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Safety and Preliminary Effectiveness of BGB-A445 in Combination With Tislelizumab in Participants With Advanced Solid Tumors

Primary Purpose

Advanced Solid Tumor, Non Small Cell Lung Cancer, Head and Neck Squamous Cell Carcinoma (HNSCC)

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
BGB-A445
tislelizumab
Sponsored by
BeiGene
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumor focused on measuring OX40, PD-1

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  1. Phase 1a (dose escalation): Participants with histologically or cytologically confirmed advanced, metastatic, unresectable solid tumors who have previously received standard systemic therapy or for whom treatment is not available, not tolerated or refused.

    1. Enrollment will be limited to participants with advanced solid tumors for which there is clinical evidence of response to T cell based immuno-oncology agents (eg, anti PD 1) or other scientific evidence in support of an immunologically sensitive tumor type.
    2. Participant has not received prior therapy targeting OX40 or any other T cell agonist therapy (prior checkpoint inhibitor therapy is allowed)
  2. Phase 1b (dose expansion): Participants in specific tumor type cohorts for whom standard systemic treatment is not available, not tolerated, or refused. Participant must not have received prior therapy targeting OX40 or any other T-cell agonist. Prior checkpoint inhibitor therapy is allowed. Note: Refused treatment not applicable in South Korea.

    1. Cohort 1 (NSCLC): Patients with histologically or cytologically confirmed stage IIIB, IIIC, or IV disease whose tumor is not amenable to local therapy with curative intent (ie. surgery or radiotherapy with or without chemotherapy), who have received ≥1 but no more than 3 lines of prior systemic therapy for advanced or metastatic disease. Patients who progressed within 6 months following completion of systemic therapy for local disease should have received a platinum-based agent. Patients who are eligible to receive targeted therapy (if actionable oncogenic driver mutations with locally approved therapy were identified [eg. EGFR, ALK or other]) must have received appropriate targeted therapy.
    2. Cohort 2 (HNSCC): Patients with histologically or cytologically confirmed recurrent or metastatic head and neck squamous cell cancer whose tumor is not amenable to local therapy with curative intent (ie. surgery or radiotherapy with or without chemotherapy), and who have received ≥1 but no more than 3 lines of prior systemic therapy for recurrent or metastatic disease or progressed within 6 months following completion of systemic therapy for local disease.
  3. Has at least 1 measurable lesion as defined per RECIST 1.1. The target lesion(s) selected have not been previously treated with local therapy OR the target lesion(s) selected that are within the field of prior local therapy have subsequently progressed as defined by RECIST 1.1
  4. Participants must be able to provide an archived formalin fixed paraffin embedded (FFPE) tumor tissue sample (block or approximately 15 freshly unstained FFPE slides) after the most recent line of therapy. If archival tissue is not available, fresh tumor biopsy is mandatory.

    a. Participants enrolled must provide baseline tumor tissue as outlined as well as be willing and medically fit to undergo mandatory on treatment biopsies with no excessive risk as judged by the investigator

  5. Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1
  6. Adequate organ function as indicated by the following laboratory values up to first dose of study drug

    1. Participants must not have required blood transfusion or growth factor support ≤ 14 days before sample collection for the following:

      • Absolute neutrophil count ≥ 1.5 x 10^9/L
      • Platelet count ≥ 75 x 10^9/L
      • Hemoglobin ≥ 90g/L
    2. Estimated glomerular filtration rate (GFR) ≥ 60 mL/min/1.73 m^2 determined by the Cockcroft-Gault formula without correction for body surface area (BSA)

      • The estimated GFR for participants with renal cell carcinoma must be ≥ 30 mL/min/1.73 m^2 by the Cockcroft-Gault formula
    3. Serum total bilirubin ≤ 1.5 x ULN (< 3 x ULN for participants with Gilbert syndrome)
    4. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 x ULN;

      • ≤ 5 x ULN for participants with hepatocellular carcinoma or liver metastases

Key Exclusion Criteria:

  1. Active leptomeningeal disease or uncontrolled brain metastasis. Participants with equivocal findings or with confirmed brain metastases are eligible for enrollment provided they are asymptomatic and radiologically stable without the need for corticosteroid treatment for at least 4 weeks prior to the first dose of study drug(s)
  2. Active autoimmune diseases or history of autoimmune diseases that may relapse or history of life-threatening toxicity related to prior immune therapy, with the following exceptions:

    1. Controlled type 1 diabetes
    2. Hypothyroidism (provided it is managed with hormone-replacement therapy only)
    3. Controlled celiac disease
    4. Skin diseases not requiring systemic treatment (eg, vitiligo, psoriasis, or alopecia)
    5. Any other disease that is not expected to recur in the absence of external triggering factors (requires consultation with the medical monitor prior to enrollment)
  3. Any active malignancy ≤ 2 years before the first dose of study drug(s) except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated with curative intent (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast)
  4. Any condition that required systemic treatment with either corticosteroids (> 10 mg daily of prednisone or equivalent) or other immunosuppressive medication ≤ 14 days before the first dose of study drug(s), with the following exceptions:

    1. Adrenal replacement steroid (dose ≤ 10 mg daily of prednisone or equivalent)
    2. Topical, ocular, intra-articular, intranasal, or inhalational corticosteroid with minimal systemic absorption
    3. Short course (≤ 7 days) of corticosteroid prescribed prophylactically (eg, for contrast dye allergy) or for the treatment of a nonautoimmune condition (eg, delayed-type hypersensitivity reaction caused by contact allergen)
  5. Any major surgical procedure occurring ≤ 28 days before the first dose of study drug(s). If surgical procedure occurs > 28 days, they must have recovered adequately from the toxicity and/or complications from the intervention before the first dose of study drug(s).
  6. Any of the following cardiovascular risk factors:

    1. Cardiac chest pain, defined as moderate pain that limits instrumental activities of daily living, ≤ 28 days before the first dose of study drug(s)
    2. Pulmonary embolism ≤ 28 days before the first dose of study drug(s)
    3. Any history of acute myocardial infarction ≤ 6 months before the first dose of study drug(s)
    4. Heart failure that meets the New York Heart Association Classification III or IV ≤ 6 months before the first dos6.e of study drug(s)
    5. Any event of ventricular arrhythmia ≥ Grade 2 in severity ≤ 6 months before the first dose of study drug(s)
    6. Any history of cerebrovascular accident ≤ 6 months before the first dose of study drug(s)
    7. Uncontrolled hypertension: systolic pressure ≥ 140 mmHg or diastolic pressure ≥ 90 mmHg on repeated measurements that cannot be managed by standard antihypertension medications ≤ 28 days before the first dose of study drug(s)
    8. Any episode of syncope or seizure ≤ 28 days before the first dose of study drug(s)

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Sites / Locations

  • California Cancer Associates For Research and Excellence, Ccare EncinitasRecruiting
  • Valkyrie Clinical TrialsRecruiting
  • California Cancer Associates For Research and Excellence, IncRecruiting
  • Fort Wayne Medical Oncology and HematologyRecruiting
  • Upmc Hillman Cancer Center(Univ of Pittsburgh)Recruiting
  • Summit Cancer CentersRecruiting
  • Blacktown Cancer and Haematology CentreRecruiting
  • Pindara Private HospitalRecruiting
  • Princess Alexandra HospitalRecruiting
  • Monash HealthRecruiting
  • Peter Maccallum Cancer CentreRecruiting
  • Cancer Hospital Chinese Academy of Medical SciencesRecruiting
  • Union Hospital of Tongji Medical College, Huazhong University of Science and TechnologyRecruiting
  • Hubei Cancer HospitalRecruiting
  • The Second Xiangya Hospital of Central South UniversityRecruiting
  • Jinan Central HospitalRecruiting
  • Linyi Cancer HospitalRecruiting
  • Affiliated Zhongshan Hospital of Fudan UniversityRecruiting
  • Sir Run Run Shaw Hospital, Zhejiang University School of MedicineRecruiting
  • Zhejiang Cancer HospitalRecruiting
  • National Cancer CenterRecruiting
  • Seoul National University Bundang HospitalRecruiting
  • The Catholic University of Korea, St Vincents HospitalRecruiting
  • Ajou University HospitalRecruiting
  • Severance Hospital Yonsei University Health SystemRecruiting
  • Cha Bundang Medical Center, Cha UniversityRecruiting
  • Sarawak General HospitalRecruiting
  • Auckland City HospitalRecruiting
  • National Cancer Centre SingaporeRecruiting
  • Changhua Christian HospitalRecruiting
  • National Cheng Kung University HospitalRecruiting
  • Taipei Tzu Chi HospitalRecruiting
  • King Chulalongkorn Memorial Hospital (Chulalongkorn University)Recruiting
  • Ramathibodi Hospital Mahidol UniversityRecruiting
  • Srinagarind Hospital (Khon Kaen University)Recruiting
  • Maharaj Nakorn Chiang Mai Hospital (Chiang Mai University)Recruiting
  • Sunpasitthiprasong HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Phase 1a: BGB-A445 Monotherapy

