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To Evaluate the Efficacy and Safety of Tislelizumab in Combination With Lenvatinib in Participants With Selected Solid Tumors

A Multicenter, Open-label, Phase 2 Study to Evaluate the Efficacy and Safety of Tislelizumab in Combination With Lenvatinib in Patients With Selected Solid Tumors

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05014828
Enrollment
58
Registered
2021-08-20
Start date
2021-09-18
Completion date
2024-07-10
Last updated
2025-08-24

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

Conditions

Advanced Solid Tumor

Keywords

Solid tumors

Brief summary

This clinical trial evaluated the safety and potential benefits of combining two cancer treatments, tislelizumab and lenvatinib, in Chinese participants with advanced or metastatic cancers, including lung, head and neck, bladder, kidney, and stomach cancer. The study included two parts: the first part assessed how safe the drug combination was, and the second part examined how well it worked. A small group of participants initially received the drugs to determine the appropriate dose, and if the treatment was well tolerated, additional participants were treated at that dose. Participants remained on the treatment unless their cancer progressed, they experienced serious side effects, or they chose to stop.

Interventions

DRUGlenvatinib

Administered at the dose of 20 mg orally, once daily.

DRUGTislelizumab

400 mg administered intravenously on Day 1 of each 42-day cycle

Sponsors

BeiGene
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

Key Inclusion Criteria: 1. Participants had signed an informed consent form and were able to comply with all study requirements. 2. Participants had a histologically and/or cytologically confirmed diagnosis of advanced solid tumors, which included one of the following types: * Non-Small Cell Lung Cancer (NSCLC) * Squamous Cell Carcinoma of the Head and Neck (SCCHN) * Gastric Cancer (GC) * Urothelial Carcinoma (UC) * Renal Cell Carcinoma (RCC) 3. Participants had at least one measurable lesion as defined by the Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1. 4. Tumor tissue samples (approximately 10 unstained slides) were provided for central laboratory assessment of programmed death-ligand 1 (PD-L1) expression in the NSCLC cohort during the screening period. These samples were also used for retrospective exploratory biomarker analyses related to treatment response and resistance across the NSCLC, SCCHN, UC, or Gastric Cancer (GC) cohorts, in a central or designated test laboratory approved by BeiGene. 5. Participants had an Eastern Cooperative Oncology Group (ECOG) performance of 0 or 1 Key

Exclusion criteria

1. For participants in the NSCLC cohort, those with active leptomeningeal disease or uncontrolled, untreated brain metastases were excluded. In cohorts other than NSCLC, any participant with known leptomeningeal disease or brain metastases was excluded. 2. Participants who had received prior therapy with lenvatinib, or with antibodies targeting programmed cell death protein 1 (PD-1), programmed death-ligand 1 (PD-L1), programmed death-ligand 2 (PD-L2), or any other agents specifically targeting T-cell costimulatory or immune checkpoint pathways, were excluded. 3. Participants with a history of interstitial lung disease, non-infectious pneumonitis, or any uncontrolled pulmonary conditions (including but not limited to pulmonary fibrosis or acute lung diseases) were excluded. 4. Participants who were unable to swallow capsules, or who had diseases or previous procedures that significantly affected gastrointestinal function such as malabsorption syndrome, surgical resection of the stomach or small bowel, bariatric surgery, symptomatic inflammatory bowel disease, or partial/complete bowel obstruction were excluded. 5. Participants who had experienced clinically significant bleeding (classified as Grade 2 or higher according to the Common Terminology Criteria for Adverse Events \[CTCAE\]) within 21 days prior to the first dose were excluded. Note: Additional protocol-defined inclusion and

Design outcomes

Primary

MeasureTime frameDescription
Safety Run-in: Number of Participants With Adverse Events (AEs)From first dose through the end of the safety run-in part, up to 124 days; The DLT observation period was 28 days after first dose.An adverse event refers to any unintended or unfavorable sign, symptom, or condition (including abnormal lab results) that occurs during the study, regardless of whether it is related to the study drug. A serious adverse event (SAE) is any untoward medical occurrence that, at any dose: * Resulted in death * Was life-threatening * Required hospitalization or prolongation of existing hospitalization * Resulted in disability/incapacity * Was a congenital anomaly/birth defect * Was considered a significant medical AE by the investigator based on medical judgement. A dose-limiting toxicity (DLT) was defined as a Grade 3 or 4 hematologic or nonhematologic toxicity occurring during the DLT assessment window and deemed related to one or more study drugs by the investigator.
Overall Response Rate (ORR)From the first dose up to the primary analysis data cut-off date of 10 October 2023 (maximum time on study was 24.7 months)Overall response rate is defined as the percentage of participants who had a confirmed complete response (CR) or partial response (PR) as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 Tumor assessments. CR is defined as the disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR is 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
Disease Control Rate (DCR)From the first dose up to the primary analysis data cut-off date of 10 October 2023 (maximum time on study was 24.7 months)DCR was defined as the percentage of participants who demonstrated a confirmed complete response (CR), partial response (PR), or stable disease (SD) as the best overall response, in accordance with the RECIST version 1.1 criteria. CR was defined as the disappearance of all target and non-target lesions with no new lesions observed. Any pathological lymph nodes (whether target or non-target) were required to have a reduction in short axis to less than 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, using the baseline sum of diameters as the reference. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), using the smallest sum of diameters recorded while on study as the reference.
Progression Free Survival (PFS)From the first dose up to the primary analysis data cut-off date of 10 October 2023 (maximum time on study was 24.7 months)PFS was defined as the time from randomization to the first objectively documented disease progression as assessed by the investigator per Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1) or death from any cause, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method.
Number of Participants Experiencing Adverse Events (AEs)From first dose of study drug to 30 days after last dose, up to the study completion date of 10 July 2024 (up to 32.5 months)An adverse event refers to any unintended or unfavorable sign, symptom, or condition (including abnormal lab results) that occurs during the study, regardless of whether it is related to the study drug.
Overall Survival (OS)From the first dose up to the primary analysis data cut-off date of 10 October 2023 (maximum time on study was 24.7 months)OS was defined as the time from randomization to the documented date of death for participants who died on or before the data cutoff date. Median OS was calculated using the Kaplan-Meier method. Data for participants who were alive at the data cutoff date were censored at their last known alive date, defined as either the clinical cutoff date for those still on treatment or the most recent available date confirming they were alive, whichever occurred first.
Duration of Response (DOR)From the first dose up to the primary analysis data cut-off date of 10 October 2023 (maximum time on study was 24.7 months)DOR was defined as the time from the first documented objective response to documented radiological disease progression as assessed by the investigator using RECIST v1.1, or death from any cause, whichever occurred first. Median DOR was estimated using the Kaplan-Meier method. Progressive disease is captured as at least a 20% increase in the sum of diameters of target lesions, using the smallest sum on study as the reference (including the baseline sum if it was the smallest). In addition to the 20% relative increase, the sum also had to show an absolute increase of at least 5 mm.

Countries

China

Participant flow

Recruitment details

Participants were enrolled in multiple study centers in China. The first participant dosed was on September 18th, 2021 and the last participant completed on July 10th, 2024. Enrollment began with a run-in phase to assess the safety and tolerability of tislelizumab plus lenvatinib combination therapy. Once the Safety Monitoring Committee confirmed that the combination therapy was tolerable, enrollment into the expansion phase began.

Pre-assignment details

This study included a safety run-in and expansion phase to evaluate treatment with tislelizumab plus lenvatinib. All participants enrolled in the run-in phase continued into the expansion phase and all participants received the same treatment dose. According to the planned analysis, all enrolled participants were analyzed together (including those who enrolled in the run-in phase) based on tumor type.

Participants by arm

ArmCount
Squamous Cell Carcinoma of the Head and Neck (SCCHN)
Participants with previously untreated, advanced or metastatic SCCHN received tislelizumab (400 mg administered intravenously \[IV\] every 6 weeks \[Q6W\]) in combination with lenvatinib (20 mg taken orally once daily \[QD\]) until disease progression, start of new anticancer therapy, unacceptable toxicity, withdrawal of consent, or study termination.
27
Renal Cell Carcinoma (RCC)
Systemic therapy naive participants with advanced or metastatic RCC received tislelizumab (400 mg IV Q6W) plus lenvatinib (20 mg orally QD) until disease progression, start of new anticancer therapy, unacceptable toxicity, withdrawal of consent, or study termination
23
Non-Small Cell Lung Cancer (NSCLC)
Participants with NSCLC expressing programmed cell death-ligand 1 (PD-L1) in ≥1% of tumor cells (TC ≥1%) and who had not received prior systemic therapy received tislelizumab (400 mg IV Q6W) and lenvatinib (20 mg orally QD) until disease progression, start of new anticancer therapy, unacceptable toxicity, withdrawal of consent, or study termination; this cohort was closed early based on emerging external data.
5
Gastric Cancer (GC)
Participants with advanced GC who had received one prior line of systemic therapy were enrolled to receive tislelizumab and lenvatinib at the RP2D (tislelizumab 400 mg IV Q6W; lenvatinib 20 mg orally QD) until disease progression, start of new anticancer therapy, unacceptable toxicity, withdrawal of consent, or study termination; this cohort was closed early due to changes in the first-line standard of care.
3
Total58

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyDeath11600
Overall StudyLost to Follow-up0020
Overall StudyMiscellaneous.0100
Overall StudyStudy Completed by Sponsor161633

Baseline characteristics

CharacteristicGastric Cancer (GC)TotalSquamous Cell Carcinoma of the Head and Neck (SCCHN)Renal Cell Carcinoma (RCC)Non-Small Cell Lung Cancer (NSCLC)
Age, Continuous61.3 years
STANDARD_DEVIATION 9.29
62.3 years
STANDARD_DEVIATION 8.75
61.9 years
STANDARD_DEVIATION 10.14
62.3 years
STANDARD_DEVIATION 7.38
65.6 years
STANDARD_DEVIATION 7.92
Race/Ethnicity, Customized
Chinese
3 Participants58 Participants27 Participants23 Participants5 Participants
Race/Ethnicity, Customized
Other
0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Female
0 Participants15 Participants8 Participants6 Participants1 Participants
Sex: Female, Male
Male
3 Participants43 Participants19 Participants17 Participants4 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
11 / 276 / 230 / 50 / 3
other
Total, other adverse events
27 / 2721 / 235 / 53 / 3
serious
Total, serious adverse events
17 / 2711 / 232 / 52 / 3

Outcome results

Primary

Overall Response Rate (ORR)

Overall response rate is defined as the percentage of participants who had a confirmed complete response (CR) or partial response (PR) as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 Tumor assessments. CR is defined as the disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR is 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 first dose up to the primary analysis data cut-off date of 10 October 2023 (maximum time on study was 24.7 months)

Population: Safety Analysis Set: Participants who received ≥ 1 dose of study drug(s) Evaluable Analysis Set: Participants who received ≥ 1 dose of study drug(s), have evaluable disease at baseline, and have ≥ 1 evaluable postbaseline tumor response assessment unless any clinical progressive disease or death occurred before the first postbaseline tumor assessment.

