Carcinoma, Non-Small-Cell LungPhase 3RATIONALE001NCT03745222
A Study of Tislelizumab (BGB-A317) Plus Chemoradiotherapy Followed by Tislelizumab Monotherapy in Newly Diagnosed, Stage III Subjects With Locally Advanced, Unresectable Non-small Cell Lung Cancer
A Phase 3 study testing Tislelizumab and Concurrent chemoradiotherapy (cCRT) in people with Carcinoma, Non-Small-Cell Lung, run by Celgene at 164 sites in 23 countries.
Trial summary
This is a Phase 3, randomized, double-blind, placebo-controlled multicenter global study designed to compare the efficacy and safety of tislelizumab in combination with concurrent chemoradiotherapy (cCRT) followed by tislelizumab monotherapy versus cCRT alone, and tislelizumab given sequentially after cCRT versus cCRT… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Non-Small-Cell Lung
- What is being tested?
- Tislelizumab and Concurrent chemoradiotherapy (cCRT)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1 participants
- Where
- 164 sitesin 23 countries
- Study dates
- 22 May 2019to 26 Jun 2019
- 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
- Newly diagnosed, histologically confirmed, locally advanced, stage III unresectable non small cell lung cancer (NSCLC).
- Staging will be confirmed at screening by positron emission tomography-computed tomography (PET/CT) and brain imaging by magnetic resonance imaging (MRI) or computed tomography (CT) with contrast.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
- Epidermal growth factor receptor (EGFR) mutation and anaplastic lymphoma kinase (ALK) gene translocation status available prior to randomization.
- Provision of fresh or archival tumor tissue or discussion with Sponsor.
- Adequate hematologic and end-organ function.
Who cannot join
- Prior therapies including those targeting PD-1 or PD-L1 or chemotherapy, radiation, targeted therapy, biologic therapy, immunotherapy or investigational agent used to control non-small cell lung cancer (NSCLC).
- History of severe hypersensitivity reactions to other monoclonal antibodies or any contraindication to the planned chemotherapy regimen.
- History of, or ongoing, interstitial lung disease; pneumonitis requiring steroids; or clinically significant pericardial effusion.
- Any active malignancy less than or equal to 2 years before randomization, with the exception of non-small cell lung cancer (NSCLC) and any locally recurring cancer that has been treated curatively.
- Severe chronic or active infections including those requiring systemic antibacterial, antifungal or antiviral therapy; known human immunodeficiency virus (HIV) infection; untreated chronic hepatitis B or chronic hepatitis B virus carries or active hepatitis C; or active autoimmune disease.
- Prior allogeneic stem cell transplantation or organ transplantation.
- Significant cardiovascular disease or other condition which places the patient at risk.
Trial locations and contacts
164 sites in 23 countries.
