AdvanTIG-202: Anti-PD-1 Monoclonal Antibody Tislelizumab (BGB-A317) Combined With or Without Anti-TIGIT Monoclonal Antibody Ociperlimab (BGB-A1217) in Participants With Previously Treated Recurrent or Metastatic Cervical Cancer
Primary Purpose
Cervical Cancer
Status
Active
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Tislelizumab
Ociperlimab
Sponsored by
About this trial
This is an interventional treatment trial for Cervical Cancer
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically confirmed squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix.
- Progression on or after one or more lines of chemotherapy for management of recurrent or metastatic disease and is not amenable to curative treatment (eg, systemic chemotherapy, surgery, or radiotherapy).
- Measurable disease as assessed by RECIST v1.1. Note: A lesion in an area subjected to prior loco-regional therapy, including previous radiotherapy, is not considered measurable unless there has been demonstrated progression in the lesion since the therapy as defined by RECIST v1.1.
- Participants must submit qualified archival tumor tissue (formalin-fixed paraffin-embedded block containing tumor [preferred] or approximately 15 [at least 6] unstained slides) with an associated pathology report, or agree to a tumor biopsy for determination of Programmed death-ligand 1 (PD-L1) expression and other biomarker analyses (fresh tumor biopsies are strongly recommended at baseline in participants with readily accessible tumor lesions and who consent to the biopsies).
- Participant must have adequate organ function as indicated by the screening laboratory values obtained within 7 days before the first study treatment.
Exclusion Criteria:
- Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, TIGIT or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways.
- Any active malignancy ≤ 2 years before first dose of study drug except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated curatively (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of breast).
- Uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage (recurrence within 2 weeks of intervention).
- Any major surgical procedure ≤ 28 days before first dose of study drug. Participants must have recovered adequately from the toxicity and/or complications from the intervention before the first dose of study drug.
- Has received any chemotherapy, immunotherapy (eg, interleukin, interferon, thymosin, etc.) or any investigational therapies within 14 days or 5 half-lives (whichever is longer) before the first dose of study drug or has received palliative radiation treatment or other local regional therapies within 14 days before the first dose of study drug.
Sites / Locations
- "Mhat uni hospital" ood
- Medical center nadezhda clinical eood
- Acibadem city clinic tokuda umhat ead, department of medical oncology
- Sun yat-sen memorial hospital, sun yat-sen university (south)
- Cancer Hospital Chinese Academy of Medical Sciences
- Kyemyung University Dongsan Hospital
- Ajou University Hospital
- National Cancer Center
- Seoul National University Bundang Hospital
- Asan Medical Center
- Gangnam Severance Hospital
- Korea Institute of Radiological & Medical Sciences
- Korea University Guro Hospital
- Samsung Medical Center
- Seoul National University Hospital
- Severance Hospital, Yonsei University Health System
- Przychodnia lekarska komed
- State healthcare institution oncologic dispensary no. 2 - health department of krasnodar region
- Fsbi of higher education"ogarev mordovia state university"
- Sbhi of stavropol region "pyatigorsk interdistrict oncologic dispensary"
- Arkhangelsk regional clinical oncological dispensary
- State budgetary healthcare institution-chelyabinsk regional clinical center of oncology and nuclear
- Chi Mei Hospital, Liouying
- Linkou Chang Gung Memorial Hospital
- National Cheng Kung University Hospital
- Mackay Memorial Hospital
- National Taiwan University Hospital
- Taipei Veterans General Hospital
- Siriraj Hospital
- Medical and diagnostic center of private enterprise private production company "acinus"
- Medical center of llc oncolife
Arms of the Study
Arm 1
Arm 2
Arm Type
Other
Other
Arm Label
Tislelizumab and Ociperlimab (BGB-A1217) Combination (Cohort 1)
Tislelizumab Monotherapy (Cohort 2)
Arm Description
Participants will receive tislelizumab 200 milligrams (mg) on Day 1 followed by the administration of ociperlimab (BGB-A1217) 900 mg of each 21-day cycle.
