up to 4 years and 7 months
Part B: Ctrough Of Tislelizumab
As pre-specified in the protocol, pharmacokinetic evaluations were performed for all Part B dose expansion arms combined.
Measured: Cycle 4 Day 1 ( 0 hours and 4 hours post dose)
Part B: Maximum Observed Plasma Concentration (Cmax) Of Tislelizumab
As pre-specified in the protocol, pharmacokinetic evaluations were performed for all Part B dose expansion arms combined.
Measured: Cycle 4 Day 1 ( 0 hours and 4 hours) post dose
Part B: Ctrough Of Pamiparib
As pre-specified in the protocol, pharmacokinetic evaluations were performed for all Part B dose expansion arms combined.
Measured: Cycle 2 Day 1 (7 hours Post-dose)
Part B: Cmax Of Pamiparib
As pre-specified in the protocol, pharmacokinetic evaluations were performed for all Part B dose expansion arms combined.
Measured: Cycle 2 (7 hours Post-dose)
Part B: Percentage Of Participants With ADAs For Tislelizumab
Immunogenicity was summarized by participants who developed detectable ADAs. Treatment-emergent ADAs: sum of both treatment-induced ADAs and treatment-boosted ADAs.
Measured: 24 hours predose of Day 1 of every cycle
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jan 2016 (estimated)
- Study start2 Feb 2016
- Primary completion9 Sep 2020
- Study completion9 Sep 2020
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 (2)Papers the sponsor has linked to this study.
- Other trials for Solid TumorsStudies 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 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 229 participants (actual)
Sponsor and investigators
- Lead sponsor
- BeiGene
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Myriad Genetic Laboratories, Inc.
- Responsible party
- Sponsor
- Investigators
- Study Director, Principal investigator, BeiGene
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02660034
- Sponsor's protocol ID
- BGB-A317/BGB-290_Study_001
- Other IDs
- 2017-003580-35, 2017
- Status last verified
- Oct 2021
- First submitted
- 11 Jan 2016
- Last updated
- 6 Dec 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Individual data sharing
- Yes
Publications
Friedlander M, Meniawy T, Markman B, Mileshkin L, Harnett P, Millward M, Lundy J, Freimund A, Norris C, Mu S, Wu J, Paton V, Gao B. Pamiparib in combination with tislelizumab in patients with advanced solid tumours: results from the dose-escalation stage of a multicentre, open-label, phase 1a/b trial. Lancet Oncol. 2019 Sep;20(9):1306-1315. doi: 10.1016/S1470-2045(19)30396-1. Epub 2019 Aug 1.
PubMed 31378459Friedlander M, Mileshkin L, Lombard J, Frentzas S, Gao B, Wilson M, Meniawy T, Baron-Hay S, Briscoe K, McCarthy N, Fountzilas C, Cervantes A, Ge R, Wu J, Spira A. Pamiparib in combination with tislelizumab in patients with advanced solid tumours: results from the dose-expansion stage of a multicentre, open-label, phase I trial. Br J Cancer. 2023 Sep;129(5):797-810. doi: 10.1038/s41416-023-02349-0. Epub 2023 Jul 20.
PubMed 37474720
Study at a glance
From the registry record, last updated by the sponsor on 6 Dec 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/1b, Open Label, Multiple Dose, Dose Escalation and Expansion Study to Investigate the Safety, Pharmacokinetics and Antitumor Activity of the Anti-PD-1 Monoclonal Antibody BGB-A317 in Combination With the PARP Inhibitor BGB-290 in Subjects With Advanced Solid Tumors
- ClinicalTrials.gov ID
- NCT02660034
- Acronym / sponsor ID
- BGB-A317/BGB-290_Study_001
- Conditions
- Solid Tumors
- Keywords
- Dose Escalation, Dose Expansion, BGB-A317, BGB-290, Tislelizumab, Pamiparib
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 229 participants (actual)
- Lead sponsor
- BeiGeneIndustry (pharma, biotech, devices)
- Collaborators
- Myriad Genetic Laboratories, Inc.
