Acute Myeloid LeukemiaPhase 1/2NCT04771130
A Study of BGB-11417 in Participants With Myeloid Malignancies
A Phase 1/2 study testing BGB-11417, Azacitidine and Posaconazole in people with Acute Myeloid Leukemia and Myelodysplastic Syndromes, run by BeOne Medicines at 47 sites in 10 countries.
Trial summary
The study will determine the safety, tolerability, recommended Phase 2 dose (RP2D) and preliminary efficacy of BGB-11417 as monotherapy and in combination with azacitidine in participants with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS)or MDS/myeloproliferative neoplasm (MPN) . Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Acute Myeloid Leukemia, Myelodysplastic Syndromes, Myelodysplastic/Myeloproliferative Neoplasm
- What is being tested?
- BGB-11417, Azacitidine and Posaconazole
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 260 participants
- Where
- 47 sitesin 10 countries
- Study dates
- 24 May 2021to 31 Aug 2028
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Confirmed diagnosis of one of the following by 2016 World Health Organization criteria:
- AML, nonacute promyelocytic leukemia
- MDS
- MDS/MPN
- Eastern Cooperative Oncology Group performance status of 0 to 2.
- Adequate organ function defined as:
Show all 10Show fewer
- Creatinine clearance ≥ 50 milliliters/minute (mL/min) (or between 30 and 49 mL/min in unfit AML cohort)
- Adequate liver function
- Life expectancy of > 12 weeks.
- Ability to comply with the requirements of the study.
Who cannot join
- A diagnosis of acute promyelocytic leukemia.
- History of prior malignancy, with the exception of either a history of MDS or MDS/MPN that has transformed to AML, or other prior malignancy that was treated with a full curative intent and no evidence of recurrence within the past 2 years (eg, localized skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast, or localized Gleason score ≤ 6 prostate cancer)
- Antecedent MPN including myelofibrosis, essential thrombocytosis, polycythemia vera, or chronic myelogenous leukemia with or without BCR-ABL1 translocation and AML with BCR-ABL1 translocation.
- Prior therapy with a B-cell lymphoma-2 inhibitor
- Known central nervous system involvement by leukemia.
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
47 sites in 10 countries. Contact the study team or a site near you to ask about taking part.
47 sites in 10 countries
China12 sites, 10 recruiting
- Recruiting
Peking University Peoples Hospital
Beijing, Beijing Municipality, 100044
- Recruiting
West China Hospital, Sichuan University
Chengdu, Sichuan, 610041
- Recruiting
Guangdong Provincial Peoples Hospital
Guangzhou, Guangdong, 510080
- Recruiting
Nanfang Hospital, Southern Medical University
Guangzhou, Guangdong, 510515
- Recruiting
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310003
- Recruiting
The First Hospital of Lanzhou University
Lanzhou, Gansu, 730000
- Recruiting
The First Affiliated Hospital of Nanchang University Branch Donghu
Nanchang, Jiangxi, 330006
- Completed
The Second Peoples Hospital of Shenzhen
Shenzhen, Guangdong, 518037
- Recruiting
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215006
- Completed
Tianjin Medical University Cancer Institute and Hospital
Tianjin, Tianjin Municipality, 300060
- Recruiting
Union Hospital of Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430022
- Recruiting
Henan Cancer Hospital
Zhengzhou, Henan, 450000
Australia11 sites, 11 recruiting
- Recruiting
Monash Health
Clayton, Victoria, VIC 3168
- Recruiting
Concord Repatriation General Hospital
