Esophageal Squamous Cell CarcinomaPhase 2AdvanTIG-203NCT04732494
Anti-PD-1 Monoclonal Antibody Tislelizumab (BGB-A317) Combined With or Without Anti-TIGIT Monoclonal Antibody Ociperlimab (BGB-A1217) in Participants With Recurrent or Metastatic Esophageal Squamous Cell Carcinoma
A Phase 2 study testing Tislelizumab and Ociperlimab in people with Esophageal Squamous Cell Carcinoma, run by BeiGene at 86 sites in 6 countries.
Trial summary
A study of tislelizumab (BGB-A317) plus ociperlimab versus tislelizumab plus placebo as second-line treatment in participants with programmed cell death protein-ligand 1 (PD-L1) tumor area positivity (TAP) ≥ 10% unresectable, locally advanced, recurrent or metastatic esophageal squamous cell carcinoma. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Esophageal Squamous Cell Carcinoma
- What is being tested?
- Tislelizumab and Ociperlimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 125 participants
- Where
- 86 sitesin 6 countries
- Study dates
- 31 Mar 2021to 26 Dec 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
- Histologically confirmed diagnosis of esophageal squamous cell carcinoma (ESCC).
- Have progressive disease during or after first-line of systemic treatment for unresectable, locally advanced, recurrent or metastatic ESCC.
- Have measurable disease as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
- Have confirmed programmed cell death protein-ligand 1 (PD-L1) tumor area positivity (TAP) ≥ 10% in tumor tissues tested by the central lab.
- Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1.
Who cannot join
- Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, T-cell immunoreceptor with immunoglobulin and immunoreceptor tyrosine-based inhibitory motif domains, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways.
- Participants with evidence of fistula (either esophageal/bronchial or esophageal/aorta).
- Evidence of complete esophageal obstruction not amenable to treatment.
- Uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage (recurrence within 2 weeks after intervention).
- Has received any chemotherapy, immunotherapy (eg, interleukin, interferon, thymosin, etc) or any investigational therapies within 14 days or 5 half-lives (whichever is longer) before the first dose of study drug. Or has received palliative radiation treatment or other local regional therapies within 14 days before the first dose of study drug.
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
86 sites in 6 countries.
86 sites in 6 countries
China52 sites
Beijing Cancer Hospital
Beijing
Beijing Friendship Hospital, Capital Medical University
Beijing
Heping Hospital Affiliated to Changzhi Medical College
Changzhi, 046000
The First People's Hospital of Changzhou
Changzhou
People's Hospital of Deyang City
Deyang, Sichuan
Fujian Cancer Hospital
Fujian
The First Affiliated Hospital of Fujian Medical University
Fujian
Zhongshan Hospital Xiamen University
Fujian
Lanzhou University Second Hospital
Gansu, Gansu
Cancer Hospital of Shantou University Medical College
Guangdong
Nanfang Hospital of Southern Medical University
Guangdong
Sun Yat-sen University Cancer Center
Guangdong
The First Affiliated Hospital of Guangzhou University of Chinese Medicine
Guangdong
The Sixth Affiliated Hospital, Sun Yat-sen University
Guangdong
Guangxi Medical University Affiliated Tumor Hospital
Guangxi
Guangdong Provincial Hospital of Chinese Medicine
Guangzhou, Guangdong
Meizhou Hospital Affiliated to Sun Yat-sen University
Guangzhou, Guangdong
Hainan General Hospital
Hainan
Affiliated Hospital of Hebei University
Hebei
Anhui Provincial Cancer Hospital
Hefei, Anhui, 230088
The Second Hospital of Anhui Medical University
Hefei
Harbin Medical University Cancer Hospital
Heilongjiang
Henan Cancer Hospital
Henan
The First Affiliated Hospital of Xinxiang Medical University
Henan
The First Affiliated Hospital of Zhengzhou University
Henan
Hubei Cancer Hospital
Hubei
Xiangyang Central Hospital
Hubei
Hunan Cancer Hospital
Hunan
The First Affiliated Hospital of Nanchang University
Jiangxi
