Clinical trial

A Phase 3, Randomized, Double-Blind Study of Ociperlimab, an Anti-TIGIT Antibody, in Combination With Tislelizumab Compared to Pembrolizumab in Patients With Previously Untreated, PD-L1-Selected, and Locally Advanced, Unresectable, or Metastatic Non-Small Cell Lung Cancer

Aliases
AdvanTIG-302
Name
AdvanTIG-302
Description
The purpose of this study is to evaluate the efficacy and safety of ociperlimab + tislelizumab compared with that of pembrolizumab in adults with PD-L1 high, locally advanced/recurrent or untreated metastatic NSCLC.
Trial arms
Arm 1
Arm A
Sample size
275
Intervention
Dosage information
OCI 900 mg, TIS 200 mg
Dosage schedule
Every three weeks (Q3W)
Population
Adult (≥ 18 years), Previously untreated, Locally advanced, unresectable or metastatic NSCLC, No EGFR or ALK mutations, PD-L1 expression ≥ 50%, No prior checkpoint inhibitor therapy, PD-L1 expression, treatment-naïve
Arm 2
Arm B
Sample size
275
Intervention
Dosage information
PEM 200 mg, placebo
Dosage schedule
Every three weeks (Q3W)
Population
Adult (≥ 18 years), Previously untreated, Locally advanced, unresectable or metastatic NSCLC, No EGFR or ALK mutations, PD-L1 expression ≥ 50%, No prior checkpoint inhibitor therapy, PD-L1 expression, treatment-naïve
Arm 3
Arm C
Sample size
55
Intervention
Dosage information
TIS 200 mg, placebo
Dosage schedule
Every three weeks (Q3W)
Population
Adult (≥ 18 years), Previously untreated, Locally advanced, unresectable or metastatic NSCLC, No EGFR or ALK mutations, PD-L1 expression ≥ 50%, No prior checkpoint inhibitor therapy
Arm 4
Arm A
Sample size
275
Intervention
Dosage information
OCI 900 mg, TIS 200 mg
Dosage schedule
Every three weeks (Q3W)
Population
Adult (≥ 18 years), Previously untreated, Locally advanced, unresectable or metastatic NSCLC, No EGFR or ALK mutations, PD-L1 expression ≥ 50%, No prior checkpoint inhibitor therapy, PD-L1 expression, treatment-naïve
Arm 5
Arm B
Sample size
275
Intervention
Dosage information
PEM 200 mg, placebo
Dosage schedule
Every three weeks (Q3W)
Population
Adult (≥ 18 years), Previously untreated, Locally advanced, unresectable or metastatic NSCLC, No EGFR or ALK mutations, PD-L1 expression ≥ 50%, No prior checkpoint inhibitor therapy, PD-L1 expression, treatment-naïve
Arm 6
Arm C
Sample size
55
Intervention
Dosage information
TIS 200 mg, placebo
Dosage schedule
Every three weeks (Q3W)
Population
Adult (≥ 18 years), Previously untreated, Locally advanced, unresectable or metastatic NSCLC, No EGFR or ALK mutations, PD-L1 expression ≥ 50%, No prior checkpoint inhibitor therapy, PD-L1 expression, treatment-naïve
Arm 7
Arm A
Sample size
275
Intervention
Dosage information
OCI 900 mg, TIS 200 mg
Dosage schedule
Every three weeks (Q3W)
Population
Adult (≥ 18 years), Previously untreated, Locally advanced, unresectable or metastatic NSCLC, No EGFR or ALK mutations, PD-L1 expression ≥ 50%, No prior checkpoint inhibitor therapy, PD-L1 expression, treatment-naïve
Arm 8
Arm A
Sample size
275
Intervention
Dosage information
OCI 900 mg, TIS 200 mg
Dosage schedule
Every three weeks (Q3W)
Population
Adult (≥ 18 years), Previously untreated, Locally advanced, unresectable or metastatic NSCLC, No EGFR or ALK mutations, PD-L1 expression ≥ 50%, No prior checkpoint inhibitor therapy, PD-L1 expression, treatment-naïve
Arm 9
Arm B
Sample size
275
Intervention
Dosage information
PEM 200 mg, placebo
Dosage schedule
Every three weeks (Q3W)
Population
Adult (≥ 18 years), Previously untreated, Locally advanced, unresectable or metastatic NSCLC, No EGFR or ALK mutations, PD-L1 expression ≥ 50%, No prior checkpoint inhibitor therapy, PD-L1 expression, treatment-naïve
Arm 10
Arm C
Sample size
55
Intervention
Dosage information
TIS 200 mg, placebo
Dosage schedule
Every three weeks (Q3W)
Population
Adult (≥ 18 years), Previously untreated, Locally advanced, unresectable or metastatic NSCLC, No EGFR or ALK mutations, PD-L1 expression ≥ 50%, No prior checkpoint inhibitor therapy, PD-L1 expression, treatment-naïve
Trial start
2021-06-08
Estimated PCD
2026-04-01
Trial end
2026-10-01
Status
Recruiting
Phase
Early phase I
Treatment
Tislelizumab
Tislelizumab is a monoclonal antibody formulated for intravenous injection.
Arms:
Arm A: Tislelizumab plus Ociperlimab, Arm C: Tislelizumab plus Placebo
Other names:
BGB-A317
Ociperlimab
Ociperlimab is a monoclonal antibody formulated for intravenous injection.
Arms:
Arm A: Tislelizumab plus Ociperlimab
Other names:
BGB-A1217
Pembrolizumab
Pembrolizumab is a monoclonal antibody formulated for intravenous injection.
Arms:
Arm B: Pembrolizumab plus Placebo
Other names:
KEYTRUDA
Placebo
Placebo infusions will consist of a sterile, normal saline solution.
Arms:
Arm B: Pembrolizumab plus Placebo, Arm C: Tislelizumab plus Placebo
Size
660
Primary endpoint
Overall Survival (OS)
Up to approximately 58 months
Eligibility criteria
Key Inclusion Criteria: 1. Histologically or cytologically documented locally advanced or recurrent non-small cell lung cancer (NSCLC) that is not eligible for curative surgery and/or definitive radiotherapy with or without chemoradiotherapy, or metastatic-nonsquamous or squamous NSCLC. 2. No prior systemic treatment for metastatic NSCLC. 3. Agreement to provide archival tissue or fresh biopsy (if archival tissue is not available). 4. Tumors with PD-L1 expressed in ≥ 50% tumor cells. 5. At least 1 measurable lesion as defined per RECIST v1.1. 6. ECOG Performance Status ≤ 1. Key Exclusion Criteria: 1. Known mutations in the epidermal growth factor receptor (EGFR) gene, anaplastic lymphoma kinase (ALK) fusion oncogene, BRAF V600E, or ROS1. 2. Prior therapy with an anti-programmed cell death protein (anti-PD)-1, anti-PD-ligand (L)-1, anti-PD-ligand-2, anti-T-cell immunoglobulin and ITIM (anti-TIGIT) domain, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways. 3. Active leptomeningeal disease or uncontrolled, untreated brain metastasis. 4. Active autoimmune diseases or history of autoimmune diseases that may relapse. Note: Other protocol defined Inclusion/Exclusion criteria may apply
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'TRIPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR']}}, 'enrollmentInfo': {'count': 660, 'type': 'ESTIMATED'}}
Updated at
2024-03-04

1 organization

4 products

2 indications

Indication
Lung Cancer
Indication
NSCLC
Organization
BeiGene
Product
Placebo