A Study of Tislelizumab (BGB-A317) in Combination With Chemotherapy as First Line Treatment in Participants With Advanced Esophageal Squamous Cell Carcinoma
Esophageal Squamous Cell Carcinoma (ESCC)
About this trial
This is an interventional treatment trial for Esophageal Squamous Cell Carcinoma (ESCC)
Eligibility Criteria
Participants with unresectable, locally advanced recurrent or metastatic ESCC who have Stage IV unresectable ESCC at first diagnosis (ie, Stage IV disease at the original diagnosis of ESCC) or who have unresectable, locally advanced recurrent or metastatic disease with at least a 6-month treatment-free interval, if prior definitive therapy (chemotherapy, chemo-radiation therapy or surgery) was given.
Key Inclusion Criteria:
- Pathologically (histologically) confirmed diagnosis of ESCC
- Stage IV unresectable ESCC at first diagnosis OR unresectable, locally advanced recurrent or metastatic disease (per American Joint Committee on Cancer 7th Edition), if there is prior neoadjuvant/adjuvant therapy with platinum-based chemotherapy, a treatment-free interval of at least 6 months is required.
Key Exclusion Criteria:
- Palliative radiation treatment for ESCC within 4 weeks of study treatment initiation
- Prior systemic therapy for unresectable, locally advanced recurrent or metastatic ESCC
- Received prior therapies targeting programmed cell death protein-1 (PD-1), programmed cell death protein ligand-1 (PD-L1) or PD-L2
- Participants with evidence of fistula (either esophageal/bronchial or esophageal/aorta)
- Uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage or medical intervention (clinically significant recurrence requiring an additional intervention within 2 weeks of intervention)
- Evidence of complete esophageal obstruction not amenable to treatment
- Unintentional weight loss ≥ 5% within one month prior to randomization or Nutritional Risk Index (NRI) < 83.5 per investigator's choice
- Locally advanced esophageal carcinoma that is resectable or potentially curable with radiation therapy per local investigator.
- Participants with untreated chronic hepatitis B or chronic hepatitis B virus (HBV) carriers whose HBV DNA is ≥ 500 IU/mL or participants with active hepatitis C virus (HCV)
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- Smilow Cancer Hospital at Yale-New Haven - Neurology
- Karmanos Cancer Institute
- Allegheny General Hospital (AGH)
- Medical University of South Carolina Hollings Cancer Center
- University of Texas Health Science Center of San Antonio
- Renovatio Clinical
- Coffs Harbour Hospital
- Townsville Hospital
- Ashford Cancer Centre Research
- Royal Hobart Hospital
- St Vincent's Hospital
- Ballarat Oncology & Haematology Services
- Antwerp University Hospital
- Institut Jules Bordet - Oncologie Médicale
- Grand Hôpital de Charleroi - Site Notre-Dame
- UZ Gent - Radiologie
- UZ Leuven - Campus Gasthuisberg
- AZ Sint-Jan Brugge - Oostende AV - Campus Sint-Jan - Oncology
- CHC Mont Legia
- CHU Liège Sart Tilman
- Anhui Provincial Cancer Hospital
- Anhui Medical University - The Second Hospital
- The Second Affiliated Hospital of Anhui Medical University
- Beijing Friendship Hospital - Oncology
- The Fifth Medical Center of Chinese PLA General Hospital
- Beijing Cancer Hospital
- Peking Union Medical College Hospital - Oncology
- Fujian Provincial Cancer Hospital - Oncology
- The First Affiliated Hospital of Fujian Medical University