Tislelizumab 200 mg will be administered on Day 1 of each 21-day cycle
Outcomes
Primary Outcome Measures
Objective Response Rate (ORR) assessed by Independent Review Committee (IRC) per RECIST v1.1 for Cohort 1
Secondary Outcome Measures
Objective Response Rate (ORR) assessed by investigator's review per Response Evaluation Criteria in Solid Tumours (RECIST) v1.1 for Cohort 1
Objective Response Rate (ORR) assessed by both IRC and investigator's review per RECIST v1.1 for Cohort 2
Duration of Response (DOR) assessed by both IRC and investigator's review
Progression Free Survival (PFS) assessed by both IRC and investigator's review
Time to Response (TTR) assessed by both IRC and investigator's review
Disease Control Rate (DCR) assessed by both IRC and investigator's review
Clinical Benefit Rate (CBR) assessed by both IRC and investigator's review
Overall Survival (OS) assessed by both IRC and investigator's review
Health-related quality of life (HRQoL)
Assessment of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)
Adverse events (AEs) and serious adverse events (SAEs) as assessed by National Cancer Institute - Common Terminology Criteria for Adverse Events [NCI-CTCAE] v5.0 for Cohorts 1 and 2
Serum BGB-A1217 and tislelizumab concentrations at specified timepoints
Immunogenic responses to BGB-A1217 and tislelizumab, evaluated through the detection of antidrug antibodies (ADAs)
Health-related quality of life (HRQoL)
Assessment of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Cervical Cancer Module (EORTC QLQ-CX24)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04693234
Brief Title
AdvanTIG-202: Anti-PD-1 Monoclonal Antibody Tislelizumab (BGB-A317) Combined With or Without Anti-TIGIT Monoclonal Antibody Ociperlimab (BGB-A1217) in Participants With Previously Treated Recurrent or Metastatic Cervical Cancer
Official Title
Phase 2 Study Investigating Efficacy and Safety of Anti-PD-1 Monoclonal Antibody Tislelizumab (BGB-A317) Combined With or Without Anti-TIGIT Monoclonal Antibody BGB-A1217 in Patients With Previously Treated Recurrent or Metastatic Cervical Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
February 15, 2021 (Actual)
Primary Completion Date
June 16, 2022 (Actual)
Study Completion Date
September 30, 2023 (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
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is an open-label, 2-cohort, multicenter, Phase 2 study to evaluate the efficacy and safety of tislelizumab combined with or without ociperlimab (BGB-A1217) in participants with previously treated recurrent or metastatic cervical cancer.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
178 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Tislelizumab and Ociperlimab (BGB-A1217) Combination (Cohort 1)
Arm Type
Other
Arm Description
Participants will receive tislelizumab 200 milligrams (mg) on Day 1 followed by the administration of ociperlimab (BGB-A1217) 900 mg of each 21-day cycle.
