Your session is about to expire
← Back to Search
Checkpoint Inhibitor
Ociperlimab + Tislelizumab vs Pembrolizumab for Lung Cancer
Phase 3
Waitlist Available
Led By Mark Socinski, MD
Research Sponsored by BeiGene
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Tumors with PD-L1 expressed in ≥ 50% tumor cells.
ECOG Performance Status ≤ 1.
Must not have
Known mutations in the epidermal growth factor receptor (EGFR) gene, anaplastic lymphoma kinase (ALK) fusion oncogene, BRAF V600E, or ROS1.
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.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to approximately 58 months
Awards & highlights
Pivotal Trial
Summary
This trial is testing a combination of two drugs, ociperlimab and tislelizumab, to see how well they work together. Tislelizumab is an anti-PD-1 antibody developed by BeiGene, showing promise in various cancers and approved in China for several uses. It targets adults with a specific type of advanced lung cancer that has high levels of a protein called PD-L1. The drugs aim to boost the body's immune system to better recognize and attack cancer cells.
Who is the study for?
This trial is for adults with advanced or recurrent non-small cell lung cancer (NSCLC) that can't be treated with surgery/radiotherapy, or metastatic NSCLC. Participants must have tumors where PD-L1 is present in at least 50% of cells and at least one measurable lesion. They should be relatively fit (ECOG ≤ 1), able to provide tissue samples, and not have had previous treatments for metastatic NSCLC.
What is being tested?
The study compares two groups: Arm A receives Ociperlimab plus Tislelizumab, while Arm B gets Pembrolizumab with a placebo. The main focus is on how long patients live without their disease getting worse (PFS) and overall survival time (OS), following standard tumor measurement criteria.
What are the potential side effects?
Possible side effects include immune-related reactions affecting organs, infusion-related symptoms, fatigue, skin issues, hormonal gland problems like thyroid dysfunction, liver inflammation, and potential complications from the body's immune response.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My tumor shows high PD-L1 expression.
Select...
I am fully active and can carry on all my pre-disease activities without restriction.
Select...
My lung cancer cannot be cured with surgery or radiotherapy.
Select...
I agree to provide tissue samples for the study.
Select...
I haven't received any systemic treatment for my advanced lung cancer.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
My cancer has specific genetic changes (EGFR, ALK, BRAF V600E, or ROS1).
Select...
I have previously received immunotherapy targeting specific immune checkpoints.
Select...
I have untreated brain metastasis or active disease in the lining of my brain.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to approximately 58 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to approximately 58 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Overall Survival (OS)
Secondary study objectives
Duration Of Response (DOR) As Assessed By Investigators
HRQoL: EORTC Lung Cancer Module Quality of Life Questionnaire Lung Cancer 13 (QLQ-LC13) HRQoL will be assessed via PRO using the EORTC QLQ-LC13.
HRQoL: European Quality of Life-5 Level- 5 Dimension (EQ-5D-5L) Questionnaire
+5 moreSide effects data
From 2023 Phase 2 trial • 126 Patients • NCT0495259790%
Anaemia
83%
Nausea
78%
White blood cell count decreased
71%
Alopecia
68%
Neutrophil count decreased
63%
Platelet count decreased
59%
Constipation
54%
Vomiting
51%
Decreased appetite
41%
Radiation oesophagitis
39%
Hyponatraemia
39%
Rash
29%
Hypoalbuminaemia
29%
Cough
27%
Lymphocyte count decreased
22%
Asthenia
22%
Aspartate aminotransferase increased
22%
Hypokalaemia
20%
Pyrexia
20%
Alanine aminotransferase increased
20%
Weight decreased
17%
Productive cough
17%
Fatigue
15%
Diarrhoea
15%
Blood bilirubin increased
15%
Pneumonia
15%
Hyperglycaemia
12%
Arthralgia
12%
Haemoptysis
12%
Hypothyroidism
12%
Malaise
12%
Insomnia
12%
Eczema
10%
Dysphagia
10%
Abdominal distension
10%
Hypertriglyceridaemia
10%
Hypoproteinaemia
10%
Pneumonitis
10%
Dyspepsia
10%
Abdominal pain upper
10%
Dizziness
7%
Thrombocytopenia
7%
Gamma-glutamyltransferase increased
7%
Pruritus
7%
Chest pain
7%
