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NCT04068519

Study Investigating Safety, Tolerability, Pharmacokinetics (PK) and Antitumor Activities of Anti-PD-1 (Programmed Death-1) Monoclonal Antibody

Completed Phase 1, PHASE2 Results posted Last updated 26 October 2024
What this trial tests

Phase 1, PHASE2 trial testing Tislelizumab in Advanced Solid Tumors in 300 participants. Completed in 31 May 2020.

Timeline
28 December 2016
Primary endpoint
1 December 2018
31 May 2020

Quick facts

Lead sponsorBeiGene
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment300
Start date28 December 2016
Primary completion1 December 2018
Estimated completion31 May 2020
Sites12 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

BeiGene — full company profile →

Who can join

18 and older, any sex, with Advanced Solid Tumors. 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.

Dose Verification and PK Sub-study: Number Participants With Adverse Events Primary · Up to approximately 23 months

Number of participants with adverse events (AEs) and serious adverse events (SAEs), as defined per NCI-CTCAE Version 4.03, including physical examination, electrocardiograms and laboratory assessments

At least one treatment-emergent adverse event (TEAE)
GroupValue95% CI
Dose Verification20
PK Sub-study54
TEAE Grade 3 of higher
GroupValue95% CI
Dose Verification9
PK Sub-study21
Serious adverse event
GroupValue95% CI
Dose Verification4
PK Sub-study14
Dose Verification: Recommended Dose of Tislelizumab Primary · Up to approximately 23 months

Recommended dose of tislelizumab for indication cohorts based on safety and tolerability

GroupValue95% CI
Dose Verification200
PK Sub-study: Area Under the Concentration-time Curve From Time 0 to Infinity (AUC0-inf) of Tislelizumab From Two Manufacturing Processes and Scales Primary · Predose, end of infusion, 3 hours, 6 hours on Day 1, Day 2, Day 4, Day 8, Day 15, Day 22, and Day 29 predose

Pharmacokinetics from products derived from two manufacturing scales at 500 liter and 2000 liter final manufacturing process (FMP) were evaluated

500L-FMP
GroupValue95% CI
PK Sub-study1113.9997.6 – 1244
2000L-FMP
GroupValue95% CI
PK Sub-study1108985.2 – 1246
PK Sub-study: Area Under the Concentration-time Curve From Time 0 to 28 Days Postdose (AUC0-28d) of Tislelizumab From Two Manufacturing Processes and Scales Primary · Predose, end of infusion, 3 hours, 6 hours on Day 1, Day 2, Day 4, Day 8, Day 15, Day 22, and Day 29 predose

Pharmacokinetics from products derived from two manufacturing scales at 500 liter and 2000 liter final manufacturing process (FMP) were evaluated

500L-FMP
GroupValue95% CI
PK Sub-study810.2746.0 – 879.9
2000L-FMP
GroupValue95% CI
PK Sub-study801.7740.8 – 867.5
PK Sub-study: Maximum Observed Concentration (Cmax) of Tislelizumab From Two Manufacturing Processes and Scales Primary · Predose, end of infusion, 3 hours, 6 hours on Day 1, Day 2, Day 4, Day 8, Day 15, Day 22, and Day 29 predose

Pharmacokinetics from products derived from two manufacturing scales at 500 liter and 2000 liter FMP were evaluated

500L-FMP
GroupValue95% CI
PK Sub-study77.373.6 – 81.2
2000L-FMP
GroupValue95% CI
PK Sub-study75.770.7 – 81.0
Indication Expansion: Objective Response Rate Primary · Up to approximately 3 years and 5 months

Objective response rate (ORR) is defined as the percentage of participants who achieved objective tumor response (complete response or partial response) according to RECIST Version 1.1. Indication expansion includes participants from all parts in the following indications: non-small cell lung cancer (NSCLC), melanoma, esophageal squamous cell carcinoma (ESCC), gastric cancer (GC), urothelial carcinoma (UC), nasopharyngeal carcinoma (NPC), renal cell carcinoma (RCC), hepatocellular carcinoma (HCC), microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) tumors, and other tum

