Small Cell Lung Cancer
Conditions
Brief summary
This Phase 3 study was a randomized, double-blind, placebo-controlled, multicenter trial designed to evaluate the efficacy of tislelizumab in combination with either cisplatin or carboplatin and etoposide (Arm A), compared to placebo combined with either cisplatin or carboplatin and etoposide (Arm B), as a first-line treatment for participants with previously untreated extensive-stage small cell lung cancer (ES-SCLC).
Interventions
200 mg administered intravenously on Day 1 of each 21-day cycle
75 mg/m² was administered intravenously on Day 1 of each 21-day cycle, infused over a duration of two hours. Treatment with cisplatin was discontinued starting in Cycle 5 and beyond.
An area under the curve (AUC) of 5 mg/mL/min was administered intravenously on Day 1 of each 21-day cycle, infused over a duration of 15 to 60 minutes. Treatment with carboplatin was discontinued starting in Cycle 5 and beyond.
100 mg/m² was administered intravenously from Day 1 to Day 3 of each 21-day cycle, infused over a duration of 60 minutes. Treatment with etoposide was discontinued starting in Cycle 5 and beyond.
200 mg was administered intravenously on Day 1 of each 21-day cycle to match tislelizumab.
Sponsors
Study design
Eligibility
Inclusion criteria
Key Inclusion Criteria: 1. Age≥18 years old, male or female, signed Informed Consent Form (ICF). 2. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 3. Histologically or cytologically confirmed ES-SCLC 4. No prior systemic treatment for ES-SCLC 5. Adequate hematologic and end organ function Key
Exclusion criteria
1. Active leptomeningeal disease or uncontrolled, untreated brain metastasis; 2. Prior therapy with an antibody or drug against immune checkpoint pathways, including but not limited to, anti program death receptor-1 (anti-PD-1), anti-PD-L1, or anti cytotoxic T lymphocyte associated antigen 4 (anti CTLA-4) antibody; 3. Was administered a live vaccine ≤ 4 weeks before randomization; 4. Active autoimmune diseases or history of autoimmune diseases that may relapse 5. Any condition that required systemic treatment with either corticosteroids or other immunosuppressive medication ≤ 14 days before randomization; 6. With a history of interstitial lung disease, non-infectious pneumonitis, or uncontrolled systemic diseases; 7. Severe chronic or active infections requiring systemic antibacterial, antifungal or antiviral therapy within 2 weeks prior to randomization, including but not limited to tuberculosis infection; 8. Participant with untreated hepatitis B virus (HBV)/hepatitis C virus (HCV), or a known history of HIV infection; 9. Participants with toxicities (as a result of prior anticancer therapy) which have not recovered to baseline or stabilized at the time of randomization; 10. Clinically significant pericardial effusion, or Clinically uncontrolled pleural effusion NOTE: Other protocol defined Inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival (OS) | From randomization to the primary completion cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B. | Defined as the time from the date of randomization to the date of death due to any cause. Median OS was estimated using Kaplan-Meier methodology. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Response Rate (ORR) | From randomization to the primary completion cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B. | Orr is defined as the percentage of participants who had partial response or complete response as determined by the investigator per RECIST v1.1 in all randomized patients with measurable disease at baseline. Complete Response (CR): Disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions with no progression of non-target lesions and no new lesions, or disappearance of all target lesions with persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits and no new lesions. |
| Disease Control Rate (DCR) | From randomization to the primary completion cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B. | Defined as the percentage of participants whose best overall response (BOR) is complete response, partial response, or stable disease per RECIST v1.1. Stable Disease: Neither sufficient shrinkage of target lesions to qualify for PR nor sufficient increase to qualify for progressive disease, persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, and no new lesions. |
| Clinical Benefit Rate (CBR) | From randomization to the primary completion cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B. | Defined as the percentage of participants whose best overall response (BOR) is complete response, partial response, or durable stable disease (stable disease for at least 24 weeks) per RECIST v1.1. |
| Duration of Response (DOR) | From randomization to the primary completion cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B. | Defined as the time from the first occurrence of a documented objective response to the time of relapse, as determined by the investigator per RECIST v1.1, or death from any cause, whichever comes first. Median DOR was estimated using Kaplan-Meier methodology. |
| Progression Free Survival (PFS) | From randomization to the primary completion cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B. | Defined as the time from randomization to the first objectively documented disease progression, or death from any cause, whichever occurred first, as assessed by the investigator per the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. Kaplan-Meier methodology was used to estimate the median PFS. 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 any new lesions. |
| Change From Baseline in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status and Physical Function Score. | Baseline to Cycles 4 and 6 ( Each cycle was 21 days) | 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. |
| Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Baseline to Cycles 4 and 6 ( Each cycle was 21 days) | Change from baseline in EORTC QLQ-CL13 scores for coughing, dysphagia, and chest pain. The EORTC QLQ-LC13 is a questionnaire that measures lung cancer-specific disease and treatment symptoms. It includes questions about specific symptoms in which participants respond based on a 4-point scale, where 1 is not at all and 4 is very much. Raw scores are transformed into a 0 to 100 scale via linear transformation. A lower score indicates an improvement in symptoms. |
| Time to Deterioration (TTD) | From randomization to the primary completion data cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B. | Time to deterioration is defined as the time from randomization to the first confirmed worsening score or death. Clinically meaningful deterioration is defined as a ≥10-point decrease from baseline in QLQ-C30 physical functioning and a ≥10-point increase in QLQ-LC13 coughing and chest pain scores. If a participant did not have an event (death or deterioration), they were censored at their last clinic visit at which corresponding score was measured. Median TTD was estimated using Kaplan-Meier methodology. |
| Number of Participants With Adverse Events | From the first dose to 30 days after the last dose or final cutoff on December 29, 2023, maximum treatment exposure was 232 weeks for Arm A and 157 weeks for Arm B. | Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) graded according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. |
Countries
China
Participant flow
Recruitment details
Participants were enrolled across multiple study centers in China. The first participant was randomized on July 22, 2019, and the last participant completed the study on December 29, 2023.
