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Trial Title: A Study of BGB-30813 Alone or in Combination With Tislelizumab in Participants With Advanced or Metastatic Solid Tumors

NCT ID: NCT05904496

Condition: Advanced Solid Tumors

Conditions: Official terms:
Neoplasms
Tislelizumab

Conditions: Keywords:
DGKζ Inhibitor
BGB-30813
Anti-PD-1 Monoclonal Antibody
Tislelizumab
Advanced or Metastatic Solid Tumors
Diacylglycerol kinase
BGB-A317
NSCLC
Immunotherapy
HNSCC

Study type: Interventional

Study phase: Phase 1

Overall status: Active, not recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: BGB-30813
Description: Specified dose administered on specified days
Arm group label: Phase 1a: Dose Escalation Part A: BGB-30813 Monotherapy
Arm group label: Phase 1a: Dose Escalation Part B: BGB-30813 + Tislelizumab
Arm group label: Phase 1b: Dose Expansion BGB-30813 in Combination with Tislelizumab

Intervention type: Drug
Intervention name: Tislelizumab
Description: Specified dose administered on specified days
Arm group label: Phase 1a: Dose Escalation Part B: BGB-30813 + Tislelizumab
Arm group label: Phase 1b: Dose Expansion BGB-30813 in Combination with Tislelizumab

Other name: BGB-A317

Summary: This is a First in Human (FIH) Phase 1, multicenter, open label, dose escalation and dose expansion study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity of BGB-30813 as monotherapy or in combination with tislelizumab in participants with advanced or metastatic solid tumors. The study will be conducted in 2 parts: Phase 1a dose escalation and Phase 1b dose expansion.

Detailed description: This study will test whether taking BGB-30813 alone or with tislelizumab can help treat patients with cancer that has spread throughout the body or is locally advanced. The two main goals of the study are to ensure that the treatments are safe by monitoring side effects and to determine the number of participants who respond well to treatment either partially or completely. The combination of BGB-30813 with other drugs that target immune checkpoints may work together to stop or prevent cancer activity. Approximately 191 participants will participate. In the first part of the study, participants will be given different doses of BGB-30813 either alone or with tislelizumab to find the dose that is best tolerated. BGB-30813 will be given orally and tislelizumab will be given through a vein. In the second part of the study, the selected dose of BGB-30813, either alone or with tislelizumab, will be given to a larger number of participants from different parts of the world to see if the treatments can improve the signs and symptoms of their cancer. Treatments will continue until participants are no longer considered to be receiving benefits, have unacceptable side effects, or withdraw consent.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Phase 1a (Dose Escalation): - Participants with histologically or cytologically confirmed advanced, metastatic, and unresectable solid tumors who have previously received available standard systemic therapy or for whom treatment is not available or not tolerated and who have not received any prior therapy targeting diacylglycerol kinase (DGK) - Eligible tumor types are immune sensitive solid tumors such as NSCLC, HNSCC, small cell lung cancer, hepatocellular carcinoma, esophageal cancer, gastric or gastroesophageal carcinoma, nasopharyngeal carcinoma, triple-negative breast cancer, urothelial carcinoma, renal cell carcinoma, cervical cancer, endometrial carcinoma, cutaneous squamous cell carcinoma, melanoma, Merkel cell carcinoma, mesothelioma, microsatellite instability (MSI)-high, tumor mutation burden (TMB)-high, or mismatch repair deficient solid tumors - Prior checkpoint inhibitor (CPI) therapy is allowed - Phase 1b (Dose Expansion): - Participants with selected advanced or metastatic solid tumors including NSCLC, HNSCC, and additional potential tumor types to be defined based on emerging data - ≥ 1 measurable lesion per RECIST v1.1 - Eastern Cooperative Group Oncology Performance (ECOG) Performance Status score ≤ 1 - Females of childbearing potential must be willing to use a highly effective method of birth control for the duration of the study - Adequate organ function as indicated by the following laboratory values up to first dose of study treatment: Hemoglobin≥ 90 grams per liter (g/L), Absolute neutrophil count ≥ 1.5 x 109/L , Serum total bilirubin ≤ 1.5 x upper limit of normal (ULN) (< 3 x ULN for participants with Gilbert syndrome ), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 x ULN Exclusion Criteria: - Previous therapy targeting DGK - Active leptomeningeal disease or uncontrolled symptomatic central nervous system (CNS) metastasis - Active autoimmune diseases or history of autoimmune diseases that may relapse - Any active malignancy ≤ 2 years before the first dose of study treatment except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated with curative intent - Systemic anticancer therapy, including chemotherapy ≤ 21 days or 5 half-lives (whichever is shorter) before the first dose of study drugs - ≥ Grade 3 immune-mediated adverse events on prior immuno-oncology agent (anti-PD-1 or anti-CTLA4 antibodies or other experimental drugs) Note: Other protocol-defined Inclusion/Exclusion criteria may apply.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Md Anderson Cancer Center

Address:
City: Houston
Zip: 77030
Country: United States

Facility:
Name: Next Oncology

Address:
City: San Antonio
Zip: 78229
Country: United States

Facility:
Name: Monash Health

Address:
City: Clayton
Zip: 3168
Country: Australia

Facility:
Name: Peter Maccallum Cancer Centre

Address:
City: Melbourne
Zip: 3000
Country: Australia

Facility:
Name: Linear Clinical Research

Address:
City: Nedlands
Zip: 6009
Country: Australia

Facility:
Name: Hospital Universitario Vall Dhebron

Address:
City: Barcelona
Zip: 08035
Country: Spain

Facility:
Name: Start Madrid Fundacion Jimenez Diaz

Address:
City: Madrid
Zip: 28040
Country: Spain

Start date: July 19, 2023

Completion date: May 2026

Lead sponsor:
Agency: BeiGene
Agency class: Industry

Source: BeiGene

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05904496

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