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Active, Not Recruiting

NCT Number: NCT04277637

Study of Bcl-2 Inhibitor Sonrotoclax (BGB-11417) in Participants With Mature B-Cell Malignancies

The purpose of this study is to determine the safety, tolerability; and to define the maximum tolerated dose (MTD) and Recommended Phase 2 Dose (RP2D); and to evaluate the safety and tolerability of the ramp-up dosing schedule and at the RP2D of BGB-11417 monotherapy, and when given in combination with zanubrutinib and obinutuzumab.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Concord Repatriation General Hospital, Concord, New South Wales, Australia

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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.

Key Inclusion Criteria:

  • Confirmed diagnosis of one of the following:

NHL Cohorts:

  • MZL i. R/R extranodal, splenic, or nodal MZL defined as disease that relapsed after, or was refractory to, at least one prior therapy ii. Active disease requiring treatment
  • FL i. R/R FL (Grade 1, 2 or 3a based on the WHO 2008 classification of tumors of hematopoietic and lymphoid tissue) and defined as disease that relapsed after, or was refractory to, at least 1 prior systemic therapy
  • DLBCL i. R/R DLBCL (including all subtypes of DLBCL) defined as disease that relapsed after, or was refractory to, at least two prior systemic therapies and has either progressed following or is not a candidate for autologous stem cell transplant (due to comorbidities or non-responsiveness to salvage chemotherapy)
  • Transformed indolent B-cell NHL i. Any lymphoma otherwise eligible for Part 1 that has transformed into a more aggressive lymphoma. Patients with transformation from CLL or SLL (Richter's transformation) are not eligible for Part 1

CLL/SLL Cohorts:

  • CLL/SLL diagnosis that meets the International Workshop on Chronic Lymphocytic Leukemia (IWCLL) criteria i. Disease characterized as Treatment Naive (TN) or R/R disease defined as disease that relapsed after, or was refractory to, at least 1 prior therapy ii. Requiring treatment as defined by history

MCL cohorts:

  • WHO-defined MCL i. R/R MCL defined as disease that relapsed after, or was refractory to, at least 1 prior systemic therapy; ii. Requiring treatment in the opinion of the investigator

WM cohorts:

g. WHO-defined WM (clinical and definitive histologic diagnosis) i. R/R disease defined as disease that relapsed after, or was refractory to, at least 1 prior therapy; ii. Meeting at least 1 criterion for treatment according to consensus panel criteria from the Seventh International Workshop on Waldenström's Macroglobulinemia (Dimopoulos et al 2014)

  • Measurable disease by computed tomography (CT)/magnetic resonance imaging (MRI), defined as:
  • CLL: at least 1 lymph node > 1.5 cm in longest diameter and measurable in 2 perpendicular dimensions or clonal lymphocytes measured by flow cytometry
  • DLBCL, FL, MZL, MCL, or SLL: at least 1 lymph node > 1.5 cm in longest diameter OR 1 extranodal lesion > 1.0 cm in the longest diameter, measurable in at least 2 perpendicular dimensions. For MZL, isolated splenomegaly is considered measurable for this study
  • WM: serum immunoglobulin (Ig) M level > 0.5 g/dL
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
  • Adequate organ function
  • Adequate pancreatic function indicated by:
  • Serum amylase ≤ 1.5 x upper limit of normal (ULN)
  • Serum lipase ≤ 1.5 x ULN

Key Exclusion Criteria:

  • Known current central nervous system involvement by lymphoma/leukemia
  • Known plasma cell neoplasm, prolymphocytic leukemia, history of or currently suspected Richter's syndrome
  • Prior therapy ≥ 2 months with or progression on a B-cell lymphoma-2 (Bcl-2) inhibitor

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

Treatment and study plan

Sonrotoclax

Drug

Film-coated tablets administered once daily at a dose as specified in the treatment arm

Other names: BGB-11417

Zanubrutinib

Drug

320 mg daily administered as two 80-mg capsules twice a day (160 mg twice a day) or as four 80-mg capsules once a day (320 mg once a day)

Other names: BGB-3111

Obinutuzumab

Drug

Given as an intravenous infusion administered per label.

