Study of BGB-A425 and LBL-007 in Combination With Tislelizumab in Advanced Solid Tumors

Last updated: February 13, 2025
Sponsor: BeiGene
Overall Status: Completed

Phase

1/2

Condition

Neoplasms

Treatment

Tislelizumab

LBL-007

BGB-A425

Clinical Study ID

NCT03744468
BGB-900-102
2022-500694-14
U1111-1278-0027
  • Ages > 18
  • All Genders

Study Summary

This is an open-label, multicenter, nonrandomized Phase 1 and 2 clinical trial evaluating various combinations of BGB-A425 and/or LBL-007 with tislelizumab.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

Has Eastern Cooperative Oncology Group (ECOG) Performance Status ≤1.

  • Adequate organ function

  • Phase 1 Dose Escalation + Phase 2 Safety Lead-In: Participants with histologicallyor cytologically confirmed advanced, metastatic, unresectable solid tumors who havepreviously received standard systemic therapy or for which treatment is notavailable, not tolerated or refused.

  • Phase 2 Dose-Expansion: Participants with one of the following histologically orcytologically confirmed solid tumors:

  • For HNSCC participants in cohort 1,4 and 6 (PD-L1 positive):

Recurrent/metastatic head and neck squamous cell cancer of the oral cavity, oropharynx, hypopharynx, and/or larynx whose tumor is not amenable to local therapy with curative intent (ie, surgery or radiation therapy with or without chemotherapy • For NSCLC participants in Cohort 2, 5 and 7 (PD-L1 positive): Locally recurrent Stage IIIB, stage IIIC or Stage IV squamous or non-squamous non-small cell lung cancer

• For RCC participants in Cohort 3: Locally advanced unresectable or metastatic and histologically confirmed renal cell carcinoma with a clear cell histology

Exclusion

Key Exclusion Criteria:

  • NSCLC patients with known EGFR mutation, BRAF mutation, ALK fusion, or ROS1 fusion

  • Active leptomeningeal disease or uncontrolled, untreated brain metastasis.

  • Active autoimmune diseases or history of autoimmune diseases that may relapse.

  • Interstitial lung disease, noninfectious pneumonitis or uncontrolled lung diseases

  • Uncontrolled diabetes or significant cardiac issues

  • Infections requiring systemic antibacterial, antifungal, or antiviral therapy

  • History of severe hypersensitivity reactions to other monoclonal antibodies

  • History of HIV infection or untreated chronic hepatitis B or chronic hepatitis Bvirus carriers

  • Major surgical procedure within 28 days before study drug administration

  • Chemotherapy, radiotherapy, immunotherapy or any investigational therapies within 28days (PH 2 Safety Lead-In) or 14 days (PH 2 Dose Expansion) or 5 half-lives of (whichever is shorter) of first administration of study drug(s).

  • With infections (including tuberculosis infection, etc) requiring systemicantibacterial, antifungal, or antiviral therapy ≤ 14 days prior to the first dose ofstudy drug(s), or a requirement for chronic prophylactic treatment with antibiotics.

  • Concurrent participation in another therapeutic clinical trial

  • Received prior therapies targeting TIM-3and/or LAG3

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design

Total Participants: 114
Treatment Group(s): 3
Primary Treatment: Tislelizumab
Phase: 1/2
Study Start date:
November 13, 2018
Estimated Completion Date:
February 06, 2025

Study Description

Blocking antibodies targeting PD-1 have achieved remarkable results in the treatment of many types of tumors. However, based upon the rate of primary and secondary resistance to PD-1 blockade, it is apparent that additional immuno-regulatory mechanism(s) underlie tumor immune escape. Indeed, research shows that the TIM-3 pathway cooperates with PD-1 to maximize the suppression of effector TILs as well as promote resistance to anti-PD-1 therapy. Therefore, TIM-3 represents an ideal target with the potential to significantly improve and/or extend the therapeutic benefit of anti-PD-1 therapy to a greater number of patients.

