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NCT03594747

A Study of Tislelizumab in Combination With Chemotherapy Versus Chemotherapy in Advanced Lung Cancer

Completed Phase 3 Results posted Last updated 26 October 2024
What this trial tests

Phase 3 trial testing Tislelizumab in Non-Small Cell Lung Cancer in 360 participants. Completed in 28 April 2023.

Timeline
30 July 2018
Primary endpoint
30 September 2020
28 April 2023

Quick facts

Lead sponsorBeiGene
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment360
Start date30 July 2018
Primary completion30 September 2020
Estimated completion28 April 2023
Sites43 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

BeiGene — full company profile →

Who can join

Adults 18 to 75, any sex, with Non-Small Cell Lung Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Progression Free Survival (PFS) by Independent Review Committee (IRC) Assessment as of Data Cut-off Date of 06DEC2019 Primary · Through primary analysis data cut-off date of 06DEC2019 (up to approximately 1 year and 4 months)

PFS is defined as the time from randomization until first documentation of disease progression as assessed by the IRC per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or death from any cause, whichever occurs first

GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin7.65.95 – 9.79
Tislelizumab + Nab-paclitaxel + Carboplatin7.65.75 – 11.01
Paclitaxel + Carboplatin5.54.21 – 5.65
PFS by IRC Assessment as of Data Cut-off Date of 30SEP2020 Primary · Through primary analysis data cut-off date of 30SEP2020 (up to approximately 2 years and 2 months)

PFS is defined as the time from randomization until first documentation of disease progression as assessed by the IRC per RECIST v1.1 or death from any cause, whichever occurs first

GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin7.76.74 – 10.41
Tislelizumab + Nab-paclitaxel + Carboplatin9.67.39 – 10.78
Paclitaxel + Carboplatin5.54.21 – 5.59
Overall Survival (OS) Secondary · Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)

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

GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin26.118.99 – 33.81
Tislelizumab + Nab-paclitaxel + Carboplatin23.318.76 – 26.38
Paclitaxel + Carboplatin19.415.97 – 23.43
Objective Response Rate (ORR) by IRC Assessment Secondary · Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)

ORR is defined as the percentage of participants with complete response (CR) and partial response (PR), as assessed by the IRC using RECIST v1.1.

GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin74.265.4 – 81.7
Tislelizumab + Nab-paclitaxel + Carboplatin73.965.1 – 81.6
Paclitaxel + Carboplatin47.938.8 – 57.2
ORR by Investigator Assessment Secondary · Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)

ORR is defined as the percentage of participants with complete response (CR) and partial response (PR), as assessed by the investigator using RECIST v1.1.

GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin70.061.0 – 78.0
Tislelizumab + Nab-paclitaxel + Carboplatin78.269.6 – 85.2
Paclitaxel + Carboplatin49.640.4 – 58.8
Duration of Response (DOR) by IRC Assessment Secondary · Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)

DOR is defined as the time from the first occurrence of a documented objective response to the time of documented disease progression assessed by the IRC using RECIST v1.1, or death from any cause, whichever comes first, in all randomized participants with documented objective responses. Data are based on number of responders.

GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin8.45.03 – 18.69
Tislelizumab + Nab-paclitaxel + Carboplatin8.67.13 – 12.48
Paclitaxel + Carboplatin4.32.86 – 5.42
DOR by Investigator Assessment Secondary · Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)

DOR is defined as the time from the first occurrence of a documented objective response to the time of documented disease progression assessed by the investigator using RECIST v1.1, or death from any cause, whichever comes first, in all randomized participants with documented objective responses. Data are based on number of responders.

GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin10.67.03 – 16.23
Tislelizumab + Nab-paclitaxel + Carboplatin8.88.05 – 11.93
Paclitaxel + Carboplatin4.82.86 – 6.11
PFS by Investigator Assessment Secondary · Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)

PFS is defined as the time from randomization until first documentation of disease progression as assessed by the investigator per RECIST v1.1 or death from any cause, whichever occurs first

GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin9.67.62 – 11.76
Tislelizumab + Nab-paclitaxel + Carboplatin9.88.57 – 11.86
Paclitaxel + Carboplatin5.54.17 – 5.65
PFS by IRC Based on Programmed Death Ligand 1 (PD-L1) Expression Secondary · Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)

PFS is defined as the time from randomization until first documentation of disease progression as assessed by the IRC per RECIST v1.1 or death from any cause, whichever occurs first, based on PD-L1 expression in tumor cells

