Description:
BGB-A425 is a humanized, immunoglobulin gamma-1 (IgG1)-variant monoclonal antibody against
TIM-3. Tislelizumab is a humanized, immunoglobulin G4 (IgG4)-variant monoclonal antibody
against PD-1. This study tests the safety and anti-tumor effect of BGB-A425 in combination
with tislelizumab in participants with advanced solid tumors.
Title
- Brief Title: Study of BGB-A425 in Combination With Tislelizumab in Advanced Solid Tumors
- Official Title: Phase 1-2 Study Investigating Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of Anti-TIM-3 Monoclonal Antibody BGB-A425 in Combination With Anti-PD-1 Monoclonal Antibody Tislelizumab in Patients With Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
BGB-900-102
- NCT ID:
NCT03744468
Conditions
- Locally Advanced or Metastatic Solid Tumors for Phase 1 HNSCC, NSCLC and RCC for Phase 2
Interventions
Drug | Synonyms | Arms |
---|
BGB-A425 | | Phase 1 Dose Escalation |
tislelizumab | BGB-A317 | Phase 1 Dose Escalation |
Purpose
BGB-A425 is a humanized, immunoglobulin gamma-1 (IgG1)-variant monoclonal antibody against
TIM-3. Tislelizumab is a humanized, immunoglobulin G4 (IgG4)-variant monoclonal antibody
against PD-1. This study tests the safety and anti-tumor effect of BGB-A425 in combination
with tislelizumab in participants with advanced solid tumors.
Detailed Description
Blocking antibodies targeting PD-1 have achieved remarkable results in the treatment of many
types of tumors. However, based upon the rate of primary and secondary resistance to PD-1
blockade, it is apparent that additional immuno-regulatory mechanism(s) underlie tumor immune
escape. Indeed, research shows that the TIM-3 pathway cooperates with PD-1 to maximize the
suppression of effector TILs as well as promote resistance to anti-PD-1 therapy. Therefore,
TIM-3 represents an ideal target with the potential to significantly improve and/or extend
the therapeutic benefit of anti-PD-1 therapy to a greater number of patients.
TIM-3 and PD-1 function as immune checkpoint receptors in the overlapping regulation of
immune tolerance and have been shown to be overexpressed on the tumor infiltrating
lymphocytes (TILs) from participant samples of various solid tumors including, but not
limited to non-small cell lung cancer, head and neck squamous cell carcinoma, renal cell
carcinoma, hepatocellular carcinoma, and gastric carcinoma. Subsequently, the activation of
TIM-3 and PD-1 represent TILs from both participants or animals across solid tumor types with
the most exhausted immunophenotype (ie, cytokine expression, proliferation etc.), which can
be reversed with combined blockade of TIM-3 and PD 1. The overlap in expression and function
indicates that TIM-3 and PD-1 cooperate to promote effector cell exhaustion which may impede
an effective antitumor immune response. Based upon the overlapping expression profiles and
immuno-regulatory functions, the improved in vivo antitumor effects, as well as the potential
for TIM-3 mediated adaptive resistance, there is strong scientific rationale to evaluate the
antitumor effects derived from the combined blockade of TIM-3 and PD-1 in advanced solid
tumors. Accordingly, this study will evaluate the safety and preliminary efficacy of BGB-A425
(anti TIM-3) in combination with tislelizumab (anti PD-1) in participants with advanced solid
tumors.
This is an open-label, multicenter, nonrandomized Phase 1 and Phase 2 clinical trial. Phase 1
will determine the Recommended Phase 2 Dose (RP2D) for the combination of BGB-A425 and
tislelizumab. Phase 2 will continue to evaluate the safety but also focus on the efficacy of
the combination in select tumor types.
Trial Arms
Name | Type | Description | Interventions |
---|
Phase 1 Dose Escalation | Experimental | Dose escalation of BGB-A425 in combination with tislelizumab in participants with advanced solid tumors | |
Phase 2 Dose Expansion | Experimental | Further explore the safety and clinical activity of BGB-A425 in combination with tislelizumab in participants with NSCLC, HNSCC and RCC. | |
Eligibility Criteria
Key Inclusion Criteria:
1. Phase 1: Patients with histologically or cytologically confirmed advanced, metastatic,
unresectable solid tumors who have previously received standard systemic therapy or
for which treatment is not available, not tolerated or refused.
