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Advanced Solid TumorPhase 1NCT06233942

Phase 1a/1b First-in-Human Study of BG-C9074 Alone and in Combination With Other Anticancer Therapies in Patients With Advanced Solid Tumors

A Phase 1 study testing BG-C9074, Tislelizumab and Bevacizumab in people with Advanced Solid Tumor, run by BeOne Medicines at 37 sites in 5 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a first-in-human, dose finding and dose expansion study to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary antitumor activity of BG-C9074 alone and in combination with other anticancer therapies in patients with advanced solid tumors. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Solid Tumor
What is being tested?
BG-C9074, Tislelizumab and Bevacizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
308 participants
Where
37 sitesin 5 countries
Study dates
12 Apr 2024to 15 May 2028
Phase
Phase 1
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

  • Able to provide a signed and dated written informed consent prior to any study-specific procedures, sampling, or data collection.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1.
  • Participants with selected histologically or cytologically confirmed advanced, metastatic, and unresectable solid tumors who have previously received standard systemic therapy and whose cancer is not amenable to therapy with curative intent, and for whom further treatment is not available or not tolerated. Enrollment will be limited to participants with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) breast cancer, cholangiocarcinoma (CCA), endometrial cancer, squamous non-small cell lung cancer (NSCLC), triple-negative breast cancer (TNBC), or ovarian cancer. Enrollment in the Japan cohort will be limited to participants with HR+/HER2- breast cancer, TNBC, endometrial cancer, or ovarian cancer.
  • ≥ 1 measurable lesion per Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1)
  • Able to provide an archived tumor tissue sample.
  • Adequate bone marrow and organ function.
  • Females of childbearing potential must be willing to use a highly effective method of birth control for the duration of the study, and for ≥ 7 months after the last dose of study drug(s).
  • Nonsterile males must be willing to use a highly effective method of birth control for the duration of the study treatment period and for ≥ 4 months after the last dose of study drug(s).

Who cannot join

  • Prior treatment with a B7 homolog 4 (B7H4)-targeting antibody-drug conjugate (ADC) or an ADC with a topoisomerase 1 inhibitor (TOP1i) payload.
  • Active leptomeningeal disease or uncontrolled, untreated brain metastasis
  • Any malignancy ≤ 2 years before the first dose of study treatment(s) except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated with curative intent (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast).
  • History of interstitial lung disease, ≥ Grade 2 noninfectious pneumonitis, oxygen saturation at rest < 92%, or requirement for supplemental oxygen (including intermittent use) at baseline.
  • Uncontrolled diabetes.
  • Infection (including tuberculosis infection) requiring systemic (oral or intravenous) antibacterial, antifungal, or antiviral therapy ≤ 14 days before the first dose of study treatment(s).
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

37 sites in 5 countries. Contact the study team or a site near you to ask about taking part.

37 sites in 5 countries

China15 sites, 14 recruiting
  • Cancer Hospital Chinese Academy of Medical Sciences

    Beijing, Beijing Municipality, 100021

    Recruiting
  • The Second Hospital of Dalian Medical University

    Dalian, Liaoning, 116023

    Recruiting
  • Fujian Cancer Hospital

    Fuzhou, Fujian, 350014

    Active, not recruiting
  • Sun Yat Sen University Cancer Center

    Guangzhou, Guangdong, 510060

    Recruiting
  • Zhejiang Cancer Hospital

    Hangzhou, Zhejiang, 310022

    Recruiting
  • Harbin Medical University Cancer Hospital

    Harbin, Heilongjiang, 150000

    Recruiting
  • Qilu Hospital of Shandong University

    Jinan, Shandong, 250000

    Recruiting
  • Affiliated Hospital of Jining Medical University

    Jining, Shandong, 272000

    Recruiting
  • Obstetrics and Gynecology Hospital of Fudan University

    Shanghai, Shanghai Municipality, 200011

    Recruiting
  • Shengjing Hospital of China Medical University

    Shenyang, Liaoning, 110004

    Recruiting
  • Liaoning Cancer Hospital and Institute

    Shenyang, Liaoning, 110042

    Recruiting
  • Tianjin Medical University Cancer Institute and Hospital

    Tianjin, Tianjin Municipality, 300060

    Recruiting
  • Weifang Peoples Hospital

    Weifang, Shandong, 261000

    Recruiting
  • Union Hospital of Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei, 430022