Concord, New South Wales, NSW 2139
- Recruiting
St Vincents Hospital Melbourne
Fitzroy, Victoria, VIC 3065
- Recruiting
Austin Health
Heidelberg, Victoria, VIC 3084
- Recruiting
St George Hospital
Kogarah, New South Wales, NSW 2217
- Recruiting
The Alfred Hospital
Melbourne, Victoria, VIC 3004
- Recruiting
Fiona Stanley Hospital
Murdoch, Western Australia, WA 6150
- Recruiting
Linear Clinical Research
Nedlands, Western Australia, WA 6009
- Recruiting
One Clinical Research
Nedlands, Western Australia, WA 6009
- Recruiting
Orange Health Hospital
Orange, New South Wales, NSW 2800
- Recruiting
Gold Coast University Hospital
Southport, Queensland, QLD 4215
United States5 sites, 4 recruiting
- Terminated
City of Hope National Medical Center
Duarte, California, 91010-3012
- Recruiting
Md Anderson Cancer Center
Houston, Texas, 77030-3907
- Recruiting
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226-3522
- Recruiting
Upmc Hillman Cancer Center(Univ of Pittsburgh)
Pittsburgh, Pennsylvania, 15232-1309
- Recruiting
Tampa General Hospital
Tampa, Florida, 33606-3571
Spain4 sites, 4 recruiting
- Recruiting
Hospital de La Santa Creu I Sant Pau
Barcelona, 08041
- Recruiting
Hospital Universitario de Salamanca
Salamanca, 37007
- Recruiting
Hospital Universitario Virgen Del Rocio
Seville, 41013
- Recruiting
Hospital Universitari I Politecnic La Fe
Valencia, 46026
France3 sites, 3 recruiting
- Recruiting
Hopital Claude Huriez Chu Lille
Lille, 59000
- Recruiting
Hopital Larchet
Nice, 06200
- Recruiting
Hopital Saint Louis
Paris, 75010
Italy3 sites, 3 recruiting
- Recruiting
Policlinico Sorsola Malpighi, Aou Di Bologna
Bologna, 40138
- Recruiting
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori Irst
Meldola, 47014
- Recruiting
Niguarda Cancer Center Division of Hematology
Milan, 20162
New Zealand3 sites, 3 recruiting
- Recruiting
North Shore Hospital
Auckland, 0622
- Recruiting
Aotearoa Clinical Trials
Auckland, 2025
- Recruiting
Wellington Regional Hospital (Ccdhb)
Wellington, 6021
Germany2 sites, 2 recruiting
- Recruiting
Universitaetsklinikum Leipzig Aor
Leipzig, 04103
- Recruiting
Universitaetsklinikum Ulm
Ulm, 89081
South Korea2 sites, 2 recruiting
- Recruiting
Samsung Medical Center
GangnamGu, Seoul Teugbyeolsi, 06351
- Recruiting
Severance Hospital Yonsei University Health System
SeodaemunGu, Seoul Teugbyeolsi, 03722
United Kingdom2 sites
- Active, not recruiting
Edinburgh Cancer Centre
Edinburgh, EH4 2XU
- Active, not recruiting
The Christie Hospital
Greater Manchester, M20 4BX
About this study
Official title: A Phase 1b/2, Open-Label, Dose Finding, and Expansion Study of the Bcl-2 Inhibitor BGB-11417 in Patients With Myeloid Malignancies
The study will determine the safety, tolerability, recommended Phase 2 dose (RP2D) and preliminary efficacy of BGB-11417 as monotherapy and in combination with azacitidine in participants with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS)or MDS/myeloproliferative neoplasm (MPN) .
Read the detailed description
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.
- Conditions
- Acute Myeloid Leukemia, Myelodysplastic Syndromes, Myelodysplastic/Myeloproliferative Neoplasm
- Being tested
- BGB-11417, Azacitidine, Posaconazole
- Keywords
- BGB-11417, Azacitidine, Posaconazole, AML, MDS, MDS/MPN
- Medical subject headings
- Leukemia, Myeloid, Acute, Myelodysplastic Syndromes, Myelodysplastic-Myeloproliferative Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BGB-11417Drug
Also called Sonrotoclax
Oral administration for 10, 21, 14 or 28 days on a 28-day cycle.
