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Study of Ociperlimab Plus Tislelizumab Plus Chemoradiotherapy in Participants With Untreated Limited-Stage Small Cell Lung Cancer

A Phase 2, Multicenter, Randomized, 3-Arm, Open-Label Study to Investigate the Preliminary Efficacy and Safety of the Anti-TIGIT Monoclonal Antibody Ociperlimab (BGB-A1217) Plus Tislelizumab Plus Concurrent Chemoradiotherapy in Patients With Untreated Limited-Stage Small Cell Lung Cancer

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04952597
Enrollment
126
Registered
2021-07-07
Start date
2021-07-15
Completion date
2023-07-26
Last updated
2024-10-26

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

Conditions

Limited Stage Small Cell Lung Cancer

Brief summary

This phase 2 trial examined whether the preliminary efficacy and safety of ociperlimab, tislelizumab, and cCRT when used in combination is expected to advance treatment options in the serious unmet medical need population of Limited-Stage Small Cell Lung Cancer (LS-SCLC) participants .

Interventions

Ociperlimab 900 milligrams (mg) administered intravenously once every 3 weeks on Day 1 of each cycle

DRUGTislelizumab

Tislelizumab 200 mg administered intravenously once every 3 weeks on Day 1 of each cycle

DRUGConcurrent Chemoradiotherapy

Cisplatin/Carboplatin: Either cisplatin 75 milligrams/meters squared (mg/m2) administered intravenously once every 3 weeks on Day 1 of each cycle for 4 cycles or carboplatin at a dose of area under the curve (AUC) 5 administered intravenously once every 3 weeks on Day 1 of each cycle for 4 cycles. Etoposide: (100 mg/m2) administered intravenously on Days 1, 2, and 3 of each cycle for 4 cycles Thoracic radiation therapy (TRT): once daily fractions for 6 to 7 weeks for a total dose of 60 to 70 units of absorbed dose of ionizing radiation (Gy)

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

Key Inclusion Criteria: * Participant has pathologically (histologically or cytologically) proven diagnosis of small cell lung cancer * Has limited-stage disease (stage Tx, T1-T4, N0-3, M0; AJCC staging, 8th edition), and can be safely treated with definitive radiation doses. * Participant has not received any prior treatment for LS-SCLC. * Participant has measurable disease as assessed according to RECIST v1.1 that is appropriate for selection as a target lesion for repeat measurement, as determined by local site investigator/radiology review * ECOG Performance Status ≤ 2 assessed within 7 days before the first administration of study intervention, and must have a life expectancy of ≥ 12 weeks. Key

Exclusion criteria

* Mixed small cell lung cancer histology. Note: mixed SCLC with the component of neuroendocrine carcinoma origin is considered eligible * Have received surgical resection for LS-SCLC * Any participant for whom the tumor is considered resectable by surgery or stereotactic body radiation therapy/stereotactic ablative radiotherapy should be considered ineligible * Is expected to require any other form of antineoplastic therapy while on study. * Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-TIGIT, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways Note: Other protocol-defined Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Progression Free Survival (PFS)Up to approximately 2 yearsDefined as the time from the date of randomization to the date of the first documented disease progression as determined by the investigator per RECIST v1.1 or death from any cause (whichever occurs first)

