Phase 2
N=70
Study of Tislelizumab in Participants With Resectable Esophageal Squamous Cell Carcinoma
Resectable Esophageal Squamous Cell Carcinoma
Bottom Line
View on ClinicalTrials.gov: NCT04974047 ↗Enrolled (actual)
70
Serious AEs
28.6%
Results posted
Dec 2025
Primary outcome: Primary: Pathological Complete Response (pCR) Rate — 30.0; 34.4 percentage of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Tislelizumab (Drug); Paclitaxel (Drug); Cisplatin (Drug); 5-fluorouracil (Drug); Radiotherapy (Radiation); Surgical resection (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- BeiGene
- Primary completion
- Apr 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Pathological Complete Response (pCR) Rate |
30.0; 34.4 | — |
| SECONDARY R0 Resection Rate |
95.0; 90.6 | — |
| SECONDARY 1-year/3-year Disease-free Survival (DFS) Rate |
79.0; 74.2 | — |
| SECONDARY 1-year/3-year Event-free Survival (EFS) Rate |
87.1; 67.8; 75.5; 59.9 | — |
| SECONDARY Objective Response Rate (ORR) |
71.4; 42.4 | — |
| SECONDARY Number Of Participants Experiencing Treatment-Emergent Adverse Events |
30; 39 | — |
Summary
The purpose of this study is to evaluate the pathological complete response (pCR) in participants receiving tislelizumab plus chemotherapy/chemoradiotherapy as neoadjuvant treatment.
Eligibility Criteria
Key Inclusion Criteria
- Eastern Cooperative Oncology Group Performance Status of 0 or 1.
- Histologically confirmed esophageal squamous cell carcinoma (ESCC).
- Stage cT1-2N+M0 and cT3NanyM0 (per The American Joint Committee on Cancer 8th Edition).
- Evaluation by the investigator to confirm eligibility for an R0 resection with curative intent.
- Adequate hematologic and organ function, defined by protocol-specified laboratory test results obtained within 14 days before first dose.
Key Exclusion Criteria
- Ineligible for treatment with any of the chemotherapy doublets of protocol-specified chemotherapy.
- Any prior therapy for current ESCC, including investigational agents, chemotherapy, radiotherapy, targeted therapy agents, or prior therapy with an anti-programmed cell death protein-1, anti-programmed cell death protein ligand-1, anti-programmed cell death protein ligand-2, or any other antibody or drug specifically targeting T-Cell co-stimulation or checkpoint pathways.
- History of fistula due to primary tumor invasion.
- Participants with high risk of fistula or sign of perforation evaluated by investigator.
- Any condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone or equivalent) or other immunosuppressive medications within 14 days before first dose.
- Adrenal replacement steroid (dose ≤ 10 mg daily of prednisone or equivalent) and topical, ocular, intra-articular, intranasal, or inhaled corticosteroid with minimal systemic absorption, and short course (≤ 7 days) of corticosteroid prescribed prophylactically or for the treatment of a non-autoimmune condition are permitted.
- Active autoimmune diseases or history of autoimmune diseases that may relapse.
- Controlled Type I diabetes, hypothyroidism only requiring hormone replacement, controlled celiac disease, skin diseases (such as vitiligo, psoriasis, or alopecia) not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll.
- History of interstitial lung disease, non-infectious pneumonitis or uncontrolled diseases including pulmonary fibrosis, acute lung diseases.
- With infections requiring systemic antibacterial, antifungal, or antiviral therapy, including tuberculosis infection.
- Severe infections within 4 weeks before first dose, including but not limited to hospitalization for complications of infection, bacteremia, or severe pneumonia.
- Receive therapeutic oral or intravenous antibiotics within 2 weeks before first dose.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Data sourced from ClinicalTrials.gov (NCT04974047). 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.