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A Study Investigating the Efficacy and Safety of Ociperlimab and Tislelizumab and BAT1706 Combinations in Patients With Advanced HCC

A Phase 2, Randomized, Open-labeled Clinical Study Investigating the Efficacy and Safety of Ociperlimab in Combination With Tislelizumab Plus BAT1706 and of Tislelizumab Plus BAT1706 as First-line Treatment in Patients With Advanced Hepatocellular Carcinoma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04948697
Enrollment
94
Registered
2021-07-02
Start date
2021-08-20
Completion date
2024-02-01
Last updated
2025-02-24

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

Conditions

Advanced Hepatocellular Carcinoma

Brief summary

This was a Phase 2, randomized, multicenter, open-label, 2-arm study to investigate the efficacy and safety of ociperlimab in combination with tislelizumab plus BAT1706, and tislelizumab plus BAT1706, as first-line treatment in participants with advanced Hepatocellular Carcinoma (HCC).

Interventions

900 mg intravenously once every 3 weeks (dosed in 21-day cycles)

DRUGTislelizumab

200 mg intravenously once every 3 weeks (dosed in 21-day cycles)

15 mg/kg intravenously once every 3 weeks (dosed in 21-day cycles)

Sponsors

BeiGene
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

Criteria: Inclusion Criteria: 1. Histologically confirmed HCC 2. Barcelona Clinic Liver Cancer (BCLC) Stage C disease, or BCLC Stage B disease that was not amenable to or had progressed after loco-regional therapy, and was not amenable to a curative treatment approach 3. Tumor tissue required for an evaluable programmed cell death protein-ligand 1 (PD-L1) expression result 4. No prior systemic therapy for HCC 5. At least 1 measurable lesion as defined per RECIST v1.1 6. Adequate organ function during screening and before randomization

Exclusion criteria

1. Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC histology 2. Prior therapy with antibody or drug specifically targeting T-cell costimulation or checkpoint pathway; prior treatment with bevacizumab or its biosimilars 3. Prior history of \>= Grade 2 hepatic encephalopathy 4. Leptomeningeal disease or uncontrolled, untreated brain metastasis 5. Active autoimmune diseases or history of autoimmune diseases that may relapse 6. History of interstitial lung disease, non-infectious pneumonitis or uncontrolled lung diseases including pulmonary fibrosis, acute lung diseases 7. Infection (including tuberculosis) requiring systemic antibacterial, antifungal, or antiviral therapy within 14 days of randomization 8. Prior allogeneic stem cell transplantation or organ transplantation 9. Significant cardiovascular risk factors 10. Untreated or incompletely treated esophageal or gastric varices with bleeding or high risk of bleeding 11. History of severe hypersensitivity reactions to other monoclonal antibodies 12. Administered a live vaccine \<=28 days before randomization NOTE: Other protocol Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Objective Response Rate (ORR) as Assessed by the InvestigatorFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first (i.e., up to 27 months)ORR was defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) per response evaluation criteria in solid tumors version(v) 1.1 (RECIST v1.1). Per RECIST v1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (\<) 10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Secondary