Arm Title
Tislelizumab Monotherapy (Cohort 2)
Arm Type
Other
Arm Description
Tislelizumab 200 mg will be administered on Day 1 of each 21-day cycle
Intervention Type
Drug
Intervention Name(s)
Tislelizumab
Intervention Description
Administered as specified in the treatment arm
Intervention Type
Drug
Intervention Name(s)
Ociperlimab
Other Intervention Name(s)
BGB-A1217
Intervention Description
Administered as specified in the treatment arm
Primary Outcome Measure Information:
Title
Objective Response Rate (ORR) assessed by Independent Review Committee (IRC) per RECIST v1.1 for Cohort 1
Time Frame
approximately 3 years
Secondary Outcome Measure Information:
Title
Objective Response Rate (ORR) assessed by investigator's review per Response Evaluation Criteria in Solid Tumours (RECIST) v1.1 for Cohort 1
Time Frame
approximately 3 years
Title
Objective Response Rate (ORR) assessed by both IRC and investigator's review per RECIST v1.1 for Cohort 2
Time Frame
approximately 3 years
Title
Duration of Response (DOR) assessed by both IRC and investigator's review
Time Frame
approximately 3 years
Title
Progression Free Survival (PFS) assessed by both IRC and investigator's review
Time Frame
Date of first dose of study drug to the date of first documentation of disease progression or death, whichever occurs first, approximately 3 years
Title
Time to Response (TTR) assessed by both IRC and investigator's review
Time Frame
date of first dose of study drug to first documentation of response, approximately 3 years
Title
Disease Control Rate (DCR) assessed by both IRC and investigator's review
Time Frame
the proportion of patients who achieve CR, PR, or stable disease (SD) approximately 3 years
Title
Clinical Benefit Rate (CBR) assessed by both IRC and investigator's review
Time Frame
the proportion of patients who achieve CR, PR, or durable SD (SD ≥ 24 weeks), approximately 3 years
Title
Overall Survival (OS) assessed by both IRC and investigator's review
Time Frame
Date of first dose of study drug until the date of death from any cause for Cohorts 1 and 2, approximately 3 years
Title
Health-related quality of life (HRQoL)
Description
Assessment of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)
Time Frame
approximately 3 years
Title
Adverse events (AEs) and serious adverse events (SAEs) as assessed by National Cancer Institute - Common Terminology Criteria for Adverse Events [NCI-CTCAE] v5.0 for Cohorts 1 and 2
Time Frame
approximately 3 years
Title
Serum BGB-A1217 and tislelizumab concentrations at specified timepoints
Time Frame
specified timepoints up to 30 (±7) days after last dose, approximately 3 years
Title
Immunogenic responses to BGB-A1217 and tislelizumab, evaluated through the detection of antidrug antibodies (ADAs)
Time Frame
date of first dose of study drug to the date of first documentation of disease progression or death, whichever occurs first, approximately 3 years
Title
Health-related quality of life (HRQoL)
Description
Assessment of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Cervical Cancer Module (EORTC QLQ-CX24)
Time Frame
approximately 3 years
10. Eligibility
Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Histologically or cytologically confirmed squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix.
Progression on or after one or more lines of chemotherapy for management of recurrent or metastatic disease and is not amenable to curative treatment (eg, systemic chemotherapy, surgery, or radiotherapy).
Measurable disease as assessed by RECIST v1.1. Note: A lesion in an area subjected to prior loco-regional therapy, including previous radiotherapy, is not considered measurable unless there has been demonstrated progression in the lesion since the therapy as defined by RECIST v1.1.
Participants must submit qualified archival tumor tissue (formalin-fixed paraffin-embedded block containing tumor [preferred] or approximately 15 [at least 6] unstained slides) with an associated pathology report, or agree to a tumor biopsy for determination of Programmed death-ligand 1 (PD-L1) expression and other biomarker analyses (fresh tumor biopsies are strongly recommended at baseline in participants with readily accessible tumor lesions and who consent to the biopsies).
Participant must have adequate organ function as indicated by the screening laboratory values obtained within 7 days before the first study treatment.
Exclusion Criteria:
Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, TIGIT or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways.
Any active malignancy ≤ 2 years before first dose of study drug except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated curatively (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of breast).
Uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage (recurrence within 2 weeks of intervention).
Any major surgical procedure ≤ 28 days before first dose of study drug. Participants must have recovered adequately from the toxicity and/or complications from the intervention before the first dose of study drug.