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

    Wuhan, Hubei, 430030

    Recruiting

Other trials in China

Australia8 sites, 7 recruiting
  • Blacktown Cancer and Haematology Centre

    Blacktown, New South Wales, NSW 2148

    Recruiting
  • Monash Health

    Clayton, Victoria, VIC 3168

    Recruiting
  • Cabrini Hospital Malvern

    Malvern, Victoria, VIC 3144

    Recruiting
  • Peter Maccallum Cancer Centre

    Melbourne, Victoria, VIC 3000

    Recruiting
  • Linear Clinical Research

    Nedlands, Western Australia, WA 6009

    Completed
  • Macquarie University

    North Ryde, New South Wales, NSW 2109

    Recruiting
  • Cancer Care Wollongong

    Wollongong, New South Wales, NSW 2500

    Recruiting
  • Princess Alexandra Hospital

    Woolloongabba, Queensland, QLD 4102

    Recruiting

Other trials in Australia

Brazil7 sites, 7 recruiting
  • Hospital Sirio Libanes Brasilia

    Brasília, 70200-730

    Recruiting
  • Liga Norte Riograndene Contra O Cancer

    Natal, 59062-000

    Recruiting
  • Hospital Sao Lucas Da Pucrs

    Porto Alegre, 90610-000

    Recruiting
  • Instituto Nacional de Cancer Hospital Do Cancer Ii

    Rio de Janerio, 20220-410

    Recruiting
  • Fundacao Faculdade Regional de Medicina de Sao Jose Do Rio Preto

    São José do Rio Preto, 15090-000

    Recruiting
  • Icesp Instituto Do Cancer Do Estado de Sao Paulo Octavio Frias de Oliveira

    São Paulo, 01246-000

    Recruiting
  • Clinica de Pesquisa E Centro de Estudos Em Oncologia Ginecologica E Mamaria

    São Paulo, 01318-001

    Recruiting

Other trials in Brazil

United States5 sites, 5 recruiting
  • University of Colorado Cancer Center

    Aurora, Colorado, 80045-2517

    Recruiting
  • Sidney Kimmel Comprehensive Cancer At Johns Hopkins

    Baltimore, Maryland, 21287

    Recruiting
  • James Cancer Hospital and Solove Research Institute

    Columbus, Ohio, 43210-1240

    Recruiting
  • Usc Norris Comprehensive Cancer Center (Nccc)

    Los Angeles, California, 90089-1019

    Recruiting
  • Florida Cancer Specialist Research Institute Lake Nona

    Orlando, Florida, 32827-7400

    Recruiting

Other trials in United States

Japan2 sites
  • National Cancer Center Hospital East

    Kashiwa, Chiba, 277-8577

    Active, not recruiting
  • Cancer Institute Hospital of Jfcr

    Kotoku, Tokyo, 135-8550

    Active, not recruiting

Other trials in Japan

About this study

Official title: Phase 1a/1b Study of BG-C9074, an Antibody Drug Conjugate Targeting B7H4, as Monotherapy and in Combination With Other Anticancer Therapies in Patients With Advanced Solid Tumors

This is a first-in-human, dose finding and dose expansion study to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary antitumor activity of BG-C9074 alone and in combination with other anticancer therapies in patients with advanced solid tumors.

