Clinical trial • Phase III • Oncology|Gastroenterology|Other

TISLELIZUMAB for Gastric adenocarcinoma|Gastroesophageal junction adenocarcinoma

Phase III trial of TISLELIZUMAB for Gastric adenocarcinoma|Gastroesophageal junction adenocarcinoma.

Overview

Trial Therapeutic Area
Oncology|Gastroenterology|Other
Trial Disease
Gastric adenocarcinoma|Gastroesophageal junction adenocarcinoma
Trial Stage
Phase III
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
18-07-2025
First CTIS Authorization Date
10-11-2025

Trial design

Randomised, open-label, tevimbra 100 mg concentrate for solution for infusion (tislelizumab iv; product name tevimbra; marketing authorisation eu/1/23/1758/001; route: intravenous administration; max daily dose amount reported 200 mg) administered plus chemotherapy (as described in trial title).-controlled Phase III trial in Austria, Italy, France and others.

Randomised
Yes
Open Label
Yes
Comparator
Tevimbra 100 mg concentrate for solution for infusion (tislelizumab IV; product name Tevimbra; marketing authorisation EU/1/23/1758/001; route: intravenous administration; max daily dose amount reported 200 mg) administered plus chemotherapy (as described in trial title).
Target Sample Size
288

Eligibility

Recruits 288 No vulnerable population selected (isVulnerablePopulationSelected=false). Trial population limited to adults; standard informed consent processes apply; assent not applicable..

Vulnerable Population
No vulnerable population selected (isVulnerablePopulationSelected=false). Trial population limited to adults; standard informed consent processes apply; assent not applicable.

Inclusion criteria

  • {"criterion_text":"- Histologically confirmed, locally advanced unresectable or metastatic gastric/ gastroesophageal junction (GEJ) adenocarcinoma."}
  • {"criterion_text":"- No previous systemic therapy for locally advanced unresectable or metastatic gastric/GEJ cancer."}
  • {"criterion_text":"- At least 1 measurable or nonmeasurable lesion per RECIST v1.1 as determined by investigator assessment."}
  • {"criterion_text":"- Must be able to provide tumor tissues for biomarker assessment."}
  • {"criterion_text":"- Eastern Cooperative Oncology Group (ECOG) Performance Status score ≤ 1."}
  • {"criterion_text":"- Adequate organ function."}
  • {"criterion_text":"- Women of childbearing potential must be willing to use a highly effective method of birth control for the duration of the study and ≥ 120 days after the last dose of tislelizumab."}
  • {"criterion_text":"- Non-sterile males must be willing to use a highly effective method of birth control for the duration of the study and for ≥ 120 days after the last dose of tislelizumab."}

Exclusion criteria

  • {"criterion_text":"- Squamous cell or undifferentiated or other histological type gastric cancer (GC)."}
  • {"criterion_text":"- Active leptomeningeal disease or uncontrolled brain metastasis. Patients with equivocal findings or with confirmed brain metastases are eligible for enrollment provided that they are asymptomatic and radiologically stable without the need for corticosteroid treatment for ≥ 4 weeks before randomization."}
  • {"criterion_text":"- Diagnosis with gastric or GEJ adenocarcinoma with positive human epidermal growth factor receptor 2 (HER2)."}
  • {"criterion_text":"- Active autoimmune diseases or history of autoimmune diseases that may relapse."}
  • {"criterion_text":"- Uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage (at least once a week) and/or diuretics within 7 days prior to randomization."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Model-predicted trough serum concentration (Ctrough) at steady-state (predose C5D1) and model-predicted AUC0-21d of Cycle 1","definition_or_measurement_approach":"Model-predicted pharmacokinetic parameters: trough serum concentration (Ctrough) at steady-state (predose C5D1) and model-predicted AUC0-21d in Cycle 1."}

Secondary endpoints

  • {"endpoint_text":"- Overall response rate (ORR), progression-free survival (PFS), duration of response (DOR), and disease control rate (DCR) each assessed by investigator per RECIST v1.1, and overall survival (OS)","definition_or_measurement_approach":"Efficacy endpoints assessed by investigator per RECIST v1.1 (ORR, PFS, DOR, DCR) and overall survival (OS)."}
  • {"endpoint_text":"- Adverse events (AE) and serious adverse events (SAE) as characterized by type, frequency, severity (NCI-CTCAE v5.0), timing, seriousness, and relationship to study treatment","definition_or_measurement_approach":"Safety endpoints characterized by AE/SAE type, frequency, severity (NCI-CTCAE v5.0), timing, seriousness, and relationship to treatment."}
  • {"endpoint_text":"- Model-predicted and observed Cycle 1 Ctrough, observed Cycle 1 AUC, and model-predicted AUC at steady-state (AUCss)","definition_or_measurement_approach":"Pharmacokinetic endpoints including observed and model-predicted Cycle 1 Ctrough and AUC, and model-predicted steady-state AUC (AUCss)."}
  • {"endpoint_text":"- Percentage of patients with antidrug antibodies (ADAs) to tislelizumab after subcutaneous (SC) or intravenous (IV) administration","definition_or_measurement_approach":"Immunogenicity measured as percentage of patients with antidrug antibodies (ADA) after SC or IV administration."}

Recruitment

Planned Sample Size
288
Recruitment Window Months
28
Consent Approach
Informed consent obtained using subject information and informed consent forms (ICFs). Multiple ICF and patient information documents are provided (including language-specific versions). Specific ICFs include pregnancy/pregnant partner information and optional storage/future research consent documents.

Geography

Total Number Of Sites
20
Total Number Of Participants
63

Austria

Earliest CTIS Part Ii Submission Date
27-10-2025
Latest Decision Or Authorization Date
24-04-2026
Processing Time Days
179
Number Of Sites
2
Number Of Participants
6

Sites

Site Name
Ordensklinikum Linz GmbH
Department Name
Department Internal I
Principal Investigator Name
Bernhard Doleschal
Principal Investigator Email
bernhard.doleschal@ordensklinikum.at
Contact Person Name
Bernhard Doleschal
Site Name
Medical University Of Vienna
Department Name
Department of Internal Medicine I
Principal Investigator Name
Aysegül Ilhan-Mutlu
Principal Investigator Email
aysegul.ilhan@meduniwien.ac.at
Contact Person Name
Aysegül Ilhan-Mutlu
Contact Person Email
aysegul.ilhan@meduniwien.ac.at

Italy

Earliest CTIS Part Ii Submission Date
08-08-2025
Latest Decision Or Authorization Date
22-04-2026
Processing Time Days
257
Number Of Sites
4
Number Of Participants
12

Sites

Site Name
Fondazione IRCCS Istituto Nazionale Dei Tumori
Department Name
Medical Oncology Division 1
Principal Investigator Name
Filippo Pietrantonio
Principal Investigator Email
filippo.pietrantonio@istitutotumori.mi.it
Contact Person Name
Filippo Pietrantonio
Site Name
Humanitas Mirasole S.p.A.
Department Name
Oncology and Hematology Unit
Principal Investigator Name
Alberto Puccini
Principal Investigator Email
alberto.puccini@cancercenter.humanitas.it
Contact Person Name
Alberto Puccini
Site Name
IRCCS Ospedale Policlinico San Martino
Department Name
Divisione Ematologia Centro Trapianti di Midollo
Principal Investigator Name
Anna Maria Pessino
Principal Investigator Email
annamaria.pessino@hsanmartino.it
Contact Person Name
Anna Maria Pessino
Site Name
Azienda Ospedaliero Universitaria Pisana
Department Name
U.O. Oncologia Medica 2
Principal Investigator Name
Lorenzo Fornaro
Principal Investigator Email
lorenzo.fornaro@gmail.com
Contact Person Name
Lorenzo Fornaro
Contact Person Email
lorenzo.fornaro@gmail.com

France

Earliest CTIS Part Ii Submission Date
01-10-2025
Latest Decision Or Authorization Date
27-04-2026
Processing Time Days
208
Number Of Sites
3
Number Of Participants
12

Sites

Site Name
Centre Hospitalier Universitaire De Lille
Department Name
Oncologie médicale
Principal Investigator Name
Anne Ploquin
Principal Investigator Email
xxxxxx@xxxxxxx.fr
Contact Person Name
Anne Ploquin
Contact Person Email
xxxxxx@xxxxxxx.fr
Site Name
Centre Hospitalier Regional Et Universitaire De Brest
Department Name
Oncologie
Principal Investigator Name
Jean- Philippe METGES
Principal Investigator Email
xxxxxx@xxxxxxx.fr
Contact Person Name
Jean- Philippe METGES
Contact Person Email
xxxxxx@xxxxxxx.fr
Site Name
Sainte Catherine Institut Du Cancer Avignon-Provence
Department Name
Oncologie -radiotherapie
Principal Investigator Name
Laurent Mineur
Principal Investigator Email
xxxxxx@xxxxxxx.fr
Contact Person Name
Laurent Mineur
Contact Person Email
xxxxxx@xxxxxxx.fr

Czechia

Earliest CTIS Part Ii Submission Date
28-10-2025
Latest Decision Or Authorization Date
21-04-2026
Processing Time Days
175
Number Of Sites
4
Number Of Participants
12

Sites

Site Name
Vseobecna Fakultni Nemocnice V Praze
Department Name
Oncology clinic
Principal Investigator Name
Michal Vočka
Principal Investigator Email
michal.vocka@vfn.cz
Contact Person Name
Michal Vočka
Contact Person Email
michal.vocka@vfn.cz
Site Name
Masarykuv Onkologicky Ustav
Department Name
Clinic of Comprehensive cancer Care
Principal Investigator Name
Radka Obermannová
Principal Investigator Email
radka.obermannova@mou.cz
Contact Person Name
Radka Obermannová
Contact Person Email
radka.obermannova@mou.cz
Site Name
Fakultni Nemocnice Hradec Kralove
Department Name
Department of Oncology and Radiotherapy
Principal Investigator Name
Milan Vošmik
Principal Investigator Email
milan.vosmik@fnhk.cz
Contact Person Name
Milan Vošmik
Contact Person Email
milan.vosmik@fnhk.cz
Site Name
University Hospital Olomouc
Department Name
Department of Oncology
Principal Investigator Name
Bohuslav Melichar
Principal Investigator Email
Bohuslav.Melichar@fnol.cz
Contact Person Name
Bohuslav Melichar
Contact Person Email
Bohuslav.Melichar@fnol.cz

Poland

Earliest CTIS Part Ii Submission Date
01-10-2025
Latest Decision Or Authorization Date
24-04-2026
Processing Time Days
205
Number Of Sites
3
Number Of Participants
10

Sites

Site Name
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Department Name
-
Principal Investigator Name
Lucjan Wyrwicz
Principal Investigator Email
lucjan.wyrwicz@nio.gov.pl
Contact Person Name
Lucjan Wyrwicz
Contact Person Email
lucjan.wyrwicz@nio.gov.pl
Site Name
Klinika Onkologii z Odcinkiem Dziennym, SPZOZ Opolskie Centrum Onkologii
Department Name
Klinika Onkologii z Odcinkiem Dziennym
Principal Investigator Name
Barbara Radecka
Principal Investigator Email
badaniakliniczne@onkologia.opole.pl
Contact Person Name
Barbara Radecka
Site Name
PRATIA MCM Kraków
Department Name
-
Principal Investigator Name
Anna Drosik-Kwasniewska
Principal Investigator Email
rejestracja.mcm@pratia.com
Contact Person Name
Anna Drosik-Kwasniewska
Contact Person Email
rejestracja.mcm@pratia.com

Spain

Earliest CTIS Part Ii Submission Date
08-08-2025
Latest Decision Or Authorization Date
24-04-2026
Processing Time Days
259
Number Of Sites
4
Number Of Participants
11

Sites

Site Name
Hospital Clinic De Barcelona
Department Name
Oncology
Principal Investigator Name
Tamara Sauri Nadal
Principal Investigator Email
sauri@clinic.cat
Contact Person Name
Tamara Sauri Nadal
Contact Person Email
sauri@clinic.cat
Site Name
Hospital Universitario De Navarra
Department Name
Oncology
Principal Investigator Name
María Alsina Maqueda
Principal Investigator Email
maria.alsina.maqueda@navarra.es
Contact Person Name
María Alsina Maqueda
Site Name
Hospital Clinico Universitario De Valencia
Department Name
Oncology
Principal Investigator Name
Tania Fleitas Kanonnikoff
Principal Investigator Email
tfleitas@incliva.es
Contact Person Name
Tania Fleitas Kanonnikoff
Contact Person Email
tfleitas@incliva.es
Site Name
Hospital Universitario Miguel Servet
Department Name
Oncology
Principal Investigator Name
Roberto Pazo Cid
Principal Investigator Email
rpazo@salud.aragon.es
Contact Person Name
Roberto Pazo Cid
Contact Person Email
rpazo@salud.aragon.es

Sponsor

Primary sponsor

Full Name
BeOne Medicines AG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Switzerland

Contract research organisations

Name
Pharmaceutical Product Development LLC
Responsibilities
sponsorDuties codes: 8
Name
Iqvia Laboratories Limited
Responsibilities
sponsorDuties codes: 4
Name
Labcorp Pharmaceutical Research And Development (Shanghai) Co. Ltd.
Responsibilities
sponsorDuties codes: 4
Name
Almac Clinical Technologies LLC
Responsibilities
sponsorDuties codes: 3
Name
Medidata Solutions Inc.
Responsibilities
sponsorDuties codes: 7

Third parties

  • {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"sponsorDuties codes: 8","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Iqvia Laboratories Limited","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Germany","full_name":"Fisher Clinical Services GmbH","duties_or_roles":"sponsorDuties codes: 15 (Importation of IMP into the EU;)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"sponsorDuties codes: 15 (Patient expenses reimbursement)","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"China","full_name":"Labcorp Pharmaceutical Research And Development (Shanghai) Co. Ltd.","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Almac Clinical Technologies LLC","duties_or_roles":"sponsorDuties codes: 3","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"Fisher Clinical Services GmbH","duties_or_roles":"sponsorDuties codes: 15 (Importation of IMP into the EU;)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"sponsorDuties codes: 7","organisation_type":"Non-Pharmaceutical company"}

Investigational products

Investigational Product Name
Tislelizumab 300 mg solution for injection
Active Substance
TISLELIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
SUBCUTANEOUS INJECTION
Authorisation Status
Investigational product (prodAuthStatus: 1)
Maximum Dose
300 mg (maxDailyDoseAmount 300)
Investigational Product Name
Tevimbra 100 mg concentrate for solution for infusion
Active Substance
TISLELIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS ADMINISTRATION
Route
INTRAVENOUS ADMINISTRATION
Authorisation Status
Authorized (marketing authorisation EU/1/23/1758/001; prodAuthStatus: 2)
Maximum Dose
200 mg (maxDailyDoseAmount 200)
Combination Treatment
Yes

Related trials

Other published trials that may interest you.