A Phase 2 interventional study of Ociperlimab and Tislelizumab in Advanced Hepatocellular Carcinoma, sponsored by BeiGene. Completed at 28 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-02-24.
Sponsored by BeiGene · Phase 2, Interventional, and Treatment
This was a Phase 2, randomized, multicenter, open-label, 2-arm study to investigate the efficacy and safety of ociperlimab in combination with tislelizumab plus BAT1706, and tislelizumab plus BAT1706, as first-line treatment in participants with advanced Hepatocellular Carcinoma (HCC).
6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.
This study's enrollment of 94 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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Criteria:
Inclusion Criteria:
Exclusion Criteria:
NOTE: Other protocol Inclusion/Exclusion criteria may apply
Participants received tislelizumab 200 milligrams (mg) intravenously once every 3 weeks followed by BAT1706 15 milligrams per kilogram (mg/kg) intravenously once every 3 weeks followed by ociperlimab 900 mg intravenously once every 3 weeks in 21-day treatment cycles until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Drug: Ociperlimab · Drug: Tislelizumab · Drug: BAT1706
Participants received tislelizumab 200 mg intravenously once every 3 weeks followed by BAT1706 15 mg/kg intravenously once every 3 weeks in 21-day treatment cycles until disease progression, unacceptable toxicity, or withdrawal for other reasons, whichever occurred first.
Drug: Tislelizumab · Drug: BAT1706
900 mg intravenously once every 3 weeks (dosed in 21-day cycles)
Also known as: BGB-A1217
200 mg intravenously once every 3 weeks (dosed in 21-day cycles)
Also known as: BGB-A317
15 mg/kg intravenously once every 3 weeks (dosed in 21-day cycles)
Also known as: Bevacizumab Injection
Objective Response Rate (ORR) as Assessed by the Investigator
ORR was defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) per response evaluation criteria in solid tumors version(v) 1.1 (RECIST v1.1). Per RECIST v1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (\<) 10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first (i.e., up to 27 months)
Duration Of Response (DOR) as Assessed by the Investigator
DOR was defined as the time from the date of first documentation of a partial response (PR) or better to the date of first documentation of progressive disease or death whichever comes first, assessed based on RECIST v1.1. Median DOR was estimated using the Kaplan-Meier method. Per RECIST v1.1, PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
Time frame: From the first confirmed objective response until the first documentation of disease progression or death, whichever came first (i.e. up to 27 months)
Time to Response (TTR) as Assessed by the Investigator
TTR was defined as the time from the randomization date to the date of first documented partial response (PR) or better by the investigator, assessed based on RECIST v1.1. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Time frame: From the randomization date to the first documentation of response (up to 27 months)
Disease Control Rate (DCR) as Assessed by the Investigator
DCR was defined as the percentage of participants who achieve complete response (CR), partial response (PR) or stable disease (SD), assessed based on RECIST v1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first (i.e., up to 27 months)
Clinical Benefit Rate (CBR) as Assessed by the Investigator
CBR was defined as the percentage of participants who achieve complete response (CR), partial response (PR), or durable stable disease (stable disease defined as \>= 24 weeks). Per RECIST 1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first (i.e., up to 27 months)
Progression-Free Survival (PFS) as Assessed by the Investigator
PFS was evaluated by the investigator according to RECIST version 1.1; and was defined as the time from the randomization date to the date of first documentation of disease progression or date of death from any cause, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Per RECIST v 1.1, progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
Time frame: From the randomization date to the date of first documentation of disease progression or death, whichever came first (i.e., up to 27 months)
Overall Survival (OS)
OS was defined as the time from the randomization date until the date of death from any cause. Median OS was estimated using the Kaplan-Meier method.
Time frame: From the randomization date until the date of death from any cause (up to 27 months)
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
A TEAE was defined as an adverse event (AE) that had an onset date or a worsening in severity from baseline (pretreatment) on or after the first dose of study drug(s) and up to 30 days after the last dose of study drug(s), or initiation of new anticancer therapy, whichever occurs first. AEs were graded for severity using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version (v) 5.0, where Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4 - Life-threatening consequences; and Grade 5: Death related to AE. The TEAEs leading to death in this data table exclude death due to disease under study.
Time frame: From the date of the first dose of study drug up to 30 days after last dose of study drug (i.e., up to 27 months)
Serum Concentrations of Ociperlimab
Serum samples were assayed for ociperlimab concentrations using a validated immunoassay. This outcome measure was not analyzed for Arm B as ociperlimab was not administered in Arm B.