MeasureTime frameDescription
Time to Response (TTR) as Assessed by the InvestigatorFrom the randomization date to the first documentation of response (up to 27 months)TTR was defined as the time from the randomization date to the date of first documented partial response (PR) or better by the investigator, assessed based on RECIST v1.1. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Disease Control Rate (DCR) as Assessed by the InvestigatorFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first (i.e., up to 27 months)DCR was defined as the percentage of participants who achieve complete response (CR), partial response (PR) or stable disease (SD), assessed based on RECIST v1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
Clinical Benefit Rate (CBR) as Assessed by the InvestigatorFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first (i.e., up to 27 months)CBR was defined as the percentage of participants who achieve complete response (CR), partial response (PR), or durable stable disease (stable disease defined as \>= 24 weeks). Per RECIST 1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Progression-Free Survival (PFS) as Assessed by the InvestigatorFrom the randomization date to the date of first documentation of disease progression or death, whichever came first (i.e., up to 27 months)PFS was evaluated by the investigator according to RECIST version 1.1; and was defined as the time from the randomization date to the date of first documentation of disease progression or date of death from any cause, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Per RECIST v 1.1, progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
Overall Survival (OS)From the randomization date until the date of death from any cause (up to 27 months)OS was defined as the time from the randomization date until the date of death from any cause. Median OS was estimated using the Kaplan-Meier method.
Duration Of Response (DOR) as Assessed by the InvestigatorFrom the first confirmed objective response until the first documentation of disease progression or death, whichever came first (i.e. up to 27 months)DOR was defined as the time from the date of first documentation of a partial response (PR) or better to the date of first documentation of progressive disease or death whichever comes first, assessed based on RECIST v1.1. Median DOR was estimated using the Kaplan-Meier method. Per RECIST v1.1, PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
Serum Concentrations of OciperlimabPredose on Day 1 of Cycles 1, 2, 5, 9 and 17; Post dose on Day 1 of Cycles 1 and 5 and Safety Follow-up Visit (i.e., up to 30 days after last dose [up to 27 months]) (each cycle duration = 21-days)Serum samples were assayed for ociperlimab concentrations using a validated immunoassay. This outcome measure was not analyzed for Arm B as ociperlimab was not administered in Arm B.
Serum Concentrations of TislelizumabPredose on Day 1 of Cycles 1, 2, 5, 9 and 17; Post dose on Day 1 of Cycles 1 and 5 and Safety Follow-up Visit (i.e., up to 30 days after last dose [up to 27 months]) (each cycle duration = 21-days)Serum samples were assayed for tislelizumab concentrations using a validated immunoassay.
Serum Concentrations of BAT1706Predose on Day 1 of Cycles 1, 2, 5, 9 and 17; Post dose on Day 1 of Cycles 1 and 5 and Safety Follow-up Visit (i.e., up to 30 days after last dose [up to 27 months]) (each cycle duration = 21-days)Serum samples were assayed for BAT1706 concentrations using a validated immunoassay.
Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Up to 27 monthsSerum samples were tested for the presence of ADAs to ociperlimab, tislelizumab and BAT1706 using a validated immunoassay. The analysis included: Treatment-emergent ADA: sum of treatment-boosted ADA patients and treatment-induced ADA participants as a percentage of the ADA-evaluable participants population; Treatment-boosted ADA: Baseline-positive ADA-evaluable patients with significant increases (4-fold or higher) in ADA titer after drug administration during the treatment or follow-up observation period; and Treatment-induced ADA: ADA-evaluable participants that were ADA-negative at baseline and ADA-positive after drug administration during the treatment or follow-up observation period.
Number of Participants With Treatment Emergent Adverse Events (TEAEs)From the date of the first dose of study drug up to 30 days after last dose of study drug (i.e., up to 27 months)A TEAE was defined as an adverse event (AE) that had an onset date or a worsening in severity from baseline (pretreatment) on or after the first dose of study drug(s) and up to 30 days after the last dose of study drug(s), or initiation of new anticancer therapy, whichever occurs first. AEs were graded for severity using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version (v) 5.0, where Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4 - Life-threatening consequences; and Grade 5: Death related to AE. The TEAEs leading to death in this data table exclude death due to disease under study.

Countries

China, Taiwan

Participant flow

Recruitment details

A total of 94 eligible participants were randomized in a 2:1 ratio to receive ociperlimab in combination with tislelizumab + BAT1706 or tislelizumab + BAT1706.

Pre-assignment details

Randomization was stratified according to programmed cell death protein-ligand 1 (PD-L1) expression and macrovascular invasion (MVI)/extrahepatic spread (EHS) (present versus absent) status.

Participants by arm

ArmCount
Arm A: Ociperlimab + Tislelizumab + BAT1706
Participants received tislelizumab 200 mg intravenously once every 3 weeks followed by BAT1706 15 mg/kg intravenously once every 3 weeks followed by ociperlimab 900 mg intravenously once every 3 weeks in 21-day treatment cycles until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
62
Arm B: Tislelizumab + BAT1706
Participants received tislelizumab 200 mg intravenously once every 3 weeks followed by BAT1706 15 mg/kg intravenously once every 3 weeks in 21-day treatment cycles until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
32
Total94

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event144
Overall StudyClosed by Sponsor32
Overall StudyLost to Follow-up01
Overall StudyOther-Miscellaneous10
Overall StudyParticipant moved to long term extension study74
Overall StudyPhysician Decision02
Overall StudyProgressive disease2718
Overall StudyRandomized but not treated01
Overall StudyWithdrawal by Subject100