- Zhongshan Hospital Xiamen University
- The First Affiliated Hospital of Sun Yat-sen University
- Guangdong Province Traditional Chinese Medical Hospital
- The Sixth Affiliated Hospital of Sun Yat-Sen University
- Cancer Hospital of Shantou University Medical College
- Cancer Hospital of Guangxi Medical University
- Hainan General Hospital - Oncology
- Affiliated Tumor Hospital of Harbin Medical University
- The First Affiliated Hospital of Zhengzhou University - Oncology
- The First Affiliated Hospital of Xinxiang Medical University
- Henan Cancer Hospital - Oncology
- Hubei Cancer Hospital - Oncology
- Xiangyang Central Hospital
- Hunan Cancer Hospital - GCP Office
- The First People's Hospital of Changzhou - Oncology
- Jiangsu Province Hospital
- Nantong Cancer Hospital
- Affiliated Hospital of Jiangnan University
- The Affiliated Hospital of Xuzhou Medical University - Radiology
- Northern Jiangsu People's Hospital
- The Second Affiliated Hospital of Nanchang University
- Liaoning Cancer Hospital & Institute - Medical Oncology - Oncology
- Quanzhou First Hospital - Radiotherapy/Nuclear Medicine
- Shandong Cancer Hospital and Institute, Shandong First Medical University
- Linyi Cancer Hospital
- WeiFang People's Hospital
- Fudan University Shanghai Cancer Center
- Shanxi Provincial People's Hospital
- Tianjin Medical University Cancer Institute and Hospital
- The First Affiliated Hospital of Zhejiang University
- Sir Run Run Shaw Hospital, Zhejiang University
- Zhejiang Cancer Hospital
- Anhui Provincial Hospital - Oncology
- The First Affiliated Hospital of Xiamen University - Oncology
- Fakultní Nemocnice Olomouc
- Thomayerova nemocnice
- Nemocnice Na Bulovce
- Hôpital Morvan - CHRU de Brest - cancérologie et d'hématologie
- CHRU de Besançon- Hôpital Jean Minjoz
- CHU Bordeaux Hôpital Du Haut-Lévêque
- Institut Hospitalier Franco-Britannique (IHFB) - Levallois-Perret - 4 Rue Kleber
- ICO
- Center Oscar Lambret - Alliance Member
- Hopital Saint-Antoine / Service d'Hepato-Gastro-Enterologie
- Centre Léon Bérard
- Centre Hospitalier Universitaire de Poitiers
- Hopital Europeen Georges Pompidou - Digestive Oncology
- Groupe Hospitalier Paris Saint Joseph - Oncologie
- SLK Kliniken Heilbronn GmbH - Klinik für Radiologie, Minimalinvasive Therapien und Nuklearmedizin
- University Hospital Tuebingen
- Johannes Wesling Klinikum Minden
- Universitätsmedizin Mainz
- University Hospital Of Leipzig
- University Hospital Hamburg- Eppendorf
- Ospedale Umberto I, AOU Ospedali Riuniti Umberto I - GM.Lanc - Oncologia Medica
- Istituto Romagnolo per lo Studio dei Tumori 'Dino Amadori', IRCCS - Laboratorio
- Ospedale Umberto I, AOU Ospedali Riuniti Umberto I - GM.Lanc - Oncologia Medica
- Ieo, Irccs
- Asst Grande Ospedale Metropolitano Niguarda
- Fondazione Pascale, IRCCS, Istituto Nazionale dei Tumori
- Istituto Oncologico Veneto IOV-IRCCS
- SO S.Chiara, AOU Pisana - Oncologia 2
- National Cancer Center Hospital East - Gastrointestinal Oncology
- Kyushu Medical Center - Gastroenterological Surgery
- National Hospital Organization Kyushu Cancer Center - GI and Medical Oncology
- Kobe City Medical Center General Hospital - Medical Oncology
- Kagawa University Hospital - Oncology
- Kanagawa Cancer Center - Gastroenterological surgery
- University Hospital, Kyoto Prefectural Univ of Medicine - Gastroenterology
- Kindai University Nara Hospital
