A Phase 1/2 interventional study of Sitravatinib and Tislelizumab in Carcinoma, Hepatocellular and Gastric/Gastroesophageal Junction Cancer, sponsored by BeiGene. Completed at 18 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-26.
Sponsored by BeiGene · Phase 1/2, Interventional, and Treatment
The purpose of this study was to evaluate the safety, tolerability, pharmacokinetics and preliminary antitumor activity of sitravatinib as monotherapy and in combination with tislelizumab in participants with unresectable locally advanced or metastatic hepatocellular carcinoma (HCC) or gastric/gastroesophageal junction (G/GEJ) cancer.
This was an open-label, multicenter Phase 1/2 clinical study for participants with histologically or cytologically confirmed unresectable locally advanced or metastatic HCC or G/GEJ cancer. All participants received study treatment (s) until progressive disease, unacceptable toxicity, death, withdrawal of consent, or study termination by sponsor.
6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.
This study's enrollment of 111 is above the median of 45 across 5,170 interventional studies indexed under Carcinoma.
Browse Carcinoma studies →BeiGene is the lead sponsor of 122 studies on the registry; 3 are open to participants now.
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Key Inclusion Criteria:
Key Exclusion Criteria:
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Sitravatinib 80 mg orally once daily in 21-day cycles in participants with unresectable locally advanced or metastatic HCC or G/GEJ cancer
Drug: Sitravatinib
Sitravatinib 120 mg orally once daily in 21-day cycles in participants with unresectable locally advanced or metastatic HCC or G/GEJ cancer
Drug: Sitravatinib
Sitravatinib 80 mg orally once daily in 21-day cycles with tislelizumab 200 mg intravenously (IV) once every 3 weeks in participants with unresectable locally advanced or metastatic HCC or G/GEJ cancer
Drug: Sitravatinib · Drug: Tislelizumab
Sitravatinib 120 mg orally once daily in 21-day cycles with tislelizumab 200 mg IV once every 3 weeks in participants with unresectable locally advanced or metastatic HCC or G/GEJ cancer
Drug: Sitravatinib · Drug: Tislelizumab
Administered orally as a capsule
Also known as: MGCD516
Administered intravenously
Also known as: BGB-A317, Tevimbra
Number of Participants With Adverse Events
Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) per National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE v5.0), including relevant physical examination, electrocardiograms, and laboratory assessments. Safety analysis set is presented by dose, as prespecified in the statistical analysis plan (SAP).
Time frame: Up to approximately 4 years and 1 month
Objective Response Rate (ORR)
ORR is defined as the percentage of participants whose best overall response (BOR) is the confirmed complete response (CR) or partial response (PR) assessed by investigator using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Efficacy evaluable analysis set is presented by indication group, as prespecified in the statistical analysis plan.
Time frame: Up to approximately 4 years and 1 month
Duration of Response (DOR)
DOR is defined as the time from the first determination of an objective response until the first documentation of progressive disease as assessed by investigator per RECIST v1.1, or death, whichever comes first. Results are reported for indication groups with responders, defined as complete response (CR) or partial response (PR). Efficacy evaluable analysis set is presented by indication group, as prespecified in the statistical analysis plan.
Time frame: Up to approximately 4 years and 1 month
Disease Control Rate (DCR)
DCR is defined as the percentage of participants with BOR as CR, PR, or stable disease (SD) assessed by investigator per RECIST v1.1. Efficacy evaluable analysis set is presented by indication group, as prespecified in the statistical analysis plan.
Time frame: Up to approximately 4 years and 1 month
Progression-free Survival (PFS)
PFS is defined as the time from the date of first dose to the date of first documentation of progressive disease assessed by the investigator per RECIST v1.1 or death, whichever occurs first. Safety analysis set is presented by indication group, as prespecified in the statistical analysis plan.