164 sites in 23 countries
China33 sites
Cancer Hospital Chinese Academy of Medical Sciences
Beijing, 100021
Chinese PLA General Hospital / 307 Hospital
Beijing, 100071
Beijing Cancer Hospital - Beijing Institute for Cancer Research
Beijing, 100142
Bengbu Medical College - First Affiliated Hospital
Bengbu Shi, 233004
Jilin Province Cancer Hospital
Changchun, 130012
First Hospital of Jilin University
Changchun, 130021
Central South University - Xiangya School of Medicine - Hunan Cancer Hospital
Changsha, 410013
Central South University - Xiangya School of Medicine - Hunan Cancer Hospital
Changsha-shi, 410013
Sichuan Cancer Hospital & Institute
Chengdu, 610041
Sichuan University - West China Hospital
Chengdu, 610041
Foshan First People's Hospital
Foshan, 528000
Cancer Center of Guangzhou Medical University
Guangzhou, 510095
The First Affiliated Hospital of Guangzhou Medical University
Guangzhou, 510120
Zhejiang University School of Medicine - The Second Affiliated Hospital
Hangzhou, 310016
Zhejiang Medical University - Zhejiang Cancer Hospital
Hangzhou, 310022
The First Affiliated Hospital of Harbin Medical University
Harbin, 150081
Yunnan Cancer Hospital
Kunming, 650118
Guangxi Tumour Institute and Hospital
Nanning, 530021
Nantong Tumor Hospital
Nantong, 226361
Fudan University Shanghai Cancer Center
Shanghai, 200032
Shanghai Chest Hospital
Shanghai Shi, 200030
Chongqing Cancer Hospital
Shapingbaqu, 400030
Liaoning Cancer Hospital & Institute
Shenyang, 110042
The First Hospital of Xinjiang Medical University
Ürümqi, 830054
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, 430022
Zhongnan Hospital of Wuhan University
Wuhan, 430023
Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology
Wuhan, 430030
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an, 710061
First Hospital of Xiamen
Xiamen, 361003
Fujian Medical University - Fujian Provincial Cancer Hospital
Xidajie, 350014
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, 221002
Zhengzhou University (ZZU) - Henan Cancer Hospital
Zhengzhou, 450008
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, 450052
Japan16 sites
Osaka Prefectural Medical Center for Respiratory and Allergic Diseases
Habikino-shi, 583-8588
Kansai Medical University Hospital
Hirakata-shi, 573-1191
Hiroshima University Hospital
Hiroshima, 734-8551
Kanazawa University Hospital
Kanazawa
Matsusaka Municipal Hospital
Matsusaka-shi, 515-8544
Toranomon Hospital
Minatoku, 105-8470
Iwate Medical University Hospital
Morioka, 020-8505
National Hospital Organization - Nagoya Medical Center
Nagoya, 460-0001
Nagoya University Hospital
Nagoya, 466-8560
Niigata Cancer Center Hospital
Niigata, 951-8566
Osaka City University Hospital
Osaka, 545-8586
Gunma Prefectural Cancer Center
Ōta-ku, 373-8550
Kitasato University Hospital
Sagamihara, 252-0375
Sendai Kousei Hospital
Sendai, 980-0873
Kanagawa Cardiovascular and Respiratory Center
Yokohama, 236-0051
Yokohama Municipal Citizen's Hospital
Yokohama, 240-8555
United States14 sites
Center For Cancer and Blood Disorders
Bethesda, Maryland, 20817
University of Chicago Medical Center
Chicago, Illinois, 60637
Fort Wayne Medical Oncology and Hematology
Fort Wayne, Indiana, 46845
Appalachian Regional Healthcare, Inc.
Hazard, Kentucky, 41701
Millennium Oncology
Houston, Texas, 77090
University of Mississippi Medical Center
Jackson, Mississippi, 39216
Cancer Specialists of North Florida - Jacksonville
Jacksonville, Florida, 32258-5472
Dayton Physicians, LLC
Kettering, Ohio, 45409
USC Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Norton Healthcare - Norton Cancer Institute
Louisville, Kentucky, 40202
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
Medical Oncology Associates, P.S.
Spokane, Washington, 99208
Bond Clinic, P.A.
