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Active, not recruitingNCT03967977Updated Jun 22, 2026

Study of Tislelizumab in Combination With Chemotherapy Compared to Chemotherapy Alone for Participants With Urothelial Carcinoma

A Phase 3 interventional study of Tislelizumab and Placebo in Urothelial Carcinoma, sponsored by BeiGene. Active, not recruiting at 46 sites in 2 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-06-22.

Sponsored by BeiGene · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
420
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a multicenter, randomized, double-blind, placebo-controlled, Phase 3 study designed to compare the efficacy and safety of tislelizumab + either cisplatin or carboplatin + gemcitabine versus placebo+ either cisplatin or carboplatin + gemcitabine in approximately 420 participants with locally advanced or metastatic urothelial carcinoma who have not received prior systemic therapy.

02

Conditions studied

  • Urothelial Carcinoma
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In context

Carcinoma, Transitional Cell

716 studies on the registry are indexed under Carcinoma, Transitional Cell; 201 are open to participants now.

This study's enrollment of 420 is above the median of 49 across 549 interventional studies indexed under Carcinoma, Transitional Cell.

Browse Carcinoma, Transitional Cell studies →

Lead sponsor

BeiGene is the lead sponsor of 122 studies on the registry; 3 are open to participants now.

Of its 52 completed or terminated interventional studies of FDA-regulated products, 31 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Male or female aged 18 to 75 years on the day of signing the Informed Consent Form (ICF)
  2. Histologically confirmed, inoperable, locally advanced, or metastatic urothelial cancer (UC)
  3. Must be eligible to receive cisplatin or carboplatin in the investigator's judgment
  4. Have had no prior systemic chemotherapy for locally advanced or metastatic UC
  5. Must be able to provide fresh or archival tumor tissues with an associated pathological report.
  6. Must have evaluable disease (either measurable or non-measurable) as defined per RECIST v1.1.
  7. Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1.
  8. Adequate organ function before randomization:

Key Exclusion Criteria:

  1. Received prior therapies targeting PD-1, PD-L1, PD-L2, CTLA4, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways.
  2. Any approved anticancer therapy within 28 days before randomization.
  3. Active leptomeningeal disease or uncontrolled, untreated brain metastasis
  4. Participants with uncontrolled hypercalcemia
  5. Participants with active autoimmune diseases or history of autoimmune diseases that may relapse
  6. History of interstitial lung disease, noninfectious pneumonitis, or uncontrolled diseases
  7. A known history of HIV infection.
  8. Prior allogeneic stem cell transplantation or organ transplantation.
  9. History of severe hypersensitivity reactions to other monoclonal antibodies. 10.History of allergic reactions to cisplatin, carboplatin, or other platinum-containing compounds.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
420 participants (actual)

Study arms

  • Active comparator
    Tislelizumab in combination with chemotherapy

    Tislelizumab: Day 1 of each 21-day cycle, to be administered until Progressive Disease or intolerable toxicity Cisplatin: Day 1 or Day 2 of each 21-day cycle, to be administered up to 6 cycles Carboplatin: Day 1 or Day 2 of each 21-day cycle, to be administered up to 6 cycles Gemcitabine: Days 1 and 8 of each 21-day cycle, to be administered up to 6 cycles

    Drug: Tislelizumab · Drug: Cisplatin · Drug: Gemcitabine Hydrochloride · Drug: Carboplatin

  • Placebo comparator
    Placebo in combination with chemotherapy

    Placebo: Day 1 of each 21-day cycle, to be administered until Progressive Disease or intolerable toxicity Cisplatin: Day 1 or Day 2 of each 21-day cycle, to be administered up to 6 cycles Carboplatin: Day 1 or Day 2 of each 21-day cycle, to be administered up to 6 cycles Gemcitabine: Days 1 and 8 of each 21-day cycle, to be administered up to 6 cycles

    Drug: Placebo · Drug: Cisplatin · Drug: Gemcitabine Hydrochloride · Drug: Carboplatin