Time frame: Up to approximately 4 years and 1 month
Maximum Plasma Concentration (Cmax) for Sitravatinib
Time frame: Predose and up to 24 hours postdose on Cycle 1 Day 1 (C1D1) and Cycle 1 Day 21 (C1D21) (21 days in each cycle)
Time to Maximum Plasma Concentration (Tmax) for Sitravatinib
Time frame: Predose and up to 24 hours postdose on C1D1 and C1D21 (21 days in each cycle)
Area Under the Plasma Concentration-time Curve From Time Zero to the Last Measurable Time Point (AUC(0-t)) for Sitravatinib
Time frame: Predose and up to 24 hours postdose on C1D1 and C1D21 (21 days in each cycle)
Clearance After Oral Administration (CL/F) for Sitravatinib
Time frame: Predose and up to 24 hours postdose on C1D1 and C1D21 (21 days in each cycle)
Area Under the Plasma Concentration-time Curve During the Dosing Interval (AUC(0-tau)) for Sitravatinib
Time frame: Predose and up to 24 hours postdose on C1D1 and C1D21 (21 days in each cycle)
Observed Accumulation Ratio (Ro) for AUC(0-tau) for Sitravatinib
Time frame: Predose and up to 24 hours postdose on C1D1 and C1D21 (21 days in each cycle)
Observed Accumulation Ratio (Ro) for Cmax for Sitravatinib
Time frame: Predose and up to 24 hours postdose on C1D1 and C1D21 (21 days in each cycle)
Plasma Concentrations of Sitravatinib
Time frame: Predose and 6 hours postdose in Cycle 5 Day 1 (21 days in each cycle)
This study was conducted at multiple sites in China.
| Milestone | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab |
|---|---|---|---|---|
| Started | 3 | 24 | 3 | 81 |
| Completed | 1 | 3 | 1 | 8 |
| Not completed | 2 | 21 | 2 | 73 |
| Withdrew: Death | 0 | 12 | 2 | 53 |
| Withdrew: Withdrawal by subject | 1 | 1 | 0 | 5 |
| Withdrew: Lost to follow-up | 1 | 2 | 0 | 0 |
| Withdrew: Sponsor decision | 0 | 6 | 0 | 15 |
Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) per National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE v5.0), including relevant physical examination, electrocardiograms, and laboratory assessments. Safety analysis set is presented by dose, as prespecified in the statistical analysis plan (SAP).
| Participants | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab |
|---|---|---|---|---|
| At least one TEAE | 3 | 24 | 3 | 78 |
| At least one SAE | 1 | 7 | 2 | 31 |
ORR is defined as the percentage of participants whose best overall response (BOR) is the confirmed complete response (CR) or partial response (PR) assessed by investigator using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Efficacy evaluable analysis set is presented by indication group, as prespecified in the statistical analysis plan.
| Percentage of participants | Sitravatinib Monotherapy | Sitravatinib + Tislelizumab |
|---|---|---|
| Anti-PD-1/PD-L1 naïve or R/R HCC | 25.0 (8.7 to 49.1) | — |
| Anti-PD-1/PD-L1 naïve HCC | — | 11.5 (2.4 to 30.2) |
| Anti-PD-1/PD-L1 R/R HCC | — | 9.5 (1.2 to 30.4) |
| Anti-PD-1/PD-L1 naïve G/GEJ cancer | — | 16.1 (5.5 to 33.7) |
DOR is defined as the time from the first determination of an objective response until the first documentation of progressive disease as assessed by investigator per RECIST v1.1, or death, whichever comes first. Results are reported for indication groups with responders, defined as complete response (CR) or partial response (PR). Efficacy evaluable analysis set is presented by indication group, as prespecified in the statistical analysis plan.
| Months | Sitravatinib Monotherapy | Sitravatinib + Tislelizumab |
|---|---|---|
| Anti-PD-1/PD-L1 naïve or R/R HCC | 7.7 (2.8 to NA) | — |
| Anti-PD-1/PD-L1 naïve HCC | — | 5.7 (4.1 to NA) |
| Anti-PD-1/PD-L1 R/R HCC | — | NA (5.4 to NA) |
| Anti-PD-1/PD-L1 naïve G/GEJ cancer | — | 5.5 (2.7 to NA) |
DCR is defined as the percentage of participants with BOR as CR, PR, or stable disease (SD) assessed by investigator per RECIST v1.1. Efficacy evaluable analysis set is presented by indication group, as prespecified in the statistical analysis plan.