Winter Haven, Florida, 33881
Mercy Health Youngstown Hospital, LLC
Youngstown, Ohio, 44504
Germany13 sites
Medical Study Company NORD-WEST GmbH Oncology Aurich
Aurich, 26603
Helios Klinikum Emil Von Behring
Berlin, 14165
Kliniken der Stadt Koln gGmbH - Krankenhaus Merheim
Cologne, 51109
Florence Nightingale KH der Kaiserwerther Diakonie
Düsseldorf, 40489
Klinikum Esslingen GmbH
Esslingen am Neckar, 73730
Asklepios Fachkliniken Muenchen Gauting
Gauting, 82131
Oncological practice Goslar
Goslar, 38642
Evangelisches Krankenhaus Hamm
Hamm, 59063
Health Nordhessen Holding AG - Klinikum Kassel - Medical Clinic IV
Kassel, 34125
Klinik Loewenstein gGmbH
Löwenstein, 74245
LMU Klinikum der Universität
München, 81377
St. Antonius-Hospital
Schweiler, 52249
Medizinische Studiengesellschaft Nord-West
Westerstede, 26655
Greece10 sites
Sotiria Chest Hospital of Athens
Athens, 11527
IASO General
Athens, 15562
University General Hospital of Heraklion
Heraklion, 71110
Agioi Anargyroi Cancer Hospital
Kifissia, 14564
Metaxa Cancer Hospital of Piraeus
Piraeus, 18537
Interbalkan Medical Center of Thessaloniki
Pylaia, 570 01
University General Hospital of Patras
Rio Patras, 26500
Bioclinic Thessaloniki Galinos clinic
Thessaloniki, 54622
EUROMEDICA General Clinic of Thessaloniki
Thessaloniki, 54645
Papageorgiou General Hospital of Thessaloniki
Thessaloniki, 56429
Spain10 sites
Hospital Universitario a Coruna
A Coruña, 15006
Hospital General Universitario de Alicante
Alicante, 03010
Hospital Universitario Germans Trias i Pujol
Barcelona, 08916
Insular-Maternal and Child University Hospital Complex
Las Palmas de Gran Canaria, 35016
Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario Puerta de Hierro-Majadahonda
Majadahonda, Madrid, 28222
Hospital General Carlos Haya
Málaga, 29010
Hospital Universitario Central de Asturias
Oviedo, 33011
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026
United Kingdom10 sites
University Hospitals Birmingham NHS Foundation Trust - Queen Elizabeth Hospital
Birmingham, B15 2TH
East Suffolk and North Essex NHS Foundation Trust - Colchester Hospital
Colchester, CO4 5JL
University College London Hospitals NHS Foundation Trust - University College Hospital
London, NW1 2BU
Guys Hospital
London, SE1 9RT
Royal Marsden Hospital
London, SW3 6JJ
Maidstone and Tunbridge Wells NHS Trust - Maidstone Hospital
Maidstone, ME16 9QQ
Manchester University NHS Foundation Trust - Wythenshawe Hospital - North West Lung Centre
Manchester, M23 9LT
The Hillingdon Hospitals NHS Foundation Trust - Mount Vernon Hospital
Northwood, HA6 2RN
Sheffield Teaching Hospitals NHS Foundation Trust - Weston Park Hospital
Sheffield South Yorkshire, S10 2SS
Royal Cornwall Hospitals Trust
Truro, TR1 3LJ
Portugal7 sites
Hospital Prof. Doutor Fernando Fonseca
Amadora, 2720-276
Centro Hospitalar E Universitario de Coimbra EPE
Coimbra, 3000-075
Centro Hospitalar do Alto Ave, Hospital da Senhora da Oliveira Guimaraes
Guimarães, 4835-044
CUF Descobertas Hospital
Lisbon, 1998-018
Centro Hospitalar do Porto - Hospital de Santo António
Porto, 4099-001
CUF Porto Hospital
Porto, 4100-180
Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe
Porto, 4200-072
Romania7 sites
Oncology Institute Professor Doctor Alexandru Trestioreanu
Bucharest, 022328
Prof. Dr. I. Chiricuta Institute of Oncology
Cluj-Napoca, 400015
Medisprof SRL
Cluj-Napoca, 400058
Sf. Apostol Andrei Constanta Emergency Clinical County Hospital
Constanța, 900591
Oncology Center Sfantul Nectarie
Craiova
Life Search SRL
Timișoara, 300167
Oncocenter Clinical Oncology
Timișoara, 300210
Russia7 sites
Principal Military Clinical Hospital n.a. N.N. Burdenko
Moscow, 105229
Omsk Regional Oncology Center
Omsk, 610013
Ryazan State Medical University n.a. I.P. Pavlov
Ryazan, 390026
Clinical Hospital of the Russian Academy of Sciences
Saint Petersburg, 194017
GBUZ Saint Petersburg Clinical Research Center of Specialized Types of Care (Oncology)
Saint Petersburg, 197758
Research Oncology Institute of Rosmed Technologies n.a. prof. N.N. Petrov
Saint Petersburg, 197758
Mordovia State University
Saransk, 43002
Italy5 sites
Azienda Ospedaliero - Universitaria Policlinico - Vittorio Emanuele - Ospedale Gaspare Rodolico
Catania, 95123
IRCCS AziendaOspedaliera Universitaria San Martino
Genova, 16132
Istituto Scientifico Romagnolo Per Lo Studio e La Cura Dei Tumori (I.R.S.T.)
