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Relapsed Non-Hodgkin LymphomaPhase 1NCT05828589

A Study of BGB-21447, a Bcl-2 Inhibitor, in Mature B-Cell Malignancies

A Phase 1 study testing BGB-21447 in people with Relapsed Non-Hodgkin Lymphoma and Refractory Non-Hodgkin Lymphoma, run by BeOne Medicines at 28 sites in 4 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study is testing the safety and tolerability of BGB-21447 monotherapy in participants with relapsed or refractory (R/R) non-Hodgkin lymphoma (NHL) and chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
BGB-21447
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
51 participants
Where
28 sitesin 4 countries
Study dates
20 Jun 2023to 8 Jun 2026
Phase
Phase 1
Are there results?
None posted in the registry

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 (per World Health Organization [WHO] guidelines, unless otherwise noted) of one of the following:
  • Cohort A1 and Cohort A2:
  • R/R DLBCL (for Cohort A1 and Cohort A2.1)
  • High-grade B-cell lymphomas with translocations of MYC and Bcl-2 and/or Bcl-6 are not allowed in Cohort A1 but may be allowed in Cohort A2.1
  • R/R FL (for Cohort A1 and Cohort A2.2)
  • R/R MZL (for Cohort A1 and Cohort A2.2)
Show all 9Show fewer
  • Transformed B-cell NHL (for Cohort A1 only)
  • Richter's transformation to DLBCL (for Cohort A1 only)
  • Measurable disease by computed tomography/magnetic resonance imaging.

Who cannot join

  • Prior malignancy (other than the disease under study) within the past 2 years, except for curatively treated basal or squamous skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast, or localized Gleason score ≤ 6 prostate cancer or lentigo maligna melanoma that has been curatively resected
  • Known central nervous system involvement by lymphoma/leukemia
  • Prior autologous stem cell transplant < 3 months before the first dose of study drug. Or prior chimeric antigen receptor T-cell (CAR-T) therapy < 3 months before the first dose of study drug
  • Prior allogeneic stem cell transplant.
  • Major surgery < 4 weeks before the first dose of study treatment
  • NOTE: Other protocol-defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

28 sites in 4 countries.

28 sites in 4 countries

China15 sites
  • Peking University Third Hospital

    Beijing, Beijing Municipality, 100000

  • The First Peoples Hospital of Changzhou

    Changzhou, Jiangsu, 213000

  • Fujian Cancer Hospital

    Fuzhou, Fujian, 350014

  • Shandong Provincial Hospital

    Jinan, Shandong, 250021

  • Linyi Peoples Hospital

    Linyi, Shandong, 276000

  • The First Affiliated Hospital of Nanchang University Branch Donghu

    Nanchang, Jiangxi, 330006

  • The First Affiliated Hospital of Nanchang University Branch Xianghu

    Nanchang, Jiangxi, 332000

  • Jiangsu Province Hospital

    Nanjing, Jiangsu, 210029

  • Affiliated Zhongshan Hospital of Fudan University

    Shanghai, Shanghai Municipality, 200032

  • Shengjing Hospital of China Medical University

    Shenyang, Liaoning, 110004

  • The First Affiliated Hospital of Soochow University

    Suzhou, Jiangsu, 215006

  • Institute of Hematology and Hospital of Blood Disease

    Tianjin, Tianjin Municipality, 300020

  • Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology

    Wuhan, Hubei, 430030

  • Yichang Central Peoples Hospitaljiangnan Branch

    Yichang, Hubei, 443001

  • Henan Cancer Hospital

    Zhengzhou, Henan, 450000

Other trials in China

United States7 sites
  • Sidney Kimmel Comprehensive Cancer At Johns Hopkins

    Baltimore, Maryland, 21287

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242-1009

  • Nyu Langone Health Perlmutter Cancer Center At Nyu Langone Hospital Long Island

