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Phase 1 Completed N=229 Treatment

The Safety, Pharmacokinetics and Antitumor Activity of BGB-A317 in Combination With BGB-290 in Participants With Advanced Solid Tumors

Source: ClinicalTrials.gov NCT02660034 ↗
Enrolled (actual)
229
Serious AEs
49.8%
Results posted
Dec 2021
Primary outcomePrimary: Part A: Number Of Participants Experiencing Adverse Events (AEs) — 12; 12; 6; 13 Participants

Summary

This trial studied the safety, pharmacokinetics, and antitumor activity of the anti-programmed cell death 1 (PD-1) monoclonal antibody (mAb) BGB-A317 (tislelizumab) in combination with the poly(adenosine diphosphate ribose) polymerase (PARP) inhibitor BGB-290 (pamiparib) in participants with advanced solid tumors.

Outcome Measures

OutcomeResultp-value
PRIMARY
Part A: Number Of Participants Experiencing Adverse Events (AEs)
12; 12; 6; 13; 6
PRIMARY
Part A: Number Of Participants Experiencing Dose-limiting Toxicity (DLT)
0; 0; 0; 2; 2
PRIMARY
Part B: Objective Response Rate (ORR)
7; 3; 9; 4; 2; 2
PRIMARY
Part B: Progression-free Survival (PFS)
8.2; 3.5; 8.4; 10.4; 2.0; 2.1
PRIMARY
Part B: Duration Of Response (DOR)
11.2; 6.2; 17.1; NA; 6.2; NA
PRIMARY
Part B: Disease Control Rate (DCR)
21; 11; 14; 15; 7; 7
PRIMARY
Part B: Clinical Benefit Rate (CBR)
15; 7; 11; 10; 4; 4
PRIMARY
Part B: Overall Survival (OS)
20.9; 18.7; 15.8; 21.2; 6.9; 7.4
SECONDARY
Part A: Minimum Observed Plasma Concentration (Ctrough) Of Tislelizumab
23530; 26040; 26160; 30330; 53700; 74260
SECONDARY
Part A: Ctrough Of Pamiparib
772.9; 1258; 1209; 1876; 2754; 824.8
SECONDARY
Part A: Maximum Observed Plasma Concentration At Steady State (Cmax,ss) Of Pamiparib
1457; 2497; 2985; 2586; 3189
SECONDARY
Part A: Time To Reach Maximum Plasma Concentration At Steady State (Tmax,ss) Of Pamiparib
1.0; 1.1; 1.0; 1.9; 2.0
SECONDARY
Part A: Ctrough At Steady State (Ctrough,ss) Of Pamiparib
494; 1170; 1151; 2135; 2554
SECONDARY
Part A: ORR
1; 3; 0; 3; 3
SECONDARY
Part A: PFS
64; 77; 190; 107; 373
SECONDARY
Part A: DCR
3; 6; 5; 7; 5
SECONDARY
Part A: CBR
2; 5; 4; 4; 4
SECONDARY
Part A: OS
259; 413; NA; 434; NA
SECONDARY
Part A: Percentage Of Participants With Anti-drug Antibodies (ADAs) For Tislelizumab
3; 1; 0; 1; 0
SECONDARY
Part B: Number Of Participants Experiencing AEs
23; 23; 19; 20; 23; 20
SECONDARY
Part B: Ctrough Of Tislelizumab
46060
SECONDARY
Part B: Maximum Observed Plasma Concentration (Cmax) Of Tislelizumab
99408
SECONDARY
Part B: Ctrough Of Pamiparib
1161
SECONDARY
Part B: Cmax Of Pamiparib
1850
SECONDARY
Part B: Percentage Of Participants With ADAs For Tislelizumab
0; 0; 1; 0; 1; 1

Eligibility Criteria

Key Inclusion Criteria

  • Participants voluntarily agreed to participate by giving written informed consent.
  • Must have received standard of care in the primary treatment of their disease.
  • Participants who had the below specified histologically confirmed malignancies that had progressed to the advanced or metastatic stage:
  • In Part A, the participants must have had an advanced malignancy, including but not limited to high-grade serous cancer of the ovary, fallopian tube, or peritoneum, triple negative breast cancer, small cell lung cancer (SCLC), primary peritoneal cancer, and any tumor likely to harbor DNA damage repair deficiencies susceptible to treatment with a PARP inhibitor or likely to be responsive to a PD-1 blocker.
  • In Part B, the participants recruited to 1 of the 8 expansion arms must have had advanced solid tumors of the following types:

Arm 1: Participants with relapsed, platinum-sensitive high-grade epithelial, non-mucinous, ovarian cancer, fallopian tube, or primary peritoneal cancer (EOC) must have met the following criteria:

i. Must have had at least 2 prior platinum-containing treatments in any treatment setting.

ii. Must have had platinum-sensitive recurrent disease and must not have progressed (by Response Evaluation Criteria in Solid Tumors [RECIST] v1.1 criteria) within 6 months of the completion of the last platinum-containing line of treatment.

  • Note: Participants may have received additional non-platinum-based chemotherapy for recurrence after prior last platinum-containing regimen if the criteria for platinum sensitivity were met.

iii. Arm 1a: Participants with relapsed, platinum-sensitive high-grade EOC with either known deleterious or suspected deleterious germline or somatic breast cancer susceptibility gene 1/2 (BRCA1/2) mutations or with homologous recombination deficiency (HRD).

  • If HRD or BRCA1/2 mutation status from archival tissue was unknown or had not been previously evaluated, then the archival tissue must have undergone tissue screening using a validated diagnostic test to determine eligibility. If the diagnostic test result was BRCA1/2 or HRD positive, the participant was eligible for enrollment in Arm 1a.

iv. Arm 1b: Participants with relapsed, platinum-sensitive high grade EOC who otherwise met the above criteria and were without known germline or somatic BRCA1/2 mutations and without HRD mutation.

Arm 2: Participants with triple negative breast cancer must have met the following criteria:

i. 0-1 prior platinum-containing treatment in any treatment setting.

  • Note: participants could have received additional therapy after the last platinum-containing line of treatment if the other eligibility criteria were met.

ii. Participants who received at least 1 prior treatment but not more than 3 prior lines of treatment in the advanced or metastatic setting.

iii. Known deleterious or suspected deleterious germline or somatic BRCA1/2 mutations or with documented HRD.

  • If HRD or BRCA1/2 mutation status from archival tissue was unknown or had not been previously evaluated, then the archival tissue must have undergone tissue screening using a validated diagnostic test to determine eligibility. If the diagnostic test result was HRD positive, then the participant was eligible for enrollment in Arm 2.
  • If archival tissue was not available and the participant submitted a fresh tumor biopsy, then the diagnostic test needed to demonstrate somatic BRCA1/2 mutation or HRD positivity.

Arm 3: Participants with metastatic castration-resistant prostate cancer, including but not limited to mutations in homologous recombination (HR) pathways and/or defined by HRD algorithms, and must have met the following criteria:

i. May be either chemotherapy-naïve, but must have received prior abiraterone acetate and/or enzalutamide treatment, or have previously had no more than 2 taxane-based chemotherapy lines of treatment, including docetaxel and carbazitaxel. If docetaxel was used more th

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02660034). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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