TIM3, LAG3, and PD-1 function as immune checkpoint receptors in the overlapping regulation of immune tolerance and have been shown to be co-overexpressed on the tumor infiltrating lymphocytes (TILs) from the participant samples of various solid tumors. Furthermore, emerging clinical data and preclinical data demonstrate co-expression of Tim-3, LAG-3, PD-1 often yield T cells' exhausted immunophenotype (ie, cytokine expression, proliferation etc.). Cancer cells take advantage of PD-1, TIM-3, and LAG-3 in inhibiting immune cells' function, and escape the immune surveillance. Based upon the overlapping expression profiles and immuno-regulatory functions, TIM-3 and LAG-3 mediated adaptive resistance, there is strong scientific rationale that simultaneous targeting of these checkpoint blockers, could potentially increase therapeutic benefit and may help to overcome the resistance arising due to anti-PD-(L)-1 therapy. Hence, this study will evaluate the safety and preliminary efficacy of BGB-A425 (anti TIM-3), LBL-007 (Anti-LAG-3) in combination with tislelizumab (anti PD-1) in patients with advanced solid tumors

This is an open-label, multicenter, nonrandomized Phase 1 and Phase 2 clinical trial. Phase 1 will determine the recommended phase 2 dose (RP2D) for the combination of BGB-A425 and Tislelizumab. Phase 2 safety lead-in will determine the RP2D for the combination of BGB-A425, Tislelizumab and/or LBL-007. Phase 2 dose expansion will continue to evaluate the safety but also focus on the efficacy of the doublet or triplet treatment combination in select tumor types.