    Mineola, New York, 11501

  • Laura and Isaac Perlmutter Cancer Center At Nyu Langone Health

    New York, New York, 10016-2708

  • Avera Cancer Institute

    Sioux Falls, South Dakota, 57105-2108

  • Sibley Memorial Hospital Johns Hopkins Medicine

    Washington D.C., District of Columbia, 20016

  • Mission Cancer and Blood

    Waukee, Iowa, 50263

Other trials in United States

Australia5 sites
  • Pindara Private Hospital

    Benowa, Queensland, QLD 4217

  • Blacktown Cancer and Haematology Centre

    Blacktown, New South Wales, NSW 2148

  • Monash Health

    Clayton, Victoria, VIC 3168

  • Linear Clinical Research

    Nedlands, Western Australia, WA 6009

  • Mater Cancer Care Centre

    South Brisbane, Queensland, QLD 4101

Other trials in Australia

New Zealand1 site
  • Auckland City Hospital

    Auckland, 1023

Other trials in New Zealand

About this study

Official title: A Phase 1/1b Open-Label Dose-Escalation and Dose-Optimization Study of Bcl-2 Inhibitor BGB-21447 in Patients With Mature B-Cell Malignancies

This study is testing the safety and tolerability of BGB-21447 monotherapy in participants with relapsed or refractory (R/R) non-Hodgkin lymphoma (NHL) and chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL). The study aims to determine the maximum tolerated dose (MTD), maximum administered dose (MAD), recommended Phase 2 dose (RP2D), and pharmacokinetic profile of the drug. Additionally, preliminary antitumor activity will be characterized. The study is divided into 2 main parts: Part 1 "Monotherapy Dose Finding" and Part 2 "Monotherapy Dose Optimization."

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.

Being tested
BGB-21447
Keywords
Relapsed Non-Hodgkin Lymphoma, refractory non-Hodgkin lymphoma, Relapsed Chronic Lymphocytic Leukemia, Follicular Lymphoma, Marginal Zone Lymphoma, NHL, FL, MZL, Refractory Chronic Lymphocytic Leukemia, RCLL, Relapsed Follicular Lymphoma, Refractory Follicular Lymphoma, Relapsed Marginal Zone Lymphoma, Refractory Marginal Zone Lymphoma, RFL, RMZL, Relapsed Small Lymphocytic Lymphoma, Refractory Small Lymphocytic Lymphoma, RSLL, Richter's transformation
Medical subject headings
Lymphoma, Non-Hodgkin, Leukemia, Lymphocytic, Chronic, B-Cell, Lymphoma, Follicular, Lymphoma, B-Cell, Marginal Zone, Lymphoma, Large B-Cell, Diffuse

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BGB-21447Drug

    BGB-21447 will be administered orally

Study groups in NCT05828589
Study groupRoleWhat they receive
Part 1 (Cohort A1): Dose escalation in patients with B-cell non-Hodgkin lymphoma (NHL)ExperimentalParticipants with R/R B-cell NHL (including diffuse large B-cell lymphoma [DLBCL], follicular lymphoma [FL], marginal zone lymphoma [MZL], transformed B-cell NHL (B-NHL), and Richter's transformation to DLBCL) will receive BGB-21447 once a day.
Receives: Drug: BGB-21447
Part 1 (Cohort B): Dose escalation in R/R CLL/SLL participants with low tumor burdenExperimentalParticipants with relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) will receive BGB-21447 once a day.
Receives: Drug: BGB-21447
Part 2 (Cohort A2.1): BGB-21447 Monotherapy Dose Optimization in R/R DLBCLExperimentalParticipants will receive BGB-21447 with two dose levels from Cohort A1 for further evaluation of safety and efficacy.
Receives: Drug: BGB-21447
Part 2 (Cohort A2.2): BGB-21447 Monotherapy Dose Optimization in R/R FL or R/R MZLExperimentalParticipants will receive BGB-21447 with two dose levels from Cohort A1 for further evaluation of safety and efficacy.
Receives: Drug: BGB-21447

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part 1: Number of participants with dose limiting toxicities (DLTs)

    Number of participants with dose limiting toxicities, as defined in the study protocol.

    Measured: Up to approximately 1 month

  2. Number of participants with adverse events (AEs)

    Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) assessed and graded based upon the National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE v5.0).

    Measured: From the first dose of study drug to 30 days after the last dose or initiation of new anticancer therapy, whichever occurs first; up to approximately 12 months

  3. Number of participants with Tumor Lysis Syndrome (TLS)

    TLS will be determined via laboratory values and assessed by the investigator.