Pre-assignment details
Participants were randomized in a 1:1 ratio to receive chemotherapy (cisplatin or carboplatin + etoposide) in combination with tislelizumab (Arm A) or placebo (Arm B).
Participants by arm
| Arm | Count |
|---|---|
| Arm A: Tislelizumab + Chemotherapy Participants received tislelizumab with cisplatin or carboplatin and etoposide every 3 weeks for 4 cycles, then transitioned to maintenance tislelizumab every 3 weeks. Tislelizumab (200 mg) was administered on Day 1 of each cycle. Cisplatin (75 mg/m²) or carboplatin (AUC 5 mg/mL/min) was given on Day 1, and etoposide (100 mg/m²) on Days 1 to 3, with all chemotherapy discontinued after Cycle 4. | 227 |
| Arm B: Placebo + Chemotherapy Participants received a placebo (matching the tislelizumab dose) with cisplatin or carboplatin and etoposide every 3 weeks for 4 cycles, then transitioned to maintenance placebo every 3 weeks. Cisplatin (75 mg/m²) or carboplatin (AUC 5 mg/mL/min) was given on Day 1, and etoposide (100 mg/m²) on Days 1 to 3, with all chemotherapy discontinued after Cycle 4. | 230 |
| Total | 457 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Death | 175 | 196 |
| Overall Study | Lost to Follow-up | 2 | 2 |
| Overall Study | Withdrawal by Subject | 1 | 6 |
Baseline characteristics
| Characteristic | Arm B: Placebo + Chemotherapy | Total | Arm A: Tislelizumab + Chemotherapy |
|---|---|---|---|
| Age, Continuous | 60.7 years STANDARD_DEVIATION 8.25 | 61.1 years STANDARD_DEVIATION 8.01 | 61.5 years STANDARD_DEVIATION 7.75 |
| Brain Metastases No | 226 Participants | 452 Participants | 226 Participants |
| Brain Metastases Yes | 4 Participants | 5 Participants | 1 Participants |
| Chemotherapy Carboplatin | 181 Participants | 361 Participants | 180 Participants |
| Chemotherapy Cisplatin | 49 Participants | 96 Participants | 47 Participants |
| Eastern Cooperative Oncology Group Performance Status 0 | 34 Participants | 69 Participants | 35 Participants |
| Eastern Cooperative Oncology Group Performance Status 1 | 196 Participants | 388 Participants | 192 Participants |
| Race/Ethnicity, Customized Asian | 230 Participants | 457 Participants | 227 Participants |
| Sex: Female, Male Female | 44 Participants | 85 Participants | 41 Participants |
| Sex: Female, Male Male | 186 Participants | 372 Participants | 186 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 175 / 227 | 196 / 230 |
| other Total, other adverse events | 226 / 227 | 228 / 229 |
| serious Total, serious adverse events | 94 / 227 | 70 / 229 |
Outcome results
Overall Survival (OS)
Defined as the time from the date of randomization to the date of death due to any cause. Median OS was estimated using Kaplan-Meier methodology.
Time frame: From randomization to the primary completion cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B.
Population: Intent to treat analysis set
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm A: Tislelizumab + Chemotherapy | Overall Survival (OS) | 15.5 Months |
| Arm B: Placebo + Chemotherapy | Overall Survival (OS) | 13.5 Months |
Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores
Change from baseline in EORTC QLQ-CL13 scores for coughing, dysphagia, and chest pain. The EORTC QLQ-LC13 is a questionnaire that measures lung cancer-specific disease and treatment symptoms. It includes questions about specific symptoms in which participants respond based on a 4-point scale, where 1 is not at all and 4 is very much. Raw scores are transformed into a 0 to 100 scale via linear transformation. A lower score indicates an improvement in symptoms.