- Study start
- 2 Feb 2016 (actual)
- Primary completion
- 9 Sep 2020 (actual)
- Study completion
- 9 Sep 2020 (actual)
- First posted
- 21 Jan 2016 (estimated)
- Results
- Posted 6 Dec 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This trial studied the safety, pharmacokinetics, and antitumor activity of the anti-programmed cell death 1 (PD-1) monoclonal antibody (mAb) BGB-A317 (tislelizumab) in combination with the poly(adenosine diphosphate ribose) polymerase (PARP) inhibitor BGB-290 (pamiparib) in participants with advanced solid tumors.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Part A: Dose Escalation Phase | Experimental | Biological: Tislelizumab, Drug: PamiparibParticipants received tislelizumab and pamiparib (dose escalation) until determination of the maximum tolerated dose/recommended Phase 2 dose. |
| Part B: Dose Expansion Phase | Experimental | Biological: Tislelizumab, Drug: PamiparibParticipants received tislelizumab and pamiparib (dose expansion). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (50 listed)
- Participants voluntarily agreed to participate by giving written informed consent.
- Must have received standard of care in the primary treatment of their disease.
- Participants who had the below specified histologically confirmed malignancies that had progressed to the advanced or metastatic stage:
- Arm 1: Participants with relapsed, platinum-sensitive high-grade epithelial, non-mucinous, ovarian cancer, fallopian tube, or primary peritoneal cancer (EOC) must have met the following criteria:
- Arm 2: Participants with triple negative breast cancer must have met the following criteria:
Key exclusion criteria (40 listed)
- Participants with ovarian cancer who have platinum-resistant/refractory disease, defined as progressive disease at the first tumor assessment while receiving platinum-containing chemotherapy.
- Participant had history of severe hypersensitivity reactions to other mAbs.
- Any major surgery within 28 days before first dose of study drugs.
- Prior allogeneic stem cell transplantation or organ transplantation.
- Participants with toxicities (as a result of prior anticancer therapy) that had not recovered to baseline or stabilized, except for AEs not considered a likely safety risk (for example, alopecia, neuropathy and specific laboratory abnormalities).
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-A317 | Biological | Part A: Dose Escalation Phase, Part B: Dose Expansion Phase |
| PamiparibAlso: BGB-290 | Drug | Part A: Dose Escalation Phase, Part B: Dose Expansion Phase |
Primary outcome
Part A: Number Of Participants Experiencing Adverse Events (AEs)
Time frame: From Day 1 up to 4 years and 7 months
An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study drug, whether considered related to study drug or not. All AEs reported are treatment-emergent, which was defined as having a reported onset time or worsening in severity on or after the date of the first dose of study treatment through 30 days after the last dose (permanent discontinuation of study treatment) or initiation of new anticancer therapy. A summary of serious and all other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.
Part A: Number Of Participants Experiencing Dose-limiting Toxicity (DLT)
Time frame: 21 days following the first dose of tislelizumab and pamiparib in Cycle 1
DLT was defined as an AE or abnormal laboratory value assessed as unrelated to disease progression, intercurrent illness, or concomitant medications, and occurs during the first 21 days following the first dose of tislelizumab and pamiparib in Cycle 1 and meets protocol-specified criteria. A summary of serious and all other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.
Part B: Objective Response Rate (ORR)
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
ORR was defined as the percentage of participants with a best overall response of complete response (CR) and partial response (PR).
Part B: Progression-free Survival (PFS)
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
PFS was defined as the time from first dose of study medication to the first documented objective disease progression or death due to any cause, whichever occurred first.
Part B: Duration Of Response (DOR)
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
DOR, defined as the time from the first determination of an objective response, was assessed by investigator per Response Evaluation Criteria in Solid Tumors v1.1 until the first documentation of progression or death, whichever occurred first. Results are reported only for arms with responders.
Part B: Disease Control Rate (DCR)
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
DCR was defined as the percentage of participants with a best overall response of CR, PR, and stable disease (SD).
Part B: Clinical Benefit Rate (CBR)
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
CBR was defined as the percentage of participants with a best overall response of CR, PR, and SD lasting ≥ 24 weeks.
