A Study of Tislelizumab (BGB-A317) Plus Chemoradiotherapy Followed by Tislelizumab Monotherapy in Newly Diagnosed, Stage III Subjects With Locally Advanced, Unresectable Non-small Cell Lung Cancer (RATIONALE001)
Carcinoma, Non-Small-Cell Lung

About this trial
This is an interventional treatment trial for Carcinoma, Non-Small-Cell Lung focused on measuring Locally Advanced, Unresectable Non-Small Cell Lung Cancer, Non-Small Cell Lung Cancer, NSCLC, Randomized, BGB-A317, Tislelizumab, PD-1
Eligibility Criteria
Inclusion Criteria:
Newly diagnosed, histologically confirmed, locally advanced, stage III unresectable non small cell lung cancer (NSCLC).
Staging will be confirmed at screening by positron emission tomography-computed tomography (PET/CT) and brain imaging by magnetic resonance imaging (MRI) or computed tomography (CT) with contrast.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
- Epidermal growth factor receptor (EGFR) mutation and anaplastic lymphoma kinase (ALK) gene translocation status available prior to randomization.
- Provision of fresh or archival tumor tissue or discussion with Sponsor.
- Adequate hematologic and end-organ function.
Exclusion Criteria:
- Prior therapies including those targeting PD-1 or PD-L1 or chemotherapy, radiation, targeted therapy, biologic therapy, immunotherapy or investigational agent used to control non-small cell lung cancer (NSCLC).
- History of severe hypersensitivity reactions to other monoclonal antibodies or any contraindication to the planned chemotherapy regimen.
- History of, or ongoing, interstitial lung disease; pneumonitis requiring steroids; or clinically significant pericardial effusion.
- Any active malignancy less than or equal to 2 years before randomization, with the exception of non-small cell lung cancer (NSCLC) and any locally recurring cancer that has been treated curatively.
- Severe chronic or active infections including those requiring systemic antibacterial, antifungal or antiviral therapy; known human immunodeficiency virus (HIV) infection; untreated chronic hepatitis B or chronic hepatitis B virus carries or active hepatitis C; or active autoimmune disease.
- Prior allogeneic stem cell transplantation or organ transplantation.
- Significant cardiovascular disease or other condition which places the patient at risk.
Sites / Locations
- USC Norris Comprehensive Cancer Center
- Cancer Specialists of North Florida - Jacksonville
- Bond Clinic, P.A.
- University of Chicago Medical Center
- Fort Wayne Medical Oncology and Hematology
- Appalachian Regional Healthcare, Inc.
- Norton Healthcare - Norton Cancer Institute
- Center For Cancer and Blood Disorders
- University of Mississippi Medical Center
- Dayton Physicians, LLC
- Mercy Health Youngstown Hospital, LLC
- Allegheny General Hospital
- Millennium Oncology
- Medical Oncology Associates, P.S.
- Universitair Ziekenhuis Brussel
- Cliniques Universitaires Saint-Luc
- Jewish General Hospital
- Cancer Hospital Chinese Academy of Medical Sciences
- Chinese PLA General Hospital / 307 Hospital
- Beijing Cancer Hospital - Beijing Institute for Cancer Research
- Bengbu Medical College - First Affiliated Hospital
- Jilin Province Cancer Hospital
- First Hospital of Jilin University
- Central South University - Xiangya School of Medicine - Hunan Cancer Hospital
- Central South University - Xiangya School of Medicine - Hunan Cancer Hospital
- Sichuan Cancer Hospital & Institute
- Sichuan University - West China Hospital
- Foshan First People's Hospital
- Fujian Medical University - Fujian Provincial Cancer Hospital
- Cancer Center of Guangzhou Medical University
- The First Affiliated Hospital of Guangzhou Medical University
- Zhejiang University School of Medicine - The Second Affiliated Hospital
- Zhejiang Medical University - Zhejiang Cancer Hospital
- The First Affiliated Hospital of Harbin Medical University
- Yunnan Cancer Hospital
- Guangxi Tumour Institute and Hospital
- Nantong Tumor Hospital
- Shanghai Chest Hospital
- Fudan University Shanghai Cancer Center
- Chongqing Cancer Hospital
- Liaoning Cancer Hospital & Institute
- The First Hospital of Xinjiang Medical University
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
- Zhongnan Hospital of Wuhan University
- Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology
- The First Affiliated Hospital of Xi'an Jiaotong University
- First Hospital of Xiamen
- The Affiliated Hospital of Xuzhou Medical University
- Zhengzhou University (ZZU) - Henan Cancer Hospital
- The First Affiliated Hospital of Zhengzhou University
- Tampereen yliopistollinen sairaala
- Turku University Hospital
- Centre Francois Baclesse
- Clinique Victor Hugo
- Institut de Cancerologie de l'Ouest (ICO) - Saint-Herblain
- Medical Study Company NORD-WEST GmbH Oncology Aurich
- Helios Klinikum Emil Von Behring
- Florence Nightingale KH der Kaiserwerther Diakonie
- Klinikum Esslingen GmbH
- Asklepios Fachkliniken Muenchen Gauting
- Oncological practice Goslar
- Evangelisches Krankenhaus Hamm
- Health Nordhessen Holding AG - Klinikum Kassel - Medical Clinic IV
- Kliniken der Stadt Koln gGmbH - Krankenhaus Merheim
- Klinik Loewenstein gGmbH
- LMU Klinikum der Universität
- St. Antonius-Hospital
- Medizinische Studiengesellschaft Nord-West
- Sotiria Chest Hospital of Athens
- IASO General
- University General Hospital of Heraklion
- Agioi Anargyroi Cancer Hospital
- Metaxa Cancer Hospital of Piraeus
- Interbalkan Medical Center of Thessaloniki
- University General Hospital of Patras
- Bioclinic Thessaloniki Galinos clinic
- EUROMEDICA General Clinic of Thessaloniki
- Papageorgiou General Hospital of Thessaloniki
- Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
- Pulmonary Institute Torokbalint
- Beacon Hospital
- St James Hospital
- MidWestern Regional Hospital
- Azienda Ospedaliero - Universitaria Policlinico - Vittorio Emanuele - Ospedale Gaspare Rodolico
- IRCCS AziendaOspedaliera Universitaria San Martino
- Istituto Scientifico Romagnolo Per Lo Studio e La Cura Dei Tumori (I.R.S.T.)
