- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03594747
A Study of Tislelizumab in Combination With Chemotherapy Versus Chemotherapy in Advanced Lung Cancer
February 28, 2024 updated by: BeiGene
A Phase 3, Multicenter, Randomized Open-Label Study to Compare the Efficacy and Safety of Tislelizumab (BGB A317, Anti-PD1 Antibody) Combined With Paclitaxel Plus Carboplatin or Nab Paclitaxel Plus Carboplatin Versus Paclitaxel Plus Carboplatin Alone as First-Line Treatment for Untreated Advanced Squamous Non-small Cell Lung Cancer
An open-label, randomized, multicenter Phase 3 study designed to compare the efficacy and safety of tislelizumab combined with chemotherapy versus chemotherapy only as first-line treatment in advanced squamous non-small cell lung cancer (NSCLC).
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
360
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Anhui
-
Hefei, Anhui, China, 230001
- Anhui Provincial Hospital
-
Hefei, Anhui, China, 230022
- The First Affiliated Hospital of Anhui Medical University
-
-
Beijing
-
Beijing, Beijing, China, 100142
- Beijing Cancer Hospital
-
Beijing, Beijing, China, 100730
- Peking Union Medical College Hospital
-
Beijing, Beijing, China, 100853
- Chinese PLA General Hospital
-
Beijing, Beijing, China, 100730
- Beijing Hospital
-
Beijing, Beijing, China, 100021
- Cancer Hospital Chinese Academy of Medical Sciences
-
Beijing, Beijing, China, 101149
- Beijing Chest Hospital,Capital Medical University
-
-
Chongqing
-
Chongqing, Chongqing, China, 400010
- The Second Affiliated Hospital of Chongqing Medical University
-
Chongqing, Chongqing, China, 400038
- The First Hospital Affiliated to AMU (Southwest Hospital)
-
Chongqing, Chongqing, China, 400042
- Daping Hospital of The 3rd Military University
-
Chongqing, Chongqing, China, 404000
- Chongqing Sanxia Central Hospital
-
-
Fujian
-
Fuzhou, Fujian, China, 350014
- Fujian Tumor Hospital
-
Xiamen, Fujian, China, 361003
- The First Affiliated Hospital of Xiamen University
-
-
Guangdong
-
Guangzhou, Guangdong, China, 510515
- Nanfang Hospital of Southern Medical University
-
Guangzhou, Guangdong, China, 528400
- Cancer Center of Guangzhou Medical University
-
Shantou, Guangdong, China, 515031
- Cancer Hospital of Shantou University Medical College
-
-
Guangxi
-
Nanning, Guangxi, China, 530021
- The People's Hospital of Guangxi Zhuang Autonomous Region
-
-
Guizhou
-
Zunyi, Guizhou, China, 563099
- Affiliated Hospital of Zunyi Medical College
-
-
Heilongjiang
-
Harbin, Heilongjiang, China, 150081
- Harbin Medical University Cancer Hospital
-
-
Henan
-
Zhengzhou, Henan, China, 450008
- Henan Cancer Hospital
-
Zhengzhou, Henan, China, 450052
- The First Affiliated Hospital, Zhengzhou University
-
-
Hubei
-
Wuhan, Hubei, China, 430079
- Hubei Cancer Hospital
-
Wuhan, Hubei, China, 430022
- Union Hospital Tongji Medical College Huazhong University of science and Technology
-
-
Hunan
-
Changsha, Hunan, China, 410013
- Hunan Cancer Hospital
-
Changsha, Hunan, China, 410011
- 2nd Hospital of Central South University
-
-
Jiangsu
-
Nanjing, Jiangsu, China, 210029
- Jiangsu Province Hospital
-
Nanjing, Jiangsu, China, 210002
- Nanjing General Hospital
-
Suzhou, Jiangsu, China, 215004
- The First Affiliated Hospital Of Soochow University
-
Xuzhou, Jiangsu, China, 221009
- Xuzhou Central Hospital
-
-
Jilin
-
Changchun, Jilin, China, 130021
- The First Hospital of Jilin University
-
-
Liaoning
-
Shenyang, Liaoning, China, 110042
- Liaoning Cancer Hospital & Institute
-
-
Shandong
-
Jinan, Shandong, China, 250013
- Jinan Central Hospital
-
Jinan, Shandong, China
- Qilu Hospital of Shandong University
-
Jinan, Shandong, China, 250117
- Shandong Cancer Hospital
-
Jinan, Shandong, China, 250031
- The 96th Hospital of the Joint Service Support Force of the People's Liberation Army of China
-
Weifang, Shandong, China, 261041
- Weifang People's Hospital
-
-
Shanghai
-
Shanghai, Shanghai, China, 200030
- Shanghai Chest Hospital
-
-
Shanxi
-
