Hepatocellular CarcinomaPhase 3NCT05564338
Efficacy and Safety of Sitravatinib Plus Tislelizumab or Placebo Plus Tislelizumab Versus Placebo as Adjuvant Treatment in Participants With Hepatocellular Carcinoma
A Phase 3 study testing Sitravatinib and Tislelizumab in people with Hepatocellular Carcinoma, run by BeiGene.
Trial summary
The purpose of this study is to compare the efficacy and safety of sitravatinib plus tislelizumab or placebo plus tislelizumab versus placebo. The study will also compare the recurrence-free survival (RFS) in participants with hepatocellular carcinoma (HCC) who are at high risk of recurrence after surgical resection. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hepatocellular Carcinoma
- What is being tested?
- Sitravatinib and Tislelizumab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 0 participants
- Where
- No sites listed yet
- Study dates
- 30 Jun 2023to 30 Apr 2028
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participant with a first diagnosis of HCC must have undergone a curative-intent resection within 4 to 12 weeks before randomization and have a documented histological confirmation of HCC diagnosis and negative surgical margins (R0 resection) of the resected tumor
- Participant must have tumor-free status as assessed by the investigator and have fully recovered from surgical resection before randomization
- Participant must have no extrahepatic HCC
- ECOG Performance Status ≤ 1
- Participant who has undergone surgical resection and is defined as having a high risk of HCC recurrence
Who cannot join
- Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC histology
- Evidence of residual, recurrent, or metastatic disease of HCC before randomization
- Major macrovascular (gross vascular) invasion of the portal vein (Vp3 or Vp4) or any grade of macrovascular invasion in the hepatic vein or inferior vena cava
- Untreated chronic hepatitis B (HBV) or chronic HBV carriers with HBV DNA ≥ 2000 IU/mL at Screening
- Untreated or incompletely treated esophageal or gastric varices with bleeding or high risk of bleeding
- Note: Other protocol defined Inclusion/Exclusion criteria may apply
About this study
Official title: A Randomized, Double-blind, Placebo-controlled Phase 3 Study to Compare the Efficacy and Safety of Sitravatinib Plus Tislelizumab or Placebo Plus Tislelizumab Versus Placebo as Adjuvant Treatment in Patients With Hepatocellular Carcinoma Who Are at High Risk of Recurrence After Surgical Resection
The purpose of this study is to compare the efficacy and safety of sitravatinib plus tislelizumab or placebo plus tislelizumab versus placebo. The study will also compare the recurrence-free survival (RFS) in participants with hepatocellular carcinoma (HCC) who are at high risk of recurrence after surgical resection.
- Conditions
- Hepatocellular Carcinoma
- Being tested
- Sitravatinib, Tislelizumab, sitravatinib-matching placebo, tislelizumab-matching placebo
- Keywords
- hepatocellular carcinoma, sitravatinib, tislelizumab
- Medical subject headings
- Carcinoma, Hepatocellular
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SitravatinibDrug
Administered orally
TislelizumabDrug
Administered intravenously
sitravatinib-matching placeboDrug
administered orally
tislelizumab-matching placeboDrug
administered intravenously
| Study group | Role | What they receive |
|---|---|---|
| Treatment Arm A: sitravatinib + tislelizumab | Experimental | sitravatinib once daily and tislelizumab once every 6 weeks, for up to 17 cycles (approximately 2 years) Receives: Drug: Sitravatinib; Drug: Tislelizumab |
| Treatment Arm B: Placebo + tislelizumab | Experimental | sitravatinib-matching placebo once daily and tislelizumab once every 6 weeks, for up to 17 cycles (approximately 2 years) Receives: Drug: Tislelizumab; Drug: sitravatinib-matching placebo |
| Treatment Arm C:Sitravatinib + Placebo | Experimental | sitravatinib once daily and tislelizumab-matching placebo once every 6 weeks, for up to 17 cycles (approximately 2 years) Receives: Drug: Sitravatinib; Drug: tislelizumab-matching placebo |
| Treatment Arm D: Matching Placebo | Experimental | sitravatinib-matching placebo once daily and tislelizumab-matching placebo once every 6 weeks, for up to 17 cycles (approximately 2 years) Receives: Drug: sitravatinib-matching placebo; Drug: tislelizumab-matching placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recurrence-free survival (RFS) as assessed by the investigator between Arm A and Arm D
RFS is defined as the time from the date of randomization until the date of the first documented occurrence of intrahepatic or extrahepatic hepatocellular carcinoma (HCC) as assessed by the investigator, or death from any cause, whichever occurs first.
Measured: Up to 2 Years
Recurrence-free survival (RFS) as assessed by the investigator between Arm B and Arm D
defined as the time from the date of randomization until the date of the first documented occurrence of intrahepatic or extrahepatic hepatocellular carcinoma as assessed by the investigator, or death from any cause, whichever occurs first.