Secondary

MeasureTime frameDescription
Overall Response Rate (ORR)Up to approximately 2 yearsdefined as the percentage of participants who had CR or partial response (PR) as assessed by the investigator per RECIST v1.1
Overall Response Rate (ORR) in the Programmed Death-Ligand 1 (PD-L1) Analysis SetUp to approximately 2 yearsdefined as the percentage of participants who had CR or partial response (PR) as assessed by the investigator per RECIST v1.1
Overall Response Rate (ORR) in the T Cell Immunoreceptor With Immunoglobulin and ITIM Domain (TIGIT) Analysis SetUp to approximately 2 yearsdefined as the percentage of participants who had CR or partial response (PR) as assessed by the investigator per RECIST v1.1
Duration of Response (DOR)Up to approximately 2 yearsdefined as the time from the date of the first occurrence of a documented objective response to the date of documented disease progression as assessed by the investigator per RECIST v1.1 or death from any cause (whichever occurs first)
Overall Survival (OS) in the ITT Analysis SetUp to approximately 2 yearsDefined as the time from the date of randomization to the date of death due to any cause
Complete Response Rate (CR)Up to approximately 2 yearsdefined as the percentage of participants who had CR as assessed by the investigator per RECIST v1.1
Overall Survival (OS) in the TIGIT Analysis SetUp to approximately 2 yearsdefined as the time from the date of randomization to the date of death due to any cause
Distant Metastasis-free Survival (DMFS)Up to approximately 2 yearsdefined as the time from the date of randomization to the date of the first documented distant metastasis as assessed by the investigator per RECIST v1.1 or death from any cause (whichever occurs first)
PFS in the PD-L1 Analysis SetUp to approximately 2 yearsdefined as the time from the date of randomization to the date of the first documented disease progression as determined by the investigator per RECIST v1.1 or death from any cause (whichever occurs first),
PFS in the TIGIT Analysis SetUp to approximately 2 yearsdefined as the time from the date of randomization to the date of the first documented disease progression as determined by the investigator per RECIST v1.1 or death from any cause (whichever occurs first),
Number of Participants Experiencing Adverse Events (AEs)From the first dose of study drug(s) to 30 days after the last dose; up to approximately 2 yearsNumber 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), v4.03
Overall Survival (OS) in the PD-L1 Analysis SetUp to approximately 2 yearsdefined as the time from the date of randomization to the date of death due to any cause

Countries

China, South Korea, United States

Participant flow

Recruitment details

Participants were enrolled in multiple study centers in China, South Korea, and the United States.

Participants by arm

ArmCount
Arm A: Ociperlimab + Tislelizumab
Ociperlimab plus tislelizumab combined with cCRT (at the investigator's discretion) for 4 cycles (each cycle is 28 days), followed by ociperlimab plus tislelizumab Ociperlimab: Ociperlimab 900 milligrams (mg) administered intravenously once every 3 weeks on Day 1 of each cycle Tislelizumab: Tislelizumab 200 mg administered intravenously once every 3 weeks on Day 1 of each cycle Concurrent Chemoradiotherapy: Cisplatin/Carboplatin: Either cisplatin 75 milligrams/meters squared (mg/m2) administered intravenously once every 3 weeks on Day 1 of each cycle for 4 cycles or carboplatin at a dose of area under the curve (AUC) 5 administered intravenously once every 3 weeks on Day 1 of each cycle for 4 cycles. Etoposide: (100 mg/m2) administered intravenously on Days 1, 2, and 3 of each cycle for 4 cycles Thoracic radiation therapy (TRT): once daily fractions for 6 to 7 weeks for a total dose of 60 to 70 units of absorbed dose of ionizing radiation (Gy)
41
Arm B: Tislelizumab
Tislelizumab combined with cCRT (at the investigator's discretion) for 4 cycles, followed by tislelizumab alone Tislelizumab: Tislelizumab 200 mg administered intravenously once every 3 weeks on Day 1 of each cycle Concurrent Chemoradiotherapy: Cisplatin/Carboplatin: Either cisplatin 75 milligrams/meters squared (mg/m2) administered intravenously once every 3 weeks on Day 1 of each cycle for 4 cycles or carboplatin at a dose of area under the curve (AUC) 5 administered intravenously once every 3 weeks on Day 1 of each cycle for 4 cycles. Etoposide: (100 mg/m2) administered intravenously on Days 1, 2, and 3 of each cycle for 4 cycles Thoracic radiation therapy (TRT): once daily fractions for 6 to 7 weeks for a total dose of 60 to 70 units of absorbed dose of ionizing radiation (Gy)
42
Arm C: Concurrent Chemoradiotherapy (cCRT)
cCRT only for 4 cycles at the investigator's discretion Concurrent Chemoradiotherapy: Cisplatin/Carboplatin: Either cisplatin 75 milligrams/meters squared (mg/m2) administered intravenously once every 3 weeks on Day 1 of each cycle for 4 cycles or carboplatin at a dose of area under the curve (AUC) 5 administered intravenously once every 3 weeks on Day 1 of each cycle for 4 cycles. Etoposide: (100 mg/m2) administered intravenously on Days 1, 2, and 3 of each cycle for 4 cycles Thoracic radiation therapy (TRT): once daily fractions for 6 to 7 weeks for a total dose of 60 to 70 units of absorbed dose of ionizing radiation (Gy)
43
Total126

