Advanced Hepatocellular Carcinoma
Conditions
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)
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Objective Response Rate (ORR) as Assessed by the Investigator | 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) | 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
| Measure | Time frame | Description |
|---|---|---|
| Time to Response (TTR) as Assessed by the Investigator | From 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 Investigator | 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) | 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 Investigator | 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) | 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 Investigator | From 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 Investigator | From 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 Ociperlimab | 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) | 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 Tislelizumab | 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) | Serum samples were assayed for tislelizumab concentrations using a validated immunoassay. |
| Serum Concentrations of BAT1706 | 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) | Serum samples were assayed for BAT1706 concentrations using a validated immunoassay. |
| Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Up to 27 months | 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. |
| 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
| Arm | Count |
|---|---|
| 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 |
| Total | 94 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 14 | 4 |
| Overall Study | Closed by Sponsor | 3 | 2 |
| Overall Study | Lost to Follow-up | 0 | 1 |
| Overall Study | Other-Miscellaneous | 1 | 0 |
| Overall Study | Participant moved to long term extension study | 7 | 4 |
| Overall Study | Physician Decision | 0 | 2 |
| Overall Study | Progressive disease | 27 | 18 |
| Overall Study | Randomized but not treated | 0 | 1 |
| Overall Study | Withdrawal by Subject | 10 | 0 |
Baseline characteristics
| Characteristic | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 | Total |
|---|---|---|---|
| Age, Continuous | 58.4 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 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 62 Participants | 32 Participants | 94 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Extrahepatic spread (EHS) Status Absent | 31 Participants | 13 Participants | 44 Participants |
| Extrahepatic spread (EHS) Status Present | 31 Participants | 19 Participants | 50 Participants |
| Macrovascular invasion (MVI) Status Absent | 49 Participants | 20 Participants | 69 Participants |
| Macrovascular invasion (MVI) Status Present | 13 Participants | 12 Participants | 25 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 62 Participants | 32 Participants | 94 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Female | 5 Participants | 2 Participants | 7 Participants |
| Sex: Female, Male Male | 57 Participants | 30 Participants | 87 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 28 / 62 | 14 / 32 |
| other Total, other adverse events | 61 / 62 | 31 / 31 |
| serious Total, serious adverse events | 31 / 62 | 12 / 31 |
Outcome results
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).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Objective Response Rate (ORR) as Assessed by the Investigator | 37.1 percentage of participants |
| Arm B: Tislelizumab + BAT1706 | Objective Response Rate (ORR) as Assessed by the Investigator | 40.6 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Clinical Benefit Rate (CBR) as Assessed by the Investigator | 59.7 percentage of participants |
| Arm B: Tislelizumab + BAT1706 | Clinical Benefit Rate (CBR) as Assessed by the Investigator | 56.3 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Disease Control Rate (DCR) as Assessed by the Investigator | 77.4 percentage of participants |
| Arm B: Tislelizumab + BAT1706 | Disease Control Rate (DCR) as Assessed by the Investigator | 71.9 percentage of participants |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Duration Of Response (DOR) as Assessed by the Investigator | 12.6 months |
| Arm B: Tislelizumab + BAT1706 | Duration Of Response (DOR) as Assessed by the Investigator | 12.4 months |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment boosted ADA: Ociperlimab | 0 Participants |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment-emergent ADA: Ociperlimab | 1 Participants |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment induced ADA: Ociperlimab | 1 Participants |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment-emergent ADA: Tislelizumab | 22 Participants |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment boosted ADA: Tislelizumab | 1 Participants |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment induced ADA: Tislelizumab | 21 Participants |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment-emergent ADA: BAT1706 | 1 Participants |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment boosted ADA: BAT1706 | 0 Participants |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment induced ADA: BAT1706 | 1 Participants |
| Arm B: Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment boosted ADA: BAT1706 | 0 Participants |
| Arm B: Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment-emergent ADA: Tislelizumab | 18 Participants |
| Arm B: Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment-emergent ADA: BAT1706 | 3 Participants |
| Arm B: Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment boosted ADA: Tislelizumab | 2 Participants |
| Arm B: Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment induced ADA: BAT1706 | 3 Participants |
| Arm B: Tislelizumab + BAT1706 | Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706 | Treatment induced ADA: Tislelizumab | 16 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAEs Leading to Death Excluding Death Due to Disease Under Study | 3 Participants |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAEs | 62 Participants |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAEs | 31 Participants |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAEs >= Grade 3 | 48 Participants |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAEs Leading to Treatment Discontinuation | 18 Participants |
| Arm B: Tislelizumab + BAT1706 | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAEs Leading to Treatment Discontinuation | 6 Participants |
| Arm B: Tislelizumab + BAT1706 | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAEs >= Grade 3 | 17 Participants |
| Arm B: Tislelizumab + BAT1706 | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAEs | 31 Participants |
| Arm B: Tislelizumab + BAT1706 | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAEs Leading to Death Excluding Death Due to Disease Under Study | 0 Participants |
| Arm B: Tislelizumab + BAT1706 | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAEs | 12 Participants |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Overall Survival (OS) | 19.7 months |
| Arm B: Tislelizumab + BAT1706 | Overall Survival (OS) | 22.9 months |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Progression-Free Survival (PFS) as Assessed by the Investigator | 8.3 months |
| Arm B: Tislelizumab + BAT1706 | Progression-Free Survival (PFS) as Assessed by the Investigator | 6.9 months |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 5 Day 1: Pre-dose | 113.97 micrograms per milliliters (mcg/mL) | Standard Deviation 37.045 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 1 Day 1: Pre-dose | 0.00 micrograms per milliliters (mcg/mL) | Standard Deviation 0 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 1 Day 1: Post-dose | 319.29 micrograms per milliliters (mcg/mL) | Standard Deviation 58.599 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 2 Day 1: Pre-dose | 63.28 micrograms per milliliters (mcg/mL) | Standard Deviation 19.302 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 5 Day 1: Post-dose | 432.60 micrograms per milliliters (mcg/mL) | Standard Deviation 86.67 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 9 Day 1: Pre-dose | 113.72 micrograms per milliliters (mcg/mL) | Standard Deviation 38.039 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 17 Day 1: Pre-dose | 111.29 micrograms per milliliters (mcg/mL) | Standard Deviation 31.055 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Safety Follow-up: Post Dose | 59.74 micrograms per milliliters (mcg/mL) | Standard Deviation 40.02 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Safety Follow-up: Post Dose | 81.42 micrograms per milliliters (mcg/mL) | Standard Deviation 79.696 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 5 Day 1: Post-dose | 410.71 micrograms per milliliters (mcg/mL) | Standard Deviation 90.747 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 1 Day 1: Pre-dose | 0.00 micrograms per milliliters (mcg/mL) | Standard Deviation 0 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 17 Day 1: Pre-dose | 123.36 micrograms per milliliters (mcg/mL) | Standard Deviation 44.184 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 1 Day 1: Post-dose | 321.03 micrograms per milliliters (mcg/mL) | Standard Deviation 56.151 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 9 Day 1: Pre-dose | 120.55 micrograms per milliliters (mcg/mL) | Standard Deviation 43.141 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 2 Day 1: Pre-dose | 55.30 micrograms per milliliters (mcg/mL) | Standard Deviation 20.999 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of BAT1706 | Cycle 5 Day 1: Pre-dose | 112.79 micrograms per milliliters (mcg/mL) | Standard Deviation 34.114 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Ociperlimab | Cycle 1 Day 1: Pre-dose | 0.00 micrograms per milliliters (mcg/mL) | Standard Deviation 0 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Ociperlimab | Cycle 1 Day 1: Post-dose | 287.15 micrograms per milliliters (mcg/mL) | Standard Deviation 50.203 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Ociperlimab | Cycle 2 Day 1: Pre-dose | 39.82 micrograms per milliliters (mcg/mL) | Standard Deviation 16.896 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Ociperlimab | Cycle 5 Day 1: Pre-dose | 68.23 micrograms per milliliters (mcg/mL) | Standard Deviation 28.422 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Ociperlimab | Cycle 5 Day 1: Post-dose | 385.22 micrograms per milliliters (mcg/mL) | Standard Deviation 79.227 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Ociperlimab | Cycle 9 Day 1: Pre-dose | 79.83 micrograms per milliliters (mcg/mL) | Standard Deviation 30.614 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Ociperlimab | Cycle 17 Day 1: Pre-dose | 78.16 micrograms per milliliters (mcg/mL) | Standard Deviation 29.558 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Ociperlimab | Safety Follow-up: Post Dose | 34.54 micrograms per milliliters (mcg/mL) | Standard Deviation 28.961 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 1 Day 1: Pre-dose | 0.00 micrograms per milliliters (mcg/mL) | Standard Deviation 0 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 1 Day 1: Post-dose | 69.63 micrograms per milliliters (mcg/mL) | Standard Deviation 11.923 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 2 Day 1: Pre-dose | 19.65 micrograms per milliliters (mcg/mL) | Standard Deviation 6.348 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 5 Day 1: Pre-dose | 38.14 micrograms per milliliters (mcg/mL) | Standard Deviation 13.908 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 5 Day 1: Post-dose | 106.93 micrograms per milliliters (mcg/mL) | Standard Deviation 22.321 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 9 Day 1: Pre-dose | 43.82 micrograms per milliliters (mcg/mL) | Standard Deviation 16.823 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 17 Day 1: Pre-dose | 39.35 micrograms per milliliters (mcg/mL) | Standard Deviation 14.06 |
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Safety Follow-up: Post Dose | 23.90 micrograms per milliliters (mcg/mL) | Standard Deviation 16.674 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Safety Follow-up: Post Dose | 25.66 micrograms per milliliters (mcg/mL) | Standard Deviation 26.011 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 1 Day 1: Pre-dose | 0.00 micrograms per milliliters (mcg/mL) | Standard Deviation 0 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 5 Day 1: Post-dose | 103.21 micrograms per milliliters (mcg/mL) | Standard Deviation 21.305 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 1 Day 1: Post-dose | 67.69 micrograms per milliliters (mcg/mL) | Standard Deviation 12.545 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 17 Day 1: Pre-dose | 44.01 micrograms per milliliters (mcg/mL) | Standard Deviation 21.788 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 2 Day 1: Pre-dose | 17.70 micrograms per milliliters (mcg/mL) | Standard Deviation 5.875 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 9 Day 1: Pre-dose | 42.00 micrograms per milliliters (mcg/mL) | Standard Deviation 16.495 |
| Arm B: Tislelizumab + BAT1706 | Serum Concentrations of Tislelizumab | Cycle 5 Day 1: Pre-dose | 36.62 micrograms per milliliters (mcg/mL) | Standard Deviation 11.92 |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | Time to Response (TTR) as Assessed by the Investigator | 2.76 months |
| Arm B: Tislelizumab + BAT1706 | Time to Response (TTR) as Assessed by the Investigator | 4.17 months |