Measured: Up to 2 Years
Secondary outcomes (12)
Arm A and Arm B: Recurrence-free survival (RFS)
defined as the time from the date of randomization until the date of the first documented occurrence of intrahepatic or extrahepatic hepatocellular carcinoma as assessed by the investigator, or death from any cause, whichever occurs first.
Measured: Up to 2 Years
Arm A and Arm C: Recurrence-free survival (RFS)
defined as the time from the date of randomization until the date of the first documented occurrence of intrahepatic or extrahepatic hepatocellular carcinoma as assessed by the investigator, or death from any cause, whichever occurs first.
Measured: Up to 2 Years
Arm A and Arm D: overall survival (OS)
defined as the time from the date of randomization until the date of death due to any cause
Measured: Up to 5 Years
Arm B and Arm D: overall survival (OS)
defined as the time from the date of randomization until the date of death due to any cause
Measured: Up to 5 Years
Arm A and Arm B: overall survival (OS)
defined as the time from the date of randomization until the date of death due to any cause
Measured: Up to 5 Years
Arm A and Arm C: overall survival (OS)
defined as the time from the date of randomization until the date of death due to any cause
Measured: Up to 5 Years
Arm A and Arm D: time to extrahepatic spread (EHS) as assessed by the investigator
defined as the time from the date of randomization until the date of the first documented occurrence of extrahepatic HCC
Measured: Up to 2 Years
Arm B and Arm D: time to extrahepatic spread (EHS) as assessed by the investigator
defined as the time from the date of randomization until the date of the first documented occurrence of extrahepatic HCC
Measured: Up to 2 Years
Arm A and Arm B: time to extrahepatic spread (EHS) as assessed by the investigator
defined as the time from the date of randomization until the date of the first documented occurrence of extrahepatic HCC
Measured: Up to 2 Years
Arm A and Arm C: time to extrahepatic spread (EHS) as assessed by the investigator
defined as the time from the date of randomization until the date of the first documented occurrence of extrahepatic HCC
Measured: Up to 2 Years
Number of participants with adverse events (AEs)
Incidence and severity of adverse events, with severity determined according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version (v) 5.0, vital signs, and clinical laboratory test results in the Safety Analysis Set
Measured: Up to 5 Years
Participants Reported Outcome as measured at Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) and its hepatocellular carcinoma cancer module QLQ-HCC18
Quality of Life change with treatment. Scale scores are calculated by averaging items within scales and transforming average scores linearly. All of the scales range in score from 0 to 100
Measured: Up to 2 Years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Oct 2022
- Study start30 Jun 2023 (estimated)
- Primary completion30 Apr 2027 (estimated)
- Study completion30 Apr 2028 (estimated)
Why it stopped: Study has voluntarily discontinued due to a change in the company-level development strategy and is not because of any safety concern or the request from any health authority worldwide.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hepatocellular 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- BeiGene
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05564338
- Sponsor's protocol ID
- BGB-A317-Sitravatinib-303
- Status last verified
- Jun 2023
- First submitted
- 29 Sep 2022
- Last updated
- 7 Jun 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 7 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled Phase 3 Study to Compare the Efficacy and Safety of Sitravatinib Plus Tislelizumab or Placebo Plus Tislelizumab Versus Placebo as Adjuvant Treatment in Patients With Hepatocellular Carcinoma Who Are at High Risk of Recurrence After Surgical Resection
- ClinicalTrials.gov ID
- NCT05564338
- Acronym / sponsor ID
- BGB-A317-Sitravatinib-303
- Conditions
- Hepatocellular Carcinoma
- Keywords
- hepatocellular carcinoma, sitravatinib, tislelizumab
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Study has voluntarily discontinued due to a change in the company-level development strategy and is not because of any safety concern or the request from any health authority worldwide.