NSCLC
GroupValue95% CI
Tislelizumab17.98.9 – 30.4
Melanoma
GroupValue95% CI
Tislelizumab17.66.8 – 34.5
ESCC
GroupValue95% CI
Tislelizumab7.70.9 – 25.1
GC
GroupValue95% CI
Tislelizumab16.74.7 – 37.4
UC
GroupValue95% CI
Tislelizumab18.25.2 – 40.3
NPC
GroupValue95% CI
Tislelizumab47.625.7 – 70.2
RCC
GroupValue95% CI
Tislelizumab9.51.2 – 30.4
HCC
GroupValue95% CI
Tislelizumab16.73.6 – 41.4
Dose Verification: Area Under the Concentration-time Curve From Time 0 to 21 Days Postdose (AUC0-tau) of Tislelizumab Secondary · Predose, end of infusion, 1.5 hours, 6 hours on Day 1, Day 2, Day 4, Day 8, Day 15, Day 22 predose in Cycle 1 and Cycle 5 (21 days per cycle)
Cycle 1
GroupValue95% CI
Dose Verification600.1± 144.5
Cycle 5
GroupValue95% CI
Dose Verification1122± 352
Dose Verification: Maximum Observed Concentration (Cmax) of Tislelizumab Secondary · Predose, end of infusion, 1.5 hours, 6 hours on Day 1, Day 2, Day 4, Day 8, Day 15, Day 22 predose in Cycle 1 and Cycle 5 (21 days per cycle)
Cycle 1
GroupValue95% CI
Dose Verification67.8± 12.8
Cycle 5
GroupValue95% CI
Dose Verification131± 37.7
Dose Verification: Predose Plasma Concentration of Tislelizumab During Multiple Dosing (Ctrough) Secondary · Predose, end of infusion, 1.5 hours, 6 hours on Day 1, Day 2, Day 4, Day 8, Day 15, Day 22 predose in Cycle 1 and Cycle 5 (21 days per cycle)
Cycle 1
GroupValue95% CI
Dose Verification15.8± 4.73
Cycle 5
GroupValue95% CI
Dose Verification31.4± 9.55
Dose Verification: Apparent Terminal Half-life of Tislelizumab (t1/2) Secondary · Predose, end of infusion, 1.5 hours, 6 hours on Day 1, Day 2, Day 4, Day 8, Day 15, Day 22 predose in Cycle 1 and Cycle 5 (21 days per cycle)
Cycle 1
GroupValue95% CI
Dose Verification13.3± 2.95
Cycle 5
GroupValue95% CI
Dose Verification16.9± 3.79
Dose Verification: Clearance (Cl) Secondary · Predose, end of infusion, 1.5 hours, 6 hours on Day 1, Day 2, Day 4, Day 8, Day 15, Day 22 predose in Cycle 1 (21 days per cycle)
GroupValue95% CI
Dose Verification0.247± 0.0918
Indication Expansion: Progression-free Survival (PFS) Secondary · Up to approximately 3 years and 5 months

Progression-free survival is defined as the time from the date of first study dose to disease progression or death, whichever comes first, as determined by Investigator per RECIST version 1.1. Indication expansion includes participants from all parts in the following indications: non-small cell lung cancer (NSCLC), melanoma, esophageal squamous cell carcinoma (ESCC), gastric cancer (GC), urothelial carcinoma (UC), nasopharyngeal carcinoma (NPC), renal cell carcinoma (RCC), hepatocellular carcinoma (HCC), microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) tumors, and ot

NSCLC
GroupValue95% CI
Tislelizumab4.02.1 – 8.1
Melanoma
GroupValue95% CI
Tislelizumab2.22.0 – 6.1
ESCC
GroupValue95% CI
Tislelizumab2.12.0 – 4.2
GC
GroupValue95% CI
Tislelizumab2.11.9 – 4.0
UC
GroupValue95% CI
Tislelizumab2.12.0 – 4.3
NPC
GroupValue95% CI
Tislelizumab8.24.2 – 11.4
RCC
GroupValue95% CI
Tislelizumab4.12.1 – 10.4
HCC
GroupValue95% CI
Tislelizumab4.02.1 – 12.4

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 30 days after the last dose of study treatment; Up to approximately 3 years and 5 months. Reporting threshold: 3%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Tislelizumab
Serious: 85/300 (28%)
Deaths: 202/300

Serious adverse events (71 terms)

ReactionSystemTislelizumab
PneumoniaInfections and infestations
Upper gastrointestinal haemorrhageGastrointestinal disorders
DeathGeneral disorders
Intestinal obstructionGastrointestinal disorders
PyrexiaGeneral disorders
HyperuricaemiaMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Immune-mediated myocarditisCardiac disorders
DysphagiaGastrointestinal disorders
VomitingGastrointestinal disorders
Aspartate aminotransferase increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
HypercalcaemiaMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
Metastases to central nervous systemNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Interstitial lung diseaseRespiratory, thoracic and mediastinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
Cardiopulmonary failureCardiac disorders
CataractEye disorders
Retinal detachmentEye disorders
Abdominal painGastrointestinal disorders
Other adverse events (63 terms — click to expand)

