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Study of Platinum Plus Etoposide With or Without Tislelizumab in Participants With Untreated Extensive-Stage Small Cell Lung Cancer

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of Platinum Plus Etoposide With or Without Tislelizumab (BGB-A317) in Patients With Untreated Extensive-Stage Small Cell Lung Cancer

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04005716
Enrollment
457
Registered
2019-07-02
Start date
2019-07-22
Completion date
2023-12-29
Last updated
2025-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Small Cell Lung Cancer

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

DRUGTislelizumab

200 mg administered intravenously on Day 1 of each 21-day cycle

DRUGCisplatin

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.

DRUGCarboplatin

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.

DRUGEtoposide

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.

DRUGPlacebo

200 mg was administered intravenously on Day 1 of each 21-day cycle to match tislelizumab.

Sponsors

BeiGene
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
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

MeasureTime frameDescription
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 ScoresBaseline 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 EventsFrom 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

ArmCount
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
Total457

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath175196
Overall StudyLost to Follow-up22
Overall StudyWithdrawal by Subject16

Baseline characteristics

CharacteristicArm B: Placebo + ChemotherapyTotalArm A: Tislelizumab + Chemotherapy
Age, Continuous60.7 years
STANDARD_DEVIATION 8.25
61.1 years
STANDARD_DEVIATION 8.01
61.5 years
STANDARD_DEVIATION 7.75
Brain Metastases
No
226 Participants452 Participants226 Participants
Brain Metastases
Yes
4 Participants5 Participants1 Participants
Chemotherapy
Carboplatin
181 Participants361 Participants180 Participants
Chemotherapy
Cisplatin
49 Participants96 Participants47 Participants
Eastern Cooperative Oncology Group Performance Status
0
34 Participants69 Participants35 Participants
Eastern Cooperative Oncology Group Performance Status
1
196 Participants388 Participants192 Participants
Race/Ethnicity, Customized
Asian
230 Participants457 Participants227 Participants
Sex: Female, Male
Female
44 Participants85 Participants41 Participants
Sex: Female, Male
Male
186 Participants372 Participants186 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
175 / 227196 / 230
other
Total, other adverse events
226 / 227228 / 229
serious
Total, serious adverse events
94 / 22770 / 229

Outcome results

Primary

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

ArmMeasureValue (MEDIAN)
Arm A: Tislelizumab + ChemotherapyOverall Survival (OS)15.5 Months
Arm B: Placebo + ChemotherapyOverall Survival (OS)13.5 Months
Comparison: The null hypothesis stated that the overall survival in Arm A (Tislelizumab + Chemotherapy) is less than or equal to that in Arm B (the placebo group), while the alternative hypothesis posits that the overall survival in Arm A is greater than that in Arm B.p-value: 0.00495% CI: [0.61, 0.93]Log Rank
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Arm A: Tislelizumab + ChemotherapyChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom ScoresCoughing (Cycle 4)-19.5 score on a scaleStandard Deviation 26.58
Arm A: Tislelizumab + ChemotherapyChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom ScoresCoughing (Cycle 6)-18.6 score on a scaleStandard Deviation 27.86
Arm A: Tislelizumab + ChemotherapyChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom ScoresDysphagia (Cycle 4)-2.5 score on a scaleStandard Deviation 12.12
Arm A: Tislelizumab + ChemotherapyChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom ScoresDysphagia (Cycle 6)-2.9 score on a scaleStandard Deviation 11.47
Arm A: Tislelizumab + ChemotherapyChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom ScoresChest Pain (Cycle 4)-7.5 score on a scaleStandard Deviation 22.65
Arm A: Tislelizumab + ChemotherapyChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom ScoresChest Pain (Cycle 6)-7.0 score on a scaleStandard Deviation 25.34
Arm B: Placebo + ChemotherapyChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom ScoresChest Pain (Cycle 4)-5.9 score on a scaleStandard Deviation 20.97
Arm B: Placebo + ChemotherapyChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom ScoresCoughing (Cycle 4)-16.0 score on a scaleStandard Deviation 22.85
Arm B: Placebo + ChemotherapyChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom ScoresDysphagia (Cycle 6)-3.5 score on a scaleStandard Deviation 15.23
Arm B: Placebo + ChemotherapyChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom ScoresCoughing (Cycle 6)-16.7 score on a scaleStandard Deviation 25.08
Arm B: Placebo + ChemotherapyChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom ScoresChest Pain (Cycle 6)-6.9 score on a scaleStandard Deviation 21.51
Arm B: Placebo + ChemotherapyChange From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Symptom ScoresDysphagia (Cycle 4)-3.1 score on a scaleStandard Deviation 14.72
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Arm A: Tislelizumab + ChemotherapyChange 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 scaleStandard Deviation 22.79
Arm A: Tislelizumab + ChemotherapyChange 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 scaleStandard Deviation 21.3
Arm A: Tislelizumab + ChemotherapyChange 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 scaleStandard Deviation 14.82
Arm A: Tislelizumab + ChemotherapyChange 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 scaleStandard Deviation 15.18
Arm B: Placebo + ChemotherapyChange 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 scaleStandard Deviation 12.36
Arm B: Placebo + ChemotherapyChange 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 scaleStandard Deviation 19.46
Arm B: Placebo + ChemotherapyChange 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 scaleStandard Deviation 14.57
Arm B: Placebo + ChemotherapyChange 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 scaleStandard Deviation 19.04
Secondary