AzacitidineDrug
Intravenous or subcutaneous administration for 7 days.
PosaconazoleDrug
Oral administration for 8 days on second cycle only.
BGB-11417Drug
Oral administration for 28 days on a 28-day cycle.
BGB-11417Drug
Oral administration for 10, 14 or 21 days on a 28-day
| Study group | Role | What they receive |
|---|---|---|
| Parts 1 and 2: AML Cohorts | Experimental | Participants with AML will receive BGB-11417 and azacitidine on a 28-day cycle. Receives: Drug: BGB-11417; Drug: Azacitidine |
| Parts 1 and 2: MDS Cohorts | Experimental | Participants with MDS will receive BGB-11417 and azacitidine on a 28-day cycle. Receives: Drug: Azacitidine; Drug: BGB-11417 |
| Part 3: AML and MDS Cohorts | Experimental | Participants with AML and MDS will receive BGB-11417 and azacitidine on a 28-day cycle. A subset of the participants will receive a modified second cycle of treatment to explore drug-drug interactions (DDI) with posaconazole. Receives: Drug: BGB-11417; Drug: Azacitidine; Drug: Posaconazole |
| Part 3: AML and MDS Cohort | Experimental | Participants with MDS and R/R AML (China only) will receive BGB-11417 on a 28-day cycle. Receives: Drug: BGB-11417 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1 And 2: Number Of Participants Experiencing Dose-limiting Toxicities (DLTs)
Measured: Cycle 1 (Up to 28 days for non-hematologic DLTs and up to 42 days for hematologic DLTs)
Part 1 And 2: Number Of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Measured: Approximately 24 months
Part 3 AML Cohort: Complete Remission (CR) Plus CR With Partial Hematologic Recovery (CRh) Rate
CR plus CRh will be defined as the percentage of participants whose best overall response (BOR) is CR plus CRh. BOR will be defined as the best response recorded from the first dose of study drug until data cut or the initiation of new anticancer treatment.
Measured: Approximately 24 months
Part 3 MDS Cohort: Modified Overall Response (mOR) Rate
The mOR will be defined as the percentage of participants whose BOR is achieving CR, marrow complete remission (mCR), or partial remission (PR) at any time point during the study for myelodysplastic/myeloproliferative neoplasm (MDS/MPN).
Measured: Approximately 24 months
Part 3 AML Cohort (DDI Sub-cohort): Area Under Plasma Concentration-time Curve (AUC) from time 0 to the last quantifiable timepoint (t) (AUC0-t) Of BGB-11417 When Administered Alone and when Co-administered With Posaconazole
Measured: Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, 2, 4, 6, 8, and 24 hours postdose)
Part 3 AML Cohort (DDI Sub-cohort): Maximum Observed Plasma Concentration (Cmax) Of BGB-11417 When Administered Alone and When Co-administered With Posaconazole
Measured: Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, 2, 4, 6, 8, and 24 hours postdose)
Part 3 AML Cohort (DDI Sub-cohort): Area Under Plasma Concentration-time Curve (AUC) from time 0 to infinity (AUC0-infinity) Of BGB-11417 When Administered Alone and When Co-administered With Posaconazole
Measured: Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, , 4, 6, 8, and 24 hours postdose)
Part 3 AML and MDS Cohorts (Treated with Monotherapy): Number Of Participants Experiencing DLTs
Measured: Cycle 2
Part 3 AML and MDS Cohorts (Treated with Monotherapy): Number of Participants Experiencing TEAEs
Measured: Approximately 24 months
Secondary outcomes (31)
Parts 1 And 2 AML Cohort: Complete remission (CR) + Morphologic CR With Partial Hematologic Recovery (CRh)
Measured: Approximately 24 months
Parts 1 And 2 MDS Cohort: mOR Rate
Measured: Approximately 24 months
Parts 1 And 2: Cmax Of Azacitidine When Coadministered With BGB-11417
Measured: Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose
Parts 1 And 2: Terminal Half-life (t1/2) Of Azacitidine When Coadministered With BGB-11417