Phase 1a: BGB-A445 + Tislelizumab Combination Therapy

Phase 1b:BGB-A445 Monotherapy

Phase 1b: BGB-A445 + Tislelizumab and Chemotherapy Combination Therapy

Phase 1b: BGB-A445 Monotherapy

Arm Description

Dose Escalation Part A: Participants will receive intravenous (IV) infusion of BGB-A445 in sequential cohorts of approximately 8 increasing dose levels on day 1 of each 21-day cycle

Dose Escalation Part B: Participants will receive IV infusion of BGB-A445 in sequential cohorts of approximately 6 increasing dose levels plus 200mg tislelizumab on day 1 of each 21-day cycle

Dose Expansion Part A: Participants will receive recommended doses of IV BGB-A445 as determined from Phase 1a Dose Escalation; BGB-A445 will be evaluated in two tumor types

Dose Expansion Part B: Participants will receive recommended dose IV infusion of BGB-A445 plus 200mg tislelizumab and chemotherapy

Dose Expansion Part C: Participants will receive 1 dose level of BGB-A445

Outcomes

Primary Outcome Measures

Phase 1a: Number of Participants Experiencing Adverse Events (AEs)
Phase 1a: Number of Participants Experiencing Serious Adverse Events (SAEs)
Phase 1a: Number of Participants Experiencing AEs meeting protocol defined Dose-Limiting Toxicity (DLT) criteria
Phase 1a: Maximum Tolerated Dose (MTD) of BGB-A445
The MTD is defined as the highest dose evaluated for which the estimated toxicity rate is closest to the target toxicity rate of 30%
Phase 1b: RP2D of BGB-A445 when Administered Alone
Phase 1b: Overall Response Rate (ORR) as Assessed by the Investigator
ORR is defined as the proportion of participants who had confirmed complete response Complete Response (CR) or Partial Response (PR)

Secondary Outcome Measures

Phase 1a: Overall Response Rate (ORR) as Assessed by the Investigator
Phase 1a: Duration of Response (DOR) as Assessed by the Investigator
Phase 1a: Disease-Control Rate (DCR) as Assessed by the Investigator
Phase 1a: Serum Concentration of BGB-A445
Phase 1a: Serum Concentration of tislelizumab
Phase 1a: Maximum Observed Plasma Concentration (Cmax) of BGB-A445
Phase 1a: Maximum Observed Plasma Concentration (Cmax) of tislelizumab
Phase 1a: Minimum Observed Plasma Concentration (Cmin) of BGB-A445
Phase 1a: Minimum Observed Plasma Concentration (Cmin) of tislelizumab
Phase 1a: Time to Maximum Plasma Concentration (Tmax) of BGB-A445
Phase 1a: Time to Maximum Plasma Concentration (Tmax) of tislelizumab
Phase 1a: Area Under the Concentration-Time Curve of 0-21 Days (AUC0-21d) of BGB-A445
Phase 1a: Immunogenic Responses to BGB-A445 as assessed through the detection of antidrug antibodies
Phase 1a: Immunogenic Responses to tislelizumab as assessed through the detection of antidrug antibodies
Phase 1b: Progression-free survival (PFS) as Assessed by the Investigator
Determined from investigator derived tumor assessments as per RECIST 1.1
Phase 1b: Duration of Response (DOR) as Assessed by the Investigator
Phase 1b: Disease-Control Rate (DCR) as Assessed by the Investigator
Phase 1b: Number of Participants Experiencing Adverse Events (AEs)
Phase 1b: Number of Participants Experiencing Serious Adverse Events (SAEs)
Phase 1b: Serum Concentration of BGB-A445
Phase 1b: Maximum Observed Plasma Concentration (Cmax) of BGB-A445
Phase 1b: Minimum Observed Plasma Concentration (Cmin) of BGB-A445
Phase 1b: Time to Maximum Plasma Concentration (Tmax) of BGB-A445
Phase 1b: Area Under the Concentration-Time Curve of 0-21 Days (AUC0-21d) of BGB-A445
Phase 1b: Immunogenic Responses to BGB-A445 as assessed through the detection of antidrug antibodies

