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A Study of BGB-A3055, Alone and in Combination With Tislelizumab in Participants With Selected Advanced or Metastatic Solid Tumors

PHASE1RECRUITING

This study aims to test the safety, tolerability, and preliminary anti-tumor activity of BGB-A3055, either alone or in combination with Tislelizumab in participants with advanced or metastatic solid tumors.

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Study details:

The primary objective of the study is to assess the safety and tolerability of BGB-A3055 alone or in combination with Tislelizumab during dose escalation and to determine the recommended dose for expansion. During dose expansion, the primary objective will be to assess preliminary anti-tumor activity and further characterize the safety of the recommended dose for expansion. .

Around 318 participants will be enrolled in this study, and they will be assigned to different treatment groups. Both the participants and their doctors will be aware of which treatment group they are assigned to throughout the study. The treatments, BGB-A3055 alone or in combination with Tislelizumab, will be administered intravenously to evaluate their safety and determine the highest dose that can be tolerated by participants.

The study will be conducted at multiple medical centers worldwide. The expected duration of participation in this study is two years. Treatment will continue until participants no longer receive any benefits from the drugs, experience excessive side effects, or decide to withdraw their consent.

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • Age≥18 years on the day of signing the informed consent form (ICF) (or the legal age of consent in the jurisdiction in which the study is taking place, whichever is older).
  • All participants are also required to demonstrate an ECOG Performance Status score of≤1 and have adequate organ function.
  • Participants with histologically confirmed advanced or metastatic solid tumors associated with high CCR8 and who have previously received available standard systemic therapy or for whom treatment is not available or not tolerated and could not receive any prior therapy targeting CCR8.
  • >=1 Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
  • Participants should be able to provide the archival formalin-fixed paraffin-embedded (FFPE) tumor tissues (as block or unstained slides) or fresh biopsy if there is no archival tissue at baseline. For selected cohorts, participants should be willing to provide post-treatment fresh biopsy at specified timepoints.
  • Exclusion criteria

  • Active leptomeningeal disease or uncontrolled, untreated brain metastasis.
  • Active autoimmune diseases or history of autoimmune diseases that may relapse
  • Any malignancy ≤ 3 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).
  • Untreated chronic hepatitis B or chronic HBV carriers with HBV DNA ≥ 500 IU/mL (or ≥ 2500 copies/mL) at screening. Participants with active hepatitis C, and participants with HIV infection. Note: Inactive hepatitis B surface antigen (HBsAg) carriers, treated and stable hepatitis B can be enrolled. Participants with a negative HCV antibody test result at screening or a positive HCV antibody test result followed by a negative HCV RNA test result at screening are eligible to participate. Participants with treated HIV infection may be included if certain criteria are met.
  • History of interstitial lung disease, noninfectious pneumonitis, or uncontrolled lung diseases including pulmonary fibrosis, or acute lung diseases.
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    Eligibility

    Age eligible for study : 18 and older

    Healthy volunteers accepted : No

    Gender eligible for study: All

    Things to know

    Study dates

    Study start: 2023-08-21

    Primary completion: 2025-02-01

    Study completion finish: 2025-02-01

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE1

    trial

    Trial ID

    NCT05935098

    Intervention or treatment

    DRUG: BGB-A3055

    DRUG: Tislelizumab

    Conditions

    • Advanced Solid Tumor
    • Metastatic Solid Tumor
    • Solid Tumor
    Image related to Advanced Solid Tumor
    • Condition: Advanced Solid Tumor, Metastatic Solid Tumor and more

    • DRUG: BGB-A3055 and other drugs

    • Nedlands, Western Australia, Australia and more

    • Sponsor: BeiGene

    Find a site

    Closest Location:

    Linear Clinical Research

    Research sites nearby

    Select from list below to view details:

    • Linear Clinical Research

      Nedlands, Western Australia, Australia

    • Chris Obrien Lifehouse

      Camperdown, New South Wales, Australia

    • Icon Cancer Centre South Brisbane

      South Brisbane, Queensland, Australia

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    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    How is the study designed?