Has received any chemotherapy, immunotherapy (eg, interleukin, interferon, thymosin, etc.) or any investigational therapies within 14 days or 5 half-lives (whichever is longer) before the first dose of study drug or has received palliative radiation treatment or other local regional therapies within 14 days before the first dose of study drug.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xiyan Mu
Organizational Affiliation
BeiGene
Official's Role
Study Director
Facility Information:
Facility Name
"Mhat uni hospital" ood
City
Panagyurishte
ZIP/Postal Code
4500
Country
Bulgaria
Facility Name
Medical center nadezhda clinical eood
City
Sofia
ZIP/Postal Code
13330
Country
Bulgaria
Facility Name
Acibadem city clinic tokuda umhat ead, department of medical oncology
City
Sofia
ZIP/Postal Code
1407
Country
Bulgaria
Facility Name
Sun yat-sen memorial hospital, sun yat-sen university (south)
City
Guanzhou
State/Province
Guangdong
ZIP/Postal Code
510275
Country
China
Facility Name
Cancer Hospital Chinese Academy of Medical Sciences
City
Beijing
Country
China
Facility Name
Kyemyung University Dongsan Hospital
City
Daegu
Country
Korea, Republic of
Facility Name
Ajou University Hospital
City
Gyeonggi-do
Country
Korea, Republic of
Facility Name
National Cancer Center
City
Gyeonggi-do
Country
Korea, Republic of
Facility Name
Seoul National University Bundang Hospital
City
Gyeonggi-do
Country
Korea, Republic of
Facility Name
Asan Medical Center
City
Seoul
Country
Korea, Republic of
Facility Name
Gangnam Severance Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Korea Institute of Radiological & Medical Sciences
City
Seoul
Country
Korea, Republic of
Facility Name
Korea University Guro Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Samsung Medical Center
City
Seoul
Country
Korea, Republic of
Facility Name
Seoul National University Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Severance Hospital, Yonsei University Health System
City
Seoul
Country
Korea, Republic of
Facility Name
Przychodnia lekarska komed
City
Konin
ZIP/Postal Code
62-500
Country
Poland
Facility Name
State healthcare institution oncologic dispensary no. 2 - health department of krasnodar region
City
Krasnodar
State/Province
Krasnodar Krai
ZIP/Postal Code
350015
Country
Russian Federation
Facility Name
Fsbi of higher education"ogarev mordovia state university"
City
Saransk
State/Province
Mordovia Republic
ZIP/Postal Code
430005
Country
Russian Federation
Facility Name
Sbhi of stavropol region "pyatigorsk interdistrict oncologic dispensary"
City
Pyatigorsk
State/Province
Stavropol Region
Country
Russian Federation
Facility Name
Arkhangelsk regional clinical oncological dispensary
City
Arkhangel'sk
Country
Russian Federation
Facility Name
State budgetary healthcare institution-chelyabinsk regional clinical center of oncology and nuclear
City
Chelyabinsk
ZIP/Postal Code
454087
Country
Russian Federation
Facility Name
Chi Mei Hospital, Liouying
City
Tainan
Country
Taiwan
Facility Name
Linkou Chang Gung Memorial Hospital
City
Tainan
Country
Taiwan
Facility Name
National Cheng Kung University Hospital
City
Tainan
Country
Taiwan
Facility Name
Mackay Memorial Hospital
City
Taipei
Country
Taiwan
Facility Name
National Taiwan University Hospital
City
Taipei
Country
Taiwan
Facility Name
Taipei Veterans General Hospital
City
Taipei
Country
Taiwan
Facility Name
Siriraj Hospital
City
Bangkok Noi
State/Province
Bangkok
ZIP/Postal Code
10700
Country
Thailand
Facility Name
Medical and diagnostic center of private enterprise private production company "acinus"
City
Kirovograd
State/Province
Kirovohradska Oblast
ZIP/Postal Code
25006
Country
Ukraine
Facility Name
Medical center of llc oncolife
City
Kropyvnytskyi
ZIP/Postal Code
25006
Country
Ukraine
12. IPD Sharing Statement
Plan to Share IPD
Yes
Learn more about this trial
AdvanTIG-202: Anti-PD-1 Monoclonal Antibody Tislelizumab (BGB-A317) Combined With or Without Anti-TIGIT Monoclonal Antibody Ociperlimab (BGB-A1217) in Participants With Previously Treated Recurrent or Metastatic Cervical Cancer
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