Full Information

First Posted
December 30, 2019
Last Updated
September 20, 2023
Sponsor
BeiGene
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1. Study Identification

Unique Protocol Identification Number
NCT04215978
Brief Title
Safety and Preliminary Effectiveness of BGB-A445 in Combination With Tislelizumab in Participants With Advanced Solid Tumors
Official Title
Phase 1 Study Investigating the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of the Anti OX40 Agonist Monoclonal Antibody BGB-A445 in Combination With the Anti-PD-1 Monoclonal Antibody Tislelizumab in Patients With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 30, 2020 (Actual)
Primary Completion Date
May 30, 2025 (Anticipated)
Study Completion Date
July 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BeiGene

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to assess the safety and tolerability of BGB-A445 alone and in combination with tislelizumab in participants with advanced solid tumors; and to determine the maximum tolerated dose(s) (MTD) or maximum administered dose(s) (MAD) and recommended Phase 2 doses (RP2D) of BGB-A445 alone and in combination with tislelizumab.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumor, Non Small Cell Lung Cancer, Head and Neck Squamous Cell Carcinoma (HNSCC), Nasopharyngeal Carcinoma (NPC)
Keywords
OX40, PD-1

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
250 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Phase 1a: BGB-A445 Monotherapy
Arm Type
Experimental
Arm Description
Dose Escalation Part A: Participants will receive intravenous (IV) infusion of BGB-A445 in sequential cohorts of approximately 8 increasing dose levels on day 1 of each 21-day cycle
Arm Title
Phase 1a: BGB-A445 + Tislelizumab Combination Therapy
Arm Type
Experimental
Arm Description
Dose Escalation Part B: Participants will receive IV infusion of BGB-A445 in sequential cohorts of approximately 6 increasing dose levels plus 200mg tislelizumab on day 1 of each 21-day cycle
Arm Title
Phase 1b:BGB-A445 Monotherapy
Arm Type
Experimental
Arm Description
Dose Expansion Part A: Participants will receive recommended doses of IV BGB-A445 as determined from Phase 1a Dose Escalation; BGB-A445 will be evaluated in two tumor types
Arm Title
Phase 1b: BGB-A445 + Tislelizumab and Chemotherapy Combination Therapy
Arm Type
Experimental
Arm Description
Dose Expansion Part B: Participants will receive recommended dose IV infusion of BGB-A445 plus 200mg tislelizumab and chemotherapy
Arm Title
Phase 1b: BGB-A445 Monotherapy
Arm Type
Experimental
Arm Description
Dose Expansion Part C: Participants will receive 1 dose level of BGB-A445
Intervention Type
Drug
Intervention Name(s)
BGB-A445
Intervention Description
Administered as specified in the treatment arm
Intervention Type
Drug
Intervention Name(s)
tislelizumab
Other Intervention Name(s)
BGB-A317
Intervention Description
Administered as specified in the treatment arm
Primary Outcome Measure Information:
Title
Phase 1a: Number of Participants Experiencing Adverse Events (AEs)
Time Frame
Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy
Title
Phase 1a: Number of Participants Experiencing Serious Adverse Events (SAEs)
Time Frame
Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy
Title
Phase 1a: Number of Participants Experiencing AEs meeting protocol defined Dose-Limiting Toxicity (DLT) criteria
Time Frame
Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy
Title
Phase 1a: Maximum Tolerated Dose (MTD) of BGB-A445
Description
The MTD is defined as the highest dose evaluated for which the estimated toxicity rate is closest to the target toxicity rate of 30%
Time Frame
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first
Title
Phase 1b: RP2D of BGB-A445 when Administered Alone
Time Frame
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first
Title
Phase 1b: Overall Response Rate (ORR) as Assessed by the Investigator
Description
ORR is defined as the proportion of participants who had confirmed complete response Complete Response (CR) or Partial Response (PR)
Time Frame
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first
Secondary Outcome Measure Information:
Title
Phase 1a: Overall Response Rate (ORR) as Assessed by the Investigator
Time Frame
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first
Title
Phase 1a: Duration of Response (DOR) as Assessed by the Investigator
Time Frame
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first
Title
Phase 1a: Disease-Control Rate (DCR) as Assessed by the Investigator
Time Frame