- Osaka University Hospital - Medical Oncology
- National Cancer Center Hospital - Gastrointestinal Oncology
- Hyogo Cancer Center
- Akita University Hospital - Pediatrics
- Kansai Rosai Hospital - Gastroenterological Surgery
- Hiroshima University Hospital - Gastrointestinal Surgery
- Kumamoto University Hospital
- Kyoto University Hospital
- Niigata Cancer Center Hospital
- Osaka International Cancer Institute - Clinical Oncology
- Saitama Cancer Center - Gastroenterology
- Seoul National University Bundang Hospital - Hematology/Oncology
- CHA Bundang Medical Center, CHA University - Oncology
- Gachon University Gil Medical Center - Oncology
- Chonnam National University Hwasun Hospital - Hematology and Oncology Clinic
- The Catholic University of Korea, Seoul St. Mary's Hospital
- Samsung Medical Center - Hematology-Oncology
- SMG-SNU Boramae Medical Center - Oncology
- Korea University Guro Hospital - Hematology-Oncology
- Keimyung University Dongsan Medical Center
- Asan Medical Center - Oncology
- Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie - Państwowy Instytut Badawczy
- Szpital Specjalist. w Brzozowie,Podkarpacki Ośrodek Onkologi
- Szpital Wojewodzki w Koszalinie
- SPZOZ MSWiA z Warminsko-Mazurskim Centrum Onkologii
- Clinical Research Center Sp. z o.o., Medic-R Sp. K.
- Institutul Oncologic "Prof.Dr.I.Chiricuta" Cluj Napoca
- Radiotherapy Center Cluj
- Centrul de Oncologie Sf. Nectarie
- Institutul Clinic Fundeni
- Spitalul Clinic Coltea
- Medisprof
- Centrul de Oncologie Euroclinic
- Arkhangelsk Regional Clinical Oncological Dispensary
- Leningrad Regional Oncology Dispensary
- Orenburg Regional Clinical Oncology Center
- Rostov Research Institute of Oncology (RRIO)
- The First Saint-Petersburg State Medical University named after Academician I.P. Pavlov
- City Oncology Dispensary
- Ivanovo Regional Oncology Dispensary
- Petrov Research Institute of Oncology
- Hospital Universitario Central de Asturias
- Institut Catalá d´Oncología (I.C.O.)
- Hospital Madrid Norte Sanchinarro
- Hospital Universitario Vall d'Hebrón
- Hospital Clinic de Barcelona
- Hospital General Universitario Gregorio Marañon
- H.U.V.Arrixaca
- Hospital Universitario Virgen De La Victoria
- Hospital Universitario Miguel Servet
- Kaohsiung Veterans General Hospital - Thoracic Surgery
- Chang Gung Medical Foundation - Kaohsiung Chang Gung Memorial Hospital - Hemato-Oncology
- China Medical University Hospital - Oncology - Taichung
- Chi Mei Medical Center - YongKang - Chi Mei Medical Center
- Chi Mei Hospital, Liouying - Department of Oncology
- Guys and St Thomas' Hospital
- The Royal Marsden NHS Foundation Trust - Royal Marsden Hospi
- Mount Vernon Cancer Centre
- Maidstone and Tunbridge Wells NHS Trust - Kent Oncology Centre
- Beatson West of Scotland Cancer Centre - Oncology
- The Christie NHS Foundation Trust - Oak Road Treatment Centr
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Tislelizumab + chemotherapy
Placebo + chemotherapy
Tislelizumab administered with chemotherapy doublet: Doublet A: Cisplatin or Oxaliplatin plus Fluorouracil (5-FU); Doublet B: Cisplatin or Oxaliplatin plus Capecitabine; Doublet C: Cisplatin or Oxaliplatin plus Paclitaxel
Placebo administered with chemotherapy doublet: Doublet A: Cisplatin or Oxaliplatin plus Fluorouracil (5-FU); Doublet B: Cisplatin or Oxaliplatin plus Capecitabine; Doublet C: Cisplatin or Oxaliplatin plus Paclitaxel