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NCT Number: NCT06120283

BGB-43395 Alone or as Part of Combination Therapies in Participants With Breast Cancer and Other Advanced Solid Tumors

This is a dose escalation and dose expansion study to compare how well BGB-43395, a selective cyclin-dependent kinase 4 (CDK4) inhibitor, works as monotherapy or in combination with fulvestrant, letrozole, or elacestrant in participants with hormone receptor positive (HR+) and human epidermal growth factor 2 negative (HER2-) breast cancer (BC) and other advanced solid tumors. The main purpose of this study is to explore the recommended dosing for BGB-43395.

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Key information

About this study

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

  • Phase 1a (Dose Escalation): Participants with histologically or cytologically confirmed advanced, metastatic, or unresectable solid tumors associated with dependency on CDK4, including HR+ breast cancer, ovarian cancer, endometrial cancer, non-small cell lung cancer, and others. For combination with elacestrant, participants must have received at least 1 prior line of treatment for advanced/metastatic disease including prior endocrine therapy and CDK4/6 inhibitor in either the adjuvant or advanced/metastatic setting.
  • Phase 1a Safety Expansion: For combination with fulvestrant in regions where approved and available, participants with HR+ breast cancer must have received at least 1 prior line of treatment including endocrine therapy and a CDK4/6 inhibitor. For combination with letrozole, participants must be CDK4/6 inhibitor treatment naïve and have not received any previous systemic treatment for advanced disease.
  • Phase 1b: Participants with HR+/HER2- breast cancer.
  • Phase 1b: For combination with fulvestrant, participants with HR+/HER2- breast cancer enrolled in regions where CDK4/6 inhibitors are approved and available must have received 1-2 lines of therapy for advanced/metastatic disease including endocrine therapy and a CDK4/6 inhibitor. Participants can have received up to 2 lines of prior cytotoxic chemotherapy for advanced disease. Prior cytotoxic treatment is prohibited. For combination cohorts with letrozole, participants must be CDK4/6 inhibitor treatment naïve and have not received any previous systemic treatment for advanced disease.
  • Stable Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1.
  • Female participants with metastatic HR+/HER2- breast cancer must be postmenopausal or receiving ovarian function suppression treatment.
  • Adequate organ function without symptomatic visceral disease.

Exclusion criteria

  • Known leptomeningeal disease or uncontrolled, untreated brain metastases.
  • Any malignancy ≤ 3 years before the first dose of study treatment(s) except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated with curative intent (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast).
  • Uncontrolled diabetes.
  • Infection requiring systemic antibacterial, antifungal, or antiviral therapy ≤ 28 days before the first dose of study drug(s), or symptomatic COVID-19 infection.
  • Participants with untreated chronic hepatitis B or chronic hepatitis B virus (HBV) carriers with HBV DNA ≥ 500 IU/mL (or ≥ 2500 copies/mL) at screening.
  • Participants with active hepatitis C infection.
  • Prior allogeneic stem cell transplantation, or organ transplantation.

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

Treatment and study plan

BGB-43395

Drug

Planned doses administered orally.

Fulvestrant

Drug

Standard dose administered via intramuscular injection.

letrozole

Drug

Standard dose administered orally as a tablet.

Elacestrant

Drug

Standard dose administered orally as a tablet.

Anti-Diarrheal Agent

Drug

Administered orally as a tablet.

Primary outcomes

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

    Time frame: Up to approximately 60 months

    Number of participants with AEs and SAEs, including findings from physical examinations, electrocardiograms (ECGs), laboratory assessments, and that meet protocol-defined dose-limiting toxicity (DLT) criteria.

  2. Phase 1a: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD) of BGB-43395

    Time frame: Up to approximately 60 months

    MTD is defined as the highest dose evaluated for which estimated toxicity rate is the closest to the target toxicity rate of 28%. MAD is defined as the highest dose administered if MTD is not reached.

  3. Phase 1a: Recommended Dose for Expansion (RDFE) of BGB-43395

    Time frame: Up to approximately 60 months

    RDFE of BGB-43395 alone or in combination with fulvestrant, letrozole, or elacestrant will be determined based upon the MTD or MAD.

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

    Time frame: Up to approximately 60 months

    ORR is defined as the percentage of participants who have confirmed complete response (CR) or partial response (PR) assessed by the investigator using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Secondary outcomes

  1. Phase 1a: ORR

    Time frame: Up to approximately 60 months

    ORR is defined as the percentage of participants who have confirmed CR or PR assessed by the investigator using RECIST v1.1.

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

    Time frame: Up to approximately 60 months

    DOR is defined as the time from the first determination of an overall response per RECIST v1.1 until the first documentation of disease progression or death, whichever occurs first as assessed by the investigator.

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

    Time frame: Up to approximately 60 months

    TTR is defined as the time from the date of the first dose of study drugs to the date of the first determination of objective response by the investigator using RECIST v1.1.

  4. Phase 1b: Disease Control Rate (DCR)

    Time frame: Up to approximately 60 months

    DCR is defined as the percentage of participants with best overall response of CR, PR, or stable disease assessed by the investigator using RECIST v1.1.

  5. Phase 1b: Clinical Benefit Rate (CBR)

    Time frame: Up to approximately 60 months

    CBR is defined as the percentage of participants with best overall response of confirmed CR, PR, or stable disease lasting ≥ 24 weeks.

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

    Time frame: Up to approximately 60 months

    PFS is defined as the time from the date of the first dose of study drug(s) to the date of the first documentation of progressive disease assessed by the investigator using RECIST v1.1 or death, whichever occurs first.

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

    Time frame: Up to approximately 60 months

    Number of participants with AEs and SAEs, including findings from physical examinations, electrocardiograms (ECGs), and laboratory assessments.

  8. Phase 1a: Observed Plasma Maximum Concentration (Cmax) of BGB-43395 and its metabolite

    Time frame: From Cycle 1 Day 1 up to Cycle 7 Day 1 (each cycle is 28 days)

  9. Phase 1a: Observed Plasma Trough Concentration (Ctrough) of BGB-43395 and its metabolite

    Time frame: From Cycle 1 Day 1 up to Cycle 7 Day 1 (each cycle is 28 days)

  10. Phase 1a: Area under the concentration-time curve (AUC) of BGB-43395 and its metabolite

    Time frame: From Cycle 1 Day 1 up to Cycle 7 Day 1 (each cycle is 28 days)

  11. Phase 1a: Half-life (t1/2) of BGB-43395 and its metabolite

    Time frame: From Cycle 1 Day 1 up to Cycle 7 Day 1 (each cycle is 28 days)

  12. Phase 1b: Plasma concentrations of BGB-43395 and its metabolite

    Time frame: From Cycle 1 Day 1 up to Cycle 5 Day 1 (each cycle is 28 days)

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 1a/1b Study Investigating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Antitumor Activity of the CDK4 Inhibitor BGB-43395, Alone or as Part of Combination Therapies in Patients With Metastatic HR+/HER2- Breast Cancer and Other Advanced Solid Tumors

Important dates

Study start
2023
Primary completion
2028
Study completion
2028
First posted
Nov 7, 2023
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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