PD-L Expression (<1%)
GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin7.65.5 – 14.5
Tislelizumab + Nab-paclitaxel + Carboplatin7.65.4 – 9.9
Paclitaxel + Carboplatin5.54.2 – 7.0
PD-L Expression (1% to 49%)
GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin9.95.5 – 22.7
Tislelizumab + Nab-paclitaxel + Carboplatin9.87.6 – 12.0
Paclitaxel + Carboplatin5.02.8 – 6.5
PD-L Expression (≥ 50%)
GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin7.75.9 – 9.8
Tislelizumab + Nab-paclitaxel + Carboplatin9.75.6 – 30.9
Paclitaxel + Carboplatin5.54.1 – 5.6
European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13) Secondary · Baseline to Cycle 5; each cycle is 21 days

Least squares mean change from baseline in EORTC QLQ-CL13 scores for chest pain, coughing, and dyspnea between tislelizumab arms and paclitaxel + carboplatin arm. The EORTC QLQ-LC13 is a questionnaire that measures lung cancer-specific disease and treatment symptoms. It includes questions about specific symptoms in which participants respond based on a 4-point scale, where 1 is "not at all" and 4 is "very much". Raw scores are transformed into a 0 to 100 scale via linear transformation. A lower score indicates an improvement in symptoms.

Chest pain
GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin0.4-5.0 – 5.9
Tislelizumab + Nab-paclitaxel + Carboplatin-0.4-5.9 – 5.1
Coughing
GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin-7.0-14.3 – 0.2
Tislelizumab + Nab-paclitaxel + Carboplatin-0.4-7.7 – 6.8
Dyspnea
GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin-2.7-6.9 – 1.6
Tislelizumab + Nab-paclitaxel + Carboplatin-1.0-5.3 – 3.3
European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status Secondary · Baseline to Cycle 5; each cycle is 21 days

Least squares mean change from baseline in EORTC QLQ-C30 Global Health Status/Quality of Life score between tislelizumab arms and paclitaxel + carboplatin arm. The EORTC QLQ-C30 v3.0 is a questionnaire that assesses quality of life of cancer patients. It includes global health status and quality of life questions related to overall health in which participants respond based on a 7-point scale, where 1 is very poor and 7 is excellent. Raw scores are transformed into a 0 to 100 scale via linear transformation. A higher score indicates better health outcomes.

GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin2.4-3.4 – 8.2
Tislelizumab + Nab-paclitaxel + Carboplatin3.3-2.5 – 9.2
Number of Participants With Adverse Events Secondary · From first dose to 30 days after the last dose (up to approximately 4 years and 9 months)

Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), which includes laboratory tests, physical exams, electrocardiogram results and vital signs, according to National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0

At least 1 TEAE
GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin120
Tislelizumab + Nab-paclitaxel + Carboplatin117
Paclitaxel + Carboplatin117
At least 1 SAE
GroupValue95% CI
Tislelizumab + Paclitaxel + Carboplatin56
Tislelizumab + Nab-paclitaxel + Carboplatin55
Paclitaxel + Carboplatin29

Adverse events — posted to ClinicalTrials.gov

Time frame: From the first dose up to 30 days after the last dose of study drug, up to approximately 4 years and 9 months. Reporting threshold: 3%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Tislelizumab + Paclitaxel + Carboplatin
Serious: 56/120 (47%)
Deaths: 78/120
Tislelizumab + Nab-Paclitaxel + Carboplatin
Serious: 55/118 (47%)
Deaths: 86/119
Paclitaxel + Carboplatin
Serious: 29/117 (25%)
Deaths: 87/121

Serious adverse events (95 terms)

ReactionSystemTislelizumab + Paclitaxel …Tislelizumab + Nab-Paclita…Paclitaxel + Carboplatin
PneumoniaInfections and infestations
PneumonitisRespiratory, thoracic and mediastinal disorders
Febrile neutropeniaBlood and lymphatic system disorders
Neutrophil count decreasedInvestigations
HaemoptysisRespiratory, thoracic and mediastinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
MyelosuppressionBlood and lymphatic system disorders
DeathGeneral disorders
MalaiseGeneral disorders
PyrexiaGeneral disorders
Septic shockInfections and infestations
Urinary tract infectionInfections and infestations
Aspartate aminotransferase increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
Platelet count decreasedInvestigations
White blood cell count decreasedInvestigations
Cerebral infarctionNervous system disorders
Immune-mediated lung diseaseRespiratory, thoracic and mediastinal disorders
Interstitial lung diseaseRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
HypofibrinogenaemiaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
Splenic haemorrhageBlood and lymphatic system disorders
Other adverse events (126 terms — click to expand)

