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Treatment of Chinese Participants With B-Cell Malignancies With BGB-16673, a Burton Tyrosine Kinase-Targeted Protein-Degrader

Primary Purpose

B-cell Malignancy, Non-Hodgkin Lymphoma, Mantle Cell Lymphoma

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
BGB-16673
Sponsored by
BeiGene
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for B-cell Malignancy focused on measuring B-cell Malignancy, MZL, FL, DLBCL, Richter's Transformation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria

  1. Provision of signed and dated written informed consent prior to any study, Age ≥ 18 years
  2. ECOG Performance Status of 0 to 2
  3. Adequate organ function of coagulation function, liver function, renal function and pancreatic function and measure disease per disease-specific response criteria
  4. Confirmed diagnosis of R/R MZL, FL (grade 1-3a), MCL, CLL/SLL, WM and previously treated
  5. Highly effective method of birth control during study treatment period, and for at least 90 days after the last dose of the study drug

Key Exclusion Criteria

  1. 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
  2. Require ongoing systemic treatment for any other malignancy or systemic corticosteroid treatment
  3. Receiving treatment with a strong CYP3A inhibitor or inducer, or proton-pimp inhibitors ≤ 14 days before the first dose of BGB-16673.
  4. Current or history of central nervous involvement
  5. Prior autologous stem cell transplant unless ≥ 3 months after transplant, prior chimeric cell therapy unless ≥ 6 months after cell infusion, prior allogeneic stem cell transplant ≤ 6 months before the first dose of the study drug

Note: Other protocol defined Inclusion/Exclusion criteria may apply

Sites / Locations

  • The First Affiliated Hospital of Bengbu Medical CollegeRecruiting
  • Anhui Provincial HospitalRecruiting
  • Peking University Third HospitalRecruiting
  • Xinqiao Hospital Affiliated to the Army Medical UniversityRecruiting
  • Fujian Medical University Union HospitalRecruiting
  • Sun Yat Sen University Cancer CenterRecruiting
  • Guangdong Provincial Peoples Hospital Huifu BranchRecruiting
  • Henan Cancer HospitalRecruiting
  • Xiangyang Central HospitalRecruiting
  • Jiangsu Province HospitalRecruiting
  • The First Affiliated Hospital of Soochow UniversityRecruiting
  • Wuxi Peoples HospitalRecruiting
  • The First Affiliated Hospital of Nanchang University Branch DonghuRecruiting
  • Affiliated Zhongshan Hospital of Dalian UniversityRecruiting
  • Shandong Cancer HospitalRecruiting
  • Qingdao Central HospitalRecruiting
  • Rui Jin Hospital Shanghai Jiao Tong University School of MedicineRecruiting
  • Shanxi Provincial Cancer HospitalRecruiting
  • West China Hospital, Sichuan UniversityRecruiting
  • Institute of Hematology and Hospital of Blood DiseaseRecruiting
  • The First Affiliated Hospital, Zhejiang University School of Medicine Branch YuhangRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Part 1a Monotherapy Dose Escalation

Part 1b Monotherapy Safety Expansion

Part 2 Monotherapy Dose Expansion

Arm Description

BGB-16673 will be orally administered

BGB-16673 will be orally administered

BGB-16673 will be administered at the recommended Phase 2 dose (RP2D) that was identified in Part 1

Outcomes

Primary Outcome Measures

Number of participants with adverse events (AEs)
Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including laboratory values, vital signs, physical examination findings, and electrocardiogram results.
Maximum tolerated dose (MTD) of BGB-16673
The highest dose evaluated as recommended by the Bayesian Optimal Interval Design with Informative Prior (iBOIN) design or the Mean absolute deviation (MAD) (Part 1a only)
Recommended Phase 2 dose (RP2D) of BGB-16673
as determined by the sponsor based on the Safety Monitoring Committee's recommendation considering totality of the available clinical safety, clinical efficacy, pharmacokinetics, and pharmacodynamics data

Secondary Outcome Measures

Maximum observed plasma concentration (Cmax) of BGB-16673
Time to reach maximum observed plasma concentration (Tmax) of BGB-16673
Minimum observed plasma concentration (Cmin) of BGB-16673
Apparent terminal elimination half life (t1/2) of BGB-16673
Area under the plasma-concentration curve (AUC) of BGB-16673
Apparent oral clearance (CL/F) of of BGB-16673
Apparent volume of distribution (Vz/F) of BGB-16673
Accumulation ratios of BGB-16673
Maximum observed steady state plasma concentration (Css,max) of of BGB-16673
Time to reach maximum observed steady state plasma concentration (Tss,max) of BGB-16673
Minimum observed steady state plasma concentration (Css,min) of BGB-16673
Steady state apparent oral plasma clearance (CL/F) of BGB-16673
Steady state apparent volume of distribution (Vss/F) of BGB-16673
Bruton's tyrosine kinase (BTK) protein degradation in peripheral blood upon BGB-16673 monotherapy
Overall Response Rate (ORR)
ORR is defined as the percentage of participants with partial or complete response, as assessed using International Workshop on Chronic Lymphocytic Leukemia (iwCLL), Owen, and Lugano criteria
Major Response Rate (MRR)
MRR is defined as the percentage of participants who achieved complete response (CR) + very good partial response (VGPR) + partial response (PR), as assessed by iwCLL, Owen, and Lugano criteria for participants with Waldenstrom macroglobulinemia (WM) only

Full Information

First Posted
February 22, 2022
Last Updated
September 20, 2023
Sponsor
BeiGene
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1. Study Identification

Unique Protocol Identification Number
NCT05294731
Brief Title
Treatment of Chinese Participants With B-Cell Malignancies With BGB-16673, a Burton Tyrosine Kinase-Targeted Protein-Degrader
Official Title
A Phase 1, Open-Label, Dose-Escalation and Expansion Study of the Bruton Tyrosine Kinase Targeted Protein-Degrader BGB-16673 in Chinese Patients With B-Cell Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 24, 2022 (Actual)
Primary Completion Date
March 2027 (Anticipated)
Study Completion Date
March 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BeiGene

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study aims to explore the recommended phase 2 dose and evaluate the safety, tolerability and preliminary antitumor activity of BGB-16673 monotherapy at the recommended Phase 2 dose for the selected B-cell malignancy expansion cohorts

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
B-cell Malignancy, Non-Hodgkin Lymphoma, Mantle Cell Lymphoma, Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma, Waldenström Macroglobulinemia, Marginal Zone Lymphoma, Follicular Lymphoma, DLBCL Unclassifiable, Richter's Transformation
Keywords
B-cell Malignancy, MZL, FL, DLBCL, Richter's Transformation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
116 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part 1a Monotherapy Dose Escalation
Arm Type
Experimental
Arm Description
BGB-16673 will be orally administered
Arm Title
Part 1b Monotherapy Safety Expansion
Arm Type
Experimental
Arm Description
BGB-16673 will be orally administered
Arm Title
Part 2 Monotherapy Dose Expansion
Arm Type
Experimental
Arm Description
BGB-16673 will be administered at the recommended Phase 2 dose (RP2D) that was identified in Part 1
Intervention Type
Drug
Intervention Name(s)
BGB-16673
Intervention Description
BGB-16673 will be orally administered as per dosage needs
Primary Outcome Measure Information:
Title
Number of participants with adverse events (AEs)
Description
Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including laboratory values, vital signs, physical examination findings, and electrocardiogram results.
Time Frame
Up to 5 years
Title
Maximum tolerated dose (MTD) of BGB-16673
Description
The highest dose evaluated as recommended by the Bayesian Optimal Interval Design with Informative Prior (iBOIN) design or the Mean absolute deviation (MAD) (Part 1a only)
Time Frame
Up to 5 years
Title
Recommended Phase 2 dose (RP2D) of BGB-16673
Description
as determined by the sponsor based on the Safety Monitoring Committee's recommendation considering totality of the available clinical safety, clinical efficacy, pharmacokinetics, and pharmacodynamics data
Time Frame
Up to 5 years
Secondary Outcome Measure Information:
Title
Maximum observed plasma concentration (Cmax) of BGB-16673
Time Frame
Up to Week 9
Title
Time to reach maximum observed plasma concentration (Tmax) of BGB-16673
Time Frame
Up to Week 9
Title
Minimum observed plasma concentration (Cmin) of BGB-16673
Time Frame
Up to Week 9
Title
Apparent terminal elimination half life (t1/2) of BGB-16673
Time Frame
Up to Week 9
Title
Area under the plasma-concentration curve (AUC) of BGB-16673
Time Frame
Up to Week 9
Title
Apparent oral clearance (CL/F) of of BGB-16673
Time Frame
Up to Week 9
Title
Apparent volume of distribution (Vz/F) of BGB-16673
Time Frame
Up to Week 9
Title
Accumulation ratios of BGB-16673
Time Frame
Up to Week 9
Title
Maximum observed steady state plasma concentration (Css,max) of of BGB-16673
Time Frame
Up to Week 9
Title
Time to reach maximum observed steady state plasma concentration (Tss,max) of BGB-16673
Time Frame
Up to Week 9
Title
Minimum observed steady state plasma concentration (Css,min) of BGB-16673
Time Frame
Up to Week 9
Title
Steady state apparent oral plasma clearance (CL/F) of BGB-16673
Time Frame
Up to Week 9
Title
Steady state apparent volume of distribution (Vss/F) of BGB-16673
Time Frame
Up to Week 9
Title
Bruton's tyrosine kinase (BTK) protein degradation in peripheral blood upon BGB-16673 monotherapy
Time Frame
Up to Week 9
Title
Overall Response Rate (ORR)
Description
ORR is defined as the percentage of participants with partial or complete response, as assessed using International Workshop on Chronic Lymphocytic Leukemia (iwCLL), Owen, and Lugano criteria
Time Frame
Up to 5 years
Title
Major Response Rate (MRR)
Description
MRR is defined as the percentage of participants who achieved complete response (CR) + very good partial response (VGPR) + partial response (PR), as assessed by iwCLL, Owen, and Lugano criteria for participants with Waldenstrom macroglobulinemia (WM) only
Time Frame