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first
Title
Phase 1a: Serum Concentration of BGB-A445
Time Frame
60 minutes predose up to 72 hours postdose
Title
Phase 1a: Serum Concentration of tislelizumab
Time Frame
60 minutes predose up to 72 hours postdose
Title
Phase 1a: Maximum Observed Plasma Concentration (Cmax) of BGB-A445
Time Frame
60 minutes predose up to 72 hours postdose
Title
Phase 1a: Maximum Observed Plasma Concentration (Cmax) of tislelizumab
Time Frame
60 minutes predose up to 72 hours postdose
Title
Phase 1a: Minimum Observed Plasma Concentration (Cmin) of BGB-A445
Time Frame
60 minutes predose up to 72 hours postdose
Title
Phase 1a: Minimum Observed Plasma Concentration (Cmin) of tislelizumab
Time Frame
60 minutes predose up to 72 hours postdose
Title
Phase 1a: Time to Maximum Plasma Concentration (Tmax) of BGB-A445
Time Frame
60 minutes predose up to 72 hours postdose
Title
Phase 1a: Time to Maximum Plasma Concentration (Tmax) of tislelizumab
Time Frame
60 minutes predose up to 72 hours postdose
Title
Phase 1a: Area Under the Concentration-Time Curve of 0-21 Days (AUC0-21d) of BGB-A445
Time Frame
60 minutes predose up to 21 days postdose
Title
Phase 1a: Immunogenic Responses to BGB-A445 as assessed through the detection of antidrug antibodies
Time Frame
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first
Title
Phase 1a: Immunogenic Responses to tislelizumab as assessed through the detection of antidrug antibodies
Time Frame
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first
Title
Phase 1b: Progression-free survival (PFS) as Assessed by the Investigator
Description
Determined from investigator derived tumor assessments as per RECIST 1.1
Time Frame
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first
Title
Phase 1b: Duration of Response (DOR) as Assessed by the Investigator
Time Frame
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first
Title
Phase 1b: Disease-Control Rate (DCR) as Assessed by the Investigator
Time Frame
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first
Title
Phase 1b: Number of Participants Experiencing Adverse Events (AEs)
Time Frame
Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy
Title
Phase 1b: Number of Participants Experiencing Serious Adverse Events (SAEs)
Time Frame
Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy
Title
Phase 1b: Serum Concentration of BGB-A445
Time Frame
60 minutes predose up to 72 hours postdose
Title
Phase 1b: Maximum Observed Plasma Concentration (Cmax) of BGB-A445
Time Frame
60 minutes predose up to 72 hours postdose
Title
Phase 1b: Minimum Observed Plasma Concentration (Cmin) of BGB-A445
Time Frame
60 minutes predose up to 72 hours postdose
Title
Phase 1b: Time to Maximum Plasma Concentration (Tmax) of BGB-A445
Time Frame
60 minutes predose up to 72 hours postdose
Title
Phase 1b: Area Under the Concentration-Time Curve of 0-21 Days (AUC0-21d) of BGB-A445
Time Frame
60 minutes predose up to 21 days postdose
Title
Phase 1b: Immunogenic Responses to BGB-A445 as assessed through the detection of antidrug antibodies
Time Frame
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: 1. Phase 1a (dose escalation): Participants with histologically or cytologically confirmed advanced, metastatic, unresectable solid tumors who have previously received standard systemic therapy or for whom treatment is not available, not tolerated or refused. Enrollment will be limited to participants with advanced solid tumors for which there is clinical evidence of response to T cell based immuno-oncology agents (eg, anti PD 1) or other scientific evidence in support of an immunologically sensitive tumor type. Participant has not received prior therapy targeting OX40 or any other T cell agonist therapy (prior checkpoint inhibitor therapy is allowed) 2. Phase 1b, the dose expansion phase, aims to include participants in specific tumor type cohorts who do not have access to standard systemic treatment, cannot tolerate it, or it is deemed inappropriate by the investigator. Cohort 1 focuses on non-small cell lung cancer (NSCLC) patients with advanced or metastatic disease, while Cohort 2 involves individuals with recurrent or metastatic head and neck squamous cell cancer (HNSCC). Cohort 3 includes participants with nasopharyngeal carcinoma (NPC), and Cohort 4 is for NSCLC patients with PD-L1 expression of at least 50%. Each cohort has specific eligibility criteria related to prior therapies, tumor characteristics, and treatment-free intervals. 