ReactionSystemTislelizumab + Paclitaxel …Tislelizumab + Nab-Paclita…Paclitaxel + Carboplatin
AnaemiaBlood and lymphatic system disorders
AlopeciaSkin and subcutaneous tissue disorders
Neutrophil count decreasedInvestigations
White blood cell count decreasedInvestigations
LeukopeniaBlood and lymphatic system disorders
Alanine aminotransferase increasedInvestigations
NeutropeniaBlood and lymphatic system disorders
Decreased appetiteMetabolism and nutrition disorders
NauseaGastrointestinal disorders
Platelet count decreasedInvestigations
Aspartate aminotransferase increasedInvestigations
ThrombocytopeniaBlood and lymphatic system disorders
Pain in extremityMusculoskeletal and connective tissue disorders
ConstipationGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
HypoalbuminaemiaMetabolism and nutrition disorders
Blood bilirubin increasedInvestigations
AstheniaGeneral disorders
VomitingGastrointestinal disorders
HyponatraemiaMetabolism and nutrition disorders
RashSkin and subcutaneous tissue disorders
HypokalaemiaMetabolism and nutrition disorders
HypoaesthesiaNervous system disorders
PyrexiaGeneral disorders
DiarrhoeaGastrointestinal disorders
Lymphocyte count decreasedInvestigations
Blood lactate dehydrogenase increasedInvestigations
MalaiseGeneral disorders
Blood creatine phosphokinase increasedInvestigations
HyperglycaemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
Gamma-glutamyltransferase increasedInvestigations
Upper respiratory tract infectionInfections and infestations
Blood alkaline phosphatase increasedInvestigations
Back painMusculoskeletal and connective tissue disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
HypothyroidismEndocrine disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HyperuricaemiaMetabolism and nutrition disorders
Weight decreasedInvestigations

Most-reported serious reactions: Pneumonia, Pneumonitis, Febrile neutropenia, Neutrophil count decreased, Haemoptysis, Thrombocytopenia, Anaemia, Leukopenia.

Data from ClinicalTrials.gov NCT03594747 adverse events section.

Sponsor's own description

An open-label, randomized, multicenter Phase 3 study designed to compare the efficacy and safety of tislelizumab combined with chemotherapy versus chemotherapy only as first-line treatment in advanced squamous non-small cell lung cancer (NSCLC).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Combination strategies with PD-1/PD-L1 blockade: current advances and future directions.
    Yi M, Zheng X, Niu M, Zhu S, et al · · 2022 · cited 1018× · PMID 35062949 · DOI 10.1186/s12943-021-01489-2
  2. Non-small cell lung cancer in China.
    Chen P, Liu Y, Wen Y, Zhou C. · · 2022 · cited 479× · PMID 36075878 · DOI 10.1002/cac2.12359
  3. Antibodies to watch in 2020.
    Kaplon H, Muralidharan M, Schneider Z, Reichert JM. · · 2020 · cited 332× · PMID 31847708 · DOI 10.1080/19420862.2019.1703531
  4. Tislelizumab Plus Chemotherapy vs Chemotherapy Alone as First-line Treatment for Advanced Squamous Non-Small-Cell Lung Cancer: A Phase 3 Randomized Clinical Trial.
    Wang J, Lu S, Yu X, Hu Y, et al · · 2021 · cited 312× · PMID 33792623 · DOI 10.1001/jamaoncol.2021.0366
  5. Antibodies to watch in 2022.
    Kaplon H, Chenoweth A, Crescioli S, Reichert JM. · · 2022 · cited 245× · PMID 35030985 · DOI 10.1080/19420862.2021.2014296
  6. Antibodies to watch in 2023.
    Kaplon H, Crescioli S, Chenoweth A, Visweswaraiah J, et al · · 2023 · cited 204× · PMID 36472472 · DOI 10.1080/19420862.2022.2153410
  7. Reshaping the systemic tumor immune environment (STIE) and tumor immune microenvironment (TIME) to enhance immunotherapy efficacy in solid tumors.
    Xu L, Zou C, Zhang S, Chu TSM, et al · · 2022 · cited 131× · PMID 35799264 · DOI 10.1186/s13045-022-01307-2
  8. Signaling pathways and targeted therapies in lung squamous cell carcinoma: mechanisms and clinical trials.
    Niu Z, Jin R, Zhang Y, Li H. · · 2022 · cited 127× · PMID 36198685 · DOI 10.1038/s41392-022-01200-x

Verify or expand the search:

Other trials of Tislelizumab

Trials testing the same drug.

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Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03594747.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing