Phase 2
Completed N=20
Study Investigating Safety, Tolerability, Pharmacokinetics (PK) and Antitumor Activities of Anti-PD-1 (Programmed Death-1) Monoclonal Antibody
Source: ClinicalTrials.gov NCT04068519 ↗Enrolled (actual)
20
Serious AEs
28.3%
Results posted
Nov 2023
Primary outcomePrimary: Dose Verification and PK Sub-study: Number Participants With Adverse Events — 20; 54; 9; 21 Participants
Summary
This was a dose verification, pharmacokinetic (PK) assessment of products derived from two manufacturing processes and scales (500L-FMP and 2000L-FMP; FMP: Final Manufacturing Process) and indication expansion clinical study of monoclonal antibody conducted in Chinese subjects with advanced solid tumors, with a purpose of exploring the safety, tolerability, pharmacokinetics and preliminary efficacy.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Dose Verification and PK Sub-study: Number Participants With Adverse Events |
20; 54; 9; 21; 4; 14 | — |
| PRIMARY Dose Verification: Recommended Dose of Tislelizumab |
200 | — |
| PRIMARY PK Sub-study: Area Under the Concentration-time Curve From Time 0 to Infinity (AUC0-inf) of Tislelizumab From Two Manufacturing Processes and Scales |
1113.9; 1108 | — |
| PRIMARY PK Sub-study: Area Under the Concentration-time Curve From Time 0 to 28 Days Postdose (AUC0-28d) of Tislelizumab From Two Manufacturing Processes and Scales |
810.2; 801.7 | — |
| PRIMARY PK Sub-study: Maximum Observed Concentration (Cmax) of Tislelizumab From Two Manufacturing Processes and Scales |
77.3; 75.7 | — |
| PRIMARY Indication Expansion: Objective Response Rate |
17.9; 17.6; 7.7; 16.7; 18.2; 47.6 | — |
| SECONDARY Dose Verification: Area Under the Concentration-time Curve From Time 0 to 21 Days Postdose (AUC0-tau) of Tislelizumab |
600.1; 1122 | — |
| SECONDARY Dose Verification: Maximum Observed Concentration (Cmax) of Tislelizumab |
67.8; 131 | — |
| SECONDARY Dose Verification: Predose Plasma Concentration of Tislelizumab During Multiple Dosing (Ctrough) |
15.8; 31.4 | — |
| SECONDARY Dose Verification: Apparent Terminal Half-life of Tislelizumab (t1/2) |
13.3; 16.9 | — |
| SECONDARY Dose Verification: Clearance (Cl) |
0.247 | — |
| SECONDARY Indication Expansion: Progression-free Survival (PFS) |
4.0; 2.2; 2.1; 2.1; 2.1; 8.2 | — |
| SECONDARY Indication Expansion: Duration of Response |
30.4; 12.5; NA; NA; NA; 8.8 | — |
| SECONDARY Indication Expansion: Clinical Benefit Rate |
33.9; 32.4; 15.4; 25.0; 27.3; 61.9 | — |
| SECONDARY Indication Expansion: Overall Survival |
22.1; 11.8; 4.8; 4.7; 4.3; 25.0 | — |
| SECONDARY Indication Expansion: Disease Control Rate |
55.4; 38.2; 34.6; 25.0; 40.9; 81.0 | — |
| SECONDARY Number of Participants With Positive Anti-drug Antibody (ADA) Status to Tislelizumab |
43; 2; 41 | — |
Eligibility Criteria
Key Inclusion Criteria
- Participants must have histologically or cytologically confirmed advanced or metastatic tumors (unresectable), have had progression or intolerability since last standard anti-tumor treatment, or have no standard treatment or have refused standard therapy.
- Participants must be able to provide archival tumor tissues (paraffin blocks or at least 10 unstained tumor specimen slides).
- Participants must have at least one measurable lesion as defined per RECIST criterion version 1.1.
- Participant must have adequate organ function.
- Females are eligible to participate in the study if they are:
a) Non-childbearing potential (that is, physiologically incapable of becoming pregnant) who:
- Has had hysterectomy
- Has had bilateral oophorectomy
- Has had bilateral tubal ligation or are post-menopausal (total cessation of menses for ≥1 year) b) Childbearing potential:
- Must be willing to use a highly effective method of birth control for the duration of the study, and for at least 120 days after the last dose of tislelizumab, and have a negative urine or serum pregnancy test within 7 days of the first dose of study drug.
- Non-sterile males must be willing to use a highly effective method of birth control for the duration of the study.
Key Exclusion Criteria
- History of severe hypersensitivity reactions to other monoclonal antibodies (mAbs).
- Prior malignancy active within the previous 2 years except for the tumor under investigation in this trial, cured or locally curable cancers, such as basal or squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the cervix or breast.
- Prior therapies targeting PD-1 or PD-L1. Active brain or leptomeningeal metastases. Participants with brain metastases are permitted if they are asymptomatic, for example, diagnosed incidentally by brain imaging, or participants with previously treated brain metastases that are asymptomatic at screening, radiographically stable and not requiring steroid medications for at least 4 weeks prior to the first administration of study treatment.
- Participants with active autoimmune diseases or history of autoimmune diseases or immunodeficiency that may relapse should be excluded. Participants with following diseases are allowed to be enrolled for further screening: type I diabetes, hypothyroidism managed with hormone replacement therapy only, skin diseases not requiring systemic treatment (such as vitiligo, psoriasis or alopecia), or diseases not expected to recur in the absence of external triggering factors.
- Participants should be excluded if they have a condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days of study drug administration.
- With uncontrollable pleural effusion, pericardial effusion or ascites requiring repeated drainage.
- Use of any live or attenuated vaccines within 4 weeks (28 days) prior to initiation of study therapy.
- Major surgical procedure (Grade 3 or 4) within the past 4 weeks (28 days) prior to study drug administration.
- Prior allogeneic or solid organ transplantation.
NOTE: Other protocol-defined Inclusion/Exclusion criteria may apply.
Data sourced from ClinicalTrials.gov (NCT04068519). 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.