Measured: Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose
Parts 1 And 2: AUC From Time Zero To Time t (AUC0-t) Of Azacitidine When Coadministered With BGB-11417
Measured: Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose
Parts 1 And 2: AUC From Time Zero To Infinity (AUC0-inf) Of Azacitidine When Coadministered With BGB-11417
Measured: Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose
Parts 1 And 2: Apparent Total Clearance Of Azacitidine From Plasma (CL/F) When Coadministered With BGB-11417
Measured: Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose
Parts 1 And 2: Apparent Volume Of Distribution (Vz/F) Of Azacitidine When Coadministered With BGB-11417
Measured: Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose
Parts 1 And 2: Steady-state AUC From Time Zero To Time Of Last Measurable Concentration (AUClast,ss) Of BGB-11417 When Coadministered With Azacitidine
Measured: Day 1-4 and 28 (Cycle 1) Day 5 (Cycle 2) predose and at multiple time points up to 8 hours postdose
Parts 1 And 2: Steady-state Cmax (Cmax,ss) Of BGB-11417 When Coadministered With Azacitidine
Measured: Day 1-4 and 28 (Cycle 1) Day 5 (Cycle 2) predose and at multiple time points up to 8 hours postdose
Parts 1 And 2: Steady-state Trough Plasma Concentration (Ctrough,ss) Of BGB-11417 When Coadministered With Azacitidine
Measured: Day 1-4 and 28 (Cycle 1) Day 5 (Cycle 2) predose and at multiple time points up to 8 hours postdose
Parts 1 And 2: Steady-state Time To Maximum Observed Plasma Concentration (tmax,ss) Of BGB-11417 When Coadministered With Azacitidine
Measured: Day 1-4 and 28 (Cycle 1) Day 5 (Cycle 2) predose and at multiple time points up to 8 hours postdose
Part 3: Number Of Participants Experiencing TEAEs
Measured: Approximately 24 months
Part 3: Complete Response Rate
CR will be defined as the percentage of participants whose BOR is CR. BOR will be defined as the best response recorded from the first dose of study drug until data cut or the initiation of new anticancer treatment.
Measured: Approximately 24 months
Part 3 AML Cohort: CR With Incomplete Hematologic Recovery (CRi) Rate
CRi will be defined as the percentage of participants whose BOR is CRi.
Measured: Approximately 24 months
Part 3 AML Cohort: Overall Response Rate (ORR)
The ORR will include participants whose BOR include CR, CRi, PR, and morphologic leukemia-free state.
Measured: Approximately 24 months
Part 3 AML Cohort: Duration Of Response (DOR)
DOR will be defined as the time from the first response to disease progression documented after treatment initiation or death, whichever occurs first. DOR will include CR, CR plus CRi, overall response (OR), and CR plus CRh.
Measured: Approximately 24 months
Part 3 AML Cohort: Time To Response (TTR)
TTR will be defined as the time from treatment initiation to the first documented response and will include CR, CR plus CRi, OR, and CR plus CRh.
Measured: Approximately 24 months
Part 3 Event-free Survival (EFS)
EFS will be defined as the time from treatment initiation to disease progression, treatment failure, relapse (hematologic relapse for AML) for those who have treatment success, or death due to any cause, whichever happens first.
Measured: Approximately 24 months
Part 3 Overall Survival (OS)
OS will be defined as the time from treatment initiation to death. OS will be analyzed using the same methods as the EFS analysis except for the censoring rules.
Measured: Approximately 24 months
Part 3 AML Cohort: Number of Participants with Transfusion Independence
Transfusion independence will be defined as the proportion of participants whose BOR is transfusion independence. Transfusion independence will need to last for at least 56 consecutive days postbaseline.