Baseline characteristics

CharacteristicArm A: Ociperlimab + Tislelizumab + BAT1706Arm B: Tislelizumab + BAT1706Total
Age, Continuous58.4 years
STANDARD_DEVIATION 11.27
59.1 years
STANDARD_DEVIATION 10.77
58.6 years
STANDARD_DEVIATION 11.05
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
62 Participants32 Participants94 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Extrahepatic spread (EHS) Status
Absent
31 Participants13 Participants44 Participants
Extrahepatic spread (EHS) Status
Present
31 Participants19 Participants50 Participants
Macrovascular invasion (MVI) Status
Absent
49 Participants20 Participants69 Participants
Macrovascular invasion (MVI) Status
Present
13 Participants12 Participants25 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
62 Participants32 Participants94 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants
Sex: Female, Male
Female
5 Participants2 Participants7 Participants
Sex: Female, Male
Male
57 Participants30 Participants87 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
28 / 6214 / 32
other
Total, other adverse events
61 / 6231 / 31
serious
Total, serious adverse events
31 / 6212 / 31

Outcome results

Primary

Objective Response Rate (ORR) as Assessed by the Investigator

ORR was defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) per response evaluation criteria in solid tumors version(v) 1.1 (RECIST v1.1). Per RECIST v1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (\<) 10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first (i.e., up to 27 months)

Population: Analysis was performed on the Intent-to-Treat (ITT) analysis set that included all randomized participants and were analyzed according to their randomized treatment arm (i.e., Arm A or Arm B).

ArmMeasureValue (NUMBER)
Arm A: Ociperlimab + Tislelizumab + BAT1706Objective Response Rate (ORR) as Assessed by the Investigator37.1 percentage of participants
Arm B: Tislelizumab + BAT1706Objective Response Rate (ORR) as Assessed by the Investigator40.6 percentage of participants
Secondary

Clinical Benefit Rate (CBR) as Assessed by the Investigator

CBR was defined as the percentage of participants who achieve complete response (CR), partial response (PR), or durable stable disease (stable disease defined as \>= 24 weeks). Per RECIST 1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first (i.e., up to 27 months)

Population: Analysis was performed on ITT analysis set.

ArmMeasureValue (NUMBER)
Arm A: Ociperlimab + Tislelizumab + BAT1706Clinical Benefit Rate (CBR) as Assessed by the Investigator59.7 percentage of participants
Arm B: Tislelizumab + BAT1706Clinical Benefit Rate (CBR) as Assessed by the Investigator56.3 percentage of participants
Secondary

Disease Control Rate (DCR) as Assessed by the Investigator

DCR was defined as the percentage of participants who achieve complete response (CR), partial response (PR) or stable disease (SD), assessed based on RECIST v1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.

Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first (i.e., up to 27 months)

Population: Analysis was performed on ITT analysis set.

ArmMeasureValue (NUMBER)
Arm A: Ociperlimab + Tislelizumab + BAT1706Disease Control Rate (DCR) as Assessed by the Investigator77.4 percentage of participants
Arm B: Tislelizumab + BAT1706Disease Control Rate (DCR) as Assessed by the Investigator71.9 percentage of participants
Secondary

Duration Of Response (DOR) as Assessed by the Investigator

DOR was defined as the time from the date of first documentation of a partial response (PR) or better to the date of first documentation of progressive disease or death whichever comes first, assessed based on RECIST v1.1. Median DOR was estimated using the Kaplan-Meier method. Per RECIST v1.1, PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.

Time frame: From the first confirmed objective response until the first documentation of disease progression or death, whichever came first (i.e. up to 27 months)

Population: Analysis was performed on participants in the ITT analysis set with an objective response.

ArmMeasureValue (MEDIAN)
Arm A: Ociperlimab + Tislelizumab + BAT1706Duration Of Response (DOR) as Assessed by the Investigator12.6 months
Arm B: Tislelizumab + BAT1706Duration Of Response (DOR) as Assessed by the Investigator12.4 months
Secondary

Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706

Serum samples were tested for the presence of ADAs to ociperlimab, tislelizumab and BAT1706 using a validated immunoassay. The analysis included: Treatment-emergent ADA: sum of treatment-boosted ADA patients and treatment-induced ADA participants as a percentage of the ADA-evaluable participants population; Treatment-boosted ADA: Baseline-positive ADA-evaluable patients with significant increases (4-fold or higher) in ADA titer after drug administration during the treatment or follow-up observation period; and Treatment-induced ADA: ADA-evaluable participants that were ADA-negative at baseline and ADA-positive after drug administration during the treatment or follow-up observation period.

