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NCT Number: NCT06634589

A Study to Investigate Safety and Effectiveness of BGB-16673 in Combination With Other Agents in Participants With Relapsed or Refractory B-Cell Malignancies

The purpose of this study is to measure the safety, preliminary antitumor activity, pharmacokinetics, and pharmacodynamics with BGB-16673 in combination with other agents in participants with relapsed or refractory (R/R) B-cell malignancies. This study is structured as a master protocol with separate substudies. This study currently includes four substudies, and more substudies may be added as other combination agents are identified.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

St George Hospital, Kogarah, 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 BGB-16673 is in participants with R/R B-cell malignancies when it is given in combination with other medicines - sonrotoclax in substudy 1, zanubrutinib in substudy 2, mosunetuzumab in substudy 3, and glofitamab in substudy 4.

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.

Key Inclusion Criteria:

  • Must sign the informed consent form (ICF) and be capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the ICF
  • Confirmed diagnosis of a R/R B-cell malignancy
  • Protocol-defined measurable disease
  • Stable Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2
  • 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 ≥ 7 days after the last dose of sonrotoclax, 30 days after the last dose of BGB-16673 or zanubrutinib, 60 days after the last dose of glofitamab, or 90 days after the last dose of mosunetuzumab. A negative urine or serum pregnancy test result must be provided 10-14 days before the first dose of study treatment
  • 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 ≥ 7 days after the last dose of sonrotoclax, 30 days after the last dose of BGB-16673 or zanubrutinib, 60 days after the last dose of glofitamab, or 90 days after the last dose of mosunetuzumab
  • Substudies 1, 3, and 4 Inclusion Criterion:
  • Adequate renal function as indicated by estimated glomerular filtration rate (eGFR) of ≥ 50 mL/min
  • Substudy 2 Inclusion Criteria:
  • Bruton tyrosine kinase (BTK) inhibitor-naive, or previously received treatment with a covalent BTK inhibitor and discontinued for reasons other than clinical progression
  • Adequate renal function as indicated by eGFR of ≥ 30 mL/min

Key Exclusion Criteria:

  • Treatment-naive B-cell malignancies
  • Unable to comply with the requirements of the protocol
  • Active leptomeningeal disease or uncontrolled, untreated brain metastasis
  • Any malignancy ≤ 2 years before first dose of study treatment except for the specific cancer under investigation in this study or any locally recurring cancer that has been treated curatively
  • Autologous stem cell transplant ≤ 3 months prior to screening or chimeric antigen T-cell therapy ≤ 3 months prior to screening
  • Prior invasive fungal infection, except if participant agrees to receive secondary antifungal prophylaxis during the entire treatment period
  • Substudies 1 and 2: Prior allogeneic stem cell transplant with active graft-versus-host disease (GVHD), or requiring immunosuppressive drugs for treatment of GVHD, or who have taken calcineurin inhibitors within 4 weeks prior to consent
  • Participants who have a history of severe allergic reactions or hypersensitivity to the active ingredient and excipients of BGB-16673, sonrotoclax, zanubrutinib, mosunetuzumab, or glofitamab
  • Substudy 1 Exclusion Criterion:
  • Prior treatment with a B-cell lymphoma-2 (Bcl-2) inhibitor (with exception for participants who relapsed ≥ 24 months after completion of a full course of a prior Bcl-2 inhibitor containing regimen)
  • Substudy 2 Exclusion Criterion:
  • Participants who discontinued prior zanubrutinib treatment due to intolerance
  • Substudies 3 and 4 Exclusion Criteria:
  • Prior exposure to a CD20 x CD3 T-cell engager antibody treatment
  • All participants with a prior allogeneic stem cell transplant
  • Participants with known contraindications to azole antifungal agents, including hypersensitivity reactions

