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NCT Number: NCT06596473

A Study of BG-C477 in Participants With Advanced Solid Tumors

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity of BG-C477 alone and in combination with anticancer agents in participants with selected advanced solid tumors.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Blacktown Cancer and Haematology Centre, Blacktown, New South Wales, Australia

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About this study

This new study will check how safe and helpful a potential anticancer drug called BG-C477 is. This drug will be tested by itself or combined with other anticancer agents. The purpose of this study is to test if BG-C477 is safe and if it works in people with your disease when it is given on its own and in combination with other anticancer agents.

Note: Our company, previously known as BeiGene, is now officially BeOne Medicines. Because some of our older studies were sponsored under the name BeiGene, you may see both names used for this study on this website.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participants must sign the informed consent form (ICF) and be capable of giving written informed consent
  • Participants must consent to provide an archival tumor tissue sample or a fresh baseline biopsy
  • Phase 1a (Dose Escalation): Histologically confirmed advanced, metastatic, or unresectable solid tumors, that were previously treated with at least 2 lines of standard systemic therapy or for whom no standard treatment is available in the medical judgment of the investigator
  • Phase 1b (Dose Expansion) Part A: Histologically confirmed advanced or metastatic select solid tumors that were previously treated with and progressed from at least 1 line of standard systemic therapy
  • Phase 1b (Dose Expansion) Part B: Histologically confirmed advanced or metastatic select solid tumors who have previously received 0 or 1 line of systemic therapy for advanced disease
  • ≥ 1 measurable lesion as assessed by RECIST v1.1
  • Stable Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 1
  • Adequate organ function
  • Female participants of childbearing potential must be willing to use a highly effective method of birth control and refrain from egg donation for the duration of the study and for ≥ 8 months after the last dose of BG-C477, for ≥ 6 months after the last dose of chemotherapy, and for ≥ 4 months after the last dose of tislelizumab,whichever comes later
  • Nonsterile male participants must be willing to use a highly effective method of birth control and refrain from sperm donation for the duration of the study and for ≥ 5 months after the last dose of BG-C477, for ≥ 3 months after chemotherapy, and for ≥ 4 months after the last dose of tislelizumab, whichever comes later.

Exclusion criteria

  • Prior treatment with any carcinoembryonic antigen (CEA)-targeted ADCs or ADCs containing topoisomerase 1 (TOP1) inhibitor as payload
  • History of severe allergic reactions, severe reaction to infusion, or hypersensitivity to the active ingredient and excipients of the study drug(s) or protein-based therapeutics
  • Active leptomeningeal disease or uncontrolled, untreated brain metastasis
  • Any malignancy ≤ 2 years before the first dose of study drug(s) except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated curatively (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast)

Note: Other protocol-defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

BG-C477

Drug

Administered intravenously.

Tislelizumab

Drug

Administered intravenously.

Other names: BGB-A317

Chemotherapy

Drug

Administered in accordance with relevant local guidelines and/or prescribing information.

Primary outcomes

  1. Phase 1a: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: From first dose of the study drug(s) to 30 days after the last dose (up to approximately 2 years)

    Number of participants with AEs and SAEs, including findings from abnormal laboratory assessments, and that meet protocol-defined dose-limiting toxicity (DLT) criteria or protocol-defined Adverse Event of Clinical Interest (AECI) criteria.

  2. Phase 1a: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD)

    Time frame: Approximately 1 year

    MTD is defined as the highest dose evaluated for which estimated toxicity rate is the closest to the target toxicity rate. MAD is defined as the highest dose administered if MTD is not reached.

  3. Phase 1a: Recommended Dose(s) for Expansion (RDFE[s]) of BG-C477

    Time frame: Approximately 1 year

    RDFE of BG-C477 monotherapy will be determined based upon available data.

  4. Phase 1b: Overall Response Rate (ORR)

    Time frame: Approximately 2 years

    ORR is defined as the percentage of participants with best overall response of complete response (CR) or partial response (PR), as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1.

  5. Phase 1b: Recommended Phase 2 Dose (RP2D) of BG-C477

    Time frame: Approximately 2 years

    RP2D of BG-C477 alone and in combination with anticancer agents will be determined based upon available data.

Secondary outcomes

  1. Phase 1a: ORR

    Time frame: Approximately 1 year

    ORR is defined as the percentage of participants with best overall response of CR or PR, as assessed by the investigator per RECIST v1.1.

  2. Phase 1a and 1b: Duration of Response (DOR)

    Time frame: Approximately 2 years

    DOR is defined as the time from the first determination of an objective response until first documentation of disease progression or death due to any cause, whichever occurs first, as assessed by the investigator per RECIST Version 1.1.

  3. Phase 1a and 1b: Disease Control Rate (DCR)

    Time frame: Approximately 2 years

    DCR is defined as the percentage of participants who achieve best overall response of CR, PR, or stable disease, as assessed by the investigator per RECIST Version 1.1.

  4. Phase 1b: Progression-Free Survival (PFS)

    Time frame: Approximately 2 years

    PFS is defined as the time from the first administration of study drug(s) to the date of first documentation of disease progression or death due to any cause, whichever occurs first, as assessed by the investigator per RECIST Version 1.1.

  5. Phase 1b: Number of Participants with AEs and SAEs

    Time frame: From first dose of the study drug(s) to 30 days after the last dose (up to approximately 2 years)

    Number of participants with AEs and SAEs, including findings from physical examinations, laboratory assessments, and that meet protocol-defined DLT criteria or protocol-defined AECI criteria.

  6. Phase 1a and 1b: Maximum observed plasma concentration (Cmax) of BG-C477 antibody-drug conjugate (ADC), BG-C477 total antibody, and free payload

    Time frame: Approximately 2 months

  7. Phase 1a and 1b: Minimum concentration (Cmin) of BG-C477

    Time frame: Approximately 2 months

  8. Phase 1a and 1b: Time to reach maximum observed plasma concentration (Tmax) of BG-C477

    Time frame: Approximately 2 months

  9. Phase 1a and 1b: Area under the concentration-versus-time curve during dosing interval (AUCtau) of BG-C477

    Time frame: Approximately 2 months

  10. Phase 1a and 1b: Apparent terminal elimination half-life (t1/2) of BG-C477

    Time frame: Approximately 2 months

  11. Phase 1a and 1b: Systemic clearance (CL/F) of BG-C477

    Time frame: Approximately 2 months

  12. Phase 1a and 1b: Apparent volume of distribution at steady state (Vss) of BG-C477

    Time frame: Approximately 2 months

  13. Phase 1a and 1b: Number of Participants with Antidrug Antibodies (ADAs) against BG-C477

    Time frame: Approximately 2 years

Study contacts

Contact information is provided by the study sponsor or research team.

Study Director

CONTACT

[email protected]

1.877.828.5568

Sponsors and collaborators

Lead sponsor

BeOne Medicines

Industry

Registry information

Official study title

A Multicenter, Open-Label, Phase 1a/b First-in-Human Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Antitumor Activity of BG-C477 in Patients With Selected Advanced Solid Tumors

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Sep 19, 2024
Registry last updated
Jul 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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