Mature B-cell MalignanciesPhase 1NCT04883957
Study of BGB-11417 in Adult Participants With Mature B-cell Malignancies
A Phase 1 study testing BGB-11417 in people with Mature B-cell Malignancies, run by BeiGene at 11 sites in China.
Trial summary
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… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Mature B-cell Malignancies
- What is being tested?
- BGB-11417
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 64 participants
- Where
- 11 sitesChina
- Study dates
- 5 Jul 2021to 1 Sep 2026
- Phase
- Phase 1
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 only one of the following:
- Cohort A
- Marginal Zone Lymphoma
- 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.
- Active disease requiring treatment.
- Follicular Lymphoma
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- 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.
- Active disease requiring treatment.
- Diffuse Large B-cell Lymphoma
- 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.
- Active disease requiring treatment.
- Transformed indolent B-cell NHL
- 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.
- Active disease requiring treatment.
- Cohorts B and C
- CLL/SLL diagnosis that meets the International Workshop on Chronic Lymphocytic Leukemia (IWCLL) criteria:
- 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.
- 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.
Who cannot join
- 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.
Trial locations and contacts
11 sites in 1 country.
11 sites in 1 country
China11 sites
Peking University First Hospital
Beijing, Beijing Municipality, 100034
Peking University Peoples Hospital
Beijing, Beijing Municipality, 100044
Hunan Cancer Hospital
Changsha, Hunan, 410013
Sun Yat Sen University Cancer Center
Guangzhou, Guangdong, 510060
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310003
The First Affiliated Hospital of Nanchang University Branch Donghu
Nanchang, Jiangxi, 330006
Affiliated Zhongshan Hospital of Fudan University
Shanghai, Shanghai Municipality, 200032
Shenzhen Peoples Hospital
Shenzhen, Guangdong, 518020
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215006
Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology
Wuhan, Hubei, 430030
Henan Cancer Hospital
Zhengzhou, Henan, 450000
About this study
Official 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
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.
Read the detailed description
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.
- Conditions
- Mature B-cell Malignancies
- Being tested
- BGB-11417
- Keywords
- BGB-11417, Bcl-2, Pharmacokinetics, RP2D, MTD
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BGB-11417Drug
Also called Sonrotoclax
Film-coated tablets administered orally as specified in the treatment arm.
| Study group | Role | What they receive |
|---|---|---|
| Cohort A: R/R NHL | Experimental | Participants with R/R NHL, including follicular lymphoma (FL), diffuse large B-cell lymphoma (DLBCL), marginal zone lymphoma (MZL), or transformed NHL, will receive oral BGB-11417 until the MTD (or maximum ascending dose [MAD]) and the RP2D can be determined. Receives: Drug: BGB-11417 |
| Cohort B: R/R CLL/SLL (low tumor burden) | Experimental | Participants with low tumor burden R/R CLL/SLL will receive oral BGB-11417 until the MTD (or MAD) and the RP2D can be determined. Receives: Drug: BGB-11417 |
| Cohort C: R/R CLL/SLL (high tumor burden) | Experimental | Participants in this cohort will not be enrolled until the RP2D for Cohort B is established. Participants will be treated with the monotherapy ramp-up schedule and the RP2D established in Cohort B. Receives: Drug: BGB-11417 |
What is being measured
The primary outcome is the main question the study is designed to answer.
MTD Of BGB-11417 As Recommended By The Bayesian Logistic Regression Model Or The MAD
Measured: Approximately 3 years
RP2D Of BGB-11417
The RP2D will be decided by the sponsor and based on the safety monitoring committee recommendation considering totality of data.
Measured: Approximately 3 years
Incidence And Severity Of Treatment-emergent Adverse Events, Serious Adverse Events, Adverse Events (AEs) Leading To Discontinuation, And Dose-Limiting Toxicities (DLTs)
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).
Measured: Approximately 3 years
Incidence And Severity Of Tumor Lysis Syndrome-relevant Events
Measured: Approximately 3 years
Secondary outcomes (12)
Pharmacokinetics (PK) As Assessed By Maximum Observed Plasma Concentration (Cmax) Of BGB-11417
Measured: Up to 24 hours postdose
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
Measured: Up to 24 hours postdose
PK As Assessed By Area Under The Plasma Concentration Time Curve From Time 0 To Infinity (AUC0-inf) Of BGB-11417
Measured: Up to 24 hours postdose
PK As Assessed By Time To Maximum Observed Plasma Concentration (tmax) Of BGB-11417
Measured: Up to 24 hours postdose
PK As Assessed By Terminal Half-life (t1/2) Of BGB-11417
Measured: Up to 24 hours postdose
PK As Assessed By Apparent Total Clearance Of Drug From Plasma After Oral Administration (CL/F) Of BGB-11417
Measured: Up to 24 hours postdose
PK As Assessed By Apparent Volume Of Distribution (Vz/F) Of BGB-11417
Measured: Up to 24 hours postdose
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
Measured: Up to 24 hours postdose
PK As Assessed By Maximum Observed Plasma Concentration At Steady State (Cmax,ss) Of BGB-11417
Measured: Up to 24 hours postdose
PK As Assessed By Trough Concentration At Steady State (Ctrough,ss) Of BGB-11417
Measured: Up to 24 hours postdose
PK As Assessed By Time To Maximum Observed Plasma Concentration At Steady State (tmax,ss) Of BGB-11417
Measured: Up to 24 hours postdose
Overall Response Rate (ORR) Of BGB-11417 Monotherapy
ORR will be assessed per disease-specific response assessment guidelines as determined by the investigator.
Measured: Approximately 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 May 2021
- Study start5 Jul 2021
- Primary completion1 Sep 2026
- Study completion1 Sep 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Mature B-cell MalignanciesStudies of the same condition, open and under way.
- More trials run by BeiGeneThe 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
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 64 participants (actual)
Sponsor and investigators
- Lead sponsor
- BeiGene
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Lu Zhang, M.D., Study director, BeiGene (Suzhou) Co., Ltd.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04883957
- Sponsor's protocol ID
- BGB-11417-102
- Other IDs
- CTR20211017
- Status last verified
- Sep 2026
- First submitted
- 7 May 2021
- Last updated
- 28 Sep 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes