The Safety, Pharmacokinetics and Antitumor Activity of BGB-A317 in Combination With BGB-290 in Participants With Advanced Solid Tumors
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ClinicalTrials.gov Identifier: NCT02660034 |
Recruitment Status :
Completed
First Posted : January 21, 2016
Results First Posted : December 6, 2021
Last Update Posted : December 6, 2021
|
Sponsor:
BeiGene
Collaborator:
Myriad Genetic Laboratories, Inc.
Information provided by (Responsible Party):
BeiGene
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Study Type | Interventional |
---|---|
Study Design | Allocation: Non-Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Solid Tumors |
Interventions |
Biological: Tislelizumab Drug: Pamiparib |
Enrollment | 229 |
Participant Flow
Recruitment Details | Part A: A total of 49 participants with advanced solid tumors were enrolled in Part A of the study (dose escalation phase) at a total of 5 sites or community oncology centers in Australia. Part B: A total of 180 participants with advanced solid tumors were enrolled in Part B of the study (dose expansion phase). |
Pre-assignment Details |
Arm/Group Title | Part A: Dose Escalation Phase - Cohort 1 | Part A: Dose Escalation Phase - Cohort 2 | Part A: Dose Escalation Phase - Cohort 3 | Part A: Dose Escalation Phase - Cohort 4 | Part A: Dose Escalation Phase - Cohort 5 | Part B: Dose Expansion Phase - Arm 1a | Part B: Dose Expansion Phase - Arm 1b | Part B: Dose Expansion Phase - Arm 2 | Part B: Dose Expansion Phase - Arm 3 | Part B: Dose Expansion Phase - Arm 4 | Part B: Dose Expansion Phase - Arm 5 | Part B: Dose Expansion Phase - Arm 6 | Part B: Dose Expansion Phase - Arm 7 | Part B: Dose Expansion Phase - Arm 8 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants received tislelizumab (2 milligrams/kilogram [mg/kg] once every 3 weeks [Q3W] intravenously [IV]) with pamiparib (20 mg twice daily) (dose escalation) until determination of the maximum tolerated dose/recommended Phase 2 dose (MTD/RP2D). | Participants received tislelizumab (2 mg/kg Q3W IV) with pamiparib (40 mg twice daily) (dose escalation) until determination of the MTD/RP2D. | Participants received tislelizumab (2 mg/kg Q3W IV) with pamiparib (60 mg twice daily) (dose escalation) until determination of the MTD/RP2D. | Participants received tislelizumab (200 mg/kg Q3W IV) with pamiparib (40 mg twice daily) (dose escalation) until determination of the MTD/RP2D. | Participants received tislelizumab (200 mg/kg Q3W IV) with pamiparib (60 mg twice daily) (dose escalation) until determination of the MTD/RP2D. | Participants with relapsed, platinum-sensitive, high-grade epithelial, non-mucinous, ovarian cancer, fallopian tube, or primary peritoneal cancer (EOC) with either known germline or somatic breast cancer susceptibility gene 1/2 (BRCA1/2) mutations or with homologous recombination deficiency (HRD) received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. | Participants with relapsed, platinum-sensitive, high-grade EOC without either known germline or somatic BRCA1/2 mutations and without known HRD received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. Participants must have received at least 2 prior lines of platinum-containing chemotherapy. | Participants with triple negative breast cancer (TNBC) with either known germline or somatic BRCA1/2 mutations or with documented HRD received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. Participants could have been treated with at least 1 but no more than 3 prior lines of treatment. | Participants with metastatic castration-resistant prostate cancer (mCRPC) with either known germline or somatic BRCA1/2 mutations or with documented HRD received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. Chemotherapy-naïve participants must have received prior abiraterone acetate or enzalutamide treatment. | Participants with extensive-stage disease small cell lung cancer (SCLC) treated with at least 1 but no more than 2 prior lines of treatment, at least 1 must have included a platinum agent, received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. | Participants with human epidermal growth factor receptor-2 (HER2)-negative gastric or gastroesophageal junction cancer received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. Participants with HER2-negative disease could be treated with at least 1 but no more than 2 prior lines of treatment. | Participants with locally advanced or metastatic urothelial (muscle invasive bladder, ureter, urethra, or renal pelvis) cancer treated with at least 1 but no more than 2 prior lines of treatment, including a prior platinum-containing chemotherapy, received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. | Participants with advanced or metastatic pancreatic adenocarcinoma treated with at least 1 but no more than 2 prior lines of therapy received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. At least 1 prior treatment for advanced or metastatic disease must have contained a platinum agent. Any potential participant with a known deleterious germline or somatic BRCA was eligible even if platinum naïve. | Participants who were expected to benefit from the combination of a poly (ADP-ribose) polymerase (PARP) inhibitor and a programmed cell death 1 (PD-1) inhibitor received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. This arm included participants with recurrent non-ovarian gynecological cancers (endometrial cancer, cancer of the cervix, and participants with tumors known to be mismatch repair [MMR] deficient or HRD positive) that were not eligible for inclusion in any other arms of the study. This was an exploratory signal seeking arm. |