Connect with a study center

  • Sydney Southwest Private Hospital

    Liverpool, New South Wales 2170
    Australia

    Site Not Available

  • Sydney Southwest Private Hospital

    Sydney, New South Wales 2170
    Australia

    Site Not Available

  • Sunshine Coast Hospital and Health Service

    Birtinya, Queensland 4575
    Australia

    Site Not Available

  • Sunshine Coast University Hospital

    Birtinya, Queensland 4575
    Australia

    Active - Recruiting

  • Gold Coast University Hospital

    Gold Coast, Queensland 4215
    Australia

    Site Not Available

  • Cancer Care Service Hervey Bay Hospital

    Hervey Bay, Queensland
    Australia

    Site Not Available

  • Gold Coast University Hospital

    Southport, Queensland 4215
    Australia

    Site Not Available

  • Calvary North Adelaide Hospital

    Adelaide, South Australia 5006
    Australia

    Site Not Available

  • Lyell McEwin Hospital

    Adelaide, South Australia 5112
    Australia

    Active - Recruiting

  • Lyell McEwin Hospital

    Elizabeth Vale, South Australia 5112
    Australia

    Site Not Available

  • Calvary North Adelaide Hospital

    North Adelaide, South Australia 5006
    Australia

    Site Not Available

  • Box Hill Hospital

    Box Hill, Victoria 3128
    Australia

    Site Not Available

  • Cabrini Hospital Malvern

    Malvern, Victoria 3144
    Australia

    Active - Recruiting

  • Cabrini Research and Education Institute

    Malvern, Victoria 3144
    Australia

    Site Not Available

  • Box Hill Hospital

    Melbourne, Victoria 3128
    Australia

    Active - Recruiting

  • Peter MacCallum Cancer Centre

    Melbourne, Victoria 3128
    Australia

    Site Not Available

  • Peter Maccallum Cancer Centre

    Melbourne, Victoria 3000
    Australia

    Site Not Available

  • Western Health- Sunshine Hospital

    Melbourne, Victoria 3021
    Australia

    Active - Recruiting

  • Western Health Sunshine Hospital

    St Albans, Victoria 3021
    Australia

    Site Not Available

  • Hollywood Private Hospital

    Nedlands, Western Australia 6009
    Australia

    Site Not Available

  • Linear Clinical Research

    Nedlands, Western Australia 6009
    Australia

    Site Not Available

  • Hollywood Private Hospital

    Perth, Western Australia 6009
    Australia

    Active - Recruiting

  • Linear Clinical Research

    Perth, Western Australia 6009
    Australia

    Site Not Available

  • Centre de Lutte Contre Le Cancer Institut Bergonie

    Bordeaux, 33076
    France

    Site Not Available

  • Centre de Lutte Contre Le Cancer Francois Baclesse

    Caen, 14000
    France

    Site Not Available

  • Institut Curie Paris

    Paris, 75005
    France

    Site Not Available

  • Institut Curie

    SaintCloud, 92210
    France

    Site Not Available

  • Institut Gustave Roussy

    Villejuif, 94805
    France

    Site Not Available

  • Irccs Azienda Ospedaliero Universitaria Bologna

    Bologna, 40138
    Italy

    Site Not Available

  • Fondazione Irccs Istituto Nazionale Dei Tumori

    Milano, 20133
    Italy

    Site Not Available

  • Istituto Di Candiolo Irccs

    Torino, 10060
    Italy

    Site Not Available

  • Dong A University Hospital

    Busan, Busan Gwang'yeogsi 49201
    Korea, Republic of

    Site Not Available

  • Chungbuk National University Hospital

    Cheongju, Chungcheongbuk-do 28644
    Korea, Republic of

    Site Not Available

  • Chungbuk National University Hospital

    Cheongju si, Chungcheongbukdo 28644
    Korea, Republic of

    Site Not Available

  • Chungbuk National University Hospital

    Cheongjusi, Chungcheongbukdo 28644
    Korea, Republic of

    Site Not Available

  • National Cancer Centre

    Goyang, Gyeonggi-do 10408
    Korea, Republic of

    Site Not Available

  • CHA Bundang Medical Center, CHA University

    Seongnam, Gyeonggi-do 13496
    Korea, Republic of

    Site Not Available

  • Seoul National University Bundang Hospital

    Seongnam, Gyeonggi-do 13620
    Korea, Republic of

    Active - Recruiting

  • Ajou University Hospital

    Suwon, Gyeonggi-do 16499
    Korea, Republic of

    Site Not Available

  • The Catholic University of Korea, Seoul St. Vincent's Hospital

    Suwon, Gyeonggi-do 16247
    Korea, Republic of

    Active - Recruiting

  • Ajou University Hospital

    Suwonsi, Gyeonggi-do 16499
    Korea, Republic of

    Site Not Available

  • The Catholic University of Korea, St Vincents Hospital

    Suwonsi, Gyeonggi-do 16247
    Korea, Republic of

    Site Not Available

  • National Cancer Center

    Goyang si, Gyeonggido 10408
    Korea, Republic of

    Site Not Available

  • National Cancer Center

    Goyangsi, Gyeonggido 10408
    Korea, Republic of

    Site Not Available

  • Cha Bundang Medical Center, Cha University

    Gyeonggi-do, Gyeonggido 13496
    Korea, Republic of

    Site Not Available

  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggido 13620
    Korea, Republic of