Meldola, 47014
Universita Campus Bio-Medico di Roma
Roma, 00128
Istituto Nazionale Tumori Regina Elena di Roma
Roma, 00144
Taiwan5 sites
Buddhist Dalin Tzu Chi General Hospital
Dalin, 62247
E-DA Hospital
Kaohsiung City, 82445
Kaohsiung Medical University Hospital
Kaohsiung, San Ming Dist., 807
Chang Gung Medical Foundation, Kaohsiung Memorial Hospital
Niao-Sung Hsiang Kaohsiung County, 83301
National Taiwan University Hospital
Taipei, Zhongzheng Dist., 100
Poland4 sites
Centrum Onkologii im. prof. Franciszka Lukaszczyka w Bydgoszczy
Bydgoszcz, 85796
Centrum Onkologii - Instytut im. Marii Sklodowskiej-Curie
Gliwice, 44-101
Med Polonia Sp. z o.o. NSZOZ
Poznan, 60-693
Centrum Onkologii-Instytut im.Marii Sklodowskiej-Curie
Warsaw, 02-781
South Korea4 sites
Chungbuk National University Hospital
Cheongju-si, 138-736
Seoul National University Bundang Hospital
Seongnam-si, 13620
Asan Medical Center
Seoul, 5505
Ajou University Hospital
Suwon, 16499
France3 sites
Centre Francois Baclesse
Caen, 14076
Clinique Victor Hugo
Le Mans, 72015
Institut de Cancerologie de l'Ouest (ICO) - Saint-Herblain
Saint-Herblain, 44805
Ireland3 sites
Beacon Hospital
Dublin, D18 AK68
St James Hospital
Dublin, Dublin 8
MidWestern Regional Hospital
Limerick
Belgium2 sites
Universitair Ziekenhuis Brussel
Brussels, 1090
Cliniques Universitaires Saint-Luc
Brussels, 1200
Finland2 sites
Tampereen yliopistollinen sairaala
Tampere, 33521
Turku University Hospital
Turku, 20521
Hungary2 sites
Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
Székesfehérvár, 8000
Pulmonary Institute Torokbalint
Törökbálint, 2045
Netherlands2 sites
Vrije Universiteit Medisch Centrum (VUMC)
Amsterdam, 1081 HV
Gelre Hospitals
Zutphen, 7207 AE
New Zealand2 sites
Waikato Hospital
Hamilton, 3204
Tauranga Hospital
Tauranga, 3112
Singapore2 sites
National University Hospital
Singapore, 119074
Raffles Hospital
Singapore, 188770
About this study
Official title: A PHASE 3, RANDOMIZED, BLINDED, PLACEBO-CONTROLLED STUDY OF TISLELIZUMAB (BGB-A317) PLUS CHEMORADIOTHERAPY FOLLOWED BY TISLELIZUMAB MONOTHERAPY IN NEWLY DIAGNOSED, STAGE III SUBJECTS WITH LOCALLY ADVANCED, UNRESECTABLE NON-SMALL CELL LUNG CANCER
This is a Phase 3, randomized, double-blind, placebo-controlled multicenter global study designed to compare the efficacy and safety of tislelizumab in combination with concurrent chemoradiotherapy (cCRT) followed by tislelizumab monotherapy versus cCRT alone, and tislelizumab given sequentially after cCRT versus cCRT alone, in newly diagnosed stage III subjects with locally advanced, unresectable non-small cell lung cancer (NSCLC). The primary endpoint is centrally-assessed progression free survival (PFS) in the intent-to-treat (ITT) population. .
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Being tested
- Tislelizumab, Concurrent chemoradiotherapy (cCRT), Placebo
- Keywords
- Locally Advanced, Unresectable Non-Small Cell Lung Cancer, Non-Small Cell Lung Cancer, NSCLC, Randomized, BGB-A317, Tislelizumab, PD-1
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TislelizumabDrug
Also called BGB-A317
PD-1 inhibitor (monoclonal antibody against PD-1)
Concurrent chemoradiotherapy (cCRT)Drug
Chemotherapy options include carboplatin/paclitaxel and cisplatin/etoposide per standard of care. Radiotherapy will also be given concurrently with chemotherapy.
PlaceboOther
Placebo
| Study group | Role | What they receive |
|---|---|---|
| Arm 1:Tislelizumab + cCRT followed by tislelizumab monotherapy | Experimental | Tislelizumab 200 mg is administered by intravenous (IV) administration and given together upfront with concurrent platinum-based chemoradiotherapy (cCRT) for the first 6 weeks, followed by tislelizumab 200 mg by IV adminstration monotherapy. The standard platinum-based chemotherapy options include carboplatin/ paclitaxel and cisplatin/etoposide Receives: Drug: Tislelizumab; Drug: Concurrent chemoradiotherapy (cCRT) |
| Arm 2: Placebo + cCRT followed by tislelizumab monotherapy | Experimental | Placebo is given with concurrent platinum-based chemoradiotherapy (cCRT) for the first 6 weeks, followed by tislelizumab 200 mg by IV administration monotherapy. The standard platinum-based chemotherapy options include carboplatin/paclitaxel and cisplatin/etoposide. Receives: Drug: Tislelizumab; Drug: Concurrent chemoradiotherapy (cCRT); Other: Placebo |
| Arm 3: Placebo + cCRT followed by placebo monotherapy | Placebo comparator | Placebo is given with concurrent platinum-based chemoradiotherapy (cCRT) for the first 6 weeks, followed by placebo monotherapy. The standard platinum-based chemotherapy options include carboplatin/paclitaxel and cisplatin/etoposide. Receives: Drug: Concurrent chemoradiotherapy (cCRT); Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS)
Progression-free survival was defined as the time from the date of randomization to the date of the first objectively tumor progression as assessed by the blinded independent central review per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 criteria (documented by radiological assessment) or death (any cause) on or prior to the clinical cut-off date, which ever occurred first. Stable disease-neither sufficient shrinkage to qualify for PR nor sufficient increase of lesions to qualify for Progressive disease (PD)• Progressive Disease- At least a 20% increase in the sum of diameters of target lesions from nadir.
Measured: Up to approximately 5 years; date of randomization to the date of tumor progression or death; until study withdrawal date of 26 June 2019
Secondary outcomes (10)
Overall Survival (OS)
Overall survival was defined as the time between randomization of treatment and death from any cause.
Measured: Up to approximately 5 years; date of randomization to date of death from any cause.
Overall Survival at 24 Months
Overall survival was defined as the time between randomization of treatment and death from any cause.
Measured: Up to approximately 24 months
Percentage of Participants Who Achieved a Best Overall Response of Complete Response or Partial Response
Overall Response was defined as percentage of participants who had a radiologic confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1) guidelines, between Day 1 of treatment and subsequent anti-cancer therapy, death or study discontinuation. Complete response was defined as the disappearance of all target lesions; partial response (PR) is defined as at least a 30% decrease in the sum of diameters of target lesions from baseline; stable disease-neither sufficient shrinkage to qualify for PR nor sufficient increase of lesions to qualify for progressive disease (PD).