Period Title: Overall Study | ||||||||||||||
Started | 12 | 12 | 6 | 13 | 6 | 23 | 23 | 19 | 20 | 23 | 20 | 21 | 21 | 10 |
Received At Least 1 Dose of Study Drug(s) [1] | 12 | 12 | 6 | 13 | 6 | 23 | 23 | 19 | 20 | 23 | 20 | 21 | 21 | 10 |
Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Not Completed | 12 | 12 | 6 | 13 | 6 | 23 | 23 | 19 | 20 | 23 | 20 | 21 | 21 | 10 |
Reason Not Completed | ||||||||||||||
Progressive Disease (Radiographic) | 3 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Progressive Disease (Clinical) | 7 | 8 | 3 | 9 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Lost to Follow-up | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 |
Participant moved into special access scheme | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Adverse Event | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Sponsor Decision | 0 | 1 | 2 | 2 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Withdrawal by Subject | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 1 | 2 | 0 |
Death | 0 | 0 | 0 | 0 | 0 | 13 | 14 | 10 | 9 | 21 | 17 | 15 | 18 | 7 |
Physician Decision | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Participants transferred to LTE | 0 | 0 | 0 | 0 | 0 | 10 | 8 | 8 | 10 | 1 | 2 | 4 | 1 | 1 |
[1]
Safety Analysis Set
|
Baseline Characteristics
Arm/Group Title | Part A: Dose Escalation Phase - Cohort 1 | Part A: Dose Escalation Phase - Cohort 2 | Part A: Dose Escalation Phase - Cohort 3 | Part A: Dose Escalation Phase - Cohort 4 | Part A: Dose Escalation Phase - Cohort 5 | Part B: Dose Expansion Phase - Arm 1a | Part B: Dose Expansion Phase - Arm 1b | Part B: Dose Expansion Phase - Arm 2 | Part B: Dose Expansion Phase - Arm 3 | Part B: Dose Expansion Phase - Arm 4 | Part B: Dose Expansion Phase - Arm 5 | Part B: Dose Expansion Phase - Arm 6 | Part B: Dose Expansion Phase - Arm 7 | Part B: Dose Expansion Phase - Arm 8 | Total | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants received tislelizumab (2 mg/kg Q3W IV) with pamiparib (20 mg twice daily) (dose escalation) until determination of the MTD/RP2D. | Participants received tislelizumab (2 mg/kg Q3W IV) with pamiparib (40 mg twice daily) (dose escalation) until determination of the MTD/RP2D. | Participants received tislelizumab (2 mg/kg Q3W IV) with pamiparib (60 mg twice daily) (dose escalation) until determination of the MTD/RP2D. | Participants received tislelizumab (200 mg/kg Q3W IV) with pamiparib (40 mg twice daily) (dose escalation) until determination of the MTD/RP2D. | Participants received tislelizumab (200 mg/kg Q3W IV) with pamiparib (60 mg twice daily) (dose escalation) until determination of the MTD/RP2D. | Participants with relapsed, platinum-sensitive, high-grade EOC with either known BRCA1/2 mutations or with HRD received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. | Participants with relapsed, platinum-sensitive, high-grade EOC without either known germline or somatic BRCA1/2 mutations and without known HRD received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. Participants must have received at least 2 prior lines of platinum-containing chemotherapy. | Participants with TNBC with either known germline or somatic BRCA1/2 mutations or with documented HRD received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. Participants could have been treated with at least 1 but no more than 3 prior lines of treatment. | Participants with mCRPC with either known germline or somatic BRCA1/2 mutations or with documented HRD received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. Chemotherapy-naïve participants must have received prior abiraterone acetate or enzalutamide treatment. | Participants with extensive-stage disease SCLC treated with at least 1 but no more than 2 prior lines of treatment, at least 1 must have included a platinum agent, received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. | Participants with HER2-negative gastric or gastroesophageal junction cancer received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. Participants with HER2-negative disease could be treated with at least 1 but no more than 2 prior lines of treatment. | Participants with locally advanced or metastatic urothelial (muscle invasive bladder, ureter, urethra, or renal pelvis) cancer treated with at least 1 but no more than 2 prior lines of treatment, including a prior platinum-containing chemotherapy, received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. | Participants with advanced or metastatic pancreatic adenocarcinoma treated with at least 1 but no more than 2 prior lines of therapy received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. At least 1 prior treatment for advanced or metastatic disease must have contained a platinum agent. Any potential participant with a known deleterious germline or somatic BRCA was eligible even if platinum naïve. | Participants who were expected to benefit from the combination of a PARP inhibitor and a PD-1 inhibitor received tislelizumab 200 mg IV Q3W + pamiparib 40 mg orally twice daily. This arm included participants with recurrent non-ovarian gynecological cancers (endometrial cancer, cancer of the cervix, and participants with tumors known to be MMR deficient or HRD positive) that were not eligible for inclusion in any other arms of the study. This was an exploratory signal seeking arm. | Total of all reporting groups | |
Overall Number of Baseline Participants | 12 | 12 | 6 | 13 | 6 | 23 | 23 | 19 | 20 | 23 | 20 | 21 | 21 | 10 | 229 | |
Baseline Analysis Population Description |
Safety Analysis Set: all participants who received at least 1 dose of tislelizumab and/or pamiparib.
|
|||||||||||||||
Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
||||||||||||||||
Number Analyzed | 12 participants | 12 participants | 6 participants | 13 participants | 6 participants | 23 participants | 23 participants | 19 participants | 20 participants | 23 participants | 20 participants | 21 participants | 21 participants | 10 participants | 229 participants | |
61.9 (9.39) | 58.6 (9.52) | 54.5 (11.27) | 61.8 (11.42) | 64.3 (5.96) | 59.5 (10.71) | 69.1 (8.68) | 50.4 (12.41) | 68.0 (8.89) | 64.2 (9.87) | 58.5 (13.71) | 68.9 (10.45) | 63.3 (9.11) | 60.1 (16.20) | 62.3 (11.7) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||||||||
Number Analyzed | 12 participants | 12 participants | 6 participants | 13 participants | 6 participants | 23 participants | 23 participants | 19 participants | 20 participants | 23 participants | 20 participants | 21 participants | 21 participants | 10 participants | 229 participants | |
Female |
9 75.0%
|
11 91.7%
|
5 83.3%
|
12 92.3%
|
5 83.3%
|
23 100.0%
|
23 100.0%
|
19 100.0%
|
0 0.0%
|
10 43.5%
|
3 15.0%
|
6 28.6%
|
9 42.9%
|
5 50.0%
|
140 61.1%
|
|
Male |
3 25.0%
|
1 8.3%
|
1 16.7%
|
1 7.7%
|
1 16.7%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
20 100.0%
|
13 56.5%
|
17 85.0%
|
15 71.4%
|
12 57.1%
|
5 50.0%
|
89 38.9%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||||||||
Number Analyzed | 12 participants | 12 participants | 6 participants | 13 participants | 6 participants | 23 participants | 23 participants | 19 participants | 20 participants | 23 participants | 20 participants | 21 participants | 21 participants | 10 participants | 229 participants | |
Hispanic or Latino |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 4.3%
|
1 4.3%
|
2 10.5%
|
1 5.0%
|
0 0.0%
|
1 5.0%
|
1 4.8%
|
0 0.0%
|
0 0.0%
|
7 3.1%
|
|
Not Hispanic or Latino |
12 100.0%
|
12 100.0%
|
6 100.0%
|
13 100.0%
|
6 100.0%
|
22 95.7%
|
22 95.7%
|
16 84.2%
|
18 90.0%
|
21 91.3%
|
17 85.0%
|
17 81.0%
|
19 90.5%
|
9 90.0%
|
210 91.7%
|
|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 5.3%
|
1 5.0%
|
2 8.7%
|
2 10.0%
|
3 14.3%
|
2 9.5%
|
1 10.0%
|
12 5.2%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||||||||
Number Analyzed | 12 participants | 12 participants | 6 participants | 13 participants | 6 participants | 23 participants | 23 participants | 19 participants | 20 participants | 23 participants | 20 participants | 21 participants | 21 participants | 10 participants | 229 participants | |
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Asian |
2 16.7%
|
0 0.0%
|
1 16.7%
|
2 15.4%
|
0 0.0%
|
2 8.7%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
2 8.7%
|
1 5.0%
|
0 0.0%
|
0 0.0%
|
2 20.0%
|
12 5.2%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 4.3%
|
0 0.0%
|
0 0.0%
|
1 5.0%
|
1 4.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
3 1.3%
|
|
Black or African American |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 5.0%
|
0 0.0%
|
2 9.5%
|
0 0.0%
|
3 1.3%
|
|
White |
10 83.3%
|
12 100.0%
|
5 83.3%
|
11 84.6%
|
6 100.0%
|
20 87.0%
|
23 100.0%
|
17 89.5%
|
18 90.0%
|
18 78.3%
|
16 80.0%
|
18 85.7%
|
19 90.5%
|
8 80.0%
|
201 87.8%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
2 10.5%
|
1 5.0%
|
2 8.7%
|
2 10.0%
|
3 14.3%
|
0 0.0%
|
0 0.0%
|
10 4.4%
|
Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
BeiGene has 18 months from the end of the study at all sites to publish overall study results. After the 1st multi-site publication or the expiration of publication period, Investigators are free to publish/present the results of the study. Investigators must submit all draft publications/presentations to us for review 60 days prior to the planned publication/presentation date. BeiGene may request deletion of its confidential information & may request a further delay to protect its IP rights.
Results Point of Contact
Name/Title: | Study Director |
Organization: | BeiGene |
Phone: | +1-877-828-5568 |
EMail: | clinicaltrials@beigene.com |
Responsible Party: | BeiGene |
ClinicalTrials.gov Identifier: | NCT02660034 |
Other Study ID Numbers: |
BGB-A317/BGB-290_Study_001 2017-003580-35 ( EudraCT Number ) |
First Submitted: | January 11, 2016 |
First Posted: | January 21, 2016 |
Results First Submitted: | September 7, 2021 |
Results First Posted: | December 6, 2021 |
Last Update Posted: | December 6, 2021 |