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A Study to Evaluate LBL-007 in Combination With Tislelizumab Plus Chemotherapy in Participants With Unresectable Locally Advanced or Metastatic Esophageal Squamous Cell Carcinoma

Primary Purpose

Esophageal Cancer, Esophageal Squamous Cell Carcinoma, Esophageal Squamous Cell Carcinoma by AJCC V8 Stage

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
LBL-007
Tislelizumab
Chemotherapy Doublet
Sponsored by
BeiGene
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Esophageal Cancer

Eligibility Criteria

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

Inclusion Criteria: Able to provide written informed consent and can agree to comply with the study requirements. Participants with metastatic ESCC or unresectable, locally advanced ESCC. Histologically confirmed diagnosis of ESCC. Can provide a tumor sample. At least 1 measurable lesion as defined by RECIST v1.1. Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1. Exclusion Criteria: Prior treatment for advanced or metastatic ESCC within the past 6 months Locally advanced ESCC that is either resectable or potentially curable with definitive chemoradiation treatment per local investigator Palliative radiation treatment for ESCC within the past 4 weeks Participants with an esophageal/bronchial or esophageal/aorta fistula Prior treatment with programmed cell death protein-1 (PD-1) or other immune-oncological drugs Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    LBL-007

    Tislelizumab and Chemotherapy

    Arm Description

    LBL-007 in combination with tislelizumab plus chemotherapy doublet.

    Tislelizumab plus chemotherapy doublet.

    Outcomes

    Primary Outcome Measures

    Overall Response Rate (ORR)
    Percentage of participants whose best overall response (BOR) is complete response (CR) or partial response (PR) as assessed by the investigator per Response Evaluation Criteria for Solid Tumors (RECIST) v1.1.

    Secondary Outcome Measures

    Progression Free Survival (PFS)
    Time from the date of randomization to the date of first documentation of disease progression assessed by the investigator per RECIST v1.1 or death, whichever occurs first.
    Duration of Response (DOR)
    Time from the first determination of an overall response until the first documentation of progression assessed by the investigator per RECIST v1.1 or death, whichever occurs first.
    Disease Control Rate (DCR)
    Percentage of participants whose BOR is CR, PR, and stable disease as assessed by the investigator per RECIST v1.1.
    Number of Participants with Adverse Events (AEs)
    Number of participants with AEs, including findings from physical examinations, electrocardiograms, and laboratory assessments according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0.

    Full Information

    First Posted
    August 21, 2023
    Last Updated
    August 21, 2023
    Sponsor
    BeiGene
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06010303
    Brief Title
    A Study to Evaluate LBL-007 in Combination With Tislelizumab Plus Chemotherapy in Participants With Unresectable Locally Advanced or Metastatic Esophageal Squamous Cell Carcinoma
    Official Title
    A Phase 2, Randomized, Active-Controlled, Open-Label Study to Evaluate the Efficacy and Safety of LBL-007 in Combination With Tislelizumab Plus Chemotherapy as First-Line Treatment in Patients With Unresectable Locally Advanced or Metastatic Esophageal Squamous Cell Carcinoma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    November 2023 (Anticipated)
    Primary Completion Date
    December 2024 (Anticipated)
    Study Completion Date
    September 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
    No
    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
    This is a randomized, open-label study to compare how well LBL-007 works in combination with tislelizumab and chemotherapy versus tislelizumab and chemotherapy when given as the first-line treatment in participants with inoperable locally advanced or metastatic esophageal squamous cell carcinoma (ESCC).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Esophageal Cancer, Esophageal Squamous Cell Carcinoma, Esophageal Squamous Cell Carcinoma by AJCC V8 Stage

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    116 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    LBL-007
    Arm Type
    Experimental
    Arm Description
    LBL-007 in combination with tislelizumab plus chemotherapy doublet.
    Arm Title
    Tislelizumab and Chemotherapy
    Arm Type
    Active Comparator
    Arm Description
    Tislelizumab plus chemotherapy doublet.
    Intervention Type
    Drug
    Intervention Name(s)
    LBL-007
    Intervention Description
    LBL-007 will be administered at a standard dose intravenously.
    Intervention Type
    Drug
    Intervention Name(s)
    Tislelizumab
    Other Intervention Name(s)
    BGB-A317
    Intervention Description
    Tislelizumab will be administered at a standard dose intravenously.
    Intervention Type
    Drug
    Intervention Name(s)
    Chemotherapy Doublet
    Intervention Description
    Doublet 1: cisplatin + 5-fluorouracil Doublet 2: cisplatin + paclitaxel Choice of chemotherapy doublet will be determined by the investigator and will be administered at standard doses intravenously.
    Primary Outcome Measure Information:
    Title
    Overall Response Rate (ORR)
    Description
    Percentage of participants whose best overall response (BOR) is complete response (CR) or partial response (PR) as assessed by the investigator per Response Evaluation Criteria for Solid Tumors (RECIST) v1.1.
    Time Frame
    Approximately 14 months
    Secondary Outcome Measure Information:
    Title
    Progression Free Survival (PFS)
    Description
    Time from the date of randomization to the date of first documentation of disease progression assessed by the investigator per RECIST v1.1 or death, whichever occurs first.
    Time Frame
    Approximately 14 months
    Title
    Duration of Response (DOR)
    Description
    Time from the first determination of an overall response until the first documentation of progression assessed by the investigator per RECIST v1.1 or death, whichever occurs first.
    Time Frame
    Approximately 14 months
    Title
    Disease Control Rate (DCR)
    Description
    Percentage of participants whose BOR is CR, PR, and stable disease as assessed by the investigator per RECIST v1.1.
    Time Frame
    Approximately 14 months
    Title
    Number of Participants with Adverse Events (AEs)
    Description
    Number of participants with AEs, including findings from physical examinations, electrocardiograms, and laboratory assessments according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0.
    Time Frame
    Approximately 14 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Able to provide written informed consent and can agree to comply with the study requirements. Participants with metastatic ESCC or unresectable, locally advanced ESCC. Histologically confirmed diagnosis of ESCC. Can provide a tumor sample. At least 1 measurable lesion as defined by RECIST v1.1. Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1. Exclusion Criteria: Prior treatment for advanced or metastatic ESCC within the past 6 months Locally advanced ESCC that is either resectable or potentially curable with definitive chemoradiation treatment per local investigator Palliative radiation treatment for ESCC within the past 4 weeks Participants with an esophageal/bronchial or esophageal/aorta fistula Prior treatment with programmed cell death protein-1 (PD-1) or other immune-oncological drugs Note: Other protocol defined Inclusion/Exclusion criteria may apply.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Study Director
    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

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes

    Learn more about this trial

    A Study to Evaluate LBL-007 in Combination With Tislelizumab Plus Chemotherapy in Participants With Unresectable Locally Advanced or Metastatic Esophageal Squamous Cell Carcinoma

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