Time frame: Up to 27 months

Population: Analysis was performed on the Immunogenicity analysis set that included all participants who received at least 1 dose of any component of study drugs and for whom both baseline ADA and \>=1 post-baseline ADA result was available. Here, 0 in the number analyzed field signifies that participants in Arm B were not assessed for anti-ociperlimab ADAs since they did not receive ociperlimab.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment boosted ADA: Ociperlimab0 Participants
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment-emergent ADA: Ociperlimab1 Participants
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment induced ADA: Ociperlimab1 Participants
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment-emergent ADA: Tislelizumab22 Participants
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment boosted ADA: Tislelizumab1 Participants
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment induced ADA: Tislelizumab21 Participants
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment-emergent ADA: BAT17061 Participants
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment boosted ADA: BAT17060 Participants
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment induced ADA: BAT17061 Participants
Arm B: Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment boosted ADA: BAT17060 Participants
Arm B: Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment-emergent ADA: Tislelizumab18 Participants
Arm B: Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment-emergent ADA: BAT17063 Participants
Arm B: Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment boosted ADA: Tislelizumab2 Participants
Arm B: Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment induced ADA: BAT17063 Participants
Arm B: Tislelizumab + BAT1706Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706Treatment induced ADA: Tislelizumab16 Participants
Secondary

Number of Participants With Treatment Emergent Adverse Events (TEAEs)

A TEAE was defined as an adverse event (AE) that had an onset date or a worsening in severity from baseline (pretreatment) on or after the first dose of study drug(s) and up to 30 days after the last dose of study drug(s), or initiation of new anticancer therapy, whichever occurs first. AEs were graded for severity using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version (v) 5.0, where Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4 - Life-threatening consequences; and Grade 5: Death related to AE. The TEAEs leading to death in this data table exclude death due to disease under study.

Time frame: From the date of the first dose of study drug up to 30 days after last dose of study drug (i.e., up to 27 months)

Population: Analysis was performed on safety analysis set that included all participants of each arm who received at least 1 dose of study drugs.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAEs Leading to Death Excluding Death Due to Disease Under Study3 Participants
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAEs62 Participants
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAEs31 Participants
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAEs >= Grade 348 Participants
Arm A: Ociperlimab + Tislelizumab + BAT1706Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAEs Leading to Treatment Discontinuation18 Participants
Arm B: Tislelizumab + BAT1706Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAEs Leading to Treatment Discontinuation6 Participants
Arm B: Tislelizumab + BAT1706Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAEs >= Grade 317 Participants
Arm B: Tislelizumab + BAT1706Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAEs31 Participants
Arm B: Tislelizumab + BAT1706Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAEs Leading to Death Excluding Death Due to Disease Under Study0 Participants
Arm B: Tislelizumab + BAT1706Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAEs12 Participants
Secondary

Overall Survival (OS)

OS was defined as the time from the randomization date until the date of death from any cause. Median OS was estimated using the Kaplan-Meier method.

Time frame: From the randomization date until the date of death from any cause (up to 27 months)

Population: Analysis was performed on ITT analysis set.

ArmMeasureValue (MEDIAN)
Arm A: Ociperlimab + Tislelizumab + BAT1706Overall Survival (OS)19.7 months
Arm B: Tislelizumab + BAT1706Overall Survival (OS)22.9 months
Secondary

Progression-Free Survival (PFS) as Assessed by the Investigator

PFS was evaluated by the investigator according to RECIST version 1.1; and was defined as the time from the randomization date to the date of first documentation of disease progression or date of death from any cause, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Per RECIST v 1.1, progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.

Time frame: From the randomization date to the date of first documentation of disease progression or death, whichever came first (i.e., up to 27 months)

Population: Analysis was performed on ITT analysis set.