Time frame: Baseline to Cycles 4 and 6 ( Each cycle was 21 days)
Population: HRQoL analysis set. Only participants with data at both baseline and corresponding post-baseline visit are included in the analysis at each time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Arm A: Tislelizumab + Chemotherapy | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Coughing (Cycle 4) | -19.5 score on a scale | Standard Deviation 26.58 |
| Arm A: Tislelizumab + Chemotherapy | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Coughing (Cycle 6) | -18.6 score on a scale | Standard Deviation 27.86 |
| Arm A: Tislelizumab + Chemotherapy | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Dysphagia (Cycle 4) | -2.5 score on a scale | Standard Deviation 12.12 |
| Arm A: Tislelizumab + Chemotherapy | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Dysphagia (Cycle 6) | -2.9 score on a scale | Standard Deviation 11.47 |
| Arm A: Tislelizumab + Chemotherapy | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Chest Pain (Cycle 4) | -7.5 score on a scale | Standard Deviation 22.65 |
| Arm A: Tislelizumab + Chemotherapy | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Chest Pain (Cycle 6) | -7.0 score on a scale | Standard Deviation 25.34 |
| Arm B: Placebo + Chemotherapy | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Chest Pain (Cycle 4) | -5.9 score on a scale | Standard Deviation 20.97 |
| Arm B: Placebo + Chemotherapy | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Coughing (Cycle 4) | -16.0 score on a scale | Standard Deviation 22.85 |
| Arm B: Placebo + Chemotherapy | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Dysphagia (Cycle 6) | -3.5 score on a scale | Standard Deviation 15.23 |
| Arm B: Placebo + Chemotherapy | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Coughing (Cycle 6) | -16.7 score on a scale | Standard Deviation 25.08 |
| Arm B: Placebo + Chemotherapy | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Chest Pain (Cycle 6) | -6.9 score on a scale | Standard Deviation 21.51 |
| Arm B: Placebo + Chemotherapy | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom Scores | Dysphagia (Cycle 4) | -3.1 score on a scale | Standard Deviation 14.72 |
Change From Baseline in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status and Physical Function Score.
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.
Time frame: Baseline to Cycles 4 and 6 ( Each cycle was 21 days)
Population: The HRQoL analysis set included all randomized participants who received any dose of study drug and completed at least one HRQoL assessment. Only participants with data at both baseline and corresponding post-baseline visit are included in the analysis at each time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Arm A: Tislelizumab + Chemotherapy | Change From Baseline in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status and Physical Function Score. | Global Health Status/Quality of Life (Cycle 4) | 8.9 Score on a scale | Standard Deviation 22.79 |
| Arm A: Tislelizumab + Chemotherapy | Change From Baseline in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status and Physical Function Score. | Global Health Status/Quality of Life (Cycle 6) | 11.3 Score on a scale | Standard Deviation 21.3 |
| Arm A: Tislelizumab + Chemotherapy | Change From Baseline in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status and Physical Function Score. | Physical Functioning (Cycle 4) | 0.6 Score on a scale | Standard Deviation 14.82 |
| Arm A: Tislelizumab + Chemotherapy | Change From Baseline in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status and Physical Function Score. | Physical Functioning (Cycle 6) | 1.9 Score on a scale | Standard Deviation 15.18 |
| Arm B: Placebo + Chemotherapy | Change From Baseline in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status and Physical Function Score. | Physical Functioning (Cycle 6) | 1.8 Score on a scale | Standard Deviation 12.36 |
| Arm B: Placebo + Chemotherapy | Change From Baseline in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status and Physical Function Score. | Global Health Status/Quality of Life (Cycle 4) | 4.5 Score on a scale | Standard Deviation 19.46 |
| Arm B: Placebo + Chemotherapy | Change From Baseline in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status and Physical Function Score. | Physical Functioning (Cycle 4) | 0.4 Score on a scale | Standard Deviation 14.57 |
| Arm B: Placebo + Chemotherapy | Change From Baseline in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status and Physical Function Score. | Global Health Status/Quality of Life (Cycle 6) | 4.2 Score on a scale | Standard Deviation 19.04 |
Clinical Benefit Rate (CBR)
Defined as the percentage of participants whose best overall response (BOR) is complete response, partial response, or durable stable disease (stable disease for at least 24 weeks) per RECIST v1.1.
Time frame: From randomization to the primary completion cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B.