2. Has Eastern Cooperative Oncology Group (ECOG) Performance Status ≤1.
3. Phase 2: Patients with one of the following histologically or cytologically confirmed
solid tumors:
Cohort 1 (HNSCC, PD-L1 high):
Recurrent/metastatic head and neck squamous cell cancer of the oral cavity, oropharynx,
hypopharynx, and/or larynx whose tumor is not amenable to local therapy with curative
intent (ie, surgery or radiation therapy with or without chemotherapy
Cohort 2 (NSCLC, PD-L1 high):
Locally recurrent Stage IIIB or Stage IV squamous or non-squamous non-small cell lung
cancer
Cohort 3 (RCC):
Locally advanced unresectable or metastatic and histologically confirmed renal cell
carcinoma with a clear cell histology
Key Exclusion Criteria:
- Active leptomeningeal disease or uncontrolled, untreated brain metastasis.
- Active autoimmune diseases or history of autoimmune diseases that may relapse.
- With infections (including tuberculosis infection, etc) requiring systemic
antibacterial, antifungal, or antiviral therapy ≤ 14 days prior to the first dose of
study drug(s), or a requirement for chronic prophylactic treatment with antibiotics.
- Concurrent participation in another therapeutic clinical trial. 6. Received prior
therapies targeting TIM-3.
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: | Phase 1 Dose Escalation |
Time Frame: | Approximately 2 years |
Safety Issue: | |
Description: | Safety and tolerability of BGB-A425 in combination with tislelizumab using Common Terminology Criteria for Adverse Events (CTCAE v.5.0) in participants with advanced solid tumors.
maximum tolerated dose (MTD) or maximum administered dose (MAD) and recommended Phase 2 dose (RP2D) of BGB-A425 in combination with tislelizumab |
Secondary Outcome Measures
Measure: | Duration of response (DOR) |
Time Frame: | Phase 1 or 2 Expansion - Approximately 2-3 years each |
Safety Issue: | |
Description: | Duration of response (DOR) will be determined from investigator derived tumor assessments per Response Evaluation Criteria in Solid Tumors (RECIST) v. 1.1. |
Measure: | Disease control rate (DCR) |
Time Frame: | Phase 1 or 2 Expansion - Approximately 2-3 years each |
Safety Issue: | |
Description: | Disease control rate (DCR) will be determined from investigator derived tumor assessments per Response Evaluation Criteria in Solid Tumors (RECIST) v. 1.1. |
Measure: | Progression free survival |
Time Frame: | Phase 2 Expansion - Approximately 3 years |
Safety Issue: | |
Description: | Progression free survival will be determined from investigator derived tumor assessments per RECIST 1.1. |
Measure: | PK Parameter: Area Under the Curve (AUC), 0 to 21 days |
Time Frame: | Phase 1 and Phase 2- Approximately 2-3 years each |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetic (PK) Parameter: Minimum Concentration (Cmin) |
Time Frame: | Phase 1 and Phase 2- Approximately 2-3 years each |
Safety Issue: | |
Description: | |
Measure: | PK Parameter: Maximum Concentration (Cmax) |
Time Frame: | Phase 1 and Phase 2- Approximately 2-3 years each |
Safety Issue: | |
Description: | |
Measure: | PK Parameter: Clearance (CL) |
Time Frame: | Phase 1 and Phase 2- Approximately 2-3 years each |
Safety Issue: | |
Description: | |
Measure: | PK Parameter: Volume of Distribution (Vz) |
Time Frame: | Phase 1 and Phase 2- Approximately 2-3 years each |
Safety Issue: | |
Description: | |
Measure: | PK Parameter: terminal half-life (t1/2) |
Time Frame: | Phase 1 and Phase 2- Approximately 2-3 years each |
Safety Issue: | |
Description: | |
Measure: | Immunogenicity as assessed by the presence of anti-drug antibodies |
Time Frame: | Phase 1 and Phase 2- Approximately 2-3 years each |
Safety Issue: | |
Description: | |
Measure: | Safety and tolerability: The safety of BGB-A425 in combination with tislelizumab will be assessed throughout the study by monitoring AEs and SAEs per NCI-CTCAE version 5.0, physical examinations, ECGs, and laboratory assessments as needed |
Time Frame: | Phase 1 and Phase 2- Approximately 2-3 years each |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | BeiGene |
Last Updated
June 7, 2021