Xi'an, Shanxi, China, 710061
- The First Affiliated Hospital Of Xi'an Jiaotong University
-
-
Sichuan
-
Chengdu, Sichuan, China, 610041
- West China Hospital, Sichuan University
-
-
Tianjin
-
Tianjin, Tianjin, China, 300052
- Tianjin Medical University General Hospital
-
Tianjin, Tianjin, China, 300060
- Tianjin Medical University Cancer Institute & Hospital
-
-
Zhejiang
-
Hangzhou, Zhejiang, China, 310022
- Zhejiang Cancer Hospital
-
Hangzhou, Zhejiang, China, 310003
- The First Affiliated Hospital, Zhejiang University
-
Hangzhou, Zhejiang, China, 310016
- Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine
-
Hangzhou, Zhejiang, China, 310002
- Hangzhou First People's Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years to 73 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Key Inclusion Criteria:
- Age 18-75 years old, male or female, and signed informed consent form (ICF)
- Advanced NSCLC diagnosed by pathological or clinical physicians
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤ 1
- Participants must have ≥ 1 measurable lesion as defined per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
- Must be treatment-naive for locally advanced or metastatic squamous NSCLC
- Life expectancy ≥ 12 weeks
- Participants must have adequate organ function
- Male/Female is willing to use a highly effective method of birth control
Key Exclusion Criteria:
- Diagnosed with NSCLC but with epidermal growth factor receptors (EGFR)-sensitizing mutation or anaplastic lymphoma kinase (ALK) gene translocation
- Received any approved systemic anticancer therapy
- Received prior treatment with EGFR inhibitors or ALK inhibitors
- Received prior therapies targeting programmed death 1 (PD-1) or programmed death ligand 1 (PD-L1)
- With history of interstitial lung disease
- Clinically significant pericardial effusion
- Severe infections, active leptomeningeal disease or uncontrolled, untreated brain metastasis
- Any major surgical procedure before randomization
- Human immunodeficiency virus infection
- Untreated hepatitis B virus (HBV)/hepatitis C virus (HCV)
- Active autoimmune diseases or history of autoimmune diseases
- History of allergic reactions to chemotherapy
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Tislelizumab + Paclitaxel + Carboplatin
Tislelizumab 200 milligrams (mg) plus paclitaxel 175 mg/m^2 and carboplatin area under the plasma or serum concentration-time curve (AUC) 5 on Day 1 administered intravenously once every 3 weeks until unacceptable toxicity, withdrawal of consent, loss of clinical benefit, or disease progression; paclitaxel and carboplatin were administered for 4 to 6 cycles (each cycle is 21 days)
|
Administered intravenously as described
Other Names:
Administered intravenously as described
Administered intravenously as described
|
Experimental: Tislelizumab + Nab-paclitaxel + Carboplatin
Tislelizumab 200 mg on Day 1 plus Nab-paclitaxel 100 mg/m^2 on Days 1, 8, and 15 and carboplatin AUC 5 on Day 1 administered intravenously once every 3 weeks until unacceptable toxicity, withdrawal of consent, loss of clinical benefit, or disease progression; Nab-paclitaxel and carboplatin were administered for 4 to 6 cycles (each cycle is 21 days)
|
Administered intravenously as described
Other Names:
Administered intravenously as described
Administered intravenously as described
|
Active Comparator: Paclitaxel + Carboplatin
Paclitaxel 175 mg/m^2 and carboplatin AUC 5 on Day 1 administered intravenously once every 3 weeks for 4 to 6 cycles (each cycle is 21 days)
|
Administered intravenously as described
Administered intravenously as described
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression Free Survival (PFS) by Independent Review Committee (IRC) Assessment as of Data Cut-off Date of 06DEC2019
Time Frame: Through primary analysis data cut-off date of 06DEC2019 (up to approximately 1 year and 4 months)
|