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyDeath121314
Overall StudyLost to Follow-up011
Overall StudyWithdrawal by Subject103

Baseline characteristics

CharacteristicArm A: Ociperlimab + TislelizumabArm B: TislelizumabArm C: Concurrent Chemoradiotherapy (cCRT)Total
Age, Continuous60.5 years
STANDARD_DEVIATION 9.5
59.9 years
STANDARD_DEVIATION 7.11
61.0 years
STANDARD_DEVIATION 9.54
60.5 years
STANDARD_DEVIATION 8.73
Race/Ethnicity, Customized
Asian
41 Participants42 Participants42 Participants125 Participants
Race/Ethnicity, Customized
White
0 Participants0 Participants1 Participants1 Participants
Sex: Female, Male
Female
10 Participants9 Participants8 Participants27 Participants
Sex: Female, Male
Male
31 Participants33 Participants35 Participants99 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
12 / 4113 / 4214 / 43
other
Total, other adverse events
41 / 4142 / 4243 / 43
serious
Total, serious adverse events
25 / 4120 / 4212 / 43

Outcome results

Primary

Progression Free Survival (PFS)

Defined as the time from the date of randomization to the date of the first documented disease progression as determined by the investigator per RECIST v1.1 or death from any cause (whichever occurs first)

Time frame: Up to approximately 2 years

Population: The ITT analysis set includes all randomized participants

ArmMeasureValue (MEDIAN)
Arm A: Ociperlimab + TislelizumabProgression Free Survival (PFS)12.6 Months
Arm B: TislelizumabProgression Free Survival (PFS)13.2 Months
Arm C: Concurrent Chemoradiotherapy (cCRT)Progression Free Survival (PFS)9.5 Months
Secondary

Complete Response Rate (CR)

defined as the percentage of participants who had CR as assessed by the investigator per RECIST v1.1

Time frame: Up to approximately 2 years

Population: The Intent-To-Treat (ITT) analysis set includes all randomized participants

ArmMeasureValue (NUMBER)
Arm A: Ociperlimab + TislelizumabComplete Response Rate (CR)7.3 percentage of participants
Arm B: TislelizumabComplete Response Rate (CR)9.5 percentage of participants
Arm C: Concurrent Chemoradiotherapy (cCRT)Complete Response Rate (CR)2.3 percentage of participants
Secondary

Distant Metastasis-free Survival (DMFS)

defined as the time from the date of randomization to the date of the first documented distant metastasis as assessed by the investigator per RECIST v1.1 or death from any cause (whichever occurs first)

Time frame: Up to approximately 2 years

Population: The Intent-To-Treat (ITT) analysis set includes all randomized participants

ArmMeasureValue (MEDIAN)
Arm A: Ociperlimab + TislelizumabDistant Metastasis-free Survival (DMFS)17.9 months
Arm B: TislelizumabDistant Metastasis-free Survival (DMFS)15.3 months
Arm C: Concurrent Chemoradiotherapy (cCRT)Distant Metastasis-free Survival (DMFS)20.0 months
Secondary

Duration of Response (DOR)

defined as the time from the date of the first occurrence of a documented objective response to the date of documented disease progression as assessed by the investigator per RECIST v1.1 or death from any cause (whichever occurs first)

Time frame: Up to approximately 2 years

Population: The ITT analysis set included all randomized participants; only participants with an objective response (CR or PR) were included in this analysis