Population: Intent to treat analysis set
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm A: Tislelizumab + Chemotherapy | Clinical Benefit Rate (CBR) | 69.2 percentage of participants |
| Arm B: Placebo + Chemotherapy | Clinical Benefit Rate (CBR) | 65.2 percentage of participants |
Disease Control Rate (DCR)
Defined as the percentage of participants whose best overall response (BOR) is complete response, partial response, or stable disease per RECIST v1.1. Stable Disease: Neither sufficient shrinkage of target lesions to qualify for PR nor sufficient increase to qualify for progressive disease, persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, and no new lesions.
Time frame: From randomization to the primary completion cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B.
Population: Intent to treat analysis set
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm A: Tislelizumab + Chemotherapy | Disease Control Rate (DCR) | 88.5 percentage of participants |
| Arm B: Placebo + Chemotherapy | Disease Control Rate (DCR) | 88.3 percentage of participants |
Duration of Response (DOR)
Defined as the time from the first occurrence of a documented objective response to the time of relapse, as determined by the investigator per RECIST v1.1, or death from any cause, whichever comes first. Median DOR was estimated using Kaplan-Meier methodology.
Time frame: From randomization to the primary completion cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B.
Population: Intent to treat analysis Set. Only participants with best overall response of complete response or partial response confirmed per RECIST v1.1 were included in the analysis, and percentages were based on the number of responders
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm A: Tislelizumab + Chemotherapy | Duration of Response (DOR) | 4.3 Months |
| Arm B: Placebo + Chemotherapy | Duration of Response (DOR) | 3.7 Months |
Number of Participants With Adverse Events
Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) graded according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0.
Time frame: From the first dose to 30 days after the last dose or final cutoff on December 29, 2023, maximum treatment exposure was 232 weeks for Arm A and 157 weeks for Arm B.
Population: The Safety Analysis Set includes all participants randomized and received any dose of any study drug.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Arm A: Tislelizumab + Chemotherapy | Number of Participants With Adverse Events | TEAEs | 226 Participants |
| Arm A: Tislelizumab + Chemotherapy | Number of Participants With Adverse Events | SAEs | 94 Participants |
| Arm B: Placebo + Chemotherapy | Number of Participants With Adverse Events | TEAEs | 228 Participants |
| Arm B: Placebo + Chemotherapy | Number of Participants With Adverse Events | SAEs | 70 Participants |
Overall Response Rate (ORR)
Orr is defined as the percentage of participants who had partial response or complete response as determined by the investigator per RECIST v1.1 in all randomized patients with measurable disease at baseline. Complete Response (CR): Disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions with no progression of non-target lesions and no new lesions, or disappearance of all target lesions with persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits and no new lesions.
Time frame: From randomization to the primary completion cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B.
Population: Intent to treat analysis set
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm A: Tislelizumab + Chemotherapy | Overall Response Rate (ORR) | 68.3 percentage of participants |
| Arm B: Placebo + Chemotherapy | Overall Response Rate (ORR) | 61.7 percentage of participants |
Progression Free Survival (PFS)
Defined as the time from randomization to the first objectively documented disease progression, or death from any cause, whichever occurred first, as assessed by the investigator per the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. Kaplan-Meier methodology was used to estimate the median PFS. 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 any new lesions.
Time frame: From randomization to the primary completion cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B.
Population: Intent to treat analysis set
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm A: Tislelizumab + Chemotherapy | Progression Free Survival (PFS) | 4.7 Months |
| Arm B: Placebo + Chemotherapy | Progression Free Survival (PFS) | 4.3 Months |
Time to Deterioration (TTD)
Time to deterioration is defined as the time from randomization to the first confirmed worsening score or death. Clinically meaningful deterioration is defined as a ≥10-point decrease from baseline in QLQ-C30 physical functioning and a ≥10-point increase in QLQ-LC13 coughing and chest pain scores. If a participant did not have an event (death or deterioration), they were censored at their last clinic visit at which corresponding score was measured. Median TTD was estimated using Kaplan-Meier methodology.
Time frame: From randomization to the primary completion data cut-off on April 19, 2023, the median follow-up was 15.44 months (range: 0.2-44.9) for Arm A and 13.22 months (range: 0.1-40.8) for Arm B.
Population: HRQoL analysis set
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Arm A: Tislelizumab + Chemotherapy | Time to Deterioration (TTD) | QLQ-C30: Physical Functioning | NA Months |
| Arm A: Tislelizumab + Chemotherapy | Time to Deterioration (TTD) | QLQ-LC13: Coughing | NA Months |
| Arm A: Tislelizumab + Chemotherapy | Time to Deterioration (TTD) | QLQ-LC13: Chest Pain | NA Months |
| Arm B: Placebo + Chemotherapy | Time to Deterioration (TTD) | QLQ-C30: Physical Functioning | NA Months |
| Arm B: Placebo + Chemotherapy | Time to Deterioration (TTD) | QLQ-LC13: Coughing | NA Months |
| Arm B: Placebo + Chemotherapy | Time to Deterioration (TTD) | QLQ-LC13: Chest Pain | NA Months |