Interventions

  • DrugTislelizumab

    200 mg administered Intravenously (IV) as specified in the treatment arm

    Also known as: BGB-A317

  • DrugPlacebo

    Tislelizumab placebo to match

  • DrugCisplatin

    70 mg/m2 administered IV as specified in the treatment arm

  • DrugGemcitabine Hydrochloride

    1000 mg/m2 administered IV as specified in the treatment arm

  • DrugCarboplatin

    Area Under the Curve (AUC) 4.5 administered IV as specified in the treatment arm

06

What researchers measure

Primary outcomes

  1. Overall survival (OS) in the Intent to Treat (ITT) set

    Time frame: From first randomization up to 3.5 years, approximately

Secondary outcomes

  1. Overall response rate (ORR) per RECIST v1.1 in ITT

    the proportion of participants who had Complete Response (CR) or Partial Response (PR) as assessed by the investigator per RECIST v1.1 in the ITT Analysis Set

    Time frame: From first randomization up to 3.5 years, approximately

  2. Duration of response (DOR)

    the time from the first occurrence of a documented objective response to documented Progressive Disease (PD), or death from any cause, whichever occurs first, as determined by the investigator per RECIST v1.1 in the ITT Analysis Set

    Time frame: From first randomization up to 3.5 years, approximately

  3. Progression-free survival (PFS)

    the time from randomization to the first objectively documented PD, or death from any cause, whichever occurs first, as determined by the investigator per RECIST v1.1 in the ITT Analysis Set

    Time frame: From first randomization up to 3.5 years, approximately

  4. Overall survival rate at 1 and 2 years for each treatment arm

    the proportion of OS participants at 1 year and 2 years from randomization in the ITT Analysis Set

    Time frame: From first randomization up to 3.5 years, approximately

  5. Change from baseline in European Organization for Research and Treatment of Cancer Quality of Life-Core 30(EORTC QLQC30)

    1\) to assess overall health status/Quality of Life with 2 questions which are with range from minimum score 1 as worse outcome and maximum score 7 as higher values represent a better 2) to assess quality of life with 28 questions about Physical functioning, emotional functioning, social functioning etc. which are with range from minimum scores 1 representing as better to maximum scores 4 as worse outcome.

    Time frame: From first randomization up to 3.5 years, approximately

  6. Incidence and severity of treatment-emergent adverse events (AEs)

    Incidence and severity of treatment-emergent adverse events (AEs) graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE)v5.0

    Time frame: From first randomization up to 3.5years, approximately

  7. Change from baseline in European Quality of Life 5-Dimension, 5-Level version (EQ-5D-5L)

    to assess health status with 1) 5 questions about Mobility, Self-Care, Usual activities, Pain/Discomfort, Anxiety/Depression which are with 5 options. 2) one question about health status at the day of completing the questionnaire with range from minimum score 0 as worse outcome to maximum scores 100 as higher values represent as better.