ArmMeasureValue (MEDIAN)
Arm A: Ociperlimab + TislelizumabDuration of Response (DOR)10.1 Months
Arm B: TislelizumabDuration of Response (DOR)11.5 Months
Arm C: Concurrent Chemoradiotherapy (cCRT)Duration of Response (DOR)8.2 Months
Secondary

Number of Participants Experiencing Adverse Events (AEs)

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), v4.03

Time frame: From the first dose of study drug(s) to 30 days after the last dose; up to approximately 2 years

Population: The Safety Analysis Set includes all patients who have received \>= 1 dose of any component of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Arm A: Ociperlimab + TislelizumabNumber of Participants Experiencing Adverse Events (AEs)Number of Participants with at least one TEAE41 Participants
Arm A: Ociperlimab + TislelizumabNumber of Participants Experiencing Adverse Events (AEs)Number of participants with at least one SAE25 Participants
Arm B: TislelizumabNumber of Participants Experiencing Adverse Events (AEs)Number of Participants with at least one TEAE42 Participants
Arm B: TislelizumabNumber of Participants Experiencing Adverse Events (AEs)Number of participants with at least one SAE20 Participants
Arm C: Concurrent Chemoradiotherapy (cCRT)Number of Participants Experiencing Adverse Events (AEs)Number of Participants with at least one TEAE43 Participants
Arm C: Concurrent Chemoradiotherapy (cCRT)Number of Participants Experiencing Adverse Events (AEs)Number of participants with at least one SAE12 Participants
Secondary

Overall Response Rate (ORR)

defined as the percentage of participants who had CR or partial response (PR) as assessed by the investigator per RECIST v1.1

Time frame: Up to approximately 2 years

Population: The Intent-To-Treat (ITT) analysis set includes all randomized participants

ArmMeasureValue (NUMBER)
Arm A: Ociperlimab + TislelizumabOverall Response Rate (ORR)85.4 percentage of participants
Arm B: TislelizumabOverall Response Rate (ORR)88.1 percentage of participants
Arm C: Concurrent Chemoradiotherapy (cCRT)Overall Response Rate (ORR)76.7 percentage of participants
Secondary

Overall Response Rate (ORR) in the Programmed Death-Ligand 1 (PD-L1) Analysis Set

defined as the percentage of participants who had CR or partial response (PR) as assessed by the investigator per RECIST v1.1

Time frame: Up to approximately 2 years

Population: The PD-L1 Analysis Set includes all patients who have at least 1 evaluable PD-L1 measurement expressed by Tumor Area Percentage (TAP).

ArmMeasureGroupValue (NUMBER)
Arm A: Ociperlimab + TislelizumabOverall Response Rate (ORR) in the Programmed Death-Ligand 1 (PD-L1) Analysis SetPD-L1 Expression in TAP ( >=1%)85.7 percentage of participants
Arm A: Ociperlimab + TislelizumabOverall Response Rate (ORR) in the Programmed Death-Ligand 1 (PD-L1) Analysis SetPD-L1 Expression in TAP (<1%)93.8 percentage of participants
Arm B: TislelizumabOverall Response Rate (ORR) in the Programmed Death-Ligand 1 (PD-L1) Analysis SetPD-L1 Expression in TAP ( >=1%)94.1 percentage of participants
Arm B: TislelizumabOverall Response Rate (ORR) in the Programmed Death-Ligand 1 (PD-L1) Analysis SetPD-L1 Expression in TAP (<1%)81.8 percentage of participants
Arm C: Concurrent Chemoradiotherapy (cCRT)Overall Response Rate (ORR) in the Programmed Death-Ligand 1 (PD-L1) Analysis SetPD-L1 Expression in TAP ( >=1%)76.5 percentage of participants
Arm C: Concurrent Chemoradiotherapy (cCRT)Overall Response Rate (ORR) in the Programmed Death-Ligand 1 (PD-L1) Analysis SetPD-L1 Expression in TAP (<1%)86.7 percentage of participants
Secondary

Overall Response Rate (ORR) in the T Cell Immunoreceptor With Immunoglobulin and ITIM Domain (TIGIT) Analysis Set

defined as the percentage of participants who had CR or partial response (PR) as assessed by the investigator per RECIST v1.1

Time frame: Up to approximately 2 years

Population: The TIGIT Analysis Set includes all patients who have at least 1 evaluable TIGIT measurement expressed by Immune Cells (IC) percentage.

