1L ESCC icon

Unprecedented overall survival in patients with 1L ESCC and PD-L1 scores ≥1%1

Key Efficacy Outcome: OS in PD-L1 ≥1%

16.8 months of median overall survival with TEVIMBRA + chemotherapy vs 9.6 months with placebo + chemotherapy

1L ESCC trial OS graph
1L ESCC trial OS graph

Limitation: Efficacy analysis was not powered for statistical comparison and is descriptive only. No definitive conclusions can be drawn.

NCCN Category 1 Preferred treatment option for 1L ESCC

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Expert Review of Overall Survival Data and NCCN Recommendations

Marcia Cruz-Correa, MD, PhD, AGAF, FASGE, discusses the latest NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) in 1L ESCC and 1L GC/GEJC and examines overall survival data for patients treated with tislelizumab-jsgr (TEVIMBRA®) + chemotherapy vs placebo + chemotherapy.
NCCN Category 1 Preferred treatment option for 1L ESCC

3-Year Exploratory Follow-Up: OS in PD-L1 ≥1%

Overall survival sustained over 3 years3

21.3% of patients were alive at 3 years with TEVIMBRA + chemotherapy (95% CI: 16.2-26.9) vs 14.3% with placebo + chemotherapy (95% CI: 10.1-19.2)

1L ESCC trial OS 3-yr follow-up graph
1L ESCC trial OS 3-yr follow-up graph

Limitation: The 3-year OS analysis was exploratory in nature and was not powered to show statistical significance. Landmark OS rates were estimated using the Kaplan-Meier method. No definitive conclusions can be drawn.

Subgroup Analyses: OS in PD-L1 ≥1%

A consistent trend in overall survival favoring TEVIMBRA + chemotherapy across multiple key subgroups3

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Analyses of OS

1l-escc-subgroup_os_analyses-mobile@2x

In patients with 1L, unresectable, locally advanced ESCC and PD-L1 scores ≥1% (n=63):
TEVIMBRA + chemotherapy reported 25.6 months mOS vs 11.5 months mOS with placebo + chemotherapy4

In patients with metastatic ESCC and PD-L1 scores ≥1% (n=418):
TEVIMBRA + chemotherapy reported 16.3 months mOS vs 9.4 months mOS with placebo + chemotherapy4
Limitation: Post-hoc subgroup analyses were not statistically powered and were descriptive only. No definitive conclusions can be drawn.

Frequently Asked Questions

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TEVIMBRA + chemotherapy delivered unprecedented overall survival results in patients with 1L ESCC and PD-L1 scores ≥1%. TEVIMBRA + chemotherapy demonstrated 16.8 months median overall survival vs 9.6 months median overall survival with placebo + chemotherapy, an increase of 7.2 months. The hazard ratio was 0.66 with a 95% confidence interval of 0.53-0.82.1

TEVIMBRA + chemotherapy provided sustained overall survival over 3 years. 21.3% of patients were still alive at 3 years with TEVIMBRA + chemotherapy vs 14.3% with placebo + chemotherapy. The hazard ratio was 0.66 with a 95% confidence interval of 0.54-0.81.3

Limitation: The 3-year OS analysis was exploratory in nature and was not powered to show statistical significance. Landmark OS rates were estimated using the Kaplan-Meier method. No definitive conclusions can be drawn.

In a post hoc subgroup analysis, results showed a consistent trend in overall survival favoring TEVIMBRA + chemotherapy across multiple key subgroups. Notably, TEVIMBRA + chemotherapy reported 25.6 months of median overall survival in patients with 1L unresectable, locally advanced ESCC, and PD-L1 scores ≥1% vs 11.5 months median overall survival with placebo + chemotherapy.3,4

Limitation: Post-hoc subgroup analyses were not statistically powered and were descriptive only. No definitive conclusions can be drawn.

The NCCN recommends tislelizumab-jsgr (TEVIMBRA®) as an NCCN Category 1 Preferred treatment option, in combination with fluoropyrimidine and oxaliplatin or cisplatin,* for adults with 1L, unresectable, locally advanced, recurrent, or metastatic ESCC whose tumors express PD-L1 (≥1).To view the most recent and complete version of the guideline, go online to NCCN.org. NCCN makes no warranties of any kind whatsoever regarding their content, use or application and disclaims any responsibility for their application or use in any way.2

*Category 2A Preferred if using paclitaxel and oxaliplatin or cisplatin.
PD-L1 expression levels as determined by CPS.

The race subcategory “Other” included American Indian or Alaska Native, not reported, and unknown.

1L, first line; CRF, case report form; CPS, combined positive score; ECOG, Eastern Cooperative Oncology Group; ESCC, esophageal squamous cell carcinoma; HR, hazard ratio; IRT, interactive response technology; mOS, median overall survival; ORR, overall response rate; OS, overall survival; PD-L1, programmed death ligand 1; PFS, progression-free survival; PS, performance status.
References: 1. TEVIMBRA. Prescribing Information. BeOne Medicines USA, Inc.; 2025. 2. Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Esophageal and Esophagogastric Junction Cancers V.2.2026. © National Comprehensive Cancer Network, Inc. 2026. All rights reserved. Accessed February 25, 2026. To view the most recent and complete version of the guideline, go online to NCCN.org. NCCN makes no warranties of any kind whatsoever regarding their content, use or application and disclaims any responsibility for their application or use in any way. 3. Xu J, Kato K, Hubner R, et al. Adv Ther. Published online March 13, 2025. doi:10.1007/s12325-025-03115-9 4. Yoon HH, Kim SS, Xu J, et al. Abstract and poster presented at: ASCO Gastrointestinal Cancers Symposium; January 8-10, 2026. San Francisco, CA. Abstract 381, poster D12.

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