PFS is defined as the time from randomization until first documentation of disease progression as assessed by the IRC per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or death from any cause, whichever occurs first
|
Through primary analysis data cut-off date of 06DEC2019 (up to approximately 1 year and 4 months)
|
PFS by IRC Assessment as of Data Cut-off Date of 30SEP2020
Time Frame: Through primary analysis data cut-off date of 30SEP2020 (up to approximately 2 years and 2 months)
|
PFS is defined as the time from randomization until first documentation of disease progression as assessed by the IRC per RECIST v1.1 or death from any cause, whichever occurs first
|
Through primary analysis data cut-off date of 30SEP2020 (up to approximately 2 years and 2 months)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall Survival (OS)
Time Frame: Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
OS is defined as the time from randomization until the date of death due to any cause
|
Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
Objective Response Rate (ORR) by IRC Assessment
Time Frame: Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
ORR is defined as the percentage of participants with complete response (CR) and partial response (PR), as assessed by the IRC using RECIST v1.1.
|
Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
ORR by Investigator Assessment
Time Frame: Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
ORR is defined as the percentage of participants with complete response (CR) and partial response (PR), as assessed by the investigator using RECIST v1.1.
|
Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
Duration of Response (DOR) by IRC Assessment
Time Frame: Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
DOR is defined as the time from the first occurrence of a documented objective response to the time of documented disease progression assessed by the IRC using RECIST v1.1, or death from any cause, whichever comes first, in all randomized participants with documented objective responses.
Data are based on number of responders.
|
Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
DOR by Investigator Assessment
Time Frame: Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
DOR is defined as the time from the first occurrence of a documented objective response to the time of documented disease progression assessed by the investigator using RECIST v1.1, or death from any cause, whichever comes first, in all randomized participants with documented objective responses.
Data are based on number of responders.
|
Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
PFS by Investigator Assessment
Time Frame: Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
PFS is defined as the time from randomization until first documentation of disease progression as assessed by the investigator per RECIST v1.1 or death from any cause, whichever occurs first
|
Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
PFS by IRC Based on Programmed Death Ligand 1 (PD-L1) Expression
Time Frame: Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
PFS is defined as the time from randomization until first documentation of disease progression as assessed by the IRC per RECIST v1.1 or death from any cause, whichever occurs first, based on PD-L1 expression in tumor cells
|
Through study completion data cut-off date of 28APR2023 (up to approximately 4 years and 9 months)
|
European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC13)
Time Frame: Baseline to Cycle 5; each cycle is 21 days
|
Least squares mean change from baseline in EORTC QLQ-CL13 scores for chest pain, coughing, and dyspnea between tislelizumab arms and paclitaxel + carboplatin arm.
The EORTC QLQ-LC13 is a questionnaire that measures lung cancer-specific disease and treatment symptoms.
It includes questions about specific symptoms in which participants respond based on a 4-point scale, where 1 is "not at all" and 4 is "very much".
Raw scores are transformed into a 0 to 100 scale via linear transformation.