ArmMeasureValue (MEDIAN)
Arm A: Ociperlimab + Tislelizumab + BAT1706Progression-Free Survival (PFS) as Assessed by the Investigator8.3 months
Arm B: Tislelizumab + BAT1706Progression-Free Survival (PFS) as Assessed by the Investigator6.9 months
Secondary

Serum Concentrations of BAT1706

Serum samples were assayed for BAT1706 concentrations using a validated immunoassay.

Time frame: Predose on Day 1 of Cycles 1, 2, 5, 9 and 17; Post dose on Day 1 of Cycles 1 and 5 and Safety Follow-up Visit (i.e., up to 30 days after last dose [up to 27 months]) (each cycle duration = 21-days)

Population: Analysis was performed on PK analysis set. Here, number analyzed signifies participants with available data for each specified category at respective visit.

ArmMeasureGroupValue (MEAN)Dispersion
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 5 Day 1: Pre-dose113.97 micrograms per milliliters (mcg/mL)Standard Deviation 37.045
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 1 Day 1: Pre-dose0.00 micrograms per milliliters (mcg/mL)Standard Deviation 0
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 1 Day 1: Post-dose319.29 micrograms per milliliters (mcg/mL)Standard Deviation 58.599
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 2 Day 1: Pre-dose63.28 micrograms per milliliters (mcg/mL)Standard Deviation 19.302
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 5 Day 1: Post-dose432.60 micrograms per milliliters (mcg/mL)Standard Deviation 86.67
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 9 Day 1: Pre-dose113.72 micrograms per milliliters (mcg/mL)Standard Deviation 38.039
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 17 Day 1: Pre-dose111.29 micrograms per milliliters (mcg/mL)Standard Deviation 31.055
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of BAT1706Safety Follow-up: Post Dose59.74 micrograms per milliliters (mcg/mL)Standard Deviation 40.02
Arm B: Tislelizumab + BAT1706Serum Concentrations of BAT1706Safety Follow-up: Post Dose81.42 micrograms per milliliters (mcg/mL)Standard Deviation 79.696
Arm B: Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 5 Day 1: Post-dose410.71 micrograms per milliliters (mcg/mL)Standard Deviation 90.747
Arm B: Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 1 Day 1: Pre-dose0.00 micrograms per milliliters (mcg/mL)Standard Deviation 0
Arm B: Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 17 Day 1: Pre-dose123.36 micrograms per milliliters (mcg/mL)Standard Deviation 44.184
Arm B: Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 1 Day 1: Post-dose321.03 micrograms per milliliters (mcg/mL)Standard Deviation 56.151
Arm B: Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 9 Day 1: Pre-dose120.55 micrograms per milliliters (mcg/mL)Standard Deviation 43.141
Arm B: Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 2 Day 1: Pre-dose55.30 micrograms per milliliters (mcg/mL)Standard Deviation 20.999
Arm B: Tislelizumab + BAT1706Serum Concentrations of BAT1706Cycle 5 Day 1: Pre-dose112.79 micrograms per milliliters (mcg/mL)Standard Deviation 34.114
Secondary

Serum Concentrations of Ociperlimab

Serum samples were assayed for ociperlimab concentrations using a validated immunoassay. This outcome measure was not analyzed for Arm B as ociperlimab was not administered in Arm B.

Time frame: Predose on Day 1 of Cycles 1, 2, 5, 9 and 17; Post dose on Day 1 of Cycles 1 and 5 and Safety Follow-up Visit (i.e., up to 30 days after last dose [up to 27 months]) (each cycle duration = 21-days)

Population: Analysis was performed on Pharmacokinetics (PK) analysis set that included all participants who received at least 1 dose of any component of study drugs as per the protocol, and for whom any post dose PK data was available. Here, Overall number of participants analyzed = participants with available data for this outcome measure and number analyzed signifies participants with available data for each specified category at respective visit.

