This trial studied the safety, pharmacokinetics, and antitumor activity of the anti-programmed cell death 1 (PD-1) monoclonal antibody (mAb) BGB-A317 (tislelizumab) in combination with the poly(adenosine diphosphate ribose) polymerase (PARP) inhibitor BGB-290 (pamiparib) in participants with advanced solid tumors.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
229
Part A: Number Of Participants Experiencing Adverse Events (AEs)
An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study drug, whether considered related to study drug or not. All AEs reported are treatment-emergent, which was defined as having a reported onset time or worsening in severity on or after the date of the first dose of study treatment through 30 days after the last dose (permanent discontinuation of study treatment) or initiation of new anticancer therapy. A summary of serious and all other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.
Time frame: From Day 1 up to 4 years and 7 months
Part A: Number Of Participants Experiencing Dose-limiting Toxicity (DLT)
DLT was defined as an AE or abnormal laboratory value assessed as unrelated to disease progression, intercurrent illness, or concomitant medications, and occurs during the first 21 days following the first dose of tislelizumab and pamiparib in Cycle 1 and meets protocol-specified criteria. A summary of serious and all other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.
Time frame: 21 days following the first dose of tislelizumab and pamiparib in Cycle 1
Part B: Objective Response Rate (ORR)
ORR was defined as the percentage of participants with a best overall response of complete response (CR) and partial response (PR).
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part B: Progression-free Survival (PFS)
PFS was defined as the time from first dose of study medication to the first documented objective disease progression or death due to any cause, whichever occurred first.
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part B: Duration Of Response (DOR)
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Pinnacle Oncology Hematology
Scottsdale, Arizona, United States
Cedars Sinai Medical Center
Los Angeles, California, United States
Rocky Mountain Cancer Centers
Denver, Colorado, United States
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Roswell Park Cancer Institute
Buffalo, New York, United States
Fox Chase Cancer Center
Philadelphia, Pennsylvania, United States
Sarah Cannon Research Institute
Nashville, Tennessee, United States
Vanderbilt University Medical Center
Nashville, Tennessee, United States
Texas Oncology
Dallas, Texas, United States
...and 19 more locations
DOR, defined as the time from the first determination of an objective response, was assessed by investigator per Response Evaluation Criteria in Solid Tumors v1.1 until the first documentation of progression or death, whichever occurred first. Results are reported only for arms with responders.
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part B: Disease Control Rate (DCR)
DCR was defined as the percentage of participants with a best overall response of CR, PR, and stable disease (SD).
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part B: Clinical Benefit Rate (CBR)
CBR was defined as the percentage of participants with a best overall response of CR, PR, and SD lasting ≥ 24 weeks.
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part B: Overall Survival (OS)
OS was defined as the time from the date of first dose of study drug to death due to any cause.
Time frame: From Day 1 Every 3 months following completion or discontinuation of the treatment (up to 4 years and 7 months)
Part A: Minimum Observed Plasma Concentration (Ctrough) Of Tislelizumab
Time frame: Cycle 4 Day 1 (0 hours and 4 hours) post dose
Part A: Ctrough Of Pamiparib
Time frame: Cycle 2 Day 1 (Pre-dose and 7 hours Post-dose)
Part A: Maximum Observed Plasma Concentration At Steady State (Cmax,ss) Of Pamiparib
Time frame: Cycle 2 Day 1 (Pre-dose and 7 hours Post-dose)
Part A: Time To Reach Maximum Plasma Concentration At Steady State (Tmax,ss) Of Pamiparib
Time frame: Cycle 2 Day 1 (Pre-dose and 7 hours Post-dose)
Part A: Ctrough At Steady State (Ctrough,ss) Of Pamiparib
Time frame: Cycle 2 Day 1 (Pre-dose and 7 hours Post-dose)
Part A: ORR
ORR was defined as the percentage of participants with a best overall response of CR and PR.
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part A: PFS
PFS was defined as the time from first dose of study medication to the first documented objective disease progression or death due to any cause, whichever occurred first.
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part A: DCR
DCR was defined as the percentage of participants with a best overall response of CR, PR, and SD.
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part A: CBR
CBR was defined as the percentage of participants with a best overall response of CR, PR, and SD lasting ≥ 24 weeks.
Time frame: Starting from Day 1 until disease progression (up to 4 years and 7 months)
Part A: OS
OS was defined as the time from the date of first dose of study drug to death due to any cause.
Time frame: Starting from Day 1 Every 3 months following completion or discontinuation of the treatment (up to 4 years and 7 months)
Part A: Percentage Of Participants With Anti-drug Antibodies (ADAs) For Tislelizumab
Immunogenicity was summarized by participants who were ADA positive and developed detectable ADAs.
Time frame: Within 24 hours before the start of the first dose of tislelizumab in Cycle 1, Day 8 of Cycle 1, and Day 1 of Cycle 2, Cycle 3, Cycle 4, Cycle 5, Cycle 9, and Cycle 17
Part B: Number Of Participants Experiencing AEs
An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study drug, whether considered related to study drug or not. All AEs reported are treatment-emergent, which was defined as having a reported onset time or worsening in severity on or after the date of the first dose of study treatment through 30 days after the last dose (permanent discontinuation of study treatment) or initiation of new anticancer therapy. A summary of serious and all other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.
Time frame: Day 1 of Cycle 1 up to 4 years and 7 months
Part B: Ctrough Of Tislelizumab
As pre-specified in the protocol, pharmacokinetic evaluations were performed for all Part B dose expansion arms combined.
Time frame: Cycle 4 Day 1 ( 0 hours and 4 hours post dose)
Part B: Maximum Observed Plasma Concentration (Cmax) Of Tislelizumab
As pre-specified in the protocol, pharmacokinetic evaluations were performed for all Part B dose expansion arms combined.
Time frame: Cycle 4 Day 1 ( 0 hours and 4 hours) post dose
Part B: Ctrough Of Pamiparib
As pre-specified in the protocol, pharmacokinetic evaluations were performed for all Part B dose expansion arms combined.
Time frame: Cycle 2 Day 1 (7 hours Post-dose)
Part B: Cmax Of Pamiparib
As pre-specified in the protocol, pharmacokinetic evaluations were performed for all Part B dose expansion arms combined.
Time frame: Cycle 2 (7 hours Post-dose)
Part B: Percentage Of Participants With ADAs For Tislelizumab
Immunogenicity was summarized by participants who developed detectable ADAs. Treatment-emergent ADAs: sum of both treatment-induced ADAs and treatment-boosted ADAs.
Time frame: 24 hours predose of Day 1 of every cycle