A lower score indicates an improvement in symptoms.
|
Baseline to Cycle 5; each cycle is 21 days
|
European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Global Health Status
Time Frame: Baseline to Cycle 5; each cycle is 21 days
|
Least squares mean change from baseline in EORTC QLQ-C30 Global Health Status/Quality of Life score between tislelizumab arms and paclitaxel + carboplatin arm.
The EORTC QLQ-C30 v3.0 is a questionnaire that assesses quality of life of cancer patients.
It includes global health status and quality of life questions related to overall health in which participants respond based on a 7-point scale, where 1 is very poor and 7 is excellent.
Raw scores are transformed into a 0 to 100 scale via linear transformation.
A higher score indicates better health outcomes.
|
Baseline to Cycle 5; each cycle is 21 days
|
Number of Participants With Adverse Events
Time Frame: From first dose to 30 days after the last dose (up to approximately 4 years and 9 months)
|
Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), which includes laboratory tests, physical exams, electrocardiogram results and vital signs, according to National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0
|
From first dose to 30 days after the last dose (up to approximately 4 years and 9 months)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Study Director, BeiGene
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Wang J, Lu S, Yu X, Hu Y, Sun Y, Wang Z, Zhao J, Yu Y, Hu C, Yang K, Feng G, Ying K, Zhuang W, Zhou J, Wu J, Leaw SJ, Zhang J, Lin X, Liang L, Yang N. Tislelizumab Plus Chemotherapy vs Chemotherapy Alone as First-line Treatment for Advanced Squamous Non-Small-Cell Lung Cancer: A Phase 3 Randomized Clinical Trial. JAMA Oncol. 2021 May 1;7(5):709-717. doi: 10.1001/jamaoncol.2021.0366.
- Wang, J, S. Lu, et al. Randomized Phase III Study of Tislelizumab plus Chemotherapy versus Chemotherapy Alone as First-Line Treatment for Advanced Squamous Non-Small Cell Lung Cancer (Sq-NSCLC): RATIONALE-307 Updated Analysis. IOTECH Abstract, Vol. 16 Supplement 1, Dec. 2022. doi.org/10.1016/j.iotech.2022.100244.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
July 30, 2018
Primary Completion (Actual)
September 30, 2020
Study Completion (Actual)
April 28, 2023
Study Registration Dates
First Submitted
July 3, 2018
First Submitted That Met QC Criteria
July 19, 2018
First Posted (Actual)
July 20, 2018
Study Record Updates
Last Update Posted (Actual)
March 1, 2024
Last Update Submitted That Met QC Criteria
February 28, 2024
Last Verified
February 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Neoplasms
- Lung Diseases
- Neoplasms by Site
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Lung Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Phytogenic
- Antineoplastic Agents, Immunological
- Carboplatin
- Paclitaxel
- Albumin-Bound Paclitaxel
- Tislelizumab
Other Study ID Numbers
- BGB-A317-307
- CTR20180292 (Registry Identifier: ChinaDrugTrials)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
Yes
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Non-Small Cell Lung Cancer
-
WindMIL TherapeuticsBristol-Myers SquibbTerminatedNSCLC | Lung Cancer | Lung Cancer Metastatic | Lung Cancer, Non-small Cell | Non Small Cell Lung Cancer | Non-small Cell Lung Cancer | Non-small Cell Lung Cancer Metastatic | Non Small Cell Lung Cancer MetastaticUnited States
-