Measured: Approximately 24 months
Part 3 MDS Cohort: Number Of Participants With Hematological Improvement-erythroid (HI-E)
The proportion of participants whose BOR is HI-E
Measured: Approximately 24 months
Part 3 MDS Cohort: Proportion Of Participants With Hematological Improvement-platelet (HI-P)
The proportion of participants whose BOR is HI-P
Measured: Approximately 24 months
Part 3 MDS Cohort: Proportion Of Participants With Hematological Improvement-neutrophil (HI-N)
The proportion of participants whose BOR is HI-N will be reported.
Measured: Approximately 24 months
Part 3 MDS Cohort: Number of participants with Transfusion Independence
Transfusion independence will be defined as the percentage of participants whose BOR is transfusion independence. Transfusion independence will need to last for at least 56 consecutive days postbaseline.
Measured: Approximately 24 months
Part 3: Ctrough,ss Of BGB-11417 When Coadministered With Azacitidine
Measured: Cycle 1 Day 1 and Cycle 2 Day 5 (predose and 4 and 6 hours postdose)
Part 3 MDS cohort: Partial Hematologic Recovery CRh
Percentage of participants with partial hematologic recovery will be reported
Measured: Approximately 24 months
Part 3 AML (Treated with Monotherapy): Complete Response + Morphologic complete Remission with Partial Hematologic Recovery
Percentage of participants with Complete Response + Morphologic complete Remission with Partial Hematologic Recovery will be reported.
Measured: Approximately 24 months
Part 3 AML (Treated with Monotherapy): Steady State trough plasma concentration of BGB-11417
Measured: Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, 4, 6, 8, and 24 hours postdose)
Part 3 MDS (Treated with Monotherapy): Modified Overall Response
Percentage of participants with modified overall response including CR, marrow CR (mCR) or partial remission (PR)
Measured: Approximately 24 months
Part 3 MDS (Treated with Monotherapy): Steady State trough plasma concentration of BGB-11417
Measured: Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, 4, 6, 8, and 24 hours postdose)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Feb 2021
- Study start24 May 2021
- Primary completion31 Aug 2028 (estimated)
- Study completion31 Aug 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Acute Myeloid LeukemiaStudies of the same condition, open and under way.
- More trials run by BeOne MedicinesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 260 participants (estimated)
Sponsor and investigators
- Lead sponsor
- BeOne Medicines
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, BeOne Medicines
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04771130
- Sponsor's protocol ID
- BGB-11417-103
- Other IDs
- 2021-003285-12, 2023-508881-14-00, CTR20213416, 2023
- Status last verified
- Sep 2026
- First submitted
- 23 Feb 2021
- Last updated
- 14 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: BeOne shares data on completed studies responsibly and provides qualified scientific and medical researchers access to data and supporting documentation for clinical trials in dossiers for medicines and indications after submission and approval in the United States, China, and Europe. Clinical trials supporting subsequent local approvals, new indications, or combination products are eligible for sharing once corresponding regulatory approvals are achieved. BeOne shares data only when permitted by applicable data privacy and security laws and regulations, when it is feasible to do so without compromising the privacy of study participants, and other considerations. Qualified researchers with appropriate competencies who are engaged in novel scientific research may submit a request for participant-level data with a research proposal for BeOne review. Research teams must include a biostatistician and sign a Data Sharing Agreement prior to receiving access to clinical trial data.
Study at a glance
From the registry record, last updated by the sponsor on 14 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1b/2, Open-Label, Dose Finding, and Expansion Study of the Bcl-2 Inhibitor BGB-11417 in Patients With Myeloid Malignancies
- ClinicalTrials.gov ID
- NCT04771130
- Acronym / sponsor ID
- BGB-11417-103
- Conditions
- Acute Myeloid Leukemia, Myelodysplastic Syndromes, Myelodysplastic/Myeloproliferative Neoplasm
- Keywords
- BGB-11417, Azacitidine, Posaconazole, AML, MDS, MDS/MPN
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 260 participants (estimated)
- Lead sponsor
- BeOne MedicinesIndustry (pharma, biotech, devices)
- Study start
- 24 May 2021 (actual)
- Primary completion
- 31 Aug 2028 (estimated)
- Study completion
- 31 Aug 2028 (estimated)
- First posted
- 25 Feb 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study will determine the safety, tolerability, recommended Phase 2 dose (RP2D) and preliminary efficacy of BGB-11417 as monotherapy and in combination with azacitidine in participants with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS)or MDS/myeloproliferative neoplasm (MPN) .
Detailed description
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Parts 1 and 2: AML Cohorts | Experimental | Drug: BGB-11417, Drug: AzacitidineParticipants with AML will receive BGB-11417 and azacitidine on a 28-day cycle. |
| Parts 1 and 2: MDS Cohorts | Experimental | Drug: Azacitidine, Drug: BGB-11417Participants with MDS will receive BGB-11417 and azacitidine on a 28-day cycle. |
| Part 3: AML and MDS Cohorts | Experimental | Drug: BGB-11417, Drug: Azacitidine, Drug: PosaconazoleParticipants with AML and MDS will receive BGB-11417 and azacitidine on a 28-day cycle. A subset of the participants will receive a modified second cycle of treatment to explore drug-drug interactions (DDI) with posaconazole. |
| Part 3: AML and MDS Cohort | Experimental | Drug: BGB-11417Participants with MDS and R/R AML (China only) will receive BGB-11417 on a 28-day cycle. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Confirmed diagnosis of one of the following by 2016 World Health Organization criteria:
- Eastern Cooperative Oncology Group performance status of 0 to 2.
- Adequate organ function defined as:
- Life expectancy of > 12 weeks.
- Ability to comply with the requirements of the study.
Key exclusion criteria (6 listed)
- A diagnosis of acute promyelocytic leukemia.
- History of prior malignancy, with the exception of either a history of MDS or MDS/MPN that has transformed to AML, or other prior malignancy that was treated with a full curative intent and no evidence of recurrence within the past 2 years (eg, localized skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast, or localized Gleason score ≤ 6 prostate cancer)
- Antecedent MPN including myelofibrosis, essential thrombocytosis, polycythemia vera, or chronic myelogenous leukemia with or without BCR-ABL1 translocation and AML with BCR-ABL1 translocation.
- Prior therapy with a B-cell lymphoma-2 inhibitor
- Known central nervous system involvement by leukemia.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BGB-11417Also: SonrotoclaxOral administration for 10, 21, 14 or 28 days on a 28-day cycle. | Drug | Part 3: AML and MDS Cohorts, Parts 1 and 2: AML Cohorts |
| AzacitidineIntravenous or subcutaneous administration for 7 days. | Drug | Part 3: AML and MDS Cohorts, Parts 1 and 2: AML Cohorts, Parts 1 and 2: MDS Cohorts |
| PosaconazoleOral administration for 8 days on second cycle only. | Drug | Part 3: AML and MDS Cohorts |
| BGB-11417Oral administration for 28 days on a 28-day cycle. | Drug | Part 3: AML and MDS Cohort |
| BGB-11417Oral administration for 10, 14 or 21 days on a 28-day | Drug | Parts 1 and 2: MDS Cohorts |
Primary outcome
Part 1 And 2: Number Of Participants Experiencing Dose-limiting Toxicities (DLTs)
Time frame: Cycle 1 (Up to 28 days for non-hematologic DLTs and up to 42 days for hematologic DLTs)
Part 1 And 2: Number Of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Time frame: Approximately 24 months
Part 3 AML Cohort: Complete Remission (CR) Plus CR With Partial Hematologic Recovery (CRh) Rate
Time frame: Approximately 24 months
CR plus CRh will be defined as the percentage of participants whose best overall response (BOR) is CR plus CRh. BOR will be defined as the best response recorded from the first dose of study drug until data cut or the initiation of new anticancer treatment.
