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NCT Number: NCT04883957

Study of BGB-11417 in Adult Participants With Mature B-cell Malignancies

The purpose of this study is to evaluate the safety and tolerability of BGB-11417 monotherapy, define the maximum tolerated dose (MTD) or maximum administered dose and the recommended Phase 2 dose (RP2D) of BGB-11417 monotherapy for the selected B-cell malignancy dose finding cohorts, and evaluate the safety and tolerability of the ramp-up dosing schedule in the evaluated disease types.

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

Peking University First Hospital, Beijing, Beijing Municipality, China

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About this study

This study will have 3 cohorts for determining a monotherapy MTD and ramp-up schedule: Cohort A, participants with relapsed/refractory B-cell non-Hodgkin lymphoma (R/R NHL); Cohort B, participants with R/R chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) with low tumor burden; Cohort C, participants with R/R CLL/SLL with high tumor burden.

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Confirmed diagnosis of only one of the following:

Cohort A

a. Marginal Zone Lymphoma

i. R/R extranodal, splenic or nodal disease defined as disease that has relapsed after, or been refractory to, ≥ 1 line of anti-CD20 antibody-based chemoimmunotherapy for ≥ 2 consecutive cycles, and no effective standard therapy for MZL is available per investigator's assessment.

ii. Active disease requiring treatment.

b. Follicular Lymphoma

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 has relapsed after, or been refractory to, ≥ 1 line of anti-CD20 antibody-based chemoimmunotherapy for ≥ 2 consecutive cycles, and no effective standard therapy for FL is available per investigator's assessment.

ii. Active disease requiring treatment.

c. Diffuse Large B-cell Lymphoma

i. R/R DLBCL defined as disease that relapsed after, or been refractory to, at least one line of anti-CD20 antibody based chemoimmunotherapy for ≥ 2 consecutive cycles, and no effective standard therapy for DLBCL is available per investigator's assessment.

ii. Active disease requiring treatment.

d. Transformed indolent B-cell NHL

i. Any lymphoma otherwise eligible for Cohort A that has transformed into a more aggressive lymphoma. Patients with transformation from CLL or SLL (Richter's transformation) are not eligible for Cohort A.

ii. Active disease requiring treatment.

Cohorts B and C

a. CLL/SLL diagnosis that meets the International Workshop on Chronic Lymphocytic Leukemia (IWCLL) criteria:

i. R/R disease defined as disease that has relapsed after, or been refractory to, ≥ 1 line of standard therapy for ≥ 2 consecutive cycles, and no effective standard therapy is available per investigator's assessment.

ii. Requiring treatment based on IWCLL criteria.

  • Measurable disease by computed tomography/magnetic resonance imaging, defined as:
  • CLL: At least 1 lymph node > 1.5 centimeters (cm) in longest diameter and measurable in 2 perpendicular dimensions. For Cohort B, participants should not meet with the definition of high tumor burden, which is required for participants enrolled in Cohort C.
  • DLBCL, FL, MZL, 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 2 perpendicular dimensions. For MZL isolated splenomegaly is considered to indicate measurable disease for this study. For SLL, participants in Cohort B should not meet with the definition of high tumor burden, which is required for participants enrolled in Cohort C.

Key Exclusion Criteria:

  • Prior malignancy (other than the disease under study) within the past 2 years, except for curatively treated basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast, or localized Gleason score ≤ 6 prostate cancer.
  • Underlying medical conditions that, in the investigator's opinion, will render the administration of study drug hazardous or obscure the interpretation of safety or efficacy results.
  • Known central nervous system involvement by lymphoma/leukemia.
  • Known plasma cell neoplasm, prolymphocytic leukemia, history of or currently suspected Richter's syndrome.
  • Prior autologous stem cell transplant unless ≥ 3 months after transplant; or prior chimeric cell therapy unless ≥ 6 months after cell infusion.
  • Prior allogeneic stem cell transplant.

Treatment and study plan

BGB-11417

Drug

Film-coated tablets administered orally as specified in the treatment arm.

Other names: Sonrotoclax

Primary outcomes

  1. MTD Of BGB-11417 As Recommended By The Bayesian Logistic Regression Model Or The MAD

    Time frame: Approximately 3 years

  2. RP2D Of BGB-11417

    Time frame: Approximately 3 years

    The RP2D will be decided by the sponsor and based on the safety monitoring committee recommendation considering totality of data.

  3. Incidence And Severity Of Treatment-emergent Adverse Events, Serious Adverse Events, Adverse Events (AEs) Leading To Discontinuation, And Dose-Limiting Toxicities (DLTs)

    Time frame: Approximately 3 years

    All AEs, including DLT events, will be assessed per National Cancer Institute Common Terminology Criteria for Adverse Events v5.0 (or the Grading Scale for Hematologic Toxicity in CLL Studies as appropriate).

  4. Incidence And Severity Of Tumor Lysis Syndrome-relevant Events

    Time frame: Approximately 3 years

Secondary outcomes

  1. Pharmacokinetics (PK) As Assessed By Maximum Observed Plasma Concentration (Cmax) Of BGB-11417

    Time frame: Up to 24 hours postdose

  2. PK As Assessed By Area Under The Plasma Concentration Time Curve From Time 0 To The Time Of The Last Quantifiable Concentration (AUC0-t) Of BGB-11417

    Time frame: Up to 24 hours postdose

  3. PK As Assessed By Area Under The Plasma Concentration Time Curve From Time 0 To Infinity (AUC0-inf) Of BGB-11417

    Time frame: Up to 24 hours postdose

  4. PK As Assessed By Time To Maximum Observed Plasma Concentration (tmax) Of BGB-11417

    Time frame: Up to 24 hours postdose

  5. PK As Assessed By Terminal Half-life (t1/2) Of BGB-11417

    Time frame: Up to 24 hours postdose

  6. PK As Assessed By Apparent Total Clearance Of Drug From Plasma After Oral Administration (CL/F) Of BGB-11417

    Time frame: Up to 24 hours postdose

  7. PK As Assessed By Apparent Volume Of Distribution (Vz/F) Of BGB-11417

    Time frame: Up to 24 hours postdose

  8. PK As Assessed By Area Under The Plasma Concentration Time Curve From Time 0 To Last Measurable Concentration At Steady State (AUClast,ss) Of BGB-11417

    Time frame: Up to 24 hours postdose

  9. PK As Assessed By Maximum Observed Plasma Concentration At Steady State (Cmax,ss) Of BGB-11417

    Time frame: Up to 24 hours postdose

  10. PK As Assessed By Trough Concentration At Steady State (Ctrough,ss) Of BGB-11417

    Time frame: Up to 24 hours postdose

  11. PK As Assessed By Time To Maximum Observed Plasma Concentration At Steady State (tmax,ss) Of BGB-11417

    Time frame: Up to 24 hours postdose

  12. Overall Response Rate (ORR) Of BGB-11417 Monotherapy

    Time frame: Approximately 3 years

    ORR will be assessed per disease-specific response assessment guidelines as determined by the investigator.

Sponsors and collaborators

Lead sponsor

BeiGene

Industry

Registry information

Official study title

A Phase 1 Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of Bcl-2 Inhibitor BGB-11417 in Adult Patients With Mature B-cell Malignancies

Important dates

Study start
2021
Primary completion
2026
Study completion
2026
First posted
May 12, 2021
Registry last updated
Jul 13, 2026

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

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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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