| Percentage of participants | Sitravatinib Monotherapy | Sitravatinib + Tislelizumab |
|---|---|---|
| Anti-PD-1/PD-L1 naïve or R/R HCC | 90.0 (68.3 to 98.8) | — |
| Anti-PD-1/PD-L1 naïve HCC | — | 84.6 (65.1 to 95.6) |
| Anti-PD-1/PD-L1 R/R HCC | — | 81.0 (58.1 to 94.6) |
| Anti-PD-1/PD-L1 naïve G/GEJ cancer | — | 71.0 (52.0 to 85.8) |
PFS is defined as the time from the date of first dose to the date of first documentation of progressive disease assessed by the investigator per RECIST v1.1 or death, whichever occurs first. Safety analysis set is presented by indication group, as prespecified in the statistical analysis plan.
| Months | Sitravatinib Monotherapy | Sitravatinib + Tislelizumab |
|---|---|---|
| Anti-PD-1/PD-L1 naïve or R/R HCC | 6.8 (4.0 to 7.4) | — |
| Anti-PD-1/PD-L1 naïve HCC | — | 6.8 (2.8 to 8.3) |
| Anti-PD-1/PD-L1 R/R HCC | — | 4.2 (2.7 to 6.8) |
| Anti-PD-1/PD-L1 naïve G/GEJ cancer | — | 3.6 (2.8 to 4.7) |
| nanograms/milliliter (ng/mL) | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab |
|---|---|---|---|---|
| C1D1 | 27.11 ± 38.968 | 45.47 ± 67.213 | 37.02 ± 94.990 | 51.07 ± 52.218 |
| C1D21 | 63.98 ± 3.060 | 69.30 ± 78.298 | 56.01 ± 103.431 | 62.38 ± 54.927 |
| Hours (h) | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab |
|---|---|---|---|---|
| C1D1 | 10.0 (6.0 to 10.0) | 7.04 (4.0 to 10.0) | 10.0 (6.0 to 10.0) | 7.58 (1.8 to 12.4) |
| C1D21 | 6.00 (6.0 to 12.0) | 3.04 (2.0 to 4.1) | 6.00 (0.5 to 10.0) | 9.15 (0.0 to 12.4) |
| h*ng/mL | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab |
|---|---|---|---|---|
| C1D1 | 397.95 ± 25.561 | 761.95 ± 62.680 | 604.63 ± 118.143 | 840.74 ± 59.869 |
| C1D21 | 1276.52 ± 3.498 | 1364.56 ± 116.841 | 1095.90 ± 119.358 | 1089.57 ± 91.752 |
| Liters/hour | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab |
|---|---|---|---|---|
| C1D1 | 92.58 ± NA | 35.23 ± NA | — | 82.77 ± 62.096 |
| C1D21 | 63.76 ± 5.016 | — | 29.14 ± NA | 78.31 ± 44.296 |
| h*ng/mL | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab |
|---|---|---|---|---|
| C1D1 | 535.82 ± NA | 686.11 ± 122.918 | — | 639.49 ± 63.908 |
| C1D21 | 1254.71 ± 5.016 | — | 2745.23 ± NA | 1532.33 ± 44.296 |
| Ratio | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab |
|---|---|---|---|---|
| Observed Accumulation Ratio (Ro) for AUC(0-tau) for Sitravatinib | NA (NA to NA) | — | — | 3.94 (0.09 to 165.95) |
| Ratio | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab |
|---|---|---|---|---|
| Observed Accumulation Ratio (Ro) for Cmax for Sitravatinib | 2.36 (0.99 to 5.63) | 2.12 (0.72 to 6.25) | 1.51 (0.92 to 2.48) | 1.48 (0.89 to 2.47) |
| ng/mL | Sitravatinib Monotherapy | Sitravatinib + Tislelizumab |
|---|---|---|
| Predose: Anti-PD-1/PD-L1 naïve or R/R HCC | 31.64 ± 18.492 | — |
| Postdose: Anti-PD-1/PD-L1 naïve or R/R HCC | 48.12 ± 34.581 | — |
| Predose: Anti-PD-1/PD-L1 naïve HCC | — | 23.54 ± 1435.332 |
| Postdose: Anti-PD-1/PD-L1 naïve HCC | — | 77.40 ± 65.582 |
| Predose: Anti-PD-1/PD-L1 R/R HCC | — | 35.95 ± 91.411 |
| Postdose: Anti-PD-1/PD-L1 R/R HCC | — | 54.05 ± 49.017 |