Measured: Up to approximately 5 years
Duration of Response
Duration of Response is defined as the time from the first occurrence of a documented objective response to the time of relapse, as determined by blinded independent central review per RECIST v1.1, or death from any cause, whichever comes first.
Measured: Up to approximately 5 years
Percentage of Participants Alive and Progression-Free at 12 Months (APF12)
Progression-free survival was defined as the time from the date of randomization to the date of the first objectively tumor progression as assessed by the blinded independent central review per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 criteria (documented by radiological assessment) or death (any cause) on or prior to the clinical cut-off date, which ever occurred first
Measured: Up to 12 months
Percentage of Participants Alive and Progression-free at 18 Months (APF18)
Progression-free survival was defined as the time from the date of randomization to the date of the first objectively tumor progression as assessed by the blinded independent central review per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 criteria (documented by radiological assessment) or death (any cause) on or prior to the clinical cut-off date, which ever occurred first
Measured: Up to approximately 18 months
Time to Distant Metastasis (TTDM)
TTDM was defined as the time from the date of randomization until the first date of distant metastasis or death in the absence of distant metastasis. Distant metastasis was defined as any new lesion that is outside of the radiation field according to RECIST v1.1 or proven by biopsy.
Measured: Up to approximately 5 years
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
TEAEs include any adverse events (AEs) that had an onset date or a worsening in severity from baseline on or after the first dose of study drug up to 30 days following study drug discontinuation or initiation of new anticancer therapy, whichever occurred first. TEAEs also included all immune-related AEs recorded up to 90 days after the last dose of tislelizumab or placebo, regardless of whether or not the particpant started a new anticancer therapy. In addition, any serious AE with an onset date more than 30 days after the last dose of study drug that is assessed by the investigator as related to study drug were considered a TEAE."
Measured: From first dose of study drug up to study withdrawal date of 26 June 2019; 15 days.
Number of Participants With Lung Cancer Symptoms Assessed by the Corresponding Domains of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (EORTC-QLQ-C30) and Lung-Cancer Specific QLQ-LC13
The EORTC QLQ-C30 is a 30-item, questionnaire assessing quality of life (QoL), psychosocial burden and physical symptoms. It is classified into 15 domains: 5 functional subscales (physical functioning, role functioning, emotional functioning, cognitive functioning, and social functioning); 3 multi-item symptom subscales (fatigue, nausea/vomiting, and pain); each item is measured on a 4 point response scale; (not at all, a little, quite a bit, very much), with the exception of the 2 items measuring global health and QoL, (measured on a 7-point response scale). Scores are linearly transformed to 0 to 100 scores. Scores vary from 0 (worst) to 100 (best) for the functional dimensions and GHS, and from 0 (best) to 100 (worst) for the symptom dimensions; higher scores = better QoL, better functioning, or more severe symptoms, respectively. The LC13 covers 13 typical symptoms of lung cancer patients, such as coughing, pain, dyspnea, sore mouth, peripheral neuropathy, and hair loss.
Measured: Up to approximately 5 years
Percentage of Participants Who Would Have Continued on to Monotherapy Phase
Included the percentage of participants who would have received at least one dose of tislelizumab or placebo in the monotherapy phase before progression.
Measured: Up to approximately 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Nov 2018
- Study start22 May 2019
- Primary completion26 Jun 2019
- Study completion26 Jun 2019
Why it stopped: BeiGene and Celgene Corporation terminated the parties' global collaboration for the compound, pending the acquisition of Celgene by Bristol Myers Squibb
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.
- Other trials for Carcinoma, Non-Small-Cell LungStudies of the same condition, open and under way.
- More trials run by CelgeneThe 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1 participants (actual)
Sponsor and investigators
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03745222
- Sponsor's protocol ID
- BGB-A317-NSCL-001
- Other IDs
- U1111-1216-4294, 2018-001132-22, 2018
- Acronym
- RATIONALE001
- Status last verified
- Jun 2020
- First submitted
- 9 Nov 2018
- Last updated
- 15 Jul 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Jul 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 3, RANDOMIZED, BLINDED, PLACEBO-CONTROLLED STUDY OF TISLELIZUMAB (BGB-A317) PLUS CHEMORADIOTHERAPY FOLLOWED BY TISLELIZUMAB MONOTHERAPY IN NEWLY DIAGNOSED, STAGE III SUBJECTS WITH LOCALLY ADVANCED, UNRESECTABLE NON-SMALL CELL LUNG CANCER
- ClinicalTrials.gov ID
- NCT03745222
- Acronym / sponsor ID
- RATIONALE001 / BGB-A317-NSCL-001
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Keywords
- Locally Advanced, Unresectable Non-Small Cell Lung Cancer, Non-Small Cell Lung Cancer, NSCLC, Randomized, BGB-A317, Tislelizumab, PD-1
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: BeiGene and Celgene Corporation terminated the parties' global collaboration for the compound, pending the acquisition of Celgene by Bristol Myers Squibb
- Enrolment
- 1 participants (actual)
- Lead sponsor
- CelgeneIndustry (pharma, biotech, devices)
- Collaborators
- BeiGene
- Study start
- 22 May 2019 (actual)
- Primary completion
- 26 Jun 2019 (actual)
- Study completion
- 26 Jun 2019 (actual)
- First posted
- 19 Nov 2018 (actual)
- Results
- Posted 15 Jul 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 3, randomized, double-blind, placebo-controlled multicenter global study designed to compare the efficacy and safety of tislelizumab in combination with concurrent chemoradiotherapy (cCRT) followed by tislelizumab monotherapy versus cCRT alone, and tislelizumab given sequentially after cCRT versus cCRT alone, in newly diagnosed stage III subjects with locally advanced, unresectable non-small cell lung cancer (NSCLC). The primary endpoint is centrally-assessed progression free survival (PFS) in the intent-to-treat (ITT) population. .
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm 1:Tislelizumab + cCRT followed by tislelizumab monotherapy | Experimental | Drug: Tislelizumab, Drug: Concurrent chemoradiotherapy (cCRT)Tislelizumab 200 mg is administered by intravenous (IV) administration and given together upfront with concurrent platinum-based chemoradiotherapy (cCRT) for the first 6 weeks, followed by tislelizumab 200 mg by IV adminstration monotherapy. The standard platinum-based chemotherapy options include carboplatin/ paclitaxel and cisplatin/etoposide |
| Arm 2: Placebo + cCRT followed by tislelizumab monotherapy | Experimental | Drug: Tislelizumab, Drug: Concurrent chemoradiotherapy (cCRT), Other: PlaceboPlacebo is given with concurrent platinum-based chemoradiotherapy (cCRT) for the first 6 weeks, followed by tislelizumab 200 mg by IV administration monotherapy. The standard platinum-based chemotherapy options include carboplatin/paclitaxel and cisplatin/etoposide. |
| Arm 3: Placebo + cCRT followed by placebo monotherapy | Placebo comparator | Drug: Concurrent chemoradiotherapy (cCRT), Other: PlaceboPlacebo is given with concurrent platinum-based chemoradiotherapy (cCRT) for the first 6 weeks, followed by placebo monotherapy. The standard platinum-based chemotherapy options include carboplatin/paclitaxel and cisplatin/etoposide. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Newly diagnosed, histologically confirmed, locally advanced, stage III unresectable non small cell lung cancer (NSCLC).
- Staging will be confirmed at screening by positron emission tomography-computed tomography (PET/CT) and brain imaging by magnetic resonance imaging (MRI) or computed tomography (CT) with contrast.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
- Epidermal growth factor receptor (EGFR) mutation and anaplastic lymphoma kinase (ALK) gene translocation status available prior to randomization.
- Provision of fresh or archival tumor tissue or discussion with Sponsor.