    Participant Group/ArmIntervention/Treatment
    EXPERIMENTAL: Phase 1a Part A: Dose Escalation (BGB-A3055 Monotherapy)
    • Different groups of participants will receive increasing doses of BGB-A3055 alone to determine the most appropriate dosage levels.
    DRUG: BGB-A3055
    • Administered intravenously
    EXPERIMENTAL: Phase 1a Part B: Dose Escalation (BGB-A3055 + tislelizumab)
    • Different groups of participants will receive increasing doses of BGB-A3055 in combination with tislelizumab to determine the most appropriate dosage levels.
    DRUG: BGB-A3055
    • Administered intravenously
    EXPERIMENTAL: Phase 1b (Dose Expansion):
    • Participants will receive the recommended dose for expansion phase (RDFE) of BGB-A3055 in combination with tislelizumab to provide additional information on the safety, tolerability, and potential benefits of the recommended dose.
    DRUG: BGB-A3055
    • Administered intravenously

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Phase 1a: Number of participants with adverse events (AEs)Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including laboratory values, and NCI-CTCAE v5.0.Up to 2 Years
    Phase 1a: Maximum tolerated dose (MTD) or maximum administered dose (MAD) of BGB-A3055The highest dose evaluated for which the estimated toxicity rate is closest to the target toxicity rate of 30%Up to 2 Years
    Phase 1a: Recommended dose for expansion (RDFE) of BGB-A3055The RDFEs of BGB-A3055, alone and in combination with tislelizumab will be determined based on relevant data.Up to 2 Years
    Phase 1b (Dose Expansion): Objective Response Rate (ORR)Defined as the proportion of participants with best overall response (BOR) of a complete response (CR) or partial response (PR) as determined from tumor assessments by the investigators per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Up to 2 Years

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    Phase 1a (Dose Escalation): Objective Response Rate (ORR)ORR is defined as the percentage of participants with partial or complete response, as determined from tumor assessments by the investigators per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Up to 2 Years
    Time to Response (TTR)Defined as the time from the date of the first administration of study drug(s) to the first determination of an objective response.as determined from tumor assessments by the investigators per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Up to 2 Years
    Duration of Response (DoR)Defined as the time from the first determination of an objective response until the first documentation of disease progression or death due to any cause, whichever occurs first, as determined from tumor assessments by the investigators per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Up to 2 Years
    Disease Control Rate (DCR)Defined as the proportion of participants with BOR of a CR, PR, or stable disease as determined from tumor assessments by the investigators per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Up to 2 Years
    Clinical Benefit Rate (CBR)Defined as the proportion of participants with BOR of a CR, PR, or stable disease lasting ≥ 24 weeks as determined from tumor assessments by the investigators per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Up to 2 Years
    Number of participants with anti-drug antibodies (ADAs) against BGB-A3055Not SpecifiedUp to 2 Years
    Number of participants with anti-drug antibodies (ADAs) against tislelizumabNot SpecifiedUp to 2 Years
    Serum concentration of BGB-A3055 at specified time pointsNot SpecifiedUp to 2 Years
    Phase 1b (Dose Expansion): Progression-Free Survival (PFS)defined as the time from the date of the first administration of study drug(s) to the date of the first documentation of disease progression or death due to any cause, whichever occurs first, as determined from tumor assessments by the investigators per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Up to 2 Years
    Phase 1b (Dose Expansion): Number of participants with adverse events (AEs)Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including laboratory values, physical examination findings, and electrocardiogram results.Up to 2 Years
    Phase 1b (Dose Expansion) CCR8 expressionEvaluated from participant-derived tumor tissue(s) obtained before and/or after treatment with BGB-A3055 in combination with tislelizumab, and their association with clinical efficacy.Up to 2 Years
    Phase 1b (Dose Expansion) PD-L1 expressionEvaluated from participant-derived tumor tissue(s) obtained before and/or after treatment with BGB-A3055 in combination with tislelizumab, and their association with clinical efficacy.Up to 2 Years

    Frequently Asked Questions

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    References

    Clinical Trials Gov: A Study of BGB-A3055, Alone and in Combination With Tislelizumab in Participants With Selected Advanced or Metastatic Solid Tumors

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