The Second Affiliated Hospital of Nanchang University
Jiangxi
Shandong Cancer Hospital
Jinan, Shandong, 250117
Yunnan Cancer Hospital
Kunming, Yunnan
Nantong Tumor Hospital
Nantong, Jiangsu, 226000
Qinghai Provincial People's Hospital
Qinghai, Qinghai
Quanzhou First Hospital of Fujian Province
Quanzhou, Fujian, 362002
Hainan Third People's Hospital
Sanya, Hainan
Linyi Cancer Hospital
Shandong
Weifang People's Hospital
Shandong
Shanghai Chest Hospital
Shanghai
Liaoning Cancer Hospital & Institute
Shenyang
Sichuan Provincial People's Hospital
Sichuan
Shanxi Provincial People's Hospital
Taiyuan, Shanxi, 140100
Tianjin Medical University Cancer Institute & Hospital
Tianjin, Tianjin Municipality
The First Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang
Affiliated Hospital of Jiangnan University
Wuxi, Jiangsu
First Affiliated Hospital of Xiamen University
Xiamen, Fujian, 361003
The Affiliated Hospital of Xuzhou Medical University
Xuzhou
Northern Jiangsu People's Hospital
Yangzhou
General Hospital of Ningxia Medical University
Yinchuan, Ningxia
First Affiliated Hospital of Kunming Medical University
Yunnan, Yunnan
Hangzhou Cancer Hospital
Zhejiang
Hwa Mei Hospital, University of Chinese Academy of Sciences
Zhejiang
Spain10 sites
Hospital Clínic de Barcelona
Barcelona
Hospital de la Santa Creu i Sant Pau
Barcelona
Hospital Universitario Vall d'Hebron
Barcelona
Institut Catala D'Oncologia
L'Hospitalet de Llobregat
Hospital Universitario Madrid Sanchinarro
Madrid
Hospital Universitario Ramón y Cajal
Madrid
Hospital Regional Universitario de Málaga
Málaga
Hospital Universitario Marqués de Valdecilla
Santander
Hospital Clinico Universitario de Valencia - Incliva
Valencia
Hospital Universitario Miguel Servet
Zaragoza
South Korea8 sites
Ajou University Hospital
Gyeonggi-do
Chonnam National University Hwasun Hospital
Jeongnam
Asan Medical Center
Seoul
Korea University Guro Hospital
Seoul
Samsung Medical Center
Seoul
Seoul National University Hospital
Seoul
Severance Hospital, Yonsei University Health System
Seoul
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul
Taiwan6 sites
Chiayi Chang Gung Memorial Hospital
Chiayi City
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City
China Medical University Hospital
Taichung
National Taiwan University Hospital
Taipei
Taipei Veterans General Hospital
Taipei
Linkou Chang Gung Memorial Hospital
Taoyuan
Thailand6 sites
Chulabhorn Hospital
Bangkok
Phramongkutklao Hospital
Bangkok
Rajavithi Hospital
Bangkok
Siriraj Hospital
Bangkok
Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University
Chiang Mai
Songklanagarind Hospital, Prince of Songkla University
Hat Yai
France4 sites
Centre Hospitalier Universitaire d'Amiens - Hopital Sud
Amiens, Picardie
Hôpital de la Timone
Marseille
Hopital Europeen Georges Pompidou - Digestive Oncology
Paris, 75015
CHU de Poitiers
Poitiers, 80621
About this study
Official title: A Phase 2, Multicenter, Randomized, Placebo-Controlled Study to Compare the Efficacy of Anti-PD-1 Monoclonal Antibody Tislelizumab (BGB-A317) Plus Anti-TIGIT Monoclonal Antibody Ociperlimab (BGB-A1217) Versus Tislelizumab Plus Placebo as Second-Line Treatment in Patients With PD-L1 Tumor Area Positivity (TAP) ≥ 10% Unresectable, Locally Advanced, Recurrent or Metastatic Esophageal Squamous Cell Carcinoma
A study of tislelizumab (BGB-A317) plus ociperlimab versus tislelizumab plus placebo as second-line treatment in participants with programmed cell death protein-ligand 1 (PD-L1) tumor area positivity (TAP) ≥ 10% unresectable, locally advanced, recurrent or metastatic esophageal squamous cell carcinoma.
- Conditions
- Esophageal Squamous Cell Carcinoma
- Being tested
- Tislelizumab, Ociperlimab, Placebo
- Medical subject headings
- Esophageal Squamous Cell Carcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TislelizumabBiological
Also called BGB-A317, TEVIMBRA®
Tislelizumab is a monoclonal antibody formulated for intravenous injection.
OciperlimabBiological
Also called BGB-A1217
Ociperlimab is a monoclonal antibody formulated for intravenous injection.
