Description:
This is a Phase 3, randomized, open-label, multicenter, global study designed to compare the
efficacy and safety of tislelizumab versus sorafenib as a first-line systemic treatment in
participants with unresectable hepatocellular carcinoma. This study also includes a substudy
investigating the safety, tolerability, PK, and preliminary efficacy in HCC in Japanese
participants. In Japan, preliminary safety and tolerability will be evaluated (Safety Run-In
Substudy) before Japanese participants are recruited in this Phase 3 study.
Title
- Brief Title: Phase 3 Study of Tislelizumab Versus Sorafenib in Participants With Unresectable HCC
- Official Title: RATIONALE-301: A Randomized, Open-label, Multicenter Phase 3 Study to Compare the Efficacy and Safety of BGB-A317 Versus Sorafenib as First-Line Treatment in Patients With Unresectable Hepatocellular Carcinoma
Clinical Trial IDs
- ORG STUDY ID:
BGB-A317-301
- SECONDARY ID:
2017-002423-19
- SECONDARY ID:
CTR20170882
- SECONDARY ID:
JapicCTI-194569
- NCT ID:
NCT03412773
Conditions
- Hepatocellular Carcinoma (HCC)
Interventions
Drug | Synonyms | Arms |
---|
Tislelizumab | BGB-A317 | Arm A: Tislelizumab & Safety Run-In Substudy [Japan Only] |
Sorafenib | Nexavar, BAY43-9006 | Arm B: Sorafenib |
Purpose
This is a Phase 3, randomized, open-label, multicenter, global study designed to compare the
efficacy and safety of tislelizumab versus sorafenib as a first-line systemic treatment in
participants with unresectable hepatocellular carcinoma. This study also includes a substudy
investigating the safety, tolerability, PK, and preliminary efficacy in HCC in Japanese
participants. In Japan, preliminary safety and tolerability will be evaluated (Safety Run-In
Substudy) before Japanese participants are recruited in this Phase 3 study.
Trial Arms
Name | Type | Description | Interventions |
---|
Arm A: Tislelizumab & Safety Run-In Substudy [Japan Only] | Experimental | | |
Arm B: Sorafenib | Active Comparator | | |
Eligibility Criteria
Key Inclusion Criteria:
1. Histologically confirmed diagnosis of HCC
2. Barcelona Clinic Liver Cancer (BCLC) Stage B or C disease not amenable to or
progressing after loco-regional therapy and not amenable to a curative treatment
approach
3. No prior systemic therapy for HCC (with the exception of HCC participants enrolled in
the safety run-in substudy [Japan only])
4. Measurable disease
5. Child-Pugh score A
6. Easter Cooperative Oncology Group (ECOG) Performance Status ≤ 1
7. Adequate organ function
Key Exclusion Criteria:
1. Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC
histology
2. Tumor thrombus involving main trunk of portal vein or inferior vena cava
3. Loco-regional therapy to the liver within 28 days before randomization
4. Clinical evidence of portal hypertension with bleeding esophageal or gastric varices
at Screening, or within 6 months before randomization
5. Bleeding or thrombotic disorder or any prescribed anticoagulant requiring therapeutic
international normalized ratio monitoring (eg, warfarin or similar agents) at
Screening, or within 6 months before randomization/enrollment
6. Presence at Screening of active immune deficiency or autoimmune disease and/or prior
history of any immune deficiency or autoimmune disease that may relapse
7. Participant with any condition requiring systemic treatment with either
corticosteroids (> 10 mg daily of prednisone or equivalent) or other immunosuppressive
medication within 14 days before randomization
8. History of interstitial lung disease or non-infectious pneumonitis, unless induced by
radiation therapy
9. QT interval corrected for heart rate (QTc) (corrected by Fridericia's method) > 450
msec at Screening
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Overall Survival (OS) |
Time Frame: | From date of randomization up to 4 years, approximately |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Objective Response Rate (ORR) |
Time Frame: | From date of randomization up to 4 years, approximately |
Safety Issue: | |
Description: | |
Measure: | Progression-free survival (PFS) |
Time Frame: | From date of randomization up to 4 years, approximately |
Safety Issue: | |
Description: | |
Measure: | Duration of Response (DOR) |
Time Frame: | From first determination of an objective response up to 4 years, approximately |
Safety Issue: | |
Description: | |
Measure: | Time to Progression (TTP) |
Time Frame: | From date of randomization up to 4 years, approximately. |
Safety Issue: | |
Description: | |
Measure: | Health-Related Quality of Life (HRQoL) |
Time Frame: | From date of enrollment up to 4 years, approximately. |
Safety Issue: | |
Description: | |
Measure: | Disease Control Rate (DCR) |
Time Frame: | From first dose of study treatment up to 4 years, approximately |
Safety Issue: | |
Description: | |
Measure: | Clinical Benefit Rate (CBR) |
Time Frame: | From first dose of study treatment up to 4 years, approximately |
Safety Issue: | |
Description: | |
Measure: | Percentage of participants with adverse events |
Time Frame: | From date of screening up to 4 years, approximately. |
Safety Issue: | |
Description: | |
Measure: | Safety Run-In Substudy[Japan only]: Objective Response Rate (ORR) |
Time Frame: | From date of randomization up to 4 years, approximately. |
Safety Issue: | |
Description: | |
Measure: | Safety Run-In Substudy[Japan only]: Progression-free survival (PFS) |
Time Frame: | From date of randomization up 4 years, approximately |
Safety Issue: | |
Description: | |
Measure: | Safety Run-In Substudy[Japan only]: Duration of Response (DOR) |
Time Frame: | From date of randomization up 4 years, approximately |
Safety Issue: | |
Description: | |
Measure: | Safety Run-In Substudy[Japan only]: Overall Survival (OS) |
Time Frame: | From date of randomization up 4 years, approximately |
Safety Issue: | |
Description: | |
Measure: | Safety Run-In Substudy[Japan only]: Anti-tislelizumab antibody |
Time Frame: | From first dose of study treatment up 4 years, approximately |
Safety Issue: | |
Description: | |
Measure: | Percentage of Participants With Clinically Significant Changes in Vital Signs Findings |
Time Frame: | From date of enrollment up to 4 years, approximately |
Safety Issue: | |
Description: | |
Measure: | Percentage of Participants With Clinically Significant Changes in Physical Examination Findings |
Time Frame: | From date of enrollment up to 4 years, approximately |
Safety Issue: | |
Description: | |
Measure: | Percentage of Participants With Clinically Significant Changes in Clinical Laboratory Results Findings |
Time Frame: | From date of enrollment up to 4 years, approximately |
Safety Issue: | |
Description: | |
Measure: | Percentage of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Findings |
Time Frame: | From date of enrollment up to 4 years, approximately |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 3 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | BeiGene |
Trial Keywords
- Advanced liver cancer
- RATIONALE-301
Last Updated
July 28, 2021