Abdominal pain
7%
Hypochloraemia
7%
Fibrin D dimer increased
7%
Upper respiratory tract infection
7%
Non-cardiac chest pain
7%
Radiation pneumonitis
7%
Hypomagnesaemia
5%
Radiation skin injury
5%
Hypocalcaemia
5%
Dyspnoea
5%
Blood creatinine increased
5%
Oedema peripheral
5%
Toothache
5%
Hyperuricaemia
5%
Blood creatine phosphokinase increased
5%
Malnutrition
5%
Neutropenia
5%
Pain in extremity
5%
Hiccups
5%
Intervertebral disc protrusion
5%
Leukopenia
5%
Back pain
5%
Gastritis
5%
Influenza
5%
Laryngeal pain
2%
Immune-mediated lung disease
2%
Hypotension
2%
Oesophageal perforation
2%
Upper gastrointestinal haemorrhage
2%
Hypercholesterolaemia
2%
Ataxia
2%
Blood fibrinogen increased
2%
C-reactive protein increased
2%
Hypertension
2%
Septic shock
2%
Immune-mediated enterocolitis
2%
Myocardial necrosis marker increased
2%
Pneumonia bacterial
2%
COVID-19 pneumonia
2%
Interstitial lung disease
2%
Sinusitis
2%
Gastrooesophageal reflux disease
2%
Blood urea increased
2%
Oropharyngeal pain
100%
80%
60%
40%
20%
0%
Study treatment Arm
Arm A: Ociperlimab + Tislelizumab
Arm C: Concurrent Chemoradiotherapy (cCRT)
Arm B: Tislelizumab
Awards & Highlights
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Trial Design
3Treatment groups
Experimental Treatment
Active Control
Placebo Group
Group I: Arm A: Tislelizumab plus OciperlimabExperimental Treatment2 Interventions
Participants will receive tislelizumab 200 milligrams (mg) intravenously followed by ociperlimab 900 mg intravenously once every 3 weeks.
Group II: Arm B: Pembrolizumab plus PlaceboActive Control2 Interventions
Participants will receive pembrolizumab 200 mg intravenously followed by placebo intravenously once every 3 weeks.
Group III: Arm C: Tislelizumab plus PlaceboPlacebo Group2 Interventions
Participants will receive tislelizumab 200 mg intravenously followed by placebo intravenously once every 3 weeks.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Tislelizumab
2018
Completed Phase 3
~4560
Ociperlimab
2021
Completed Phase 2
~1300
Research Highlights
Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
Immune checkpoint inhibitors, such as pembrolizumab, nivolumab, and the combination of ociperlimab and tislelizumab, work by targeting the PD-1/PD-L1 pathway. This pathway normally helps keep the immune system in check by preventing T-cells from attacking the body's own tissues.
Cancer cells can exploit this pathway by expressing PD-L1, which binds to PD-1 receptors on T-cells, effectively turning off the immune response against the tumor. By blocking either PD-1 or PD-L1, these drugs release the 'brakes' on the immune system, allowing T-cells to recognize and destroy cancer cells.
This mechanism is particularly important for NSCLC patients as it offers a targeted approach to boost the body's own immune response against the cancer, potentially leading to better outcomes and prolonged survival.
Find a Location
Who is running the clinical trial?
BeiGeneLead Sponsor
200 Previous Clinical Trials
30,983 Total Patients Enrolled
Mark Socinski, MDPrincipal InvestigatorAdvent Health Orlando
2 Previous Clinical Trials
636 Total Patients Enrolled
Shun LuPrincipal InvestigatorShanghai Chest Hospital
7 Previous Clinical Trials
1,325 Total Patients Enrolled
Mark SocinskiPrincipal InvestigatorAdvent Health Orlando
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My tumor shows high PD-L1 expression.My cancer has specific genetic changes (EGFR, ALK, BRAF V600E, or ROS1).I am fully active and can carry on all my pre-disease activities without restriction.I have previously received immunotherapy targeting specific immune checkpoints.My lung cancer cannot be cured with surgery or radiotherapy.I have untreated brain metastasis or active disease in the lining of my brain.You have a current or past autoimmune disease that could come back.You have at least one specific type of tumor that can be measured according to certain guidelines.I agree to provide tissue samples for the study.I haven't received any systemic treatment for my advanced lung cancer.
Research Study Groups:
This trial has the following groups:- Group 1: Arm B: Pembrolizumab plus Placebo
- Group 2: Arm C: Tislelizumab plus Placebo
- Group 3: Arm A: Tislelizumab plus Ociperlimab
Awards:
This trial has 1 awards, including:- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.