Part 3 MDS Cohort: Modified Overall Response (mOR) Rate
Time frame: Approximately 24 months
The mOR will be defined as the percentage of participants whose BOR is achieving CR, marrow complete remission (mCR), or partial remission (PR) at any time point during the study for myelodysplastic/myeloproliferative neoplasm (MDS/MPN).
Part 3 AML Cohort (DDI Sub-cohort): Area Under Plasma Concentration-time Curve (AUC) from time 0 to the last quantifiable timepoint (t) (AUC0-t) Of BGB-11417 When Administered Alone and when Co-administered With Posaconazole
Time frame: Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, 2, 4, 6, 8, and 24 hours postdose)
Part 3 AML Cohort (DDI Sub-cohort): Maximum Observed Plasma Concentration (Cmax) Of BGB-11417 When Administered Alone and When Co-administered With Posaconazole
Time frame: Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, 2, 4, 6, 8, and 24 hours postdose)
Part 3 AML Cohort (DDI Sub-cohort): Area Under Plasma Concentration-time Curve (AUC) from time 0 to infinity (AUC0-infinity) Of BGB-11417 When Administered Alone and When Co-administered With Posaconazole
Time frame: Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, , 4, 6, 8, and 24 hours postdose)
Part 3 AML and MDS Cohorts (Treated with Monotherapy): Number Of Participants Experiencing DLTs
Time frame: Cycle 2
Part 3 AML and MDS Cohorts (Treated with Monotherapy): Number of Participants Experiencing TEAEs
Time frame: Approximately 24 months
31 secondary outcomes
Parts 1 And 2 AML Cohort: Complete remission (CR) + Morphologic CR With Partial Hematologic Recovery (CRh)
Time frame: Approximately 24 months
Parts 1 And 2 MDS Cohort: mOR Rate
Time frame: Approximately 24 months
Parts 1 And 2: Cmax Of Azacitidine When Coadministered With BGB-11417
Time frame: Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose
Parts 1 And 2: Terminal Half-life (t1/2) Of Azacitidine When Coadministered With BGB-11417
Time frame: Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose
Parts 1 And 2: AUC From Time Zero To Time t (AUC0-t) Of Azacitidine When Coadministered With BGB-11417
Time frame: Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose
Parts 1 And 2: AUC From Time Zero To Infinity (AUC0-inf) Of Azacitidine When Coadministered With BGB-11417
Time frame: Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose
Parts 1 And 2: Apparent Total Clearance Of Azacitidine From Plasma (CL/F) When Coadministered With BGB-11417
Time frame: Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose
Parts 1 And 2: Apparent Volume Of Distribution (Vz/F) Of Azacitidine When Coadministered With BGB-11417
Time frame: Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose
Parts 1 And 2: Steady-state AUC From Time Zero To Time Of Last Measurable Concentration (AUClast,ss) Of BGB-11417 When Coadministered With Azacitidine
Time frame: Day 1-4 and 28 (Cycle 1) Day 5 (Cycle 2) predose and at multiple time points up to 8 hours postdose
Parts 1 And 2: Steady-state Cmax (Cmax,ss) Of BGB-11417 When Coadministered With Azacitidine
Time frame: Day 1-4 and 28 (Cycle 1) Day 5 (Cycle 2) predose and at multiple time points up to 8 hours postdose
Parts 1 And 2: Steady-state Trough Plasma Concentration (Ctrough,ss) Of BGB-11417 When Coadministered With Azacitidine
Time frame: Day 1-4 and 28 (Cycle 1) Day 5 (Cycle 2) predose and at multiple time points up to 8 hours postdose
Parts 1 And 2: Steady-state Time To Maximum Observed Plasma Concentration (tmax,ss) Of BGB-11417 When Coadministered With Azacitidine
Time frame: Day 1-4 and 28 (Cycle 1) Day 5 (Cycle 2) predose and at multiple time points up to 8 hours postdose
Part 3: Number Of Participants Experiencing TEAEs
Time frame: Approximately 24 months
Part 3: Complete Response Rate
Time frame: Approximately 24 months
Part 3 AML Cohort: CR With Incomplete Hematologic Recovery (CRi) Rate