PlaceboDrug
Also called Ociperlimab placebo
Ociperlimab placebo injection is a sterile, preservative-free solution for infusion formulated in the same buffer as ociperlimab active drug.
| Study group | Role | What they receive |
|---|---|---|
| Arm A: Tislelizumab plus Ociperlimab | Experimental | Participants received 200 milligrams (mg) tislelizumab plus 900 mg ociperlimab intravenously once every 3 weeks until disease progression, unacceptable toxicity, or withdrawal of informed consent, whichever occurred first. Receives: Biological: Tislelizumab; Biological: Ociperlimab |
| Arm B: Tislelizumab plus Placebo | Placebo comparator | Participants received 200 mg tislelizumab plus placebo intravenously once every 3 weeks until disease progression, unacceptable toxicity, or withdrawal of informed consent, whichever occurred first. Receives: Biological: Tislelizumab; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective Response Rate (ORR) Assessed by the Investigator
Objective response rate is defined as the percentage of participants who had a best overall response of confirmed complete response (CR) or partial response (PR) assessed by the Investigator according to the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Response evaluations were performed using computed tomography or magnetic resonance imaging (MRI) approximately every 6 weeks for the first 54 weeks and then every 12 weeks thereafter.
CR: Disappearance of all target and non-target lesions; any pathological lymph nodes (whether target or non-target) < 10 mm, and no new lesions.
PR: At least a 30% decrease in the size of target lesions, with no progression of non-target lesions and no new lesions, or disappearance of target lesions with persistence of 1 or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, and no new lesions.
Response (CR or PR) must have been confirmed 4 weeks or later after the first response was observed.
Measured: Up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.
Secondary outcomes (11)
Overall Survival
Overall survival (OS) is defined as the time from the date of randomization until the date of death due to any cause.
Median overall survival was estimated using the Kaplan-Meier method. For participants who were still alive at the end of the trial, OS was censored at the last known alive date or the date of data cutoff, whichever was earlier.
Measured: From randomization to the end of the study, median (range) time on follow-up was 10.0 (0.5 - 29.9) months in Arm A and 7.8 (0.4 - 29.3) months in Arm B.
Objective Response Rate Assessed by the Independent Review Committee
Objective response rate is defined as the percentage of participants who had a best overall response of confirmed complete response (CR) or partial response (PR) assessed by the Independent Review Committee (IRC) according to RECIST v1.1.
Response evaluations were performed using computed tomography or MRI approximately every 6 weeks for the first 54 weeks and then every 12 weeks thereafter.
CR: Disappearance of all target and non-target lesions; any pathological lymph nodes (whether target or non-target) < 10 mm, and no new lesions.
PR: At least a 30% decrease in the size of target lesions, with no progression of non-target lesions and no new lesions, or disappearance of target lesions with persistence of 1 or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, and no new lesions.
Response (CR or PR) must have been confirmed 4 weeks or later after the first response was observed.
Measured: Up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.
Progression-free Survival (PFS) Assessed by the Independent Review Committee
Progression-free survival is defined as the time from the date of randomization to the date of first documentation of progressive disease assessed by the Independent Review Committee per RECIST v1.1, or death, whichever occurred first.
Median PFS was estimated using the Kaplan-Meier method.
Progressive Disease (PD): At least a 20% increase in the size of target lesions with an absolute increase of at least 5 mm, or unequivocal progression of existing non-target lesions, or the appearance of any new lesions.
Measured: From randomization up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.
Progression-free Survival (PFS) Assessed by the Investigator
Progression-free survival is defined as the time from the date of randomization to the date of first documentation of progressive disease assessed by the Investigator per RECIST v1.1, or death, whichever occurred first.
Median PFS was estimated using the Kaplan-Meier method.
Progressive Disease (PD): At least a 20% increase in the size of target lesions with an absolute increase of at least 5 mm, or unequivocal progression of existing non-target lesions, or the appearance of any new lesions.
Measured: From randomization to the end of the study, median (range) time on follow-up was 10.0 (0.5 - 29.9) months in Arm A and 7.8 (0.4 - 29.3) months in Arm B.
Duration Of Response (DOR) Assessed by the Independent Review Committee
Duration of response is defined as the time from the first determination of an objective response (CR or PR) until the first documentation of progressive disease as assessed by the Independent Review Committee per RECIST v1.1, or death, whichever occurred first.
Median DOR was estimated using the Kaplan-Meier method.
Measured: From randomization up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.
Duration Of Response (DOR) Assessed by the Investigator
Duration of response is defined as the time from the first determination of an objective response (CR or PR) until the first documentation of progressive disease as assessed by the Investigator per RECIST v1.1, or death, whichever occurred first.
Median DOR was estimated using the Kaplan-Meier method.
Measured: From randomization to the end of the study, median (range) time on follow-up was 10.0 (0.5 - 29.9) months in Arm A and 7.8 (0.4 - 29.3) months in Arm B.
Disease Control Rate Assessed by the IRC And the Investigator
Disease Control Rate is defined as the percentage of participants who had confirmed CR, PR, or stable disease (SD) assessed by the IRC and the investigator per RECIST v1.1. Response evaluations were performed using computed tomography or MRI approximately every 6 weeks for the first 54 weeks and then every 12 weeks thereafter.
CR: Disappearance of all target and non-target lesions; any pathological lymph nodes (whether target or non-target) < 10 mm, and no new lesions.
PR: At least a 30% decrease in the size of target lesions, with no progression of non-target lesions and no new lesions, or disappearance of target lesions with persistence of 1 or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, and no new lesions.
SD: Neither sufficient shrinkage in size of lesions to qualify for PR nor sufficient increase to qualify for PD, and no new lesions.
Response (CR or PR) must have been confirmed 4 weeks or later after the first response.
Measured: Up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.
Clinical Benefit Rate Assessed by the IRC and the Investigator
Clinical benefit rate is defined as the percentage of participants who achieved a confirmed complete response, partial response, or durable stable disease assessed by the IRC and the Investigator per RECIST v1.1. Response evaluations were performed using computed tomography or MRI approximately every 6 weeks for the first 54 weeks and then every 12 weeks thereafter.
CR: Disappearance of all target and non-target lesions; any pathological lymph nodes (whether target or non-target) < 10 mm, and no new lesions.
PR: At least a 30% decrease in the size of target lesions, with no progression of non-target lesions and no new lesions, or disappearance of target lesions with persistence of 1 or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, and no new lesions.
Durable SD: Stable disease for ≥ 24 weeks. Response (CR or PR) must have been confirmed 4 weeks or later after the first response.
Measured: Up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.
Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status (GHS)/Quality of Life (QOL) and Physical Functioning Scores
The EORTC QLQ-30 contains 30 questions that incorporate 5 functional scales (physical functioning, role functioning, emotional functioning, cognitive functioning, and social functioning), 1 global health status scale, 3 symptom scales (fatigue, nausea and vomiting, and pain), and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). The participant answers questions about their health during the past week. There are 28 questions answered on a 4-point scale where 1 = Not at all (best) and 4 = Very Much (worst) and 2 global health quality of life (QOL) questions answered on a 7-point scale where 1 = Very poor and 7 = Excellent. Raw scores are transformed into a 0 to 100 scale via linear transformation. Higher scores in GHS and functional scales indicate better quality of life.
Measured: Baseline, Cycle 5 Day 1 and Cycle 7 Day 1 (each cycle was 3 weeks)
Change From Baseline in EORTC Quality of Life Oesophageal Cancer Questionnaires 18 (QLQ-OES18) Dysphagia, Eating, Reflux and Pain Scales
The EORTC-QLQ-OES18 is the specific esophageal symptoms module of the QLQ-C30. QLQ-OES18 is comprised of 18 questions grouped into 4 multi-item subscales: Dysphagia (3 items), Eating (4 items), Reflux (2 items), and Pain (3 items) and 6 single item subscales (saliva swallowing, choking, dry mouth, taste, coughing, and talking). Participants indicate the extent to which they have experienced symptoms on a scale from 1 (Not at all) to 4 (Very much). Scores are calculated and transformed to a scale from 0 to 100; higher scores indicate a higher level of symptomatology or problems.
Measured: Baseline, Cycle 5 Day 1 and Cycle 7 Day 1 (each cycle was 3 weeks)
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drugs, whether related to study drugs or not.
An SAE is any untoward medical occurrence that, at any dose:
- Resulted in death
- Was life-threatening
- Required hospitalization or prolongation of existing hospitalization
- Resulted in disability/incapacity
- Was a congenital anomaly/birth defect
- Was considered a significant medical AE by the Investigator based on medical judgement.
AEs were considered "related" to study drugs if there was evidence to suggest a causal relationship.
The investigator assessed the severity of each AE reported based upon National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0, where ≥ 3 includes severe or medically significant, life-threatening events or death related to AE.
Immune-mediated AEs were diagnosed by the investigator.
Measured: From first dose of study drug until 30 days after last dose; median duration of treatment was 3.45 months in Tislelizumab + Ociperlimab arm and 2.79 months in the Tislelizumab + Placebo arm.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Feb 2021
- Study start31 Mar 2021
- Primary completion1 Feb 2023
- Study completion26 Dec 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 Esophageal Squamous Cell CarcinomaStudies 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
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 125 participants (actual)
Sponsor and investigators
- Lead sponsor
- BeiGene
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, BeiGene
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04732494
- Sponsor's protocol ID
- BGB-A317-A1217-203
- Other IDs
- 2020-004658-32, CTR20213241/CTR20210243
- Acronym
- AdvanTIG-203
- Status last verified
- Dec 2024
- First submitted
- 25 Jan 2021
- Last updated
- 31 Jan 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
Wang F, Lin CY, Sun JM, Lu CH, Zhu X, Chen Z, Zhao Q, Kim IH, Pan Y, Zhang J, Chen Z, Tougeron D, Kim SB, Van Cutsem E, Zaanan A, Rivera F, Dechaphunkul A, Zuo Y, Wan Q, Zhang J, Zhou J, Xu RH. Ociperlimab and tislelizumab in advanced esophageal squamous cell carcinoma (AdvanTIG-203): a phase II study. Nat Commun. 2026 Sep 18;17(1):10964. doi: 10.1038/s41467-026-77705-8.
PubMed 42901884
Study at a glance
From the registry record, last updated by the sponsor on 31 Jan 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Multicenter, Randomized, Placebo-Controlled Study to Compare the Efficacy of Anti-PD-1 Monoclonal Antibody Tislelizumab (BGB-A317) Plus Anti-TIGIT Monoclonal Antibody Ociperlimab (BGB-A1217) Versus Tislelizumab Plus Placebo as Second-Line Treatment in Patients With PD-L1 Tumor Area Positivity (TAP) ≥ 10% Unresectable, Locally Advanced, Recurrent or Metastatic Esophageal Squamous Cell Carcinoma
- ClinicalTrials.gov ID
- NCT04732494
- Acronym / sponsor ID
- AdvanTIG-203 / BGB-A317-A1217-203
- Conditions
- Esophageal Squamous Cell Carcinoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 125 participants (actual)
- Lead sponsor
- BeiGeneIndustry (pharma, biotech, devices)
- Study start
- 31 Mar 2021 (actual)
- Primary completion
- 1 Feb 2023 (actual)
- Study completion
- 26 Dec 2023 (actual)
- First posted
- 1 Feb 2021 (actual)
- Results
- Posted 31 Jan 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A study of tislelizumab (BGB-A317) plus ociperlimab versus tislelizumab plus placebo as second-line treatment in participants with programmed cell death protein-ligand 1 (PD-L1) tumor area positivity (TAP) ≥ 10% unresectable, locally advanced, recurrent or metastatic esophageal squamous cell carcinoma.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A: Tislelizumab plus Ociperlimab | Experimental | Biological: Tislelizumab, Biological: OciperlimabParticipants received 200 milligrams (mg) tislelizumab plus 900 mg ociperlimab intravenously once every 3 weeks until disease progression, unacceptable toxicity, or withdrawal of informed consent, whichever occurred first. |
| Arm B: Tislelizumab plus Placebo | Placebo comparator | Biological: Tislelizumab, Drug: PlaceboParticipants received 200 mg tislelizumab plus placebo intravenously once every 3 weeks until disease progression, unacceptable toxicity, or withdrawal of informed consent, whichever occurred first. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Histologically confirmed diagnosis of esophageal squamous cell carcinoma (ESCC).
- Have progressive disease during or after first-line of systemic treatment for unresectable, locally advanced, recurrent or metastatic ESCC.
- Have measurable disease as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
- Have confirmed programmed cell death protein-ligand 1 (PD-L1) tumor area positivity (TAP) ≥ 10% in tumor tissues tested by the central lab.
- Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1.
Key exclusion criteria (6 listed)
- Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, T-cell immunoreceptor with immunoglobulin and immunoreceptor tyrosine-based inhibitory motif domains, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways.
- Participants with evidence of fistula (either esophageal/bronchial or esophageal/aorta).
- Evidence of complete esophageal obstruction not amenable to treatment.
- Uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage (recurrence within 2 weeks after intervention).
- Has received any chemotherapy, immunotherapy (eg, interleukin, interferon, thymosin, etc) or any investigational therapies within 14 days or 5 half-lives (whichever is longer) before the first dose of study drug. Or has received palliative radiation treatment or other local regional therapies within 14 days before the first dose of study drug.