Key exclusion criteria (7 listed)
- Prior therapies including those targeting PD-1 or PD-L1 or chemotherapy, radiation, targeted therapy, biologic therapy, immunotherapy or investigational agent used to control non-small cell lung cancer (NSCLC).
- History of severe hypersensitivity reactions to other monoclonal antibodies or any contraindication to the planned chemotherapy regimen.
- History of, or ongoing, interstitial lung disease; pneumonitis requiring steroids; or clinically significant pericardial effusion.
- Any active malignancy less than or equal to 2 years before randomization, with the exception of non-small cell lung cancer (NSCLC) and any locally recurring cancer that has been treated curatively.
- Severe chronic or active infections including those requiring systemic antibacterial, antifungal or antiviral therapy; known human immunodeficiency virus (HIV) infection; untreated chronic hepatitis B or chronic hepatitis B virus carries or active hepatitis C; or active autoimmune disease.
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-A317PD-1 inhibitor (monoclonal antibody against PD-1) | Drug | Arm 1:Tislelizumab + cCRT followed by tislelizumab monotherapy, Arm 2: Placebo + cCRT followed by tislelizumab monotherapy |
| Concurrent chemoradiotherapy (cCRT)Chemotherapy options include carboplatin/paclitaxel and cisplatin/etoposide per standard of care. Radiotherapy will also be given concurrently with chemotherapy. | Drug | Arm 1:Tislelizumab + cCRT followed by tislelizumab monotherapy, Arm 2: Placebo + cCRT followed by tislelizumab monotherapy, Arm 3: Placebo + cCRT followed by placebo monotherapy |
| PlaceboPlacebo | Other | Arm 2: Placebo + cCRT followed by tislelizumab monotherapy, Arm 3: Placebo + cCRT followed by placebo monotherapy |
Primary outcome
Progression-Free Survival (PFS)
Time frame: Up to approximately 5 years; date of randomization to the date of tumor progression or death; until study withdrawal date of 26 June 2019
Progression-free survival was defined as the time from the date of randomization to the date of the first objectively tumor progression as assessed by the blinded independent central review per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 criteria (documented by radiological assessment) or death (any cause) on or prior to the clinical cut-off date, which ever occurred first. Stable disease-neither sufficient shrinkage to qualify for PR nor sufficient increase of lesions to qualify for Progressive disease (PD)• Progressive Disease- At least a 20% increase in the sum of diameters of target lesions from nadir.
10 secondary outcomes
Overall Survival (OS)
Time frame: Up to approximately 5 years; date of randomization to date of death from any cause.
Overall Survival at 24 Months
Time frame: Up to approximately 24 months
Percentage of Participants Who Achieved a Best Overall Response of Complete Response or Partial Response
Time frame: Up to approximately 5 years
Duration of Response
Time frame: Up to approximately 5 years
Percentage of Participants Alive and Progression-Free at 12 Months (APF12)
Time frame: Up to 12 months
Percentage of Participants Alive and Progression-free at 18 Months (APF18)
Time frame: Up to approximately 18 months
Time to Distant Metastasis (TTDM)
Time frame: Up to approximately 5 years
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Time frame: From first dose of study drug up to study withdrawal date of 26 June 2019; 15 days.
Number of Participants With Lung Cancer Symptoms Assessed by the Corresponding Domains of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (EORTC-QLQ-C30) and Lung-Cancer Specific QLQ-LC13
Time frame: Up to approximately 5 years
Percentage of Participants Who Would Have Continued on to Monotherapy Phase
Time frame: Up to approximately 5 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jul 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Marie Nguyen, MD study director
Celgene
164 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Tislelizumab and Concurrent chemoradiotherapy (cCRT) in people with Carcinoma, Non-Small-Cell Lung, run by Celgene at 164 sites in 23 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 7 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 15 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 164 sites in China, Japan, United States, Germany, Greece and 18 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 15 Jul 2020). 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 5 years; date of randomization to the date of tumor progression or death; until study withdrawal date of 26 June 2019). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jul 2020.