- Universita Campus Bio-Medico di Roma
- Istituto Nazionale Tumori Regina Elena di Roma
- Osaka Prefectural Medical Center for Respiratory and Allergic Diseases
- Kansai Medical University Hospital
- Hiroshima University Hospital
- Kanazawa University Hospital
- Matsusaka Municipal Hospital
- Toranomon Hospital
- Iwate Medical University Hospital
- National Hospital Organization - Nagoya Medical Center
- Nagoya University Hospital
- Niigata Cancer Center Hospital
- Osaka City University Hospital
- Gunma Prefectural Cancer Center
- Kitasato University Hospital
- Sendai Kousei Hospital
- Kanagawa Cardiovascular and Respiratory Center
- Yokohama Municipal Citizen's Hospital
- Chungbuk National University Hospital
- Seoul National University Bundang Hospital
- Asan Medical Center
- Ajou University Hospital
- Vrije Universiteit Medisch Centrum (VUMC)
- Gelre Hospitals
- Waikato Hospital
- Tauranga Hospital
- Centrum Onkologii im. prof. Franciszka Lukaszczyka w Bydgoszczy
- Centrum Onkologii - Instytut im. Marii Sklodowskiej-Curie
- Med Polonia Sp. z o.o. NSZOZ
- Centrum Onkologii-Instytut im.Marii Sklodowskiej-Curie
- Hospital Prof. Doutor Fernando Fonseca
- Centro Hospitalar E Universitario de Coimbra EPE
- Centro Hospitalar do Alto Ave, Hospital da Senhora da Oliveira Guimaraes
- CUF Descobertas Hospital
- Centro Hospitalar do Porto - Hospital de Santo António
- CUF Porto Hospital
- Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe
- Oncology Institute Professor Doctor Alexandru Trestioreanu
- Prof. Dr. I. Chiricuta Institute of Oncology
- Medisprof SRL
- Sf. Apostol Andrei Constanta Emergency Clinical County Hospital
- Oncology Center Sfantul Nectarie
- Life Search SRL
- Oncocenter Clinical Oncology
- Principal Military Clinical Hospital n.a. N.N. Burdenko
- Omsk Regional Oncology Center
- Ryazan State Medical University n.a. I.P. Pavlov
- Mordovia State University
- Clinical Hospital of the Russian Academy of Sciences
- GBUZ Saint Petersburg Clinical Research Center of Specialized Types of Care (Oncology)
- Research Oncology Institute of Rosmed Technologies n.a. prof. N.N. Petrov
- National University Hospital
- Raffles Hospital
- Hospital Universitario a Coruna
- Hospital General Universitario de Alicante
- Hospital Universitario Germans Trias i Pujol
- Insular-Maternal and Child University Hospital Complex
- Hospital Universitario Fundacion Jimenez Diaz
- Hospital Universitario 12 de Octubre
- Hospital Universitario Puerta de Hierro-Majadahonda
- Hospital General Carlos Haya
- Hospital Universitario Central de Asturias
- Hospital Universitari i Politecnic La Fe de Valencia
- Buddhist Dalin Tzu Chi General Hospital
- Kaohsiung Medical University Hospital
- E-DA Hospital
- Chang Gung Medical Foundation, Kaohsiung Memorial Hospital
- National Taiwan University Hospital
- University Hospitals Birmingham NHS Foundation Trust - Queen Elizabeth Hospital
- East Suffolk and North Essex NHS Foundation Trust - Colchester Hospital
- University College London Hospitals NHS Foundation Trust - University College Hospital
- Guys Hospital
- Royal Marsden Hospital
- Maidstone and Tunbridge Wells NHS Trust - Maidstone Hospital
- Manchester University NHS Foundation Trust - Wythenshawe Hospital - North West Lung Centre
- The Hillingdon Hospitals NHS Foundation Trust - Mount Vernon Hospital
- Sheffield Teaching Hospitals NHS Foundation Trust - Weston Park Hospital
- Royal Cornwall Hospitals Trust
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Arm 1:Tislelizumab + cCRT followed by tislelizumab monotherapy
Arm 2: Placebo + cCRT followed by tislelizumab monotherapy
Arm 3: Placebo + cCRT followed by placebo monotherapy
Tislelizumab 200 mg is administered by intravenous (IV) administration and given together upfront with concurrent platinum-based chemoradiotherapy (cCRT) for the first 6 weeks, followed by tislelizumab 200 mg by IV adminstration monotherapy. The standard platinum-based chemotherapy options include carboplatin/ paclitaxel and cisplatin/etoposide
Placebo is given with concurrent platinum-based chemoradiotherapy (cCRT) for the first 6 weeks, followed by tislelizumab 200 mg by IV administration monotherapy. The standard platinum-based chemotherapy options include carboplatin/paclitaxel and cisplatin/etoposide.
Placebo is given with concurrent platinum-based chemoradiotherapy (cCRT) for the first 6 weeks, followed by placebo monotherapy. The standard platinum-based chemotherapy options include carboplatin/paclitaxel and cisplatin/etoposide.