- Enrolment
- 0 participants (actual)
- Lead sponsor
- BeiGeneIndustry (pharma, biotech, devices)
- Study start
- 30 Jun 2023 (estimated)
- Primary completion
- 30 Apr 2027 (estimated)
- Study completion
- 30 Apr 2028 (estimated)
- First posted
- 3 Oct 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare the efficacy and safety of sitravatinib plus tislelizumab or placebo plus tislelizumab versus placebo. The study will also compare the recurrence-free survival (RFS) in participants with hepatocellular carcinoma (HCC) who are at high risk of recurrence after surgical resection.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Treatment Arm A: sitravatinib + tislelizumab | Experimental | Drug: Sitravatinib, Drug: Tislelizumabsitravatinib once daily and tislelizumab once every 6 weeks, for up to 17 cycles (approximately 2 years) |
| Treatment Arm B: Placebo + tislelizumab | Experimental | Drug: Tislelizumab, Drug: sitravatinib-matching placebositravatinib-matching placebo once daily and tislelizumab once every 6 weeks, for up to 17 cycles (approximately 2 years) |
| Treatment Arm C:Sitravatinib + Placebo | Experimental | Drug: Sitravatinib, Drug: tislelizumab-matching placebositravatinib once daily and tislelizumab-matching placebo once every 6 weeks, for up to 17 cycles (approximately 2 years) |
| Treatment Arm D: Matching Placebo | Experimental | Drug: sitravatinib-matching placebo, Drug: tislelizumab-matching placebositravatinib-matching placebo once daily and tislelizumab-matching placebo once every 6 weeks, for up to 17 cycles (approximately 2 years) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Participant with a first diagnosis of HCC must have undergone a curative-intent resection within 4 to 12 weeks before randomization and have a documented histological confirmation of HCC diagnosis and negative surgical margins (R0 resection) of the resected tumor
- Participant must have tumor-free status as assessed by the investigator and have fully recovered from surgical resection before randomization
- Participant must have no extrahepatic HCC
- ECOG Performance Status ≤ 1
- Participant who has undergone surgical resection and is defined as having a high risk of HCC recurrence
Key exclusion criteria (6 listed)
- Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC histology
- Evidence of residual, recurrent, or metastatic disease of HCC before randomization
- Major macrovascular (gross vascular) invasion of the portal vein (Vp3 or Vp4) or any grade of macrovascular invasion in the hepatic vein or inferior vena cava
- Untreated chronic hepatitis B (HBV) or chronic HBV carriers with HBV DNA ≥ 2000 IU/mL at Screening
- Untreated or incompletely treated esophageal or gastric varices with bleeding or high risk of bleeding
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 |
|---|---|---|
| SitravatinibAdministered orally | Drug | Treatment Arm A: sitravatinib + tislelizumab, Treatment Arm C:Sitravatinib + Placebo |
| TislelizumabAdministered intravenously | Drug | Treatment Arm A: sitravatinib + tislelizumab, Treatment Arm B: Placebo + tislelizumab |
| sitravatinib-matching placeboadministered orally | Drug | Treatment Arm B: Placebo + tislelizumab, Treatment Arm D: Matching Placebo |
| tislelizumab-matching placeboadministered intravenously | Drug | Treatment Arm C:Sitravatinib + Placebo, Treatment Arm D: Matching Placebo |
Primary outcome
Recurrence-free survival (RFS) as assessed by the investigator between Arm A and Arm D
Time frame: Up to 2 Years
RFS is defined as the time from the date of randomization until the date of the first documented occurrence of intrahepatic or extrahepatic hepatocellular carcinoma (HCC) as assessed by the investigator, or death from any cause, whichever occurs first.
Recurrence-free survival (RFS) as assessed by the investigator between Arm B and Arm D
Time frame: Up to 2 Years
defined as the time from the date of randomization until the date of the first documented occurrence of intrahepatic or extrahepatic hepatocellular carcinoma as assessed by the investigator, or death from any cause, whichever occurs first.
12 secondary outcomes
Arm A and Arm B: Recurrence-free survival (RFS)
Time frame: Up to 2 Years
Arm A and Arm C: Recurrence-free survival (RFS)
Time frame: Up to 2 Years
Arm A and Arm D: overall survival (OS)
Time frame: Up to 5 Years
Arm B and Arm D: overall survival (OS)
Time frame: Up to 5 Years
Arm A and Arm B: overall survival (OS)
Time frame: Up to 5 Years
Arm A and Arm C: overall survival (OS)
Time frame: Up to 5 Years
Arm A and Arm D: time to extrahepatic spread (EHS) as assessed by the investigator
Time frame: Up to 2 Years
Arm B and Arm D: time to extrahepatic spread (EHS) as assessed by the investigator
Time frame: Up to 2 Years
Arm A and Arm B: time to extrahepatic spread (EHS) as assessed by the investigator
Time frame: Up to 2 Years
Arm A and Arm C: time to extrahepatic spread (EHS) as assessed by the investigator
Time frame: Up to 2 Years
Number of participants with adverse events (AEs)
Time frame: Up to 5 Years
Participants Reported Outcome as measured at Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) and its hepatocellular carcinoma cancer module QLQ-HCC18
Time frame: Up to 2 Years
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jun 2023.
- 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.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Sitravatinib and Tislelizumab in people with Hepatocellular Carcinoma, run by BeiGene.
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: withdrawn, as of the sponsor's last update on 7 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.
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 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?
The study was withdrawn before enrolling participants, so there are no results.
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?
Recurrence-free survival (RFS) as assessed by the investigator between Arm A and Arm D (time frame: Up to 2 Years). The study lists 2 primary outcomes in all. 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 7 Jun 2023.