Up to 5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria Provision of signed and dated written informed consent prior to any study, Age ≥ 18 years Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2 Adequate organ function of coagulation function, liver function, renal function and pancreatic function and measure disease per disease-specific response criteria Confirmed diagnosis of R/R Marginal Zone Lymphoma (MZL), Follicular Lymphoma (grade 1-3a), Mantle cell lymphoma (MCL), Chronic lymphocytic leukemia, small lymphocytic lymphoma, WM, diffuse large B-cell lymphoma (DLBCL) (part 1a only), or Richter's transformation to DLBCL (part 1a only). Highly effective method of birth control during study treatment period, and for at least 90 days after the last dose of the study drug Key Exclusion Criteria 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 Require ongoing systemic treatment for any other malignancy or systemic corticosteroid treatment Receiving treatment with a strong CYP3A inhibitor or inducer, or proton-pimp inhibitors ≤ 14 days before the first dose of BGB-16673. Current or history of central nervous involvement Prior autologous stem cell transplant unless ≥ 3 months after transplant, prior chimeric cell therapy unless ≥ 6 months after cell infusion, prior allogeneic stem cell transplant ≤ 6 months before the first dose of the study drug Note: Other protocol defined Inclusion/Exclusion criteria may apply
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
BeiGene
Phone
1.877.828.5568
Email
clinicaltrials@beigene.com
Facility Information:
Facility Name
The First Affiliated Hospital of Bengbu Medical College
City
Bengbu
State/Province
Anhui
ZIP/Postal Code
233004
Country
China
Individual Site Status
Recruiting
Facility Name
Anhui Provincial Hospital
City
Hefei
State/Province
Anhui
ZIP/Postal Code
230000
Country
China
Individual Site Status
Recruiting
Facility Name
Peking University Third Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100000
Country
China
Individual Site Status
Recruiting
Facility Name
Xinqiao Hospital Affiliated to the Army Medical University
City
Chongqing
State/Province
Chongqing
ZIP/Postal Code
400037
Country
China
Individual Site Status
Recruiting
Facility Name
Fujian Medical University Union Hospital
City
Fuzhou
State/Province
Fujian
ZIP/Postal Code
350001
Country
China
Individual Site Status
Recruiting
Facility Name
Sun Yat Sen University Cancer Center
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510060
Country
China
Individual Site Status
Recruiting
Facility Name
Guangdong Provincial Peoples Hospital Huifu Branch
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510120
Country
China
Individual Site Status
Recruiting
Facility Name
Henan Cancer Hospital
City
Zhengzhou
State/Province
Henan
ZIP/Postal Code
450000
Country
China
Individual Site Status
Recruiting
Facility Name
Xiangyang Central Hospital
City
Xiangyang
State/Province
Hubei
ZIP/Postal Code
441021
Country
China
Individual Site Status
Recruiting
Facility Name
Jiangsu Province Hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210029
Country
China
Individual Site Status
Recruiting
Facility Name
The First Affiliated Hospital of Soochow University
City
Suzhou
State/Province
Jiangsu
ZIP/Postal Code
215006
Country
China
Individual Site Status
Recruiting
Facility Name
Wuxi Peoples Hospital
City
Wuxi
State/Province
Jiangsu
ZIP/Postal Code
214023
Country
China
Individual Site Status
Recruiting
Facility Name
The First Affiliated Hospital of Nanchang University Branch Donghu
City
Nanchang
State/Province
Jiangxi
ZIP/Postal Code
330006
Country
China
Individual Site Status
Recruiting
Facility Name
Affiliated Zhongshan Hospital of Dalian University
City
Dalian
State/Province
Liaoning
ZIP/Postal Code
116001
Country
China
Individual Site Status
Recruiting
Facility Name
Shandong Cancer Hospital
City
Jinan
State/Province
Shandong
ZIP/Postal Code
250117
Country
China
Individual Site Status
Recruiting
Facility Name
Qingdao Central Hospital
City
Qingdao
State/Province
Shandong
ZIP/Postal Code
266031
Country
China
Individual Site Status
Recruiting
Facility Name
Rui Jin Hospital Shanghai Jiao Tong University School of Medicine
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200025
Country
China
Individual Site Status
Recruiting
Facility Name
Shanxi Provincial Cancer Hospital
City
Taiyuan
State/Province
Shanxi
ZIP/Postal Code
030013
Country
China
Individual Site Status
Recruiting
Facility Name
West China Hospital, Sichuan University
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610041
Country
China
Individual Site Status
Recruiting
Facility Name
Institute of Hematology and Hospital of Blood Disease
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300020
Country
China
Individual Site Status
Recruiting
Facility Name
The First Affiliated Hospital, Zhejiang University School of Medicine Branch Yuhang
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
311121
Country
China
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes

Learn more about this trial

Treatment of Chinese Participants With B-Cell Malignancies With BGB-16673, a Burton Tyrosine Kinase-Targeted Protein-Degrader

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