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A Study to Investigate the Antitumor Activity, Safety, Tolerability, and Pharmacokinetics of BGB-A445 in Combination With Tislelizumab in Participants With Select Advanced Solid Tumors.

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BeiGene

Status and phase

Active, not recruiting
Phase 2
Phase 1

Conditions

Non-mucosal Melanoma
Melanoma
Urothelial Carcinoma
Renal Cell Carcinoma

Treatments

Drug: Tislelizumab
Drug: BGB-A445

Study type

Interventional

Funder types

Industry

Identifiers

NCT05661955
CTR20223270 (Other Identifier)
BGB-A317-A445-201

Details and patient eligibility

About

The objective of this study is to assess the overall response rate, evaluate the antitumor activity, and characterize the safety and tolerability of BGB-A445 alone or in combination with tislelizumab in participants With Advanced or Metastatic Urothelial Carcinoma (UC), Renal Cell Carcinoma (RCC), or Melanoma

Enrollment

113 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Key Inclusion Criteria:

  1. Participants who were histologically or cytologically confirmed advanced and/or metastatic cancer. UC participants (Cohort A and B), RCC patients (Cohort C and D) or melanoma participants (Cohort E and F) who have received at least 1 but no more than 3 lines of prior systemic therapy. Cisplatin ineligible UC participants (Cohort G) who have received no prior systemic therapy and have PD-L1 CPS ≥ 10. Melanoma patients (Cohort H) with non-mucosal melanoma who have no previous systemic treatment. Melanoma participants (Cohort I) with non-mucosal melanoma who were CPI pretreated and have 1 or 2 lines of prior systemic therapy. Participants must not have received prior therapy targeting OX40 or any other T-cell agonists.
  2. Has at least 1 measurable lesion as defined per RECIST v1.1.
  3. Participants must be able to provide an archived formalin-fixed paraffin embedded (FFPE) tumor tissue sample
  4. ECOG PS ≤ 1 (Participants with UC could have an ECOG PS ≤ 2) and a life expectancy of≥ 3 months
  5. Adequate organ function as indicated by the laboratory values up to the first dose of study drug(s)

Key Exclusion Criteria:

  1. Active leptomeningeal disease or uncontrolled brain metastasis

  2. Active autoimmune diseases or history of autoimmune diseases that may relapse or history of life-threatening toxicity related to prior immune therapy

  3. Any active malignancy ≤ 2 years before the first dose of study drug(s) except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated with curative intent

  4. Any condition that required systemic treatment with either corticosteroids (> 10 mg daily of prednisone or equivalent) or other immunosuppressive medication ≤ 14 days before the first dose of study drug(s), with the following exceptions:

    1. Adrenal replacement steroid (dose ≤ 10 mg daily of prednisone or equivalent)
    2. Topical, ocular, intra-articular, intranasal, or inhalational corticosteroid with minimal systemic absorption
    3. Short course (≤ 7 days) of corticosteroid prescribed prophylactically (eg, for contrast dye allergy) or for the treatment of a nonautoimmune condition (eg, delayed-type hypersensitivity reaction caused by contact allergen)
  5. With uncontrolled diabetes, or > Grade 1 laboratory test abnormalities in potassium, sodium, or corrected calcium despite standard medical management, or ≥ Grade 3 hypoalbuminemia occurring ≤ 14 days before the first dose of study drug(s)

Note: Other protocol defined Inclusion/Exclusion criteria may apply

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

113 participants in 9 patient groups

Cohort A: Previously Treated UC
Experimental group
Description:
BGB-A445 Monotherapy
Treatment:
Drug: BGB-A445
Cohort B: Previously Treated UC
Experimental group
Description:
BGB-A445 and Tislelizumab
Treatment:
Drug: BGB-A445
Drug: Tislelizumab
Cohort C: Previously Treated RCC
Experimental group
Description:
BGB-A445 Monotherapy
Treatment:
Drug: BGB-A445
Cohort D: Previously Treated RCC
Experimental group
Description:
BGB-A445 and Tislelizumab
Treatment:
Drug: BGB-A445
Drug: Tislelizumab
Cohort E: Previously Treated Melanoma
Experimental group
Description:
BGB-A445 Monotherapy
Treatment:
Drug: BGB-A445
Cohort F: Previously Treated Melanoma
Experimental group
Description:
BGB-A445 and Tislelizumab
Treatment:
Drug: BGB-A445
Drug: Tislelizumab
Cohort G: First Line Cisplatin Ineligible UC
Experimental group
Description:
BGB-A445 and Tislelizumab
Treatment:
Drug: BGB-A445
Drug: Tislelizumab
Cohort H: First Line Non-mucosal Melanoma
Experimental group
Description:
BGB-A445 and Tislelizumab
Treatment:
Drug: BGB-A445
Drug: Tislelizumab
Cohort I: Previously Treated Non-mucosal Melanoma
Experimental group
Description:
BGB-A445 and Tislelizumab
Treatment:
Drug: BGB-A445
Drug: Tislelizumab

Trial contacts and locations

18

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Central trial contact

BeiGene

Data sourced from clinicaltrials.gov

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