Part B: Overall Survival (OS)
Time frame: From Day 1 Every 3 months following completion or discontinuation of the treatment (up to 4 years and 7 months)
OS was defined as the time from the date of first dose of study drug to death due to any cause.
17 secondary outcomes
Part A: Minimum Observed Plasma Concentration (Ctrough) Of Tislelizumab
Time frame: Cycle 4 Day 1 (0 hours and 4 hours) post dose
Part A: Ctrough Of Pamiparib
Time frame: Cycle 2 Day 1 (Pre-dose and 7 hours Post-dose)
Part A: Maximum Observed Plasma Concentration At Steady State (Cmax,ss) Of Pamiparib
Time frame: Cycle 2 Day 1 (Pre-dose and 7 hours Post-dose)
Part A: Time To Reach Maximum Plasma Concentration At Steady State (Tmax,ss) Of Pamiparib
Time frame: Cycle 2 Day 1 (Pre-dose and 7 hours Post-dose)
Part A: Ctrough At Steady State (Ctrough,ss) Of Pamiparib
Time frame: Cycle 2 Day 1 (Pre-dose and 7 hours Post-dose)
Part A: ORR
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part A: PFS
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part A: DCR
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part A: CBR
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part A: OS
Time frame: Starting from Day 1 Every 3 months following completion or discontinuation of the treatment (up to 4 years and 7 months)
Part A: Percentage Of Participants With Anti-drug Antibodies (ADAs) For Tislelizumab
Time frame: Within 24 hours before the start of the first dose of tislelizumab in Cycle 1, Day 8 of Cycle 1, and Day 1 of Cycle 2, Cycle 3, Cycle 4, Cycle 5, Cycle 9, and Cycle 17
Part B: Number Of Participants Experiencing AEs
Time frame: Day 1 of Cycle 1 up to 4 years and 7 months
Part B: Ctrough Of Tislelizumab
Time frame: Cycle 4 Day 1 ( 0 hours and 4 hours post dose)
Part B: Maximum Observed Plasma Concentration (Cmax) Of Tislelizumab
Time frame: Cycle 4 Day 1 ( 0 hours and 4 hours) post dose
Part B: Ctrough Of Pamiparib
Time frame: Cycle 2 Day 1 (7 hours Post-dose)
Part B: Cmax Of Pamiparib
Time frame: Cycle 2 (7 hours Post-dose)
Part B: Percentage Of Participants With ADAs For Tislelizumab
Time frame: 24 hours predose of Day 1 of every cycle
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Dec 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 31378459Friedlander M, Meniawy T, Markman B, Mileshkin L, Harnett P, Millward M, Lundy J, Freimund A, Norris C, Mu S, Wu J, Paton V, Gao B. Pamiparib in combination with tislelizumab in patients with advanced solid tumours: results from the dose-escalation stage of a multicentre, open-label, phase 1a/b trial. Lancet Oncol. 2019 Sep;20(9):1306-1315. doi: 10.1016/S1470-2045(19)30396-1. Epub 2019 Aug 1.
- Derived from this study: PubMed 37474720Friedlander M, Mileshkin L, Lombard J, Frentzas S, Gao B, Wilson M, Meniawy T, Baron-Hay S, Briscoe K, McCarthy N, Fountzilas C, Cervantes A, Ge R, Wu J, Spira A. Pamiparib in combination with tislelizumab in patients with advanced solid tumours: results from the dose-expansion stage of a multicentre, open-label, phase I trial. Br J Cancer. 2023 Sep;129(5):797-810. doi: 10.1038/s41416-023-02349-0. Epub 2023 Jul 20.
- 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.
Study Director principal investigator
BeiGene
29 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Tislelizumab and Pamiparib in people with Solid Tumors, run by BeiGene at 29 sites in 6 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 50 inclusion and 40 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 6 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 29 sites in United States, Australia, France, New Zealand, Spain and 1 more country. 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?
Yes. Results are posted in the registry (first posted 6 Dec 2021). 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?
Part A: Number Of Participants Experiencing Adverse Events (AEs) (time frame: From Day 1 up to 4 years and 7 months). The study lists 8 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 NCT02660034, 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 6 Dec 2021.