ArmMeasureGroupValue (NUMBER)
Safety Run-InOverall Response Rate (ORR)Evaluable Analysis Set33.3 Percentage of participants
Safety Run-InOverall Response Rate (ORR)Safety Analysis Set29.6 Percentage of participants
Renal Cell Carcinoma (RCC)Overall Response Rate (ORR)Safety Analysis Set60.9 Percentage of participants
Renal Cell Carcinoma (RCC)Overall Response Rate (ORR)Evaluable Analysis Set66.7 Percentage of participants
Non-Small Cell Lung Cancer (NSCLC)Overall Response Rate (ORR)Safety Analysis Set20.0 Percentage of participants
Non-Small Cell Lung Cancer (NSCLC)Overall Response Rate (ORR)Evaluable Analysis Set20.0 Percentage of participants
Gastric Cancer (GC)Overall Response Rate (ORR)Evaluable Analysis Set33.3 Percentage of participants
Gastric Cancer (GC)Overall Response Rate (ORR)Safety Analysis Set33.3 Percentage of participants
Primary

Safety Run-in: Number of Participants With Adverse Events (AEs)

An adverse event refers to any unintended or unfavorable sign, symptom, or condition (including abnormal lab results) that occurs during the study, regardless of whether it is related to the study drug. A serious adverse event (SAE) is any untoward medical occurrence that, at any dose: * Resulted in death * Was life-threatening * Required hospitalization or prolongation of existing hospitalization * Resulted in disability/incapacity * Was a congenital anomaly/birth defect * Was considered a significant medical AE by the investigator based on medical judgement. A dose-limiting toxicity (DLT) was defined as a Grade 3 or 4 hematologic or nonhematologic toxicity occurring during the DLT assessment window and deemed related to one or more study drugs by the investigator.

Time frame: From first dose through the end of the safety run-in part, up to 124 days; The DLT observation period was 28 days after first dose.

Population: The Safety run-in set is defined as all participants in the safety run-in stage.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Safety Run-InSafety Run-in: Number of Participants With Adverse Events (AEs)Number of Participants with any SAEs4 Participants
Safety Run-InSafety Run-in: Number of Participants With Adverse Events (AEs)Number of Participants with any TEAEs6 Participants
Safety Run-InSafety Run-in: Number of Participants With Adverse Events (AEs)Number of Participants with any DLTs0 Participants
Secondary

Disease Control Rate (DCR)

DCR was defined as the percentage of participants who demonstrated a confirmed complete response (CR), partial response (PR), or stable disease (SD) as the best overall response, in accordance with the RECIST version 1.1 criteria. CR was defined as the disappearance of all target and non-target lesions with no new lesions observed. Any pathological lymph nodes (whether target or non-target) were required to have a reduction in short axis to less than 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, using the baseline sum of diameters as the reference. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), using the smallest sum of diameters recorded while on study as the reference.

Time frame: From the first dose up to the primary analysis data cut-off date of 10 October 2023 (maximum time on study was 24.7 months)

Population: Evaluable analysis set and Safety Analysis Set

ArmMeasureGroupValue (NUMBER)
Safety Run-InDisease Control Rate (DCR)Safety Analysis Set70.4 Percentage of Participants
Safety Run-InDisease Control Rate (DCR)Evaluable Analysis Set79.2 Percentage of Participants
Renal Cell Carcinoma (RCC)Disease Control Rate (DCR)Evaluable Analysis Set95.2 Percentage of Participants
Renal Cell Carcinoma (RCC)Disease Control Rate (DCR)Safety Analysis Set87.0 Percentage of Participants
Non-Small Cell Lung Cancer (NSCLC)Disease Control Rate (DCR)Safety Analysis Set100.0 Percentage of Participants
Non-Small Cell Lung Cancer (NSCLC)Disease Control Rate (DCR)Evaluable Analysis Set100.0 Percentage of Participants
Gastric Cancer (GC)Disease Control Rate (DCR)Safety Analysis Set66.7 Percentage of Participants
Gastric Cancer (GC)Disease Control Rate (DCR)Evaluable Analysis Set66.7 Percentage of Participants
Secondary

Duration of Response (DOR)

DOR was defined as the time from the first documented objective response to documented radiological disease progression as assessed by the investigator using RECIST v1.1, or death from any cause, whichever occurred first. Median DOR was estimated using the Kaplan-Meier method. Progressive disease is captured as at least a 20% increase in the sum of diameters of target lesions, using the smallest sum on study as the reference (including the baseline sum if it was the smallest). In addition to the 20% relative increase, the sum also had to show an absolute increase of at least 5 mm.

Time frame: From the first dose up to the primary analysis data cut-off date of 10 October 2023 (maximum time on study was 24.7 months)

Population: Evaluable Analysis Set. Only participants with best overall response of complete response or partial response confirmed per RECIST v1.1 were included in this analysis,

ArmMeasureValue (MEDIAN)
Safety Run-InDuration of Response (DOR)9.6 Months
Renal Cell Carcinoma (RCC)Duration of Response (DOR)NA Months
Non-Small Cell Lung Cancer (NSCLC)Duration of Response (DOR)18.5 Months
Gastric Cancer (GC)Duration of Response (DOR)NA Months
Secondary

Number of Participants Experiencing Adverse Events (AEs)

An adverse event refers to any unintended or unfavorable sign, symptom, or condition (including abnormal lab results) that occurs during the study, regardless of whether it is related to the study drug.

Time frame: From first dose of study drug to 30 days after last dose, up to the study completion date of 10 July 2024 (up to 32.5 months)

Population: Safety Analysis Set

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Safety Run-InNumber of Participants Experiencing Adverse Events (AEs)Number of Participants with any TEAEs27 Participants
Safety Run-InNumber of Participants Experiencing Adverse Events (AEs)Number of Participants with any SAEs17 Participants
Renal Cell Carcinoma (RCC)Number of Participants Experiencing Adverse Events (AEs)Number of Participants with any SAEs11 Participants
Renal Cell Carcinoma (RCC)Number of Participants Experiencing Adverse Events (AEs)Number of Participants with any TEAEs22 Participants
Non-Small Cell Lung Cancer (NSCLC)Number of Participants Experiencing Adverse Events (AEs)Number of Participants with any TEAEs5 Participants
Non-Small Cell Lung Cancer (NSCLC)Number of Participants Experiencing Adverse Events (AEs)Number of Participants with any SAEs2 Participants
Gastric Cancer (GC)Number of Participants Experiencing Adverse Events (AEs)Number of Participants with any TEAEs3 Participants
Gastric Cancer (GC)Number of Participants Experiencing Adverse Events (AEs)Number of Participants with any SAEs2 Participants
Secondary

Overall Survival (OS)

OS was defined as the time from randomization to the documented date of death for participants who died on or before the data cutoff date. Median OS was calculated using the Kaplan-Meier method. Data for participants who were alive at the data cutoff date were censored at their last known alive date, defined as either the clinical cutoff date for those still on treatment or the most recent available date confirming they were alive, whichever occurred first.

Time frame: From the first dose up to the primary analysis data cut-off date of 10 October 2023 (maximum time on study was 24.7 months)

Population: Safety Analysis Set

ArmMeasureValue (MEDIAN)
Safety Run-InOverall Survival (OS)NA Month
Renal Cell Carcinoma (RCC)Overall Survival (OS)NA Month
Non-Small Cell Lung Cancer (NSCLC)Overall Survival (OS)NA Month
Gastric Cancer (GC)Overall Survival (OS)NA Month
Secondary

Progression Free Survival (PFS)

PFS was defined as the time from randomization to the first objectively documented disease progression as assessed by the investigator per Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1) or death from any cause, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method.

Time frame: From the first dose up to the primary analysis data cut-off date of 10 October 2023 (maximum time on study was 24.7 months)

Population: Safety analysis set

ArmMeasureValue (MEDIAN)
Safety Run-InProgression Free Survival (PFS)6.1 Months
Renal Cell Carcinoma (RCC)Progression Free Survival (PFS)15.4 Months
Non-Small Cell Lung Cancer (NSCLC)Progression Free Survival (PFS)6.0 Months
Gastric Cancer (GC)Progression Free Survival (PFS)NA Months

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