Being tested
BG-C9074, Tislelizumab, Bevacizumab
Keywords
BG-C9074, Tislelizumab, Advanced Solid Tumors, first-in-human, B7H4

What participants receive

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

  • BG-C9074Drug

    administered by intravenous infusion

  • TislelizumabDrug

    administered by intravenous infusion

  • BevacizumabDrug

    administered by intravenous infusion

Study groups in NCT06233942
Study groupRoleWhat they receive
Phase 1a: Part A (Monotherapy Dose Escalation)ExperimentalBG-C9074 monotherapy dose escalation
Receives: Drug: BG-C9074
Phase 1a: Part B (Monotherapy Safety Expansion)ExperimentalBG-C9074 dose levels that have been determined to be safe and tolerable in Part A will be investigated.
Receives: Drug: BG-C9074
Phase 1a: Part C (Combination Therapy Dose Escalation)ExperimentalBG-C9074 plus tislelizumab combination at the recommended dose for expansion (RDFE).
Receives: Drug: BG-C9074; Drug: Tislelizumab
Phase 1a: Part D (Japan Cohort)ExperimentalA separate cohort in Japan will evaluate the safety of BG-C9074 monotherapy in Japanese participants with select solid tumors
Receives: Drug: BG-C9074
Phase 1b: Monotherapy Dose ExpansionExperimentalThe monotherapy dose expansion phase will begin once the BG-C9074 monotherapy RDFE and dosing schedule have been determined from Parts A and B in Phase 1a.
Receives: Drug: BG-C9074
Phase 1b: Combination Therapy Dose Expansion (BG-C9074 plus tislelizumab)ExperimentalThis arm will assess BG-C9074 plus tislelizumab as first-line therapy in select solid tumors after completion of the dose escalation phase.
Receives: Drug: BG-C9074; Drug: Tislelizumab
Phase 1b: Combination Therapy Dose Expansion (BG-C9074 plus bevacizumab)ExperimentalThis arm will assess BG-C9074 plus bevacizumab in select solid tumors participants after establishing the recommended monotherapy dose and schedule.
Receives: Drug: BG-C9074; Drug: Bevacizumab

What is being measured

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

  1. Phase 1a: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Number of participants with AEs and SAEs (as graded by the National Cancer Institute-Common Terminology Criteria for Adverse Events [NCI-CTCAE] Version [v] 5.0),, including findings from physical examinations, electrocardiograms (ECGs), laboratory assessments, and that meet protocol-defined dose-limiting toxicity criteria.

    Measured: Approximately 3 years

  2. Phase 1a: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD) of BG-C9074

    Defined as the highest dose evaluated for which the estimated toxicity rate is closest to the target toxicity rate of 28% or the highest dose administered, respectively

    Measured: Approximately 18 months

  3. Phase 1a: Recommended Dose for Expansion (RDFE) of BG-C9074.

    The potential RDFE(s) of BG-C9074 alone and in combination with tislelizumab will be determined based on the MTD or MAD, taking into consideration the long-term tolerability, PK, pharmacodynamics, preliminary antitumor activity, and any other relevant data, as available

    Measured: Approximately 18 months

  4. Phase 1b: Overall Response Rate (ORR) as monotherapy and in combination with tislelizumab

    ORR is defined as the percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR) assessed by the investigator using RECIST v1.1.

    Measured: Approximately 3 years

  5. Phase 1b: Recommended Phase 2 dose (RP2D) of BG-C9074 as monotherapy and in combination with bevacizumab or tislelizumab

    The RP2D of BG-C9074 will be determined based on safety, PK, pharmacodynamics, preliminary antitumor activity, and other relevant data, as available.

    Measured: Approximately 30 months

Secondary outcomes (24)
  1. Phase 1a: ORR as monotherapy and in combination with tislelizumab

    ORR is defined as the percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR) assessed by the investigator using RECIST v1.1.

    Measured: Approximately 3 years

  2. Phase 1b: ORR as monotherapy and in combination with bevacizumab or tislelizumab

    ORR is defined as the percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR) assessed by the investigator using RECIST v1.1.