Primary outcomes

  1. Number of Participants Experiencing Treatment Emergent Adverse Events (TEAEs)

    Time frame: Up to 30 days after the last dose of study drug, an average of 18 months

  2. Number of Participants Experiencing Serious Adverse Events (SAEs)

    Time frame: Up to 30 days after the last dose of study drug, an average of 18 months

  3. Number of Participants Experiencing Adverse Events (AEs) leading to discontinuation of Sonrotoclax

    Time frame: Up to 30 days after the last dose of study drug, an average of 18 months

  4. Part 1, Part 3: Maximum Tolerated Dose (MTD) of Sonrotoclax

    Time frame: Up to approximately 2 months

  5. Part 1, Part 3, Part 5: RP2D of Sonrotoclax

    Time frame: Day 1 to last dose of study drug, an average of 18 months

  6. Part 1, Part 3, Part 5: Number of participants experiencing tumor lysis syndrome (TLS) relevant events

    Time frame: Up to 30 days after the last dose of study drug, an average of 18 months

  7. Part 1, Part 3, Part 5: Number of Participants Experiencing Dose-Limiting Toxicities (DLTs

    Time frame: Up to approximately 2 months

Secondary outcomes

  1. Maximum Observed Plasma Concentration (Cmax) After a Single Dose of Sonrotoclax

    Time frame: Predose up to 12 hours postdose

  2. Area Under the Concentration-Time Curve from Time 0 to the Last Quantifiable Concentration (AUC0-last) After a Single Dose of Sonrotoclax

    Time frame: Predose up to 12 hours postdose

  3. Area Under the Concentration-Time Curve from Time 0 to Infinity (AUC0-∞) After a Single Dose of Sonrotoclax

    Time frame: Predose up to 12 hours postdose

  4. Time Taken for Half the Initial Dose Administered to Be Eliminated from The Body (T1/2) of Sonrotoclax

    Time frame: Predose up to 12 hours postdose

  5. Time to Maximum Plasma Concentration (Tmax) After a Single Dose of Sonrotoclax

    Time frame: Predose up to 12 hours postdose

  6. Apparent Clearance (CL/F) After a Single Dose of Sonrotoclax

    Time frame: Predose up to 12 hours postdose

  7. Apparent volume of distribution (Vz/F) After a Single Dose of Sonrotoclax

    Time frame: Predose up to 12 hours postdose

  8. Steady State Area Under the Concentration-Time Curve of 0 - Last Day (AUCLast, ss) of Sonrotoclax

    Time frame: Predose up to 12 hours postdose

  9. Part 3, Part 4: Steady State Area Under the Concentration-Time Curve of 0 - Last Day (AUCLast, ss) of zanubrutinib

    Time frame: Predose up to 12 hours postdose

  10. Steady State Maximum Observed Plasma Concentration (Cmax, ss) of Sonrotoclax

    Time frame: Predose up to 12 hours postdose

  11. Part 3, Part 4: Steady State Maximum Observed Plasma Concentration (Cmax, ss) of zanubrutinib

    Time frame: Predose up to 12 hours postdose

  12. Steady State Trough Observed Plasma Concentration (Ctrough, ss) of Sonrotoclax

    Time frame: Predose up to 12 hours postdose

  13. Part 3, Part 4: Steady State Trough Observed Plasma Concentration (Ctrough, ss) of zanubrutinib

    Time frame: Predose up to 12 hours postdose

  14. Steady State Time to Maximum Plasma Concentration (Tmax, ss) of Sonrotoclax

    Time frame: Predose up to 12 hours postdose

  15. Part 3, Part 4: Steady State Time to Maximum Plasma Concentration (Tmax, ss) of zanubrutinib

    Time frame: Predose up to 12 hours postdose

  16. Part 2: AUC of Sonrotoclax administered after a high fat/calorie meal (HF-Fed)

    Time frame: Predose up to 12 hours postdose

  17. Part 2: Cmax of Sonrotoclax administered after a high fat/calorie meal (HF-Fed)

    Time frame: Predose up to 12 hours postdose

  18. Part 2, Part 4, Part 6: Overall Response Rate (ORR) as Assessed by the Investigator

    Time frame: Up to 18 months

    ORR is defined as the proportion of participants who had confirmed complete response Complete Response (CR) or Partial Response (PR)

  19. Part 2: Major Response Rate (MRR) for WM as Assessed by the Investigator

    Time frame: Up to 18 months

  20. Part 6: Minimum residual disease (MRD) negativity as measured by next generation sequencing

    Time frame: Up to 18 months

Sponsors and collaborators

Lead sponsor

BeOne Medicines

Industry

Registry information

Official study title

A Phase 1a/1b Open-Label Dose Escalation and Expansion Study of Bcl-2 Inhibitor BGB-11417 in Patients With Mature B-Cell Malignancies

Important dates

Study start
2020
Primary completion
2027
Study completion
2027
First posted
Feb 20, 2020
Registry last updated
Jun 22, 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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