ArmMeasureGroupValue (NUMBER)
Arm A: Ociperlimab + TislelizumabOverall Response Rate (ORR) in the T Cell Immunoreceptor With Immunoglobulin and ITIM Domain (TIGIT) Analysis SetTIGIT Expression Level in IC (>=1%)88.9 percentage of participants
Arm A: Ociperlimab + TislelizumabOverall Response Rate (ORR) in the T Cell Immunoreceptor With Immunoglobulin and ITIM Domain (TIGIT) Analysis SetTIGIT Expression Level in IC (<1%)86.7 percentage of participants
Arm B: TislelizumabOverall Response Rate (ORR) in the T Cell Immunoreceptor With Immunoglobulin and ITIM Domain (TIGIT) Analysis SetTIGIT Expression Level in IC (>=1%)88.0 percentage of participants
Arm B: TislelizumabOverall Response Rate (ORR) in the T Cell Immunoreceptor With Immunoglobulin and ITIM Domain (TIGIT) Analysis SetTIGIT Expression Level in IC (<1%)100.0 percentage of participants
Arm C: Concurrent Chemoradiotherapy (cCRT)Overall Response Rate (ORR) in the T Cell Immunoreceptor With Immunoglobulin and ITIM Domain (TIGIT) Analysis SetTIGIT Expression Level in IC (>=1%)93.8 percentage of participants
Arm C: Concurrent Chemoradiotherapy (cCRT)Overall Response Rate (ORR) in the T Cell Immunoreceptor With Immunoglobulin and ITIM Domain (TIGIT) Analysis SetTIGIT Expression Level in IC (<1%)68.4 percentage of participants
Secondary

Overall Survival (OS) in the ITT Analysis Set

Defined as the time from the date of randomization to the date of death due to any cause

Time frame: Up to approximately 2 years

Population: The Intent-To-Treat (ITT) analysis set includes all randomized participants

ArmMeasureValue (MEDIAN)
Arm A: Ociperlimab + TislelizumabOverall Survival (OS) in the ITT Analysis SetNA months
Arm B: TislelizumabOverall Survival (OS) in the ITT Analysis SetNA months
Arm C: Concurrent Chemoradiotherapy (cCRT)Overall Survival (OS) in the ITT Analysis SetNA months
Secondary

Overall Survival (OS) in the PD-L1 Analysis Set

defined as the time from the date of randomization to the date of death due to any cause

Time frame: Up to approximately 2 years

Population: The PD-L1 Analysis Set includes all patients who have at least 1 evaluable PD-L1 measurement expressed by Tumor Area Percentage (TAP).

ArmMeasureGroupValue (MEDIAN)
Arm A: Ociperlimab + TislelizumabOverall Survival (OS) in the PD-L1 Analysis SetPD-L1 Expression in TAP (>=1%)NA months
Arm A: Ociperlimab + TislelizumabOverall Survival (OS) in the PD-L1 Analysis SetPD-L1 Expression in TAP (<1%)NA months
Arm B: TislelizumabOverall Survival (OS) in the PD-L1 Analysis SetPD-L1 Expression in TAP (>=1%)NA months
Arm B: TislelizumabOverall Survival (OS) in the PD-L1 Analysis SetPD-L1 Expression in TAP (<1%)NA months
Arm C: Concurrent Chemoradiotherapy (cCRT)Overall Survival (OS) in the PD-L1 Analysis SetPD-L1 Expression in TAP (>=1%)NA months
Arm C: Concurrent Chemoradiotherapy (cCRT)Overall Survival (OS) in the PD-L1 Analysis SetPD-L1 Expression in TAP (<1%)NA months
Secondary

Overall Survival (OS) in the TIGIT Analysis Set

defined as the time from the date of randomization to the date of death due to any cause

Time frame: Up to approximately 2 years

Population: The TIGIT Analysis Set includes all patients who have at least 1 evaluable TIGIT measurement expressed by immune cells percentage.