    Measured: Approximately 3 years

  3. Phase 1b: ORR per B7-H4 (B7 homolog 4) protein expression

    ORR is defined as the percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR) assessed by the investigator using RECIST v1.1 and evaluated according to the amount of B7-H4 (B7 homolog 4) protein expressed in their tumors

    Measured: Approximately 3 years

  4. Duration of Response (DOR)

    Duration of response (DOR) is defined as the time from the first determination of an objective response per RECIST v1.1 until the first documentation of disease progression or death, whichever occurs first, as assessed by the investigator

    Measured: Approximately 3 years

  5. Duration of Response (DOR) per B7-H4 protein expression

    Duration of response (DOR) is defined as the time from the first determination of an objective response per RECIST v1.1 until the first documentation of disease progression or death, whichever occurs first, as assessed by the investigator, and evaluated according to the amount of B7-H4 protein expressed in the tumors

    Measured: Approximately 3 years

  6. Disease Control Rate (DCR)

    DCR is defined as the percentage of participants with best overall response of CR, PR, or stable disease, as assessed by the investigator

    Measured: Approximately 3 years

  7. Disease Control Rate (DCR) per B7-H4 protein expression

    DCR is defined as the percentage of participants with best overall response of CR, PR, or stable disease, as assessed by the investigator, and evaluated according to the amount of B7-H4 protein expressed in the tumors

    Measured: Approximately 3 years

  8. Clinical Benefit Rate (CBR)

    CBR is defined as the percentage of participants with best overall response of confirmed CR, PR, or stable disease lasting ≥ 24 weeks as assessed by investigator.

    Measured: Approximately 3 years

  9. Clinical Benefit Rate (CBR) per B7-H4 protein expression

    CBR is defined as the percentage of participants with best overall response of confirmed CR, PR, or stable disease lasting ≥ 24 weeks as assessed by investigato, and evaluated according to the amount of B7-H4 protein expressed in the tumors

    Measured: Approximately 3 years

  10. Phase 1b: Progression Free Survival (PFS)

    PFS is defined as the time from the date of the first dose of study drug(s) to the date of the first documentation of progressive disease assessed by the investigator using RECIST v1.1 or death, whichever occurs first.

    Measured: Approximately 3 years

  11. Phase 1b: Number of Participants with AEs and SAEs

    Number of participants with AEs and SAEs, including findings from physical examinations, electrocardiograms (ECGs), and laboratory assessments.

    Measured: Approximately 3 years

  12. Maximum observed plasma concentration (Cmax) for BG-C9074

    Measured: Twice in the first four months

  13. Minimum observed plasma concentration (Cmin) for BG-C9074

    Measured: Approximately 3 years

  14. Time to reach maximum observed plasma concentration (Tmax) for BG-C9074

    Measured: Twice in the first four months

  15. Half-life (t1/2) for BG-C9074

    Measured: Twice in the first four months

  16. Area under the concentration-time curve (AUC) for BG-C9074

    Measured: Twice in the first four months

  17. Apparent clearance (CL/F) for BG-C9074

    Measured: Twice in the first four months

  18. Apparent volume of distribution (Vz/F) for BG-C9074

    Measured: Twice in the first four months

  19. Accumulation ratio for BG-C9074

    Measured: Twice in the first four months

  20. Plasma concentrations for BG-C9074

    Measured: Approximately 3 years

  21. Phase 1a: Number of participants with anti-drug antibodies (ADAs) to BG-C9074 and tislelizumab

    Measured: Approximately 3 years

  22. Phase 1b: Number of participants with anti-drug antibodies (ADAs) to BG-C9074

    Measured: Approximately 3 years

  23. Serum concentration of BG-C0974

    Measured: Approximately 3 years

  24. Serum concentration of Tislelizumab

    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.

  1. First posted31 Jan 2024
  2. Study start12 Apr 2024
  3. Primary completion28 Sep 2027 (estimated)
  4. Study completion15 May 2028 (estimated)

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
308 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06233942
Sponsor's protocol ID
BG-C9074-101
Other IDs
jRCT2031250755
Status last verified
Jun 2026
First submitted
23 Jan 2024
Last updated
16 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.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BG-C9074, Tislelizumab and Bevacizumab in people with Advanced Solid Tumor, run by BeOne Medicines at 37 sites in 5 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 8 inclusion and 7 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 16 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 37 sites in China, Australia, Brazil, United States, Japan. 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?

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?

Phase 1a: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) (time frame: Approximately 3 years). The study lists 5 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 16 Sep 2026.

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