Phase 1-2 Study Investigating Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of Anti-PD-L1 Monoclonal Antibody BGB-A333 Alone and in Combination With Anti-PD-1 Monoclonal Antibody Tislelizumab in Patients With Advanced Solid Tumors
试验速览
- 阶段
- 1 期
- 状态
- 终止
- 发起方
- 入组人数
- 39
- 试验地点
- 8
- 主要终点
- Phase 2B: Overall Response Rate (ORR) Determined by Investigators Based on RECIST Version 1.1
研究概览
简要总结
BGB-A333 is a humanized IgG1-variant monoclonal antibody against programmed cell death 1-ligand 1 (PD-L1), the ligand of an immune check point- receptor, programmed cell death-1 (PD-1). BGB-A317 is a humanized, IgG4-variant monoclonal antibody against PD-1. This study tested the safety and anti-tumor effect of BGB-A333 alone and in combination with BGB-A317 in participants with advanced solid tumors.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histologically or cytologically confirmed advanced or metastatic disease (unresectable) that is resistant to standard therapy or for which treatment is not available, not tolerated or refused
- •Has Eastern Cooperative Oncology Group (ECOG) Performance Status ≤1
- •Has adequate organ function
排除标准
- •Active brain or leptomeningeal metastasis.
- •Active autoimmune diseases or history of autoimmune diseases that may relapse.
- •With severe chronic or active infections requiring systemic antibacterial, antifungal or antiviral therapy, including tuberculosis infection, etc. (antiviral therapy is permitted for participants with hepatocellular carcinoma)
- •Concurrent participation in another therapeutic clinical trial.
- •Received prior therapies targeting PD-1 or PD-L
- •NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
研究组 & 干预措施
Phase 2B: BGB-A333 and BGB-A317 dose expansion
干预措施: BGB-A317 (Drug)
Phase 1A: BGB-A333 monotherapy dose escalation
干预措施: BGB-A333 (Drug)
Phase 2A: BGB-A333 monotherapy dose expansion
干预措施: BGB-A333 (Drug)
Phase 1B: BGB-A333 and BGB-A317 dose confirmation
干预措施: BGB-A333 (Drug)
Phase 1B: BGB-A333 and BGB-A317 dose confirmation
干预措施: BGB-A317 (Drug)
Phase 2B: BGB-A333 and BGB-A317 dose expansion
干预措施: BGB-A333 (Drug)
结局指标
主要结局
Phase 2B: Overall Response Rate (ORR) Determined by Investigators Based on RECIST Version 1.1
时间窗: Up to 33.5 months
The ORR is defined as the percentage of participants who had confirmed Complete Response (CR) or Partial response (PR) assessed by investigator using RECIST version 1.1
Phase 1 A: Recommended Phase 2 Dose (RP2D) for BGB-333
时间窗: Up to 28 months
RP2D for BGB-A333 alone and in combination with tislelizumab was the maximum tolerated dose (MTD) or less, which was determined by testing increasing doses up to 1800 mg.
Phase 1 and Phase 2 : Number of Participants With Abnormal Electrocardiograms (ECG)
时间窗: Up to 33.5 months
Central ECG data was used and the abnormality was determined by the evaluator (Investigating physician). Multiple tests such as QT, HR, PR, RR were used by the evaluator to determine abnormality. All AEs and SAEs, were reported until either 30 days after the last dose of study drug or until initiation of a new anticancer therapy, whichever occurred first.
Phase 1 and Phase 2 : Number of Participants With Abnormal Lab Assessment Results
时间窗: Up to 33.5 months
Lab abnormality was based on ANRIND: if the measurement value \> upper limit of normal (ULN), it was considered Abnormal. All AEs and SAEs, were reported until either 30 days after the last dose of study drug or until initiation of a new anticancer therapy, whichever occurred first.
Phase 1 and Phase 2 : Number of Participants With Adverse Events and Serious Adverse Events
时间窗: Up to 33.5 months
Adverse events were assessed per the National Cancer Institute Common Terminology Criteria for Adverse Events NCI-CTCAE Version 4.03 Serious Adverse Events (SAEs) were monitored from the date of informed consent. All adverse events (AEs) and SAEs, were reported until either 30 days after the last dose of study drug or until initiation of a new anticancer therapy, whichever occurred first.
Phase 1 and Phase 2 : Number of Participants With Abnormalities During Physical Examinations - Ophthalmology Findings
时间窗: Up to 33.5 months
Complete physical examination including an evaluation of 1) head, eyes, ears, nose, throat, 2) cardiovascular, 3) dermatological, 4) musculoskeletal, 5) respiratory, 6) gastrointestinal, and 7) neurological systems was required to be performed at Screening. At subsequent visits (or as clinically indicated), limited, symptom-directed physical examinations were performed. Clinically significant Ophthalmology abnormalities were collected from case report forms. All AEs and SAEs, were reported until either 30 days after the last dose of study drug or until initiation of a new anticancer therapy, whichever occurred first.
次要结局
- Phase 1: Time to Cmax (Tmax) of BGB-A333(Cycle 1 Day 1 (Pre-dose, End of infusion, 6 hours), Day 2, Day 4, Day 8, Day 15 and Day 21)
- Phase 1:Trough Serum Concentration (Ctrough) of BGB-A333(Cycle 1 Day 1 (Pre-dose, End of infusion, 6 hours), Day 2, Day 4, Day 8, Day 15 and Day 21)
- Phase 2B: Duration of Response (DOR) Determined by Investigators Based on RECIST Version 1.1(Up to 33.5 months)
- Phase 2B: Progression-free Survival (PFS) Determined by Investigators Based on RECIST Version 1.1(Up to 33.5 months)
- Phase 1 and Phase 2: Disease Control Rate (DCR) Determined by Investigators Based on RECIST Version 1.1(Up to 33.5 months)
- Phase 1A and Phase 2: Number of Participants With Detectable Treatment-Emergent Anti-BGB-A333 Antibodies(Up to 33.5 months)
- Phase 1A and Phase 1B: Overall Response Rate (ORR) Determined by Investigators Based on RECIST Version 1.1(Up to 33.5 months)
- Phase 1: Area Under the Concentration-time Curve From 0 to 21 Days Post-dose (AUC 0-21day) of BGB-A333(Cycle 1 Day 1 (Pre-dose, End of infusion, 6 hours), Day 2, Day 4, Day 8, Day 15 and Day 21)
- Phase 1: Maximum Plasma Concentration (Cmax) of BGB-A333(Cycle 1 Day 1 (Pre-dose, End of infusion, 6 hours), Day 2, Day 4, Day 8, Day 15 and Day 21)
- Phase 1: Time to Last Observed Concentration (Tlast) of BGB-A333(Cycle 1 Day 1 (Pre-dose, End of infusion, 6 hours), Day 2, Day 4, Day 8, Day 15 and Day 21)