    Time frame: From first randomization up to 3.5 years, approximately

07

Study locations

46 sites
  • Anhui Provincial Hospital
    Hefei, Anhui 230000, China
  • Peking University Third Hospital
    Beijing, Beijing Municipality 100000, China
  • Peking University First Hospital
    Beijing, Beijing Municipality 100034, China
  • Beijing Friendship Hospital, Capital Medical University
    Beijing, Beijing Municipality 100050, China
  • Fifth Medical Center of Pla General Hospital
    Beijing, Beijing Municipality 100071, China
  • Beijing Cancer Hospital
    Beijing, Beijing Municipality 100142, China
  • Peking Union Medical College Hospital
    Beijing, Beijing Municipality 100730, China
  • Chinese Pla General Hospital
    Beijing, Beijing Municipality 100853, China
  • Chongqing Cancer Hospital
    Chongqing, Chongqing Municipality 400030, China
  • Southwest Hospital
    Chongqing, Chongqing Municipality 400038, China
  • The First Affiliated Hospital of Fujian Medical University
    Fuzhou, Fujian 350005, China
  • The Second Affiliated Hospital of Fujian Medical University
    Quanzhou, Fujian 362001, China
  • The First Affiliated Hospital of Xiamen University
    Xiamen, Fujian 361003, China
  • Zhujiang Hospital of Southern Medical University
    Guangzhou, Guangdong 510000, China
  • Sun Yat Sen Memorial Hospital, Sun Yat Sen University (South)
    Guangzhou, Guangdong 510245, China
  • Harbin Medical University Cancer Hospital
    Harbin, Heilongjiang 150000, China
  • Union Hospital of Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, Hubei 430022, China
  • Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology
    Wuhan, Hubei 430030, China
  • Hubei Cancer Hospital
    Wuhan, Hubei 430079, China
  • Xiangya Hospital of Central South University
    Changsha, Hunan 410008, China
  • Jiangsu Province Cancer Hospital
    Nanjing, Jiangsu 210008, China
  • Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School
    Nanjing, Jiangsu 210008, China
  • The First Affiliated Hospital of Nanchang University Branch Donghu
    Nanchang, Jiangxi 330006, China
  • The First Hospital of Jilin University
    Changchun, Jilin 130021, China
  • Liaoning Cancer Hospital and Institute
    Shenyang, Liaoning 110042, China
  • The Second Affiliated Hospital of Xian Jiaotong University
    Xi'an, Shaanxi 710004, China
  • Fudan University Shanghai Cancer Center
    Shanghai, Shanghai Municipality 200000, China
  • Rui Jin Hospital Shanghai Jiao Tong University School of Medicine
    Shanghai, Shanghai Municipality 200025, China
  • Affiliated Zhongshan Hospital of Fudan University
    Shanghai, Shanghai Municipality 200032, China
  • Huadong Hospital Affiliated to Fudan University
    Shanghai, Shanghai Municipality 200040, China
  • Huashan Hospital Affiliated to Fudan University
    Shanghai, Shanghai Municipality 200040, China
  • Shanghai Changhai Hospital
    Shanghai, Shanghai Municipality 200433, China
  • West China Hospital, Sichuan University
    Chengdu, Sichuan 610041, China
  • Sichuan Academy of Medical Sciences and Sichuan Provincial Peoples Hospital
    Chengdu, Sichuan 610071, China
  • The Second Affiliated Hospital of Tianjin Medical University
    Tianjin, Tianjin Municipality 300000, China
  • Affiliated Cancer Hospital of Xinjiang Medical University
    Ürümqi, Xinjiang 830000, China
  • Yunnan Cancer Hospital
    Kunming, Yunnan 650100, China
  • Zhejiang Provincial Peoples Hospital
    Hangzhou, Zhejiang 310014, China
  • Zhejiang Cancer Hospital
    Hangzhou, Zhejiang 310022, China
  • Ningbo First Hospital
    Ningbo, Zhejiang 315010, China
  • The First Provincial Wenzhou Hospital of Zhejiang
    Wenzhou, Zhejiang 325000, China
  • Keelung Chang Gung Memorial Hospital and Loves Lake Branch
    Anle Dist, 204, Taiwan
  • Taipei Veterans General Hospital
    Beitou Dist, 11217, Taiwan
  • Linkou Chang Gung Memorial Hospital
    Guishan Dist, 33305, Taiwan
  • National Cheng Kung University Hospital
    Tainan, 704, Taiwan
  • National Taiwan University Hospital
    Zhongzheng Dist, 100225, Taiwan
08

References and documents

Publications

  • Huang H, Dai Z, Jiang Z, Li X, Ma L, Ji Z, Fan X. Anti-PD-1 immunotherapy for the treatment of metastatic urothelial carcinoma in a kidney transplant recipient: a case report. BMC Nephrol. 2024 Oct 31;25(1):390. doi: 10.1186/s12882-024-03825-2. PubMed 39482589 ↗

Individual participant data

Plan to share: Yes — BeiGene shares data on completed studies responsibly and provides qualified scientific and medical researchers access to data and supporting documentation for clinical trials in dossiers for medicines and indications after submission and approval in the United States, China, and Europe. Clinical trials supporting subsequent local approvals, new indications, or combination products are eligible for sharing once corresponding regulatory approvals are achieved. BeiGene shares data only when permitted by applicable data privacy and security laws and regulations, when it is feasible to do so without compromising the privacy of study participants, and other considerations. Qualified researchers with appropriate competencies who are engaged in novel scientific research may submit a request for participant-level data with a research proposal for BeiGene review. Research teams must include a biostatistician and sign a Data Sharing Agreement prior to receiving access to clinical trial data.

Supporting information: Study protocol, Sap, Csr

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03967977
Lead sponsor
BeiGene
Responsible party
Sponsor
First posted
May 30, 2019
Start date
May 29, 2019
Primary completion
Jun 30, 2027 (estimated)
Completion
Oct 21, 2027 (estimated)
Last update
Jun 22, 2026

Study contacts

Dingwei Ye, MD
principal investigator · Fudan University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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