ArmMeasureGroupValue (MEAN)Dispersion
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of OciperlimabCycle 1 Day 1: Pre-dose0.00 micrograms per milliliters (mcg/mL)Standard Deviation 0
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of OciperlimabCycle 1 Day 1: Post-dose287.15 micrograms per milliliters (mcg/mL)Standard Deviation 50.203
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of OciperlimabCycle 2 Day 1: Pre-dose39.82 micrograms per milliliters (mcg/mL)Standard Deviation 16.896
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of OciperlimabCycle 5 Day 1: Pre-dose68.23 micrograms per milliliters (mcg/mL)Standard Deviation 28.422
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of OciperlimabCycle 5 Day 1: Post-dose385.22 micrograms per milliliters (mcg/mL)Standard Deviation 79.227
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of OciperlimabCycle 9 Day 1: Pre-dose79.83 micrograms per milliliters (mcg/mL)Standard Deviation 30.614
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of OciperlimabCycle 17 Day 1: Pre-dose78.16 micrograms per milliliters (mcg/mL)Standard Deviation 29.558
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of OciperlimabSafety Follow-up: Post Dose34.54 micrograms per milliliters (mcg/mL)Standard Deviation 28.961
Secondary

Serum Concentrations of Tislelizumab

Serum samples were assayed for tislelizumab concentrations using a validated immunoassay.

Time frame: Predose on Day 1 of Cycles 1, 2, 5, 9 and 17; Post dose on Day 1 of Cycles 1 and 5 and Safety Follow-up Visit (i.e., up to 30 days after last dose [up to 27 months]) (each cycle duration = 21-days)

Population: Analysis was performed on PK analysis set. Here, Overall number of participants analyzed = participants with available data for this outcome measure and number analyzed signifies participants with available data for each specified category at respective visit.

ArmMeasureGroupValue (MEAN)Dispersion
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 1 Day 1: Pre-dose0.00 micrograms per milliliters (mcg/mL)Standard Deviation 0
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 1 Day 1: Post-dose69.63 micrograms per milliliters (mcg/mL)Standard Deviation 11.923
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 2 Day 1: Pre-dose19.65 micrograms per milliliters (mcg/mL)Standard Deviation 6.348
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 5 Day 1: Pre-dose38.14 micrograms per milliliters (mcg/mL)Standard Deviation 13.908
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 5 Day 1: Post-dose106.93 micrograms per milliliters (mcg/mL)Standard Deviation 22.321
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 9 Day 1: Pre-dose43.82 micrograms per milliliters (mcg/mL)Standard Deviation 16.823
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 17 Day 1: Pre-dose39.35 micrograms per milliliters (mcg/mL)Standard Deviation 14.06
Arm A: Ociperlimab + Tislelizumab + BAT1706Serum Concentrations of TislelizumabSafety Follow-up: Post Dose23.90 micrograms per milliliters (mcg/mL)Standard Deviation 16.674
Arm B: Tislelizumab + BAT1706Serum Concentrations of TislelizumabSafety Follow-up: Post Dose25.66 micrograms per milliliters (mcg/mL)Standard Deviation 26.011
Arm B: Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 1 Day 1: Pre-dose0.00 micrograms per milliliters (mcg/mL)Standard Deviation 0
Arm B: Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 5 Day 1: Post-dose103.21 micrograms per milliliters (mcg/mL)Standard Deviation 21.305
Arm B: Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 1 Day 1: Post-dose67.69 micrograms per milliliters (mcg/mL)Standard Deviation 12.545
Arm B: Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 17 Day 1: Pre-dose44.01 micrograms per milliliters (mcg/mL)Standard Deviation 21.788
Arm B: Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 2 Day 1: Pre-dose17.70 micrograms per milliliters (mcg/mL)Standard Deviation 5.875
Arm B: Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 9 Day 1: Pre-dose42.00 micrograms per milliliters (mcg/mL)Standard Deviation 16.495
Arm B: Tislelizumab + BAT1706Serum Concentrations of TislelizumabCycle 5 Day 1: Pre-dose36.62 micrograms per milliliters (mcg/mL)Standard Deviation 11.92
Secondary

Time to Response (TTR) as Assessed by the Investigator

TTR was defined as the time from the randomization date to the date of first documented partial response (PR) or better by the investigator, assessed based on RECIST v1.1. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Time frame: From the randomization date to the first documentation of response (up to 27 months)

Population: Analysis was performed on participants in the ITT analysis set with an objective response.

ArmMeasureValue (MEDIAN)
Arm A: Ociperlimab + Tislelizumab + BAT1706Time to Response (TTR) as Assessed by the Investigator2.76 months
Arm B: Tislelizumab + BAT1706Time to Response (TTR) as Assessed by the Investigator4.17 months

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026