3. Has at least 1 measurable lesion as defined per RECIST 1.1. The target lesion(s) selected have not been previously treated with local therapy OR the target lesion(s) selected that are within the field of prior local therapy have subsequently progressed as defined by RECIST 1.1 4. Participants should be able to provide tumor tissue sample 5. Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1 and a life expectancy of ≥ 6 months. 6. Adequate organ function as indicated by the following laboratory values up to first dose of study drug a. Participants must not have required blood transfusion or growth factor support ≤ 14 days before sample collection for the following: Absolute neutrophil count ≥ 1.5 x 10^9/L Platelet count ≥ 75 x 10^9/L Hemoglobin ≥ 90 g/L b. Estimated glomerular filtration rate (GFR) ≥ 60 mL/min/1.73 m^2 determined by the Cockcroft-Gault formula without correction for body surface area (BSA) The estimated GFR for participants with renal cell carcinoma must be ≥ 30 mL/min/1.73 m^2 by the Cockcroft-Gault formula c. Serum total bilirubin ≤ 1.5 x ULN (< 3 x ULN for participants with Gilbert syndrome) d. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 x ULN; ≤ 5 x ULN for participants with hepatocellular carcinoma or liver metastases Key Exclusion Criteria: Active leptomeningeal disease or uncontrolled brain metastasis. Participants with equivocal findings or with confirmed brain metastases are eligible for enrollment provided they are asymptomatic and radiologically stable without the need for corticosteroid treatment for at least 4 weeks prior to the first dose of study drug(s) Active autoimmune diseases or history of autoimmune diseases that may relapse or history of life-threatening toxicity related to prior immune therapy, with the following exceptions: Controlled type 1 diabetes Hypothyroidism (provided it is managed with hormone-replacement therapy only) Controlled celiac disease Skin diseases not requiring systemic treatment (eg, vitiligo, psoriasis, or alopecia) Any other disease that is not expected to recur in the absence of external triggering factors (requires consultation with the medical monitor prior to enrollment) Any active malignancy ≤ 2 years before the first dose of study drug(s) except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated with curative intent (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast) Any condition that required systemic treatment with either corticosteroids (> 10 mg daily of prednisone or equivalent) or other immunosuppressive medication ≤ 14 days before the first dose of study drug(s), with the following exceptions: Adrenal replacement steroid (dose ≤ 10 mg daily of prednisone or equivalent) Topical, ocular, intra-articular, intranasal, or inhalational corticosteroid with minimal systemic absorption Short course (≤ 7 days) of corticosteroid prescribed prophylactically (eg, for contrast dye allergy) or for the treatment of a nonautoimmune condition (eg, delayed-type hypersensitivity reaction caused by contact allergen) Any major surgical procedure occurring ≤ 28 days before the first dose of study drug(s). If surgical procedure occurs > 28 days, they must have recovered adequately from the toxicity NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
BeiGene
Phone
1-877-828-5568
Email
clinicaltrials@beigene.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
BeiGene
Official's Role
Study Director
Facility Information:
Facility Name
California Cancer Associates For Research and Excellence, Ccare Encinitas
City
Encinitas
State/Province
California
ZIP/Postal Code
92024
Country
United States
Individual Site Status
Recruiting
Facility Name
Valkyrie Clinical Trials
City
Los Angeles
State/Province
California
ZIP/Postal Code
90067
Country
United States
Individual Site Status
Recruiting
Facility Name
California Cancer Associates For Research and Excellence, Inc
City
San Marcos
State/Province
California
ZIP/Postal Code
92069
Country
United States
Individual Site Status
Recruiting
Facility Name
Fort Wayne Medical Oncology and Hematology
City
Fort Wayne
State/Province
Indiana
ZIP/Postal Code
46804
Country
United States
Individual Site Status
Recruiting
Facility Name
Upmc Hillman Cancer Center(Univ of Pittsburgh)
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Individual Site Status
Recruiting
Facility Name
Summit Cancer Centers
City
Spokane Valley
State/Province
Washington
ZIP/Postal Code
99208
Country
United States
Individual Site Status
Recruiting
Facility Name
Blacktown Cancer and Haematology Centre
City
Blacktown
State/Province
New South Wales
ZIP/Postal Code
2148
Country
Australia
Individual Site Status
Recruiting
Facility Name
Pindara Private Hospital
City
Benowa
State/Province
Queensland
ZIP/Postal Code
4217
Country
Australia
Individual Site Status
Recruiting
Facility Name
Princess Alexandra Hospital
City
Brisbane
State/Province
Queensland
ZIP/Postal Code
4102
Country
Australia
Individual Site Status
Recruiting
Facility Name
Monash Health
City
Clayton
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia
Individual Site Status
Recruiting
Facility Name
Peter Maccallum Cancer Centre
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3000
Country
Australia
Individual Site Status
Recruiting
Facility Name
Cancer Hospital Chinese Academy of Medical Sciences
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100021
Country
China
Individual Site Status
Recruiting
Facility Name
Union Hospital of Tongji Medical College, Huazhong University of Science and Technology
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430022
Country
China
Individual Site Status
Recruiting
Facility Name
Hubei Cancer Hospital
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430079
Country
China
Individual Site Status
Recruiting
Facility Name
The Second Xiangya Hospital of Central South University
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410011
Country
China
Individual Site Status
Recruiting
Facility Name
Jinan Central Hospital
City
Jinan
State/Province
Shandong
ZIP/Postal Code
250013
Country
China
Individual Site Status
Recruiting
Facility Name
Linyi Cancer Hospital
City
Linyi
State/Province
Shandong
ZIP/Postal Code
276001
Country
China
Individual Site Status
Recruiting
Facility Name
Affiliated Zhongshan Hospital of Fudan University
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200032
Country
China
Individual Site Status
Recruiting
Facility Name
Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310016
Country
China
Individual Site Status
Recruiting
Facility Name
Zhejiang Cancer Hospital
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310022
Country
China
Individual Site Status
Recruiting
Facility Name
National Cancer Center
City
Goyangsi
State/Province
Gyeonggido
ZIP/Postal Code
10408
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Seoul National University Bundang Hospital
City
Seongnamsi
State/Province
Gyeonggido
ZIP/Postal Code
13620
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
The Catholic University of Korea, St Vincents Hospital
City
Suwonsi
State/Province
Gyeonggido
ZIP/Postal Code
16247
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Ajou University Hospital
City
Suwonsi
State/Province
Gyeonggido
ZIP/Postal Code
16499
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Severance Hospital Yonsei University Health System
City
Seoul
State/Province
Seoul Teugbyeolsi
ZIP/Postal Code
03722
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Cha Bundang Medical Center, Cha University
City
Gyeonggido
ZIP/Postal Code
13496
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Sarawak General Hospital
City
Kuching
ZIP/Postal Code
93586
Country
Malaysia
Individual Site Status
Recruiting
Facility Name
Auckland City Hospital
City
Auckland
ZIP/Postal Code
1023
Country
New Zealand
Individual Site Status
Recruiting
Facility Name
National Cancer Centre Singapore
City
Singapore
ZIP/Postal Code
168583
Country
Singapore
Individual Site Status
Recruiting
Facility Name
Changhua Christian Hospital
City
Changhua
ZIP/Postal Code
50006
Country
Taiwan
Individual Site Status
Recruiting
Facility Name
National Cheng Kung University Hospital
City
Tainan
ZIP/Postal Code
704
Country
Taiwan
Individual Site Status
Recruiting
Facility Name
Taipei Tzu Chi Hospital
City
Taipei
ZIP/Postal Code
231405
Country
Taiwan
Individual Site Status
Recruiting
Facility Name
King Chulalongkorn Memorial Hospital (Chulalongkorn University)
City
Bangkok
ZIP/Postal Code
10330
Country
Thailand
Individual Site Status
Recruiting
Facility Name
Ramathibodi Hospital Mahidol University
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand
Individual Site Status
Recruiting
Facility Name
Srinagarind Hospital (Khon Kaen University)
City
Muang
ZIP/Postal Code
40002
Country
Thailand
Individual Site Status
Recruiting
Facility Name
Maharaj Nakorn Chiang Mai Hospital (Chiang Mai University)
City
Muang
ZIP/Postal Code
50200
Country
Thailand
Individual Site Status
Recruiting
Facility Name
Sunpasitthiprasong Hospital
City
Mueang
ZIP/Postal Code
34000
Country
Thailand
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes

Learn more about this trial

Safety and Preliminary Effectiveness of BGB-A445 in Combination With Tislelizumab in Participants With Advanced Solid Tumors

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