This is a first-in-human (FIH), open-label, multicenter dose escalation and expansion study of BGB-B3227, a humanized immunoglobulin G1 (IgG1) antibody. The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary antitumor activity of BGB-B3227 as a monotherapy or in combination with tislelizumab with or without chemotherapy in participants with selected advanced or metastatic solid tumors. The study will also identify recommended dose(s) for expansion (RDFE\[s\]) of BGB-B3227 administered alone and in combination with tislelizumab.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
35
Administered intravenously.
Administered intravenously.
Administered in accordance with relevant local guidelines and/or prescribing information.
Usc Norris Comprehensive Cancer Center (Nccc)
Los Angeles, California, United States
Washington University in St Louis
St Louis, Missouri, United States
Hackensack University Medical Center
Hackensack, New Jersey, United States
Next Oncology
Austin, Texas, United States
Md Anderson Cancer Center
Houston, Texas, United States
Cancer Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
Beijing Cancer Hospital
Beijing, Beijing Municipality, China
Affiliated Zhongshan Hospital of Fudan University
Shanghai, Shanghai Municipality, China
Fondazione Irccs Istituto Nazionale Dei Tumori
Milan, Italy
Istituto Europeo Di Oncologia
Milan, Italy
...and 2 more locations
Phase 1a: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Number of participants with AEs and SAEs, including findings from physical examinations, laboratory assessments, and that meet protocol-defined dose-limiting toxicity (DLT) criteria or protocol-defined Adverse Event of Special Interest (AESI) criteria.
Time frame: From first dose of the study drug(s) to 30 days after the last dose or 90 days after last dose of tislelizumab, approximately 9 months
Phase 1a: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD)
MTD is defined as the highest dose evaluated for which estimated toxicity rate is the closest to the target toxicity rate. MAD is defined as the highest dose administered if MTD is not reached.
Time frame: Approximately 9 months
Phase 1a: Recommended Dose(s) for Expansion (RDFE[s]) of BGB-B3227
RDFE of BGB-B3227 alone or in combination with tislelizumab will be determined based upon the MTD or MAD.
Time frame: Approximately 9 months
Phase 1b: Objective Response Rate (ORR)
ORR is defined as the percentage of participants with confirmed best overall response of complete response (CR) or partial response (PR), as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1.
Time frame: From first dose of study drug(s) until progressive disease or new anticancer treatment; approximately 12 months
Phase 1b: Recommended Phase 2 Dose (RP2D) of BGB-B3227
RP2D established from Phase 1a for BGB-B3227 for administration in combination with tislelizumab and chemotherapy in selected tumor types.
Time frame: Approximately 12 months
Phase 1a: ORR
ORR is defined as the percentage of participants with confirmed best overall response of CR or PR, as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1.
Time frame: From first dose of study drug(s) until progressive disease or new anticancer treatment; approximately 6 months
Phase 1b: Progression-Free Survival (PFS)
PFS is defined as the time from the first dose of study treatment to the date of first documentation of disease progression or death, whichever occurs first, as assessed by the investigator per RECIST Version 1.1.
Time frame: From first dose of study drug(s) until progressive disease or new anticancer treatment; approximately 12 months
Phase 1b: Number of Participants with AEs and SAEs
Number of participants with AEs and SAEs, including findings from physical examinations, laboratory assessments, and that meet protocol-defined dose-limiting toxicity (DLT) criteria or protocol-defined Adverse Event of Special Interest (AESI) criteria.
Time frame: From first dose of the study drug(s) to 30 days after the last dose, or 90 days after last dose of tislelizumab; approximately 12 months
Phase 1a and 1b: Disease Control Rate (DCR)
DCR is defined as the percentage of participants who achieve confirmed CR, PR, or stable disease, as assessed by the investigator per RECIST Version 1.1.
Time frame: From first dose of study treatment drug(s) until confirmed response or stable disease; approximately 6 months for Phase 1a and 12 months for Phase 1b
Phase 1a and 1b: Duration of Response (DoR)
DoR is defined as the time from the first confirmed objective response to disease progression documented after treatment initiation or death, whichever occurs first, as assessed by the investigator per RECIST Version 1.1.
Time frame: From confirmed response to disease progression or death; approximately 6 months for Phase 1a and 12 months for Phase 1b
Phase 1a and 1b: Serum Concentrations of BGB-B3227
Time frame: From first dose of BGB-B3227 up to 30 days after last dose of BGB-B3227; approximately 6 months for Ph1a and 12 months for Ph1b
Phase 1a and 1b: Number of Participants with Antidrug Antibodies (ADAs) against BGB-B3227
Time frame: From first dose of BGB-B3227 up to 30 days after last dose of BGB-B3227; approximately 6 months for Phase 1a and 12 months for Phase 1b
Phase 1a: Area under the Curve (AUC) of BGB-B3227
Time frame: Approximately 4 months
Phase 1a: Maximum observed plasma concentration (Cmax) of BGB-B3227
Time frame: Approximately 4 months
Phase 1a: Time to reach maximum observed plasma concentration (Tmax) of BGB-B3227
Time frame: Approximately 4 months
Phase 1a: Trough concentration (Ctrough) of BGB-B3227
Time frame: Approximately 4 months
Phase 1a: Accumulation ratio of BGB-B3227
Time frame: Approximately 4 months
Phase 1a: Terminal half-life (t1/2) of BGB-B3227
Time frame: Approximately 4 months
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