Time frame: Approximately 24 months
Part 3 AML Cohort: Overall Response Rate (ORR)
Time frame: Approximately 24 months
Part 3 AML Cohort: Duration Of Response (DOR)
Time frame: Approximately 24 months
Part 3 AML Cohort: Time To Response (TTR)
Time frame: Approximately 24 months
Part 3 Event-free Survival (EFS)
Time frame: Approximately 24 months
Part 3 Overall Survival (OS)
Time frame: Approximately 24 months
Part 3 AML Cohort: Number of Participants with Transfusion Independence
Time frame: Approximately 24 months
Part 3 MDS Cohort: Number Of Participants With Hematological Improvement-erythroid (HI-E)
Time frame: Approximately 24 months
Part 3 MDS Cohort: Proportion Of Participants With Hematological Improvement-platelet (HI-P)
Time frame: Approximately 24 months
Part 3 MDS Cohort: Proportion Of Participants With Hematological Improvement-neutrophil (HI-N)
Time frame: Approximately 24 months
Part 3 MDS Cohort: Number of participants with Transfusion Independence
Time frame: Approximately 24 months
Part 3: Ctrough,ss Of BGB-11417 When Coadministered With Azacitidine
Time frame: Cycle 1 Day 1 and Cycle 2 Day 5 (predose and 4 and 6 hours postdose)
Part 3 MDS cohort: Partial Hematologic Recovery CRh
Time frame: Approximately 24 months
Part 3 AML (Treated with Monotherapy): Complete Response + Morphologic complete Remission with Partial Hematologic Recovery
Time frame: Approximately 24 months
Part 3 AML (Treated with Monotherapy): Steady State trough plasma concentration of BGB-11417
Time frame: Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, 4, 6, 8, and 24 hours postdose)
Part 3 MDS (Treated with Monotherapy): Modified Overall Response
Time frame: Approximately 24 months
Part 3 MDS (Treated with Monotherapy): Steady State trough plasma concentration of BGB-11417
Time frame: Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, 4, 6, 8, and 24 hours postdose)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Sep 2026.
- Individual participant dataSharing planned: Yes. BeOne shares data on completed studies responsibly and provides qualified scientific and medical researchers access to data and supporting documentation for clinical trials in dossiers for medicines and indications after submission and approval in the United States, China, and Europe. Clinical trials supporting subsequent local approvals, new indications, or combination products are eligible for sharing once corresponding regulatory approvals are achieved. BeOne shares data only when permitted by applicable data privacy and security laws and regulations, when it is feasible to do so without compromising the privacy of study participants, and other considerations. Qualified researchers with appropriate competencies who are engaged in novel scientific research may submit a request for participant-level data with a research proposal for BeOne review. Research teams must include a biostatistician and sign a Data Sharing Agreement prior to receiving access to clinical trial data.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Study Director study director
BeOne Medicines
47 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing BGB-11417, Azacitidine and Posaconazole in people with Acute Myeloid Leukemia and Myelodysplastic Syndromes, run by BeOne Medicines at 47 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 14 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 47 sites in China, Australia, United States, Spain, France and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Study Director (1.877.828.5568, clinicaltrials@beonemed.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part 1 And 2: Number Of Participants Experiencing Dose-limiting Toxicities (DLTs) (time frame: Cycle 1 (Up to 28 days for non-hematologic DLTs and up to 42 days for hematologic DLTs)). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Sep 2026.