ArmMeasureGroupValue (MEDIAN)
Arm A: Ociperlimab + TislelizumabOverall Survival (OS) in the TIGIT Analysis SetTIGIT Expression Level in IC (>=1%)NA months
Arm A: Ociperlimab + TislelizumabOverall Survival (OS) in the TIGIT Analysis SetTIGIT Expression Level in IC (<1%)NA months
Arm B: TislelizumabOverall Survival (OS) in the TIGIT Analysis SetTIGIT Expression Level in IC (>=1%)NA months
Arm B: TislelizumabOverall Survival (OS) in the TIGIT Analysis SetTIGIT Expression Level in IC (<1%)NA months
Arm C: Concurrent Chemoradiotherapy (cCRT)Overall Survival (OS) in the TIGIT Analysis SetTIGIT Expression Level in IC (>=1%)NA months
Arm C: Concurrent Chemoradiotherapy (cCRT)Overall Survival (OS) in the TIGIT Analysis SetTIGIT Expression Level in IC (<1%)NA months
Secondary

PFS in the PD-L1 Analysis Set

defined as the time from the date of randomization to the date of the first documented disease progression as determined by the investigator per RECIST v1.1 or death from any cause (whichever occurs first),

Time frame: Up to approximately 2 years

Population: The PD-L1 Analysis Set includes all patients who have at least 1 evaluable PD-L1 measurement expressed by Tumor Area Percentage (TAP).

ArmMeasureGroupValue (MEDIAN)
Arm A: Ociperlimab + TislelizumabPFS in the PD-L1 Analysis SetPD-L1 Expression in TAP ( >=1%)12.6 months
Arm A: Ociperlimab + TislelizumabPFS in the PD-L1 Analysis SetPD-L1 Expression in TAP (<1%)10.3 months
Arm B: TislelizumabPFS in the PD-L1 Analysis SetPD-L1 Expression in TAP ( >=1%)15.0 months
Arm B: TislelizumabPFS in the PD-L1 Analysis SetPD-L1 Expression in TAP (<1%)14.8 months
Arm C: Concurrent Chemoradiotherapy (cCRT)PFS in the PD-L1 Analysis SetPD-L1 Expression in TAP ( >=1%)11.1 months
Arm C: Concurrent Chemoradiotherapy (cCRT)PFS in the PD-L1 Analysis SetPD-L1 Expression in TAP (<1%)14.4 months
Secondary

PFS in the TIGIT Analysis Set

defined as the time from the date of randomization to the date of the first documented disease progression as determined by the investigator per RECIST v1.1 or death from any cause (whichever occurs first),

Time frame: Up to approximately 2 years

Population: The TIGIT Analysis Set includes all patients who have at least 1 evaluable TIGIT measurement expressed by immune cells percentage.

ArmMeasureGroupValue (MEDIAN)
Arm A: Ociperlimab + TislelizumabPFS in the TIGIT Analysis SetTIGIT Expression Level in IC (>=1%)17.9 months
Arm A: Ociperlimab + TislelizumabPFS in the TIGIT Analysis SetTIGIT Expression Level in IC (<1%)8.7 months
Arm B: TislelizumabPFS in the TIGIT Analysis SetTIGIT Expression Level in IC (>=1%)14.3 months
Arm B: TislelizumabPFS in the TIGIT Analysis SetTIGIT Expression Level in IC (<1%)NA months
Arm C: Concurrent Chemoradiotherapy (cCRT)PFS in the TIGIT Analysis SetTIGIT Expression Level in IC (>=1%)11.2 months
Arm C: Concurrent Chemoradiotherapy (cCRT)PFS in the TIGIT Analysis SetTIGIT Expression Level in IC (<1%)14.4 months

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026