A Study Evaluating BL-B01D1 in Combination With a PD-1/VEGF Bispecific Antibody Versus Tislelizumab Plus Platinum-doublet Chemotherapy as First-line Treatment for Locally Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer(PANKU-Lung06)

Trial statusNot yet recruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorSichuan Baili Pharmaceutical Co., Ltd.

About this trial

This trial is a registrational randomized, open-label, multicenter Phase II/III study designed to evaluate the efficacy and safety of BL-B01D1 in combination with a PD-1/VEGF bispecific antibody in patients with locally advanced or metastatic non-squamous non-small cell lung cancer.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Voluntarily sign the informed consent form and comply with the protocol requirements;

Age ≥ 18 years;

Expected survival time ≥ 3 months;

Patients with locally advanced non-squamous non-small cell lung cancer;

Disqualifiers

Presence of small cell lung cancer, neuroendocrine carcinoma, sarcomatoid carcinoma components, or squamous carcinoma components exceeding 10%;

Evidence suggesting the presence of EGFR-sensitive mutations, etc.;

Patients who have received prior systemic therapy;

Prior receipt of therapies targeting the mechanism of tumor immunity;

Trial design

Design model

Parallel

Treatments tested in this trial

  • BL-B01D1

    Drug

    Administration by intravenous infusion for a cycle of 3 weeks.

  • PD-1/VEGF Bispecific Antibody

    Drug

    Administration by intravenous infusion for a cycle of 3 weeks.

  • Tislelizumab

    Drug

    Administration by intravenous infusion for a cycle of 3 weeks.

  • Pemetrexed

    Drug

    Administration by intravenous infusion for a cycle of 3 weeks.

  • Carboplatin

    Drug

    Administration by intravenous infusion for a cycle of 3 weeks.

  • Cisplatin

    Drug

    Administration by intravenous infusion for a cycle of 3 weeks.

Treatment groups

120 Participants
are divided into 3 treatment groups
Group A: BL-B01D1 + PD-1/VEGF Bispecific AntibodyExperimental treatment 2 interventions
Group B: PD-1/VEGF Bispecific Antibody + Pemetrexed + Carboplatin or CisplatinActive comparator 4 interventions
Group C: Tislelizumab + Pemetrexed + Carboplatin or CisplatinActive comparator 4 interventions

Trial outcomes

Primary outcomes

1

Phase II: Objective Response Rate (ORR)

Objective response rate (ORR) is defined as the number of CR and PR in the treatment and control groups divided by the number of that group in the full analysis set (FAS).

Time frame
Up to approximately 24 months
2

Phase II: Investigator-assessed Progression-free Survival (PFS)

Investigator-assessed progression-free survival (PFS) per RECIST v1.1 is defined as the time from treatment initiation until the first documented disease progression according to RECIST v1.1 criteria, or death from any cause, whichever occurs first, as determined by the local treating investigator.

Time frame
Up to approximately 24 months
3

Phase III: BICR-assessed Progression-free Survival (PFS)

Progression-free survival (PFS) as assessed by BICR is defined as the time between the date subjects were randomized and the first observation of disease progression (based on BICR's image-based assessment) or death.

Time frame
Up to approximately 24 months
4

Phase III: Overall Survival (OS)

Overall survival (OS) is defined as the time between the day the subject is randomized and the subject's death.

Time frame
Up to approximately 24 months

Secondary outcomes

1

Phase II/III: Disease Control Rate (DCR)

Disease Control Rate (DCR) : Percentage of all randomized subjects who rated the best overall response (BOR) as complete response (CR), partial response (PR), and disease stabilization (SD) according to RECIST 1.1 criteria.

Time frame
Up to approximately 24 months
2

Phase II/III: Duration of Response (DOR)

Duration of Response (DOR) : defined as the period from the date when tumor response is first recorded to the date when objective tumor progression is first recorded or the date of death.

Time frame
Up to approximately 24 months
3

Phase II/III: Treatment Emergent Adverse Event (TEAE)

TEAE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally emerging, or any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition during the treatment of BL-B01D1. The type, frequency and severity of TEAE will be evaluated during the treatment of BL-B01D1.

Time frame
Up to approximately 24 months
4

Phase III: Progression-free Survival (PFS)

Progression-free survival (PFS) as assessed by BICR is defined as the time between the date subjects were randomized and the first observation of disease progression (based on BICR's image-based assessment) or death.

Time frame
Up to approximately 24 months

Other outcomes

Sponsors and contacts

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Sichuan Baili Pharmaceutical Co., Ltd.

Lead sponsor

Baili-Bio (Chengdu) Pharmaceutical Co., Ltd.

Collaborator

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