Clinical trial

A Phase 3, Multi-center, Randomized, Double-Blind, Placebo-Controlled Study of Either Cisplatin or Carboplatin +Gemcitabine + Tislelizumab Compared With Either Cisplatin or Carboplatin + Gemcitabine + Placebo as First-line Treatment for Patients With Locally Advanced or Metastatic Urothelial Carcinoma

Name
BGB-A317-310
Description
This is a multicenter, randomized, double-blind, placebo-controlled, Phase 3 study designed to compare the efficacy and safety of tislelizumab + either cisplatin or carboplatin + gemcitabine versus placebo+ either cisplatin or carboplatin + gemcitabine in approximately 420 participants with locally advanced or metastatic urothelial carcinoma who have not received prior systemic therapy.
Trial arms
Trial start
2019-05-29
Estimated PCD
2024-01-01
Trial end
2024-01-01
Status
Recruiting
Phase
Early phase I
Treatment
Tislelizumab
200 mg administered Intravenously (IV) as specified in the treatment arm
Arms:
Tislelizumab in combination with chemotherapy
Other names:
BGB-A317
Placebo
Tislelizumab placebo to match
Arms:
Placebo in combination with chemotherapy
Cisplatin
70 mg/m2 administered IV as specified in the treatment arm
Arms:
Placebo in combination with chemotherapy, Tislelizumab in combination with chemotherapy
Gemcitabine Hydrochloride
1000 mg/m2 administered IV as specified in the treatment arm
Arms:
Placebo in combination with chemotherapy, Tislelizumab in combination with chemotherapy
Carboplatin
Area Under the Curve (AUC) 4.5 administered IV as specified in the treatment arm
Arms:
Placebo in combination with chemotherapy, Tislelizumab in combination with chemotherapy
Size
420
Primary endpoint
Overall survival (OS) in the Intent to Treat (ITT) set
From first randomization up to 3.5 years, approximately
Eligibility criteria
Key Inclusion Criteria: 1. Male or female aged 18 to 75 years on the day of signing the Informed Consent Form (ICF) 2. Histologically confirmed, inoperable, locally advanced, or metastatic urothelial cancer (UC) 3. Must be eligible to receive cisplatin or carboplatin in the investigator's judgment 4. Have had no prior systemic chemotherapy for locally advanced or metastatic UC 5. Must be able to provide fresh or archival tumor tissues with an associated pathological report. 6. Must have evaluable disease (either measurable or non-measurable) as defined per RECIST v1.1. 7. Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1. 8. Adequate organ function before randomization: Key Exclusion Criteria: 1. Received prior therapies targeting PD-1, PD-L1, PD-L2, CTLA4, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways. 2. Any approved anticancer therapy within 28 days before randomization. 3. Active leptomeningeal disease or uncontrolled, untreated brain metastasis 4. Participants with uncontrolled hypercalcemia 5. Participants with active autoimmune diseases or history of autoimmune diseases that may relapse 6. History of interstitial lung disease, noninfectious pneumonitis, or uncontrolled diseases 7. A known history of HIV infection. 8. Prior allogeneic stem cell transplantation or organ transplantation. 9. History of severe hypersensitivity reactions to other monoclonal antibodies. 10.History of allergic reactions to cisplatin, carboplatin, or other platinum-containing compounds. NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'DOUBLE', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR']}}, 'enrollmentInfo': {'count': 420, 'type': 'ESTIMATED'}}
Updated at
2023-12-05

1 organization

5 products

1 indication

Organization
BeiGene
Product
Placebo
Indication
Bladder Cancer
Product
Cisplatin