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, TEVIMBRA®Tislelizumab is a monoclonal antibody formulated for intravenous injection. | Biological | Arm A: Tislelizumab plus Ociperlimab, Arm B: Tislelizumab plus Placebo |
| OciperlimabAlso: BGB-A1217Ociperlimab is a monoclonal antibody formulated for intravenous injection. | Biological | Arm A: Tislelizumab plus Ociperlimab |
| PlaceboAlso: Ociperlimab placeboOciperlimab placebo injection is a sterile, preservative-free solution for infusion formulated in the same buffer as ociperlimab active drug. | Drug | Arm B: Tislelizumab plus Placebo |
Primary outcome
Objective Response Rate (ORR) Assessed by the Investigator
Time frame: Up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.
Objective response rate is defined as the percentage of participants who had a best overall response of confirmed complete response (CR) or partial response (PR) assessed by the Investigator according to the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. Response evaluations were performed using computed tomography or magnetic resonance imaging (MRI) approximately every 6 weeks for the first 54 weeks and then every 12 weeks thereafter. CR: Disappearance of all target and non-target lesions; any pathological lymph nodes (whether target or non-target) < 10 mm, and no new lesions. PR: At least a 30% decrease in the size of target lesions, with no progression of non-target lesions and no new lesions, or disappearance of target lesions with persistence of 1 or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, and no new lesions. Response (CR or PR) must have been confirmed 4 weeks or later after the first response was observed.
11 secondary outcomes
Overall Survival
Time frame: From randomization to the end of the study, median (range) time on follow-up was 10.0 (0.5 - 29.9) months in Arm A and 7.8 (0.4 - 29.3) months in Arm B.
Objective Response Rate Assessed by the Independent Review Committee
Time frame: Up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.
Progression-free Survival (PFS) Assessed by the Independent Review Committee
Time frame: From randomization up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.
Progression-free Survival (PFS) Assessed by the Investigator
Time frame: From randomization to the end of the study, median (range) time on follow-up was 10.0 (0.5 - 29.9) months in Arm A and 7.8 (0.4 - 29.3) months in Arm B.
Duration Of Response (DOR) Assessed by the Independent Review Committee
Time frame: From randomization up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.
Duration Of Response (DOR) Assessed by the Investigator
Time frame: From randomization to the end of the study, median (range) time on follow-up was 10.0 (0.5 - 29.9) months in Arm A and 7.8 (0.4 - 29.3) months in Arm B.
Disease Control Rate Assessed by the IRC And the Investigator
Time frame: Up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.
Clinical Benefit Rate Assessed by the IRC and the Investigator
Time frame: Up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.
Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status (GHS)/Quality of Life (QOL) and Physical Functioning Scores
Time frame: Baseline, Cycle 5 Day 1 and Cycle 7 Day 1 (each cycle was 3 weeks)
Change From Baseline in EORTC Quality of Life Oesophageal Cancer Questionnaires 18 (QLQ-OES18) Dysphagia, Eating, Reflux and Pain Scales
Time frame: Baseline, Cycle 5 Day 1 and Cycle 7 Day 1 (each cycle was 3 weeks)
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: From first dose of study drug until 30 days after last dose; median duration of treatment was 3.45 months in Tislelizumab + Ociperlimab arm and 2.79 months in the Tislelizumab + Placebo arm.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jan 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42901884Wang F, Lin CY, Sun JM, Lu CH, Zhu X, Chen Z, Zhao Q, Kim IH, Pan Y, Zhang J, Chen Z, Tougeron D, Kim SB, Van Cutsem E, Zaanan A, Rivera F, Dechaphunkul A, Zuo Y, Wan Q, Zhang J, Zhou J, Xu RH. Ociperlimab and tislelizumab in advanced esophageal squamous cell carcinoma (AdvanTIG-203): a phase II study. Nat Commun. 2026 Sep 18;17(1):10964. doi: 10.1038/s41467-026-77705-8.
- 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 study director
BeiGene
86 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Tislelizumab and Ociperlimab in people with Esophageal Squamous Cell Carcinoma, run by BeiGene at 86 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 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 31 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 86 sites in China, Spain, South Korea, Taiwan, Thailand 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. 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 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 31 Jan 2025). 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?
Objective Response Rate (ORR) Assessed by the Investigator (time frame: Up to the primary analysis data cutoff date of 01 February 2023; median (range) time on follow-up was 7.4 (0.5 - 20.1) months in Arm A and 6.4 (0.4 - 20.2) months in Arm B.). 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 NCT04732494, 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 31 Jan 2025.