| Predose: Anti-PD-1/PD-L1 naïve G/GEJ cancer | — | 31.13 ± 66.433 |
| Postdose: Anti-PD-1/PD-L1 naïve G/GEJ cancer | — | 42.22 ± 32.131 |
Collected over From first dose up to 30 days after last dose of study drug(s) or initiation of new anticancer therapy; up to approximately 4 years and 1 month. Non-serious events are listed at a 3% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Sitravatinib Monotherapy: 80 mg | 0/3 (0%) | 1/3 (33.3%) | 3/3 (100%) |
| Sitravatinib Monotherapy: 120 mg | 12/24 (50%) | 7/24 (29.2%) | 24/24 (100%) |
| Sitravatinib 80 mg + Tislelizumab | 2/3 (66.7%) | 2/3 (66.7%) | 3/3 (100%) |
| Sitravatinib 120 mg + Tislelizumab | 53/81 (65.4%) | 31/81 (38.3%) | 78/81 (96.3%) |
| Event | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab |
|---|---|---|---|---|
| IleusGastrointestinal disorders | 0/3 | 0/24 | 1/3 | 0/81 |
| Intestinal obstructionGastrointestinal disorders | 0/3 | 0/24 | 1/3 | 0/81 |
| DeathGeneral disorders | 0/3 | 0/24 | 1/3 | 7/81 |
| PneumoniaInfections and infestations | 1/3 | 0/24 | 0/3 | 3/81 |
| Venous thrombosis limbVascular disorders | 0/3 | 0/24 | 1/3 | 0/81 |
| HypersplenismBlood and lymphatic system disorders | 0/3 | 1/24 | 0/3 | 0/81 |
| Acute coronary syndromeCardiac disorders | 0/3 | 1/24 | 0/3 | 1/81 |
| Abdominal painGastrointestinal disorders | 0/3 | 1/24 | 0/3 | 0/81 |
| Hepatic failureHepatobiliary disorders | 0/3 | 1/24 | 0/3 | 0/81 |
| Myocardial necrosis marker increasedInvestigations | 0/3 | 1/24 | 0/3 | 0/81 |
| Event | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab |
|---|---|---|---|---|
| Alanine aminotransferase increasedInvestigations | 2/3 | 13/24 | 3/3 | 41/81 |
| Aspartate aminotransferase increasedInvestigations | 2/3 | 13/24 | 3/3 | 41/81 |
| Weight decreasedInvestigations | 3/3 | 6/24 | 1/3 | 14/81 |
| HypertensionVascular disorders | 3/3 | 4/24 | 2/3 | 28/81 |
| Palmar-plantar erythrodysaesthesia syndromeSkin and subcutaneous tissue disorders | 2/3 | 17/24 | 0/3 | 31/81 |
| HypothyroidismEndocrine disorders | 2/3 | 3/24 | 1/3 | 16/81 |
| DiarrhoeaGastrointestinal disorders | 2/3 | 14/24 | 0/3 | 27/81 |
| Platelet count decreasedInvestigations | 2/3 | 10/24 | 0/3 | 22/81 |
| HypoalbuminaemiaMetabolism and nutrition disorders | 1/3 | 3/24 | 2/3 | 34/81 |
| HypokalaemiaMetabolism and nutrition disorders | 2/3 | 5/24 | 1/3 | 9/81 |
| Age, Continuous(Years) | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab | Total |
|---|---|---|---|---|---|
| Mean | 57.7 ± 10.02 | 53.3 ± 9.92 | 56.3 ± 6.51 | 56.4 ± 10.23 | 55.7 ± 10.1 |
| Sex: Female, Male(Participants) | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab | Total |
|---|---|---|---|---|---|
| Female | 1 | 2 | 1 | 10 | 14 |
| Male | 2 | 22 | 2 | 71 | 97 |
| Race/Ethnicity, Customized(Participants) | Sitravatinib Monotherapy: 80 mg | Sitravatinib Monotherapy: 120 mg | Sitravatinib 80 mg + Tislelizumab | Sitravatinib 120 mg + Tislelizumab | Total |
|---|---|---|---|---|---|
| Asian: Chinese | 3 | 24 | 3 | 81 | 111 |
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