    In laboratory tumor lysis syndrome, 2 or more metabolic abnormalities must be present during the 24-hour period within 3 days before the start of study drug treatment or up to 7 days afterward. Clinical tumor lysis syndrome requires the presence of laboratory tumor lysis syndrome plus an increased creatinine level, seizures, cardiac dysrhythmia, or death.

    Measured: From the first dose of study drug to 30 days after the last dose or initiation of new anticancer therapy, whichever occurs first; up to approximately 12 months

Secondary outcomes (15)
  1. Maximum observed plasma concentration (Cmax) After a Single Dose of BGB-21447

    Measured: Up to approximately 8 weeks

  2. Area under the curve from time 0 to the last sampling time point within the dose interval (AUC0-t) After a Single Dose of BGB-21447

    Measured: Up to approximately 8 weeks

  3. Area under the curve from time 0 extrapolated to infinity time (AUCinf) After a Single Dose of BGB-21447

    Measured: Up to approximately 8 weeks

  4. Time to reach maximum observed plasma concentration (Tmax) After a Single Dose of BGB-21447

    Measured: Up to approximately 8 weeks

  5. Apparent terminal elimination half-life (t1/2) After a Single Dose of BGB-21447

    Measured: Up to approximately 8 weeks

  6. Apparent oral clearance (CL/F) After a Single Dose of BGB-21447

    Measured: Up to approximately 8 weeks

  7. Apparent volume of distribution (Vz/F) After a Single Dose of BGB-21447

    Measured: Up to approximately 8 weeks

  8. Steady state maximum observed plasma concentration (Cmax,ss) of BGB-21447

    Measured: Up to approximately 8 weeks

  9. Steady state pre-dose trough concentration (Ctrough,ss) of BGB-21447

    Measured: Up to approximately 8 weeks

  10. Steady state area under the curve from time 0 to the quantifiable concentration (AUClast,ss) of BGB-21447

    Measured: Up to approximately 8 weeks

  11. Steady state time to reach maximum observed plasma concentration (Tmax,ss) of BGB-21447

    Measured: Up to approximately 8 weeks

  12. Overall response rate (ORR)

    Defined as the percentage of patients who achieve partial response or better for diffuse large B-cell lymphoma, marginal zone lymphoma, follicular lymphoma, transformed B-NHL, and Richter's transformation to DLBCL as per the Lugano Classification for non-Hodgkin lymphoma.

    Measured: Up to approximately 24 months

  13. Duration of Response (DOR)

    Defined as the time from the first response documentation to the date that progression is documented after treatment initiation or death due to any cause, whichever occurs first.

    Measured: Up to approximately 24 months

  14. Time to response (TTR)

    Defined as the time from treatment initiation to the first documentation of response.

    Measured: Up to approximately 24 months

  15. Part 2: Progression-free survival (PFS)

    Defined as the time from treatment initiation to the first documented disease progression or death due to any cause, whichever occurs first.

    Measured: Up to approximately 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Apr 2023
  2. Study start20 Jun 2023
  3. Primary completion8 Jun 2026
  4. Study completion8 Jun 2026

Why it stopped: This decision is due to a company business decision with strategy change on the BGB-21447 development in B-cell malignancies and is not driven by safety concerns.

Resources

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
Randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
51 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05828589
Sponsor's protocol ID
BGB-21447-101
Other IDs
CT-2023-CTN-05421-1, CTR20231287, 2025-521600-21-00, 2025
Status last verified
Jul 2026
First submitted
12 Apr 2023
Last updated
14 Jul 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.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BGB-21447 in people with Relapsed Non-Hodgkin Lymphoma and Refractory Non-Hodgkin Lymphoma, run by BeOne Medicines at 28 sites in 4 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 9 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: stopped early, as of the sponsor's last update on 14 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in China, United States, Australia, New Zealand. 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 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.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: This decision is due to a company business decision with strategy change on the BGB-21447 development in B-cell malignancies and is not driven by safety concerns.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part 1: Number of participants with dose limiting toxicities (DLTs) (time frame: Up to approximately 1 month). The study lists 3 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 Jul 2026.

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