ReactionSystemTislelizumab
AnaemiaBlood and lymphatic system disorders
Aspartate aminotransferase increasedInvestigations
Alanine aminotransferase increasedInvestigations
Blood bilirubin increasedInvestigations
ProteinuriaRenal and urinary disorders
Weight decreasedInvestigations
Gamma-glutamyltransferase increasedInvestigations
HypothyroidismEndocrine disorders
PyrexiaGeneral disorders
Bilirubin conjugated increasedInvestigations
White blood cell count decreasedInvestigations
CoughRespiratory, thoracic and mediastinal disorders
HypoalbuminaemiaMetabolism and nutrition disorders
Weight increasedInvestigations
ConstipationGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
MalaiseGeneral disorders
Upper respiratory tract infectionInfections and infestations
Platelet count decreasedInvestigations
RashSkin and subcutaneous tissue disorders
Blood alkaline phosphatase increasedInvestigations
Blood lactate dehydrogenase increasedInvestigations
Neutrophil count decreasedInvestigations
HyperuricaemiaMetabolism and nutrition disorders
PruritusSkin and subcutaneous tissue disorders
DiarrhoeaGastrointestinal disorders
Blood bilirubin unconjugated increasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
FatigueGeneral disorders
Back painMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
White blood cells urine positiveInvestigations
InsomniaPsychiatric disorders
Protein urine presentInvestigations
Red blood cells urine positiveInvestigations
HyperglycaemiaMetabolism and nutrition disorders
Blood creatine phosphokinase increasedInvestigations
Blood creatinine increasedInvestigations

Most-reported serious reactions: Pneumonia, Upper gastrointestinal haemorrhage, Death, Intestinal obstruction, Pyrexia, Hyperuricaemia, Dyspnoea, Immune-mediated myocarditis.

Data from ClinicalTrials.gov NCT04068519 adverse events section.

Sponsor's own description

This was a dose verification, pharmacokinetic (PK) assessment of products derived from two manufacturing processes and scales (500L-FMP and 2000L-FMP; FMP: Final Manufacturing Process) and indication expansion clinical study of monoclonal antibody conducted in Chinese subjects with advanced solid tumors, with a purpose of exploring the safety, tolerability, pharmacokinetics and preliminary efficacy.

Publications & conference data

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

  1. 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
  2. Tislelizumab in Asian patients with previously treated locally advanced or metastatic urothelial carcinoma.
    Ye D, Liu J, Zhou A, Zou Q, et al · · 2021 · cited 85× · PMID 33047430 · DOI 10.1111/cas.14681
  3. Current Landscape and Future Directions of Biomarkers for Immunotherapy in Hepatocellular Carcinoma.
    Gok Yavuz B, Hasanov E, Lee SS, Mohamed YI, et al · · 2021 · cited 32× · PMID 34595140 · DOI 10.2147/jhc.s322289
  4. Could We Predict the Response of Immune Checkpoint Inhibitor Treatment in Hepatocellular Carcinoma?
    Lee CK, Chan SL, Chon HJ. · · 2022 · cited 15× · PMID 35804984 · DOI 10.3390/cancers14133213
  5. Model-based population pharmacokinetic analysis of tislelizumab in patients with advanced tumors.
    Budha N, Wu CY, Tang Z, Yu T, et al · · 2023 · cited 12× · PMID 36330700 · DOI 10.1002/psp4.12880
  6. The combination of gene hyperamplification and PD-L1 expression as a biomarker for the clinical benefit of tislelizumab in gastric/gastroesophageal junction adenocarcinoma.
    Lu Z, Yang S, Luo X, Shi Y, et al · · 2022 · cited 10× · PMID 35778636 · DOI 10.1007/s10120-022-01308-7
  7. Co-enrichment of CD8-positive T cells and macrophages is associated with clinical benefit of tislelizumab in solid tumors.
    Ye D, Desai J, Shi J, Liu SM, et al · · 2023 · cited 9× · PMID 36879284 · DOI 10.1186/s40364-023-00465-w
  8. Clinical dose rationale of tislelizumab in patients with solid or hematological advanced tumors.
    Yu T, Liu X, Wu CY, Tang Z, et al · · 2024 · cited 5× · PMID 38515348 · DOI 10.1111/cts.13769

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