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A Study of Gimistotug (BGB-A445) in Combination With Other Investigational Agents in Participants With Non-Small Cell Lung Cancer

A Phase 2, Open-label, Randomized, Multi-arm Study of BGB-A445 in Combination With Investigational Agents in Non-Small Cell Lung Cancer Patients Previously Treated With Anti-PD-(L)1 Antibody

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06029127
Enrollment
35
Registered
2023-09-08
Start date
2023-10-23
Completion date
2024-12-31
Last updated
2026-01-05

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

Conditions

Non-Small Cell Lung Cancer

Keywords

PD-L1, NSCLC

Brief summary

The main objective of this study was to evaluate the anti-tumor activity of gimistotug (BGB-A445) plus investigational agents in participants with non-small cell lung cancer (NSCLC).

Detailed description

This study tested whether gimistotug in combination with other agents could help treat participants with non-small cell lung cancer (NSCLC) who were already treated with other anticancer agents, including anti-programmed cell death protein-1 (anti-PD-1) and anti-programmed cell death protein ligand-1 (anti-PD-L1) antibodies and platinum-based chemotherapy. The main goal of this study was to see if gimistotug could increase participant response to treatment, also called the overall response rate. Only a portion of patients with advanced solid tumors have a durable response to currently available treatments. This represents an unmet medical need to develop improved therapeutic options. Combining immunotherapies with agents having different mechanism of action might improve outcomes for these patients. This study was designed as a proof of concept to show that gimistotug-based combination treatment may be able to improve responses and clinical benefit in patients with NSCLC. Treatments in all cohorts was administered up to 36 cycles (approximately 2 years) until participants experienced no benefits, too many side effects, or withdrew consent.

Interventions

DRUGGimistotug

Administered intravenously

DRUGDocetaxel

75 milligrams per square meter (mg/m\^2) administered intravenously

Administered orally

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

* Advanced or metastatic NSCLC (nonsquamous or squamous) that is histologically or cytologically confirmed * Participants who have received no more than 2 lines of prior systemic therapies which must include anti-programmed cell death protein ligand-1 (anti-PD-(L)1) treatment and a platinum-based chemotherapy administered in combination with, or sequentially before or after the anti-PD-(L)1 treatment * At least 1 measurable lesion as defined per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 * Adequate organ function as indicated by laboratory values during screening

Exclusion criteria

* With mixed small cell lung cancer * Has received prior therapy targeting OX40 or any other T-cell agonists * Has received prior therapy containing docetaxel and/or ramucirumab for advanced or metastatic NSCLC * Has received any Chinese herbal medicine or Chinese patent medicines used to control cancer ≤ 14 days before the first dose of study drug(s) * Active leptomeningeal disease or uncontrolled and untreated brain metastasis NOTE: Other criteria may apply

Design outcomes

Primary

MeasureTime frameDescription
Overall Response RateResponse was assessed every 6 weeks for the first 9 months and every 12 weeks thereafter; maximum time on follow-up was up to 13.5 monthsOverall response rate (ORR) is defined as the percentage of participants with best overall response (BOR) of a confirmed complete response (CR) or partial response (PR) as assessed by the investigators per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v)1.1. CR is defined as: * Disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to \< 10 mm. * Disappearance of all nontarget lesions and normalization of tumor marker level. All lymph nodes must be nonpathological in size (\< 10 mm short axis). * No new lesions. PR is defined as: * At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. * Non-progressive disease with regard to non-target lesions, persistence of 1 or more nontarget lesion(s) and/or maintenance of tumor marker level above the normal limits. * No new lesions.