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

Treatment and study plan

BGB-16673

Drug

Administered orally

Sonrotoclax

Drug

Administered orally

Other names: BGB-11417

Zanubrutinib

Drug

Administered orally

Mosunetuzumab

Drug

Administered subcutaneously

Glofitamab

Drug

Administered intravenously

Obinutuzumab

Drug

Administered intravenously

Primary outcomes

  1. Substudy 1 Part 1a: Number of participants with dose-limiting toxicities (DLTs), treatment-emergent adverse events, treatment-related adverse events, and serious adverse events

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

  2. Substudy 1 Part 1b: Number of participants with treatment-emergent adverse events, treatment-related adverse events, and serious adverse events

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

  3. Substudy 2 Part 1a: Number of participants with dose-limiting toxicities (DLTs), treatment-emergent adverse events, treatment-related adverse events, and serious adverse events

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

  4. Substudy 2 Part 1b: Number of participants with treatment-emergent adverse events, treatment-related adverse events, and serious adverse events

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

  5. Substudy 3 Part 1a: Number of participants with dose-limiting toxicities (DLTs), treatment-emergent adverse events, treatment-related adverse events, and serious adverse events

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

  6. Substudy 3 Part 1b: Number of participants with treatment-emergent adverse events, treatment-related adverse events, and serious adverse events

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

  7. Substudy 4 Part 1a: Number of participants with dose-limiting toxicities (DLTs), treatment-emergent adverse events, treatment-related adverse events, and serious adverse events

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

  8. Substudy 4 Part 1b: Number of participants with treatment-emergent adverse events, treatment-related adverse events, and serious adverse events

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

Secondary outcomes

  1. Substudy 1 Parts 1a and 1b: Overall Response Rate (ORR) in participants with B-cell malignancies

    Time frame: Up to approximately 3 years

    ORR is defined as the percentage of participants with complete response (CR) or partial response (PR) as assessed by investigator.

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

    Time frame: Up to approximately 3 years

    DOR is defined as the time from the first documented response to documented disease progression or death, whichever occurs first.

  3. Substudy 1 Parts 1a and 1b: Time to Response (TTR)

    Time frame: Up to approximately 3 years

    TTR is defined as the time from treatment initiation to first documented response.

  4. Substudy 1 Part 1a: Area under the plasma concentration-time curve (AUC) of BGB-16673 and sonrotoclax

    Time frame: From Week 1 to Week 17

  5. Substudy 1 Part 1a: Maximum observed concentration (Cmax) of BGB-16673 and sonrotoclax

    Time frame: From Week 1 to Week 17

  6. Substudy 1 Part 1a: Time to maximum concentration (Tmax) of BGB-16673 and sonrotoclax

    Time frame: From Week 1 to Week 17

  7. Substudy 1 Part 1a: Terminal half-life (t1/2) of BGB-16673 and sonrotoclax

    Time frame: From Week 1 to Week 17

  8. Substudy 1 Parts 1a and 1b: Trough concentration (Ctrough) of BGB-16673 and sonrotoclax

    Time frame: From Week 1 to Week 17

  9. Substudy 1 Part 1b: Number of patients with complete response or complete response with incomplete count recovery (CR/CRi) who achieve undetectable minimal residual disease (uMRD)

    Time frame: Up to approximately 3 years

  10. Substudy 2 Parts 1a and 1b: ORR in participants with B-cell malignancies

    Time frame: Up to approximately 3 years

    ORR is defined as the percentage of participants with complete response (CR) or partial response (PR) as assessed by the investigator.

  11. Substudy 2 Parts 1a and 1b: DOR

    Time frame: Up to approximately 3 years

    DOR is defined as the time from the first documented response to documented disease progression or death, whichever occurs first.

  12. Substudy 2 Parts 1a and 1b: TTR

    Time frame: Up to approximately 3 years

    TTR is defined as the time from treatment initiation to the first documented response.

  13. Substudy 2 Part 1a: Area under the plasma concentration-time curve (AUC) of BGB-16673 and zanubrutinib

    Time frame: From Week 1 to Week 17

  14. Substudy 2 Part 1a: Maximum observed concentration (Cmax) of BGB-16673 and zanubrutinib

    Time frame: From Week 1 to Week 17

  15. Substudy 2 Part 1a: Time to maximum concentration (Tmax) of BGB-16673 and zanubrutinib

    Time frame: From Week 1 to Week 17

  16. Substudy 2 Part 1a: Terminal half-life (t1/2) of BGB-16673 and zanubrutinib

    Time frame: From Week 1 to Week 17

  17. Substudy 2 Parts 1a and 1b: Trough concentration (Ctrough) of BGB-16673 and zanubrutinib

    Time frame: From Week 1 to Week 17 for Part 1a; From Week 1 to Week 5 for Part 1b

  18. Substudy 3 Parts 1a and 1b: ORR in participants with B-cell malignancies

    Time frame: Up to approximately 3 years

    ORR is defined as the percentage of participants with complete response (CR) or partial response (PR) as assessed by the investigator.

  19. Substudy 3 Parts 1a and 1b: DOR

    Time frame: Up to approximately 3 years

    DOR is defined as the time from the first documented response to documented disease progression or death, whichever occurs first.

  20. Substudy 3 Parts 1a and 1b: TTR

    Time frame: Up to approximately 3 years

    TTR is defined as the time from treatment initiation to the first documented response.

  21. Substudy 3 Part 1a: Area under the plasma concentration-time curve (AUC) of BGB-16673 and mosunetuzumab

    Time frame: From Week 1 to Week 12

  22. Substudy 3 Part 1a: Maximum observed concentration (Cmax) of BGB-16673 and mosunetuzumab

    Time frame: From Week 1 to Week 12

  23. Substudy 3 Part 1a: Time to maximum concentration (Tmax) of BGB-16673 and mosunetuzumab

    Time frame: From Week 1 to Week 12

  24. Substudy 3 Part 1a: Terminal half-life (t1/2) of BGB-16673 and mosunetuzumab

    Time frame: From Week 1 to Week 12

  25. Substudy 3 Parts 1a and 1b: Trough concentration (Ctrough) of BGB-16673 and mosunetuzumab

    Time frame: From Week 1 to Week 36

  26. Substudy 4 Parts 1a and 1b: ORR in participants with B-cell malignancies

    Time frame: Up to approximately 3 years

    ORR is defined as the percentage of participants with partial response (PR) or better as assessed by the investigator.

  27. Substudy 4 Parts 1a and 1b: DOR

    Time frame: Up to approximately 3 years

    DOR is defined as the time from the first documented response to documented disease progression or death, whichever occurs first.

  28. Substudy 4 Parts 1a and 1b: TTR

    Time frame: Up to approximately 3 years

    TTR is defined as the time from treatment initiation to the first documented response.

  29. Substudy 4 Part 1a: Area under the plasma concentration-time curve (AUC) of BGB-16673

    Time frame: From Week 1 to Week 10

  30. Substudy 4 Part 1a: Maximum observed concentration (Cmax) of BGB-16673

    Time frame: From Week 1 to Week 10

  31. Substudy 4 Part 1a: Time to maximum concentration (Tmax) of BGB-16673

    Time frame: From Week 1 to Week 10

  32. Substudy 4 Part 1a: Terminal half-life (t1/2) of BGB-16673

    Time frame: From Week 1 to Week 10

  33. Substudy 4 Parts 1a and 1b: Trough concentration (Ctrough) of BGB-16673

    Time frame: From Week 1 to Week 10

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 Phase 1b/2, Open-Label, Master Protocol Study of BTK-Degrader BGB-16673 in Combination With Other Agents in Patients With Relapsed or Refractory B-Cell Malignancies

Important dates

Study start
2024
Primary completion
2028
Study completion
2029
First posted
Oct 10, 2024
Registry last updated
Jul 23, 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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