University of California, San FranciscoAstraZenecaActive, not recruitingStage IIIA Non-Small Cell Lung Cancer | Stage I Non-Small Cell Lung Cancer | Stage IA Non-Small Cell Lung Cancer | Stage IB Non-Small Cell Lung Cancer | Stage II Non-Small Cell Lung Cancer | Stage IIA Non-Small Cell Lung Cancer | Stage IIB Non-Small Cell Lung CancerUnited States
-
AIO-Studien-gGmbHBristol-Myers Squibb; Eli Lilly and Company; Merck Sharp & Dohme LLC; Pfizer; Gilead... and other collaboratorsRecruitingSmall-cell Lung Cancer | Non-small Cell Lung Cancer Metastatic | Non-small Cell Lung Cancer Stage I | Metastatic Non-small Cell Lung Cancer (NSCLC) | Non Small Cell Lung Cancer Stage III | Non-small Cell Lung Cancer Stage IIGermany
-
University of Wisconsin, MadisonNational Cancer Institute (NCI)CompletedStage IIIA Non-small Cell Lung Cancer | Stage IIIB Non-small Cell Lung Cancer | Extensive Stage Small Cell Lung Cancer | Recurrent Small Cell Lung Cancer | Recurrent Non-small Cell Lung Cancer | Stage IV Non-small Cell Lung Cancer | Healthy, no Evidence of Disease | Limited Stage Small Cell Lung... and other conditionsUnited States
-
Alexander ChiNot yet recruitingNon-small Cell Lung Cancer Stage III | Non-small Cell Lung Cancer | Non-small Cell Lung Cancer Stage I | Non-small Cell Carcinoma | Non-small Cell Lung Cancer Stage IIChina
-
National Cancer Institute (NCI)TerminatedStage IIIA Non-small Cell Lung Cancer | Stage IA Non-small Cell Lung Cancer | Stage IB Non-small Cell Lung Cancer | Stage IIA Non-small Cell Lung Cancer | Stage IIB Non-small Cell Lung CancerUnited States
-
National Cancer Institute (NCI)Not yet recruitingStage IIIA Non-small Cell Lung Cancer | Stage IA Non-small Cell Lung Cancer | Stage IB Non-small Cell Lung Cancer | Stage IIA Non-small Cell Lung Cancer | Stage IIB Non-small Cell Lung CancerCanada
-
Karen KellyBristol-Myers Squibb; National Cancer Institute (NCI); TransgeneCompletedStage IIIA Non-Small Cell Lung Cancer | Stage IIIB Non-Small Cell Lung Cancer | Recurrent Non-Small Cell Lung Carcinoma | Stage IV Non-Small Cell Lung Cancer | Stage I Non-Small Cell Lung Cancer | Stage II Non-Small Cell Lung CancerUnited States
-
Memorial Sloan Kettering Cancer CenterAstraZenecaRecruitingNSCLC | Lung Cancer | Non-small Cell Lung Cancer Stage III | Non-small Cell Lung Cancer | Non-small Cell Lung Cancer Stage I | PD-L1 Gene Mutation | Non-small Cell Lung Cancer Stage IIIA | Non-small Cell Lung Cancer Stage IIUnited States
-
Virginia Commonwealth UniversityNational Cancer Institute (NCI)WithdrawnStage IIIA Non-small Cell Lung Cancer | Stage IIIB Non-small Cell Lung Cancer | Recurrent Non-small Cell Lung Cancer | Stage IIA Non-small Cell Lung Cancer | Stage IIB Non-small Cell Lung CancerUnited States
Clinical Trials on Tislelizumab
-
Jiangsu Yahong Meditech Co., Ltd aka AsierisRecruitingMuscle Invasive Bladder CancerUnited States, China
-
Fudan UniversityActive, not recruitingHepatocellular CarcinomaChina
-
Peking University Cancer Hospital & InstituteRecruitingNon-small Cell Lung Cancer | Consolidation Immunotherapy | Radiotherapy or Sequential ChemoradiationChina
-
Fudan UniversityNot yet recruiting
-
Sun Yat-sen UniversityRecruitingRecurrent Hepatocellular CarcinomaChina
-
Huihua XiongNot yet recruitingMetastatic Triple-negative Breast CancerChina
-
Yonsei UniversityNot yet recruitingHER2-positive Gastric CancerKorea, Republic of
-
Peking University Cancer Hospital & InstituteRecruiting
-
Shanghai Zhongshan HospitalNot yet recruitingHepatocellular Carcinoma With Portal Vein Tumor ThrombusChina
-
University College, LondonBeiGeneNot yet recruiting