Secondary

MeasureTime frameDescription
Duration of Response (DOR)From first dose to the end of study; maximum time on follow-up was up to 13.5 months.DOR is defined as the time from the first determination of an objective response as assessed by the investigator per RECIST v1 until the first documentation of progression or death, whichever comes first. Median DOR was estimated using the Kaplan-Meier method.
Disease Control Rate (DCR)From first dose to the end of study; maximum time on follow-up was up to 13.5 monthsDCR is defined as the percentage of participants with BOR of a CR, PR, or stable disease. Stable disease is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, with no new lesions.
Clinical Benefit Rate (CBR)Assessed from first dose to the end of the study. Response was assessed every 6 weeks for the first 9 months and every 12 weeks thereafter; maximum time on follow-up was up to 13.5 monthsCBR is defined as the percentage of participants with BOR of a CR, PR, or stable disease lasting ≥ 24 weeks.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)From first dose of study drug to 30 days after last dose. Maximum time on treatment was 11.2 monthsAn adverse event is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study drug, whether considered related to study drug or not. An SAE is any untoward medical occurrence that, at any dose, meet any of the following criteria: * Results in death * Is life-threatening * Requires hospitalization or prolongation of existing hospitalization * Results in disability/incapacity * Is a congenital anomaly/birth defect * Is considered a significant medical AE by the investigator or the sponsor based on medical judgement
Plasma Concentrations of BGB-15025Cycle 1 Day 1 2 hours and 4-6 hours post-dose, Cycle 1 Day 8 pre-dose, Cycle 1 Day 15 pre-dose, Cycle 2 Day 1 pre-dose and 2 hours and 4-6 hours post-dose, Cycle 3 Day 1 pre-dose
Number of Participants With Anti-Drug Antibodies to GimistotugUp to 30 days following last dose. Maximum time on treatment was 11.2 months.
Serum Concentrations of GimistotugCycle 1 Day 1 0.5 hours post-dose, Cycle 2 Day 1 predose, Cycle 5 Day 1 pre- and 0.5 hours post-dose, Cycle 9 Day 1 Predose, End of Treatment visit (30 days after last dose)

Countries

China, South Korea

Participant flow

Participants by arm

ArmCount
Gimistotug + Docetaxel
Participants received gimistotug and docetaxel 75 mg/m\^2 both by intravenous infusion once every 3 weeks until disease progression, intolerable toxicity, withdrawal of informed consent, or other discontinuation criterion were met.
21
Gimistotug + BGB-15025
Participants received gimistotug by intravenous infusion once every 3 weeks and BGB-15025 orally once daily during each 3-week cycle until disease progression, intolerable toxicity, withdrawal of informed consent, or other discontinuation criterion were met.
14
Total35

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath127
Overall StudyDeclined Follow-Up Contact01
Overall StudyLost to Follow-up10
Overall StudyStudy Closed by Sponsor66
Overall StudyWithdrawal by Subject20

Baseline characteristics

CharacteristicGimistotug + DocetaxelGimistotug + BGB-15025Total
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
11 Participants4 Participants15 Participants
Age, Categorical
Between 18 and 65 years
10 Participants10 Participants20 Participants
Age, Continuous62.48 years
STANDARD_DEVIATION 8.892
61.36 years
STANDARD_DEVIATION 9.532
62.03 years
STANDARD_DEVIATION 9.031
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants14 Participants35 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
21 Participants14 Participants35 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
Region of Enrollment
China
21 participants14 participants35 participants
Sex: Female, Male
Female
5 Participants2 Participants7 Participants
Sex: Female, Male
Male
16 Participants12 Participants28 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
12 / 217 / 14
other
Total, other adverse events
20 / 2112 / 14
serious
Total, serious adverse events
8 / 211 / 14

Outcome results

Primary

Overall Response Rate

Overall response rate (ORR) is defined as the percentage of participants with best overall response (BOR) of a confirmed complete response (CR) or partial response (PR) as assessed by the investigators per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v)1.1. CR is defined as: * Disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to \< 10 mm. * Disappearance of all nontarget lesions and normalization of tumor marker level. All lymph nodes must be nonpathological in size (\< 10 mm short axis). * No new lesions. PR is defined as: * At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. * Non-progressive disease with regard to non-target lesions, persistence of 1 or more nontarget lesion(s) and/or maintenance of tumor marker level above the normal limits. * No new lesions.

Time frame: Response was assessed every 6 weeks for the first 9 months and every 12 weeks thereafter; maximum time on follow-up was up to 13.5 months

Population: The Intent-to-Treat population included all participants who were enrolled or randomized to a treatment cohort.

ArmMeasureValue (NUMBER)
Gimistotug + DocetaxelOverall Response Rate0.0 percentage of participants
Gimistotug + BGB-15025Overall Response Rate0.0 percentage of participants
Secondary

Clinical Benefit Rate (CBR)

CBR is defined as the percentage of participants with BOR of a CR, PR, or stable disease lasting ≥ 24 weeks.

Time frame: Assessed from first dose to the end of the study. Response was assessed every 6 weeks for the first 9 months and every 12 weeks thereafter; maximum time on follow-up was up to 13.5 months

Population: The Intent-to-Treat Analysis Set included all participants who were enrolled or randomized to a treatment cohort.

ArmMeasureValue (NUMBER)
Gimistotug + DocetaxelClinical Benefit Rate (CBR)19.0 percentage of participants
Gimistotug + BGB-15025Clinical Benefit Rate (CBR)0.0 percentage of participants
Secondary

Disease Control Rate (DCR)

DCR is defined as the percentage of participants with BOR of a CR, PR, or stable disease. Stable disease is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, with no new lesions.

Time frame: From first dose to the end of study; maximum time on follow-up was up to 13.5 months

Population: The Intent-to-Treat Analysis Set included all participants who were enrolled or randomized to a treatment cohort.

ArmMeasureValue (NUMBER)
Gimistotug + DocetaxelDisease Control Rate (DCR)71.4 percentage of participants
Gimistotug + BGB-15025Disease Control Rate (DCR)21.4 percentage of participants
Secondary

Duration of Response (DOR)

DOR is defined as the time from the first determination of an objective response as assessed by the investigator per RECIST v1 until the first documentation of progression or death, whichever comes first. Median DOR was estimated using the Kaplan-Meier method.

Time frame: From first dose to the end of study; maximum time on follow-up was up to 13.5 months.

Population: The Intent-to-Treat Analysis Set included all participants who were enrolled or randomized to a treatment cohort. Only responders were included in the analysis. No participants had a confirmed CR or PR.

Secondary

Number of Participants With Anti-Drug Antibodies to Gimistotug

Time frame: Up to 30 days following last dose. Maximum time on treatment was 11.2 months.

Population: The Anti-Drug Antibody Analysis Set included all participants who received the study drug and in whom both baseline anti-drug antibody and at least one postbaseline anti-drug antibody results are available.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Gimistotug + DocetaxelNumber of Participants With Anti-Drug Antibodies to Gimistotug2 Participants
Gimistotug + BGB-15025Number of Participants With Anti-Drug Antibodies to Gimistotug2 Participants
Secondary

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

An adverse event is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study drug, whether considered related to study drug or not. An SAE is any untoward medical occurrence that, at any dose, meet any of the following criteria: * Results in death * Is life-threatening * Requires hospitalization or prolongation of existing hospitalization * Results in disability/incapacity * Is a congenital anomaly/birth defect * Is considered a significant medical AE by the investigator or the sponsor based on medical judgement

Time frame: From first dose of study drug to 30 days after last dose. Maximum time on treatment was 11.2 months

Population: The Safety Analysis Set included all participants who were enrolled or randomized and received any dose of any study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Gimistotug + DocetaxelNumber of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Number of Participants Experiencing TEAEs20 Participants
Gimistotug + DocetaxelNumber of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Number of Participants Experiencing SAEs8 Participants
Gimistotug + BGB-15025Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Number of Participants Experiencing TEAEs12 Participants
Gimistotug + BGB-15025Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Number of Participants Experiencing SAEs1 Participants
Secondary

Plasma Concentrations of BGB-15025

Time frame: Cycle 1 Day 1 2 hours and 4-6 hours post-dose, Cycle 1 Day 8 pre-dose, Cycle 1 Day 15 pre-dose, Cycle 2 Day 1 pre-dose and 2 hours and 4-6 hours post-dose, Cycle 3 Day 1 pre-dose

Population: The Pharmacokinetic Analysis Set included all participants who received any dose of study drug and for whom the valid pharmacokinetic parameters can be estimated.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Gimistotug + DocetaxelPlasma Concentrations of BGB-15025Cycle 1 Day 1 Postdose 2 Hours0.36 µg/mLGeometric Coefficient of Variation 214
Gimistotug + DocetaxelPlasma Concentrations of BGB-15025Cycle 1 Day 1 Postdose 4-6 Hours0.49 µg/mLGeometric Coefficient of Variation 47
Gimistotug + DocetaxelPlasma Concentrations of BGB-15025Cycle 1 Day 8 Predose0.29 µg/mLGeometric Coefficient of Variation 50
Gimistotug + DocetaxelPlasma Concentrations of BGB-15025Cycle 1 Day 15 Predose0.25 µg/mLGeometric Coefficient of Variation 61
Gimistotug + DocetaxelPlasma Concentrations of BGB-15025Cycle 2 Day 1 Predose0.18 µg/mLGeometric Coefficient of Variation 132
Gimistotug + DocetaxelPlasma Concentrations of BGB-15025Cycle 2 Day 1 Postdose 2 Hours0.47 µg/mLGeometric Coefficient of Variation 38
Gimistotug + DocetaxelPlasma Concentrations of BGB-15025Cycle 2 Day 1 Postdose 4-6 Hours0.59 µg/mLGeometric Coefficient of Variation 30
Gimistotug + DocetaxelPlasma Concentrations of BGB-15025Cycle 3 Day 1 Predose0.30 µg/mLGeometric Coefficient of Variation 27
Secondary

Serum Concentrations of Gimistotug

Time frame: Cycle 1 Day 1 0.5 hours post-dose, Cycle 2 Day 1 predose, Cycle 5 Day 1 pre- and 0.5 hours post-dose, Cycle 9 Day 1 Predose, End of Treatment visit (30 days after last dose)

Population: The Pharmacokinetic Analysis Set included all participants who received any dose of study drug and for whom the valid study drug pharmacokinetic parameters could be estimated. Results included participants with data available at each time point.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Gimistotug + DocetaxelSerum Concentrations of GimistotugCycle 5 Day 1 Postdose 0.5 Hours1027.57 µg/mLGeometric Coefficient of Variation 45
Gimistotug + DocetaxelSerum Concentrations of GimistotugCycle 5 Day 1 Predose163.77 µg/mLGeometric Coefficient of Variation 113
Gimistotug + DocetaxelSerum Concentrations of GimistotugCycle 9 Day 1 Predose244.00 µg/mL
Gimistotug + DocetaxelSerum Concentrations of GimistotugEnd of Treatment Visit109.90 µg/mLGeometric Coefficient of Variation 106
Gimistotug + DocetaxelSerum Concentrations of GimistotugCycle 1 Day 1 Postdose 0.5 Hours737.95 µg/mLGeometric Coefficient of Variation 54
Gimistotug + DocetaxelSerum Concentrations of GimistotugCycle 2 Day 1 Predose99.84 µg/mLGeometric Coefficient of Variation 57
Gimistotug + BGB-15025Serum Concentrations of GimistotugEnd of Treatment Visit176.79 µg/mLGeometric Coefficient of Variation 23
Gimistotug + BGB-15025Serum Concentrations of GimistotugCycle 1 Day 1 Postdose 0.5 Hours846.58 µg/mLGeometric Coefficient of Variation 18
Gimistotug + BGB-15025Serum Concentrations of GimistotugCycle 2 Day 1 Predose105.90 µg/mLGeometric Coefficient of Variation 100
Gimistotug + BGB-15025Serum Concentrations of GimistotugCycle 5 Day 1 Predose222.92 µg/mLGeometric Coefficient of Variation 4
Gimistotug + BGB-15025Serum Concentrations of GimistotugCycle 5 Day 1 Postdose 0.5 Hours935.41 µg/mLGeometric Coefficient of Variation 9

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026