Time frame: Predose on Day 1 of Cycles 1, 2, 5, 9 and 17; Post dose on Day 1 of Cycles 1 and 5 and Safety Follow-up Visit (i.e., up to 30 days after last dose [up to 27 months]) (each cycle duration = 21-days)
Serum Concentrations of Tislelizumab
Serum samples were assayed for tislelizumab concentrations using a validated immunoassay.
Time frame: Predose on Day 1 of Cycles 1, 2, 5, 9 and 17; Post dose on Day 1 of Cycles 1 and 5 and Safety Follow-up Visit (i.e., up to 30 days after last dose [up to 27 months]) (each cycle duration = 21-days)
Serum Concentrations of BAT1706
Serum samples were assayed for BAT1706 concentrations using a validated immunoassay.
Time frame: Predose on Day 1 of Cycles 1, 2, 5, 9 and 17; Post dose on Day 1 of Cycles 1 and 5 and Safety Follow-up Visit (i.e., up to 30 days after last dose [up to 27 months]) (each cycle duration = 21-days)
Number of Participants With Antidrug Antibodies (ADAs) to Ociperlimab, Tislelizumab, and BAT1706
Serum samples were tested for the presence of ADAs to ociperlimab, tislelizumab and BAT1706 using a validated immunoassay. The analysis included: Treatment-emergent ADA: sum of treatment-boosted ADA patients and treatment-induced ADA participants as a percentage of the ADA-evaluable participants population; Treatment-boosted ADA: Baseline-positive ADA-evaluable patients with significant increases (4-fold or higher) in ADA titer after drug administration during the treatment or follow-up observation period; and Treatment-induced ADA: ADA-evaluable participants that were ADA-negative at baseline and ADA-positive after drug administration during the treatment or follow-up observation period.
Time frame: Up to 27 months
A total of 94 eligible participants were randomized in a 2:1 ratio to receive ociperlimab in combination with tislelizumab + BAT1706 or tislelizumab + BAT1706.
| Milestone | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| Started | 62 | 32 |
| Treated | 62 | 31 |
| Completed | 0 | 0 |
| Not completed | 62 | 32 |
| Withdrew: Progressive disease | 27 | 18 |
| Withdrew: Adverse event | 14 | 4 |
| Withdrew: Participant moved to long term extension study | 7 | 4 |
| Withdrew: Withdrawal by subject | 10 | 0 |
| Withdrew: Closed by sponsor | 3 | 2 |
| Withdrew: Physician decision | 0 | 2 |
| Withdrew: Lost to follow-up | 0 | 1 |
| Withdrew: Other-miscellaneous | 1 | 0 |
| Withdrew: Randomized but not treated | 0 | 1 |
ORR was defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) per response evaluation criteria in solid tumors version(v) 1.1 (RECIST v1.1). Per RECIST v1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (\<) 10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
| percentage of participants | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| Objective Response Rate (ORR) as Assessed by the Investigator | 37.1 (25.2 to 50.3) | 40.6 (23.7 to 59.4) |
DOR was defined as the time from the date of first documentation of a partial response (PR) or better to the date of first documentation of progressive disease or death whichever comes first, assessed based on RECIST v1.1. Median DOR was estimated using the Kaplan-Meier method. Per RECIST v1.1, PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
| months | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| Duration Of Response (DOR) as Assessed by the Investigator | 12.6 (6.9 to NA) | 12.4 (5.4 to NA) |
TTR was defined as the time from the randomization date to the date of first documented partial response (PR) or better by the investigator, assessed based on RECIST v1.1. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
| months | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| Time to Response (TTR) as Assessed by the Investigator | 2.76 (1.2 to 6.9) | 4.17 (1.4 to 8.3) |
DCR was defined as the percentage of participants who achieve complete response (CR), partial response (PR) or stable disease (SD), assessed based on RECIST v1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
| percentage of participants | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| Disease Control Rate (DCR) as Assessed by the Investigator | 77.4 (65.0 to 87.1) | 71.9 (53.3 to 86.3) |
CBR was defined as the percentage of participants who achieve complete response (CR), partial response (PR), or durable stable disease (stable disease defined as \>= 24 weeks). Per RECIST 1.1., CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
| percentage of participants | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| Clinical Benefit Rate (CBR) as Assessed by the Investigator | 59.7 (46.4 to 71.9) | 56.3 (37.7 to 73.6) |
PFS was evaluated by the investigator according to RECIST version 1.1; and was defined as the time from the randomization date to the date of first documentation of disease progression or date of death from any cause, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Per RECIST v 1.1, progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study.
| months | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| Progression-Free Survival (PFS) as Assessed by the Investigator | 8.3 (5.5 to 10.3) | 6.9 (4.1 to 17.4) |
OS was defined as the time from the randomization date until the date of death from any cause. Median OS was estimated using the Kaplan-Meier method.
| months | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| Overall Survival (OS) | 19.7 (18.4 to NA) | 22.9 (14.4 to NA) |
A TEAE was defined as an adverse event (AE) that had an onset date or a worsening in severity from baseline (pretreatment) on or after the first dose of study drug(s) and up to 30 days after the last dose of study drug(s), or initiation of new anticancer therapy, whichever occurs first. AEs were graded for severity using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version (v) 5.0, where Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4 - Life-threatening consequences; and Grade 5: Death related to AE. The TEAEs leading to death in this data table exclude death due to disease under study.
| Participants | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| TEAEs | 62 | 31 |
| Serious TEAEs | 31 | 12 |
| TEAEs >= Grade 3 | 48 | 17 |
| TEAEs Leading to Treatment Discontinuation | 18 | 6 |
| TEAEs Leading to Death Excluding Death Due to Disease Under Study | 3 | 0 |
Serum samples were assayed for ociperlimab concentrations using a validated immunoassay. This outcome measure was not analyzed for Arm B as ociperlimab was not administered in Arm B.
| micrograms per milliliters (mcg/mL) | Arm A: Ociperlimab + Tislelizumab + BAT1706 |
|---|---|
| Cycle 1 Day 1: Pre-dose | 0.00 ± 0.000 |
| Cycle 1 Day 1: Post-dose | 287.15 ± 50.203 |
| Cycle 2 Day 1: Pre-dose | 39.82 ± 16.896 |
| Cycle 5 Day 1: Pre-dose | 68.23 ± 28.422 |
| Cycle 5 Day 1: Post-dose | 385.22 ± 79.227 |
| Cycle 9 Day 1: Pre-dose | 79.83 ± 30.614 |
| Cycle 17 Day 1: Pre-dose | 78.16 ± 29.558 |
| Safety Follow-up: Post Dose | 34.54 ± 28.961 |
Serum samples were assayed for tislelizumab concentrations using a validated immunoassay.
| micrograms per milliliters (mcg/mL) | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| Cycle 1 Day 1: Pre-dose | 0.00 ± 0.000 | 0.00 ± 0.000 |
| Cycle 1 Day 1: Post-dose | 69.63 ± 11.923 | 67.69 ± 12.545 |
| Cycle 2 Day 1: Pre-dose | 19.65 ± 6.348 | 17.70 ± 5.875 |
| Cycle 5 Day 1: Pre-dose | 38.14 ± 13.908 | 36.62 ± 11.920 |
| Cycle 5 Day 1: Post-dose | 106.93 ± 22.321 | 103.21 ± 21.305 |
| Cycle 9 Day 1: Pre-dose | 43.82 ± 16.823 | 42.00 ± 16.495 |
| Cycle 17 Day 1: Pre-dose | 39.35 ± 14.060 | 44.01 ± 21.788 |
| Safety Follow-up: Post Dose | 23.90 ± 16.674 | 25.66 ± 26.011 |
Serum samples were assayed for BAT1706 concentrations using a validated immunoassay.
| micrograms per milliliters (mcg/mL) | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| Cycle 1 Day 1: Pre-dose | 0.00 ± 0.000 | 0.00 ± 0.000 |
| Cycle 1 Day 1: Post-dose | 319.29 ± 58.599 | 321.03 ± 56.151 |
| Cycle 2 Day 1: Pre-dose | 63.28 ± 19.302 | 55.30 ± 20.999 |
| Cycle 5 Day 1: Pre-dose | 113.97 ± 37.045 | 112.79 ± 34.114 |
| Cycle 5 Day 1: Post-dose | 432.60 ± 86.670 | 410.71 ± 90.747 |
| Cycle 9 Day 1: Pre-dose | 113.72 ± 38.039 | 120.55 ± 43.141 |
| Cycle 17 Day 1: Pre-dose | 111.29 ± 31.055 | 123.36 ± 44.184 |
| Safety Follow-up: Post Dose | 59.74 ± 40.020 | 81.42 ± 79.696 |
Serum samples were tested for the presence of ADAs to ociperlimab, tislelizumab and BAT1706 using a validated immunoassay. The analysis included: Treatment-emergent ADA: sum of treatment-boosted ADA patients and treatment-induced ADA participants as a percentage of the ADA-evaluable participants population; Treatment-boosted ADA: Baseline-positive ADA-evaluable patients with significant increases (4-fold or higher) in ADA titer after drug administration during the treatment or follow-up observation period; and Treatment-induced ADA: ADA-evaluable participants that were ADA-negative at baseline and ADA-positive after drug administration during the treatment or follow-up observation period.
| Participants | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| Treatment-emergent ADA: Ociperlimab | 1 | — |
| Treatment boosted ADA: Ociperlimab | 0 | — |
| Treatment induced ADA: Ociperlimab | 1 | — |
| Treatment-emergent ADA: Tislelizumab | 22 | 18 |
| Treatment boosted ADA: Tislelizumab | 1 | 2 |
| Treatment induced ADA: Tislelizumab | 21 | 16 |
| Treatment-emergent ADA: BAT1706 | 1 | 3 |
| Treatment boosted ADA: BAT1706 | 0 | 0 |
| Treatment induced ADA: BAT1706 | 1 | 3 |
Collected over All cause-mortality data was collected from randomization through end of the study (i.e. up to 29 months). Serious adverse events (SAEs) and non-serious AEs (NSAEs) data were collected from the date of the first dose of study drug up to 30 days after last dose of study drug (up to 27 months). Non-serious events are listed at a 3% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Arm A: Ociperlimab + Tislelizumab + BAT1706 | 28/62 (45.2%) | 31/62 (50%) | 61/62 (98.4%) |
| Arm B: Tislelizumab + BAT1706 | 14/32 (43.8%) | 12/31 (38.7%) | 31/31 (100%) |
| Event | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| PneumoniaInfections and infestations | 2/62 | 2/31 |
| Arteriosclerosis coronary arteryCardiac disorders | 0/62 | 1/31 |
| Gastrointestinal haemorrhageGastrointestinal disorders | 0/62 | 1/31 |
| Intra-abdominal fluid collectionGastrointestinal disorders | 0/62 | 1/31 |
| NauseaGastrointestinal disorders | 0/62 | 1/31 |
| SubileusGastrointestinal disorders | 0/62 | 1/31 |
| Upper gastrointestinal haemorrhageGastrointestinal disorders | 0/62 | 1/31 |
| VomitingGastrointestinal disorders | 0/62 | 1/31 |
| Cholecystitis acuteHepatobiliary disorders | 0/62 | 1/31 |
| Hepatic function abnormalHepatobiliary disorders | 1/62 | 1/31 |
| Event | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 |
|---|---|---|
| ProteinuriaRenal and urinary disorders | 24/62 | 16/31 |
| HypertensionVascular disorders | 23/62 | 15/31 |
| Aspartate aminotransferase increasedInvestigations | 26/62 | 9/31 |
| Alanine aminotransferase increasedInvestigations | 23/62 | 8/31 |
| Platelet count decreasedInvestigations | 23/62 | 8/31 |
| DiarrhoeaGastrointestinal disorders | 10/62 | 10/31 |
| HypoalbuminaemiaMetabolism and nutrition disorders | 12/62 | 10/31 |
| HypothyroidismEndocrine disorders | 7/62 | 9/31 |
| Blood bilirubin increasedInvestigations | 10/62 | 8/31 |
| RashSkin and subcutaneous tissue disorders | 15/62 | 6/31 |
Analysis was performed on Intent-to-Treat (ITT) analysis set that included all randomized participants and were analyzed according to their randomized treatment arm (i.e., Arm A or Arm B).
| Age, Continuous(years) | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 | Total |
|---|---|---|---|
| Mean | 58.4 ± 11.27 | 59.1 ± 10.77 | 58.6 ± 11.05 |
| Sex: Female, Male(Participants) | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 | Total |
|---|---|---|---|
| Female | 5 | 2 | 7 |
| Male | 57 | 30 | 87 |
| Ethnicity (NIH/OMB)(Participants) | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 | Total |
|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 |
| Not Hispanic or Latino | 62 | 32 | 94 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 62 | 32 | 94 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 |
| White | 0 | 0 | 0 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Macrovascular invasion (MVI) Status(Participants) | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 | Total |
|---|---|---|---|
| Present | 13 | 12 | 25 |
| Absent | 49 | 20 | 69 |
| Extrahepatic spread (EHS) Status(Participants) | Arm A: Ociperlimab + Tislelizumab + BAT1706 | Arm B: Tislelizumab + BAT1706 | Total |
|---|---|---|---|
| Present | 31 | 19 | 50 |
| Absent | 31 | 13 | 44 |
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