    Site Not Available

  • Seoul National University Bundang Hospital

    Seongnamsi, Gyeonggido 13620
    Korea, Republic of

    Site Not Available

  • Gachon University Gil Medical Center

    Incheon, Incheon Gwang'yeogsi 21565
    Korea, Republic of

    Site Not Available

  • Asan Medical Center

    Seoul, Seoul Teugbyeolsi 05505
    Korea, Republic of

    Site Not Available

  • Severance Hospital Yonsei University Health System

    Seoul, Seoul Teugbyeolsi 03722
    Korea, Republic of

    Site Not Available

  • The Catholic University of Korea, Seoul St Marys Hospital

    Seoul, Seoul Teugbyeolsi 06591
    Korea, Republic of

    Site Not Available

  • Ulsan University Hospital

    Donggu, Ulsan Gwang'yeogsi 44033
    Korea, Republic of

    Site Not Available

  • Dong-A University Hospital

    Busan, 49201
    Korea, Republic of

    Active - Recruiting

  • National Cancer Centre

    Gyeonggi-do, 137-701
    Korea, Republic of

    Site Not Available

  • Cha Bundang Medical Center, Cha University

    Gyeonggido, 13496
    Korea, Republic of

    Site Not Available

  • Severance Hospital, Yonsei University

    Seoul, 03722
    Korea, Republic of

    Active - Recruiting

  • The Catholic University of Korea, Seoul St. Mary's Hospital

    Seoul, 06591
    Korea, Republic of

    Active - Recruiting

  • Ulsan University Hospital

    Ulsan, 44033
    Korea, Republic of

    Site Not Available

  • Centrum Onkologiiim Prof F Lukaszczyka Wbydgoszczy

    Bydgoszcz, 85-796
    Poland

    Site Not Available

  • Narodowy Instytut Onkologii Im Marii Skodowskiej Curie Pastwowy Instytut Badawczy

    Warszawa, 02-034
    Poland

    Site Not Available

  • Ico Hug Trias I Pujol

    Barcelona, 08916
    Spain

    Site Not Available

  • Institut Catala Dandoncologia

    Barcelona, 08908
    Spain

    Active - Recruiting

  • Institut Catala Doncologia

    Barcelona, 08908
    Spain

    Site Not Available

  • Vall D Hebron Institute of Oncology Vhio

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Hospital Clinico San Carlos

    Madrid, 28040
    Spain

    Site Not Available

  • Hospital Universitario Hm Madrid Sanchinarro

    Madrid, 28050
    Spain

    Site Not Available

  • Hospital Universitario Virgen Del Rocio

    Sevilla, 41013
    Spain

    Site Not Available

  • Banner MD Anderson Cancer Center

    Phoenix, Arizona 85234
    United States

    Site Not Available

  • Chao Family Comprehensive Cancer Center

    Orange, California 92868
    United States

    Site Not Available

  • UCI Chao Family Comprehensive Cancer Center

    Orange, California 92868
    United States

    Site Not Available

  • University of Colorado Cancer Center

    Aurora, Colorado 80014
    United States

    Site Not Available

  • University of Colorado Cancer Centre

    Aurora, Colorado 80045
    United States

    Site Not Available

  • University of Chicago Medical Center

    Chicago, Illinois 60637
    United States

    Site Not Available

  • Baptist Health Lexington

    Lexington, Kentucky 40503
    United States

    Site Not Available

  • University of Kentucky Hospital

    Lexington, Kentucky 40536
    United States

    Active - Recruiting

  • University of Kentucky Markey Cancer Center

    Lexington, Kentucky 40536
    United States

    Site Not Available

  • Washington University School of Medicine

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Weill Cornell Medical College

    New York, New York 10065
    United States

    Active - Recruiting

  • Weill Cornell Medical College Newyork Presbyterian Hospital

    New York, New York 10021
    United States

    Site Not Available

  • University of North Carolina At Chapel Hill

    Chapel Hill, North Carolina 27514
    United States

    Site Not Available

  • University of North Carolina and Chapel Hill

    Chapel Hill, North Carolina 27514
    United States

    Active - Recruiting

  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina 27514
    United States

    Active - Recruiting

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania 19111
    United States

    Site Not Available

  • Fox Chase Cancer Centre

    Philadelphia, Pennsylvania 19111
    United States

    Site Not Available

  • Oncology Consultants, P.A.

    Houston, Texas 77024-2545
    United States

    Active - Recruiting

  • The University of Texas Md Anderson Cancer Center

    Houston, Texas 77030-4009
    United States

    Site Not Available

  • The University of Texas, MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Xcanceroncology Consultants

    Houston, Texas 77030
    United States

    Active - Recruiting

  • UT Health San Antonio Mays Cancer Center

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • Ut Health San Antonio Mays Cancer Center

    San Antonio, Texas 78229
    United States

    Site Not Available

  • University of Virginia

    Charlottesville, Virginia 22903
    United States

    Site Not Available

  • Schar Cancer Institute

    Fairfax, Virginia 22031
    United States

    Site Not Available

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