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

ArmMeasureValue (NUMBER)
Arm A: Tislelizumab + ChemotherapyClinical Benefit Rate (CBR)69.2 percentage of participants
Arm B: Placebo + ChemotherapyClinical Benefit Rate (CBR)65.2 percentage of participants
Secondary

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

ArmMeasureValue (NUMBER)
Arm A: Tislelizumab + ChemotherapyDisease Control Rate (DCR)88.5 percentage of participants
Arm B: Placebo + ChemotherapyDisease Control Rate (DCR)88.3 percentage of participants
Secondary

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

ArmMeasureValue (MEDIAN)
Arm A: Tislelizumab + ChemotherapyDuration of Response (DOR)4.3 Months
Arm B: Placebo + ChemotherapyDuration of Response (DOR)3.7 Months
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Arm A: Tislelizumab + ChemotherapyNumber of Participants With Adverse EventsTEAEs226 Participants
Arm A: Tislelizumab + ChemotherapyNumber of Participants With Adverse EventsSAEs94 Participants
Arm B: Placebo + ChemotherapyNumber of Participants With Adverse EventsTEAEs228 Participants
Arm B: Placebo + ChemotherapyNumber of Participants With Adverse EventsSAEs70 Participants
Secondary

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

ArmMeasureValue (NUMBER)
Arm A: Tislelizumab + ChemotherapyOverall Response Rate (ORR)68.3 percentage of participants
Arm B: Placebo + ChemotherapyOverall Response Rate (ORR)61.7 percentage of participants
95% CI: [0.9, 1.96]
Secondary

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

ArmMeasureValue (MEDIAN)
Arm A: Tislelizumab + ChemotherapyProgression Free Survival (PFS)4.7 Months
Arm B: Placebo + ChemotherapyProgression Free Survival (PFS)4.3 Months
p-value: <0.000195% CI: [0.52, 0.78]Log Rank
Secondary

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

ArmMeasureGroupValue (MEDIAN)
Arm A: Tislelizumab + ChemotherapyTime to Deterioration (TTD)QLQ-C30: Physical FunctioningNA Months
Arm A: Tislelizumab + ChemotherapyTime to Deterioration (TTD)QLQ-LC13: CoughingNA Months
Arm A: Tislelizumab + ChemotherapyTime to Deterioration (TTD)QLQ-LC13: Chest PainNA Months
Arm B: Placebo + ChemotherapyTime to Deterioration (TTD)QLQ-C30: Physical FunctioningNA Months
Arm B: Placebo + ChemotherapyTime to Deterioration (TTD)QLQ-LC13: CoughingNA Months
Arm B: Placebo + ChemotherapyTime to Deterioration (TTD)QLQ-LC13: Chest PainNA Months
Comparison: Analyses of Time to Deterioration of EORTC QLQ-C30 Physical Functioning Score95% CI: [0.642, 1.33]
Comparison: Analyses of Time to Deterioration of EORTC QLQ-LC13 Coughing Score95% CI: [0.473, 1.123]
Comparison: Analyses of Time to Deterioration of EORTC QLQ-LC13 Chest Pain Score95% CI: [0.485, 1.057]

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026