MedPath

Study of BGB-11417 Monotherapy in Participants With Relapsed or Refractory Mantle Cell Lymphoma

Phase 1
Active, not recruiting
Conditions
Mantle Cell Lymphoma
Refractory Mantle Cell Lymphoma (MCL)
Relapsed Mantle Cell Lymphoma
Interventions
Registration Number
NCT05471843
Lead Sponsor
BeiGene
Brief Summary

The study consists of two parts. Part 1 determines the safety and tolerability of BGB-11417 (sonrotoclax) monotherapy, the maximum tolerated dose, and the recommended Phase 2 dose of BGB-11417 monotherapy for relapsed or refractory mantle cell lymphoma. Part 2 evaluates efficacy of BGB-11417 monotherapy at the recommended Phase 2 dose with recommended ramp-up schedule from Part 1.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
126
Inclusion Criteria
  1. Histologically confirmed diagnosis of MCL
  2. Prior systemic treatments for MCL (at least one line of anti-cluster of differentiation 20 (anti-CD20) based immune or chemoimmunotherapy and at least one kind of covalent or non-covalent adequate Bruton Tyrosine Kinase (BTK) inhibitor).
  3. Relapsed/refractory disease
  4. Presence of measurable disease
  5. Availability of archival tissue confirming diagnosis of MCL, or willing to undergo fresh tumor biopsy
  6. Eastern Cooperative Oncology Group (ECOG) performance status of 0,1 or 2.
  7. Adequate organ function

Key

Exclusion Criteria
  1. Known central nervous system involvement by lymphoma
  2. Prior malignancy other than MCL within the past 3 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.
  3. Prior exposure to a BCL-2 inhibitor (eg, venetoclax/ABT-199).
  4. Prior autologous stem cell transplant within the last 3 months; or prior autologous chimeric antigen receptor T-cell therapy within the last 3 months; or prior allogeneic stem cell transplant within the last 6 months or currently has an active graft-vs-host disease requiring the use of immunosuppressants.
  5. Clinically significant cardiovascular disease.
  6. Major surgery or significant injury ≤ 4 weeks prior to start of study treatment.
  7. Active fungal, bacterial or viral infection requiring systemic treatment.

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Single ArmBGB-11417Participants will receive sonrotoclax
Primary Outcome Measures
NameTimeMethod
Part 1: Number Of Participants Experiencing Dose-limiting Toxicities (DLTs)Up to 1 Year
Part 1: Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and adverse events leading to discontinuation.Up to 5 Years
Part 1: Number of participants experiencing tumor lysis syndrome (TLS) relevant eventsUp to 5 Years
Part 2: Overall Response Rate (ORR) as assessed by the Independent Review Committee (IRC)Up to 4 Years

Defined as the proportion of participants who achieved a complete response (CR), or partial response (PR) per the Lugano Classification

Secondary Outcome Measures
NameTimeMethod
Part 1: Single Dose Area Under the Plasma Concentration Time Curve (AUC)Up to 2 Years
Part 1: Single Dose Maximum Observed Plasma Concentration (Cmax)Up to 2 Years
Part 1: Single Dose Time to reach Cmax (Tmax)Up to 2 Years
Part 1: Steady State Area Under the Plasma Concentration Time Curve (AUC)Up to 2 Years
Part 1: Steady State Maximum Observed Plasma Concentration (Cmax)Up to 2 Years
Part 1: Steady State Trough Plasma Concentration (CTrough)Up to 2 Years
Part 1: Steady State Time to reach Cmax (Tmax)Up to 2 Years
Overall Response Rate (ORR) as assessed by investigatorUp to 4 Years

Defined as the proportion of participants who achieved a complete response (CR), or partial response (PR) per Lugano classification

Duration of Response (DOR) as assessed by investigator and IRCUp to 4 Years

DOR is defined as the time from the date of the first documented response (PR or better) after treatment initiation until the date of first documented disease progression or death due to any cause; whichever occurs first

Progression Free Survival (PFS) as assessed by investigator and IRCUp to 4 Years

PFS is defined as the time from the date of the first study dose until the date of first documented disease progression or death due to any cause, whichever occurs first.

Time to Response (TTR) as assessed by investigator and IRCUp to 4 Years

TTR is defined as the time from start of treatment to first documentation of response of Partial Response (PR) or better

Overall Survival (OS)Up to 4 Years

Defined as time from the start of treatment to the date of death due to any cause

Part 2: Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and adverse events leading to discontinuation.Up to 4 Years
Part 2: Number of participants with clinically significant changes from baseline in vital signsUp to 4 Years

Vital signs include blood pressure and pulse rate

Part 2: Number of participants with clinically significant changes from baseline in clinical laboratory valuesUp to 4 Years

Laboratory values include hematology, and clinical chemistry

Part 2: Number of Participants With Clinically Significant Physical Examination FindingsUp to 4 Years

A Physical examination includes head, ears, eyes, nose, mouth, skin, heart and lung examinations, lymph nodes, gastrointestinal and musculoskeletal systems

Part 2: Participant Reported Outcomes as measured by NFLymSI-18Up to 4 Years

The National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Lymphoma Cancer Symptom Index-18 (FLymSI-18) questionnaire contains 18 items, each of which utilizes a Likert scale with 5 possible responses ranging from 0 'Not at all' to 4 'Very much' and is divided into a total score.

Part 2: Participant Reported Outcomes as measured by EQ-5D-5L questionnairesUp to 4 Years

The EQ-5D-5L descriptive system assesses health in five dimensions (MOBILITY, SELF-CARE, USUAL ACTIVITIES, PAIN / DISCOMFORT, ANXIETY / DEPRESSION), each of which has five levels of response (no problems, slight problems, moderate problems, severe problems, extreme problems/unable to). This part of the EQ-5D questionnaire provides a descriptive profile that can be used to generate a health state profile. Health state index scores generally range from less than 0 (where 0 is the value of a health state equivalent to dead; negative values representing values as worse than dead) to 1 (the value of full health), with higher scores indicating higher health utility. The second part of the questionnaire consists of a visual analogue scale (VAS) on which the participant rates his/her perceived health from 0 (the worst imaginable health) to 100 (the best imaginable health).

Trial Locations

Locations (104)

Hospital Das Clinicas Da Faculdade de Medicina de Ribeirao Preto Usp

🇧🇷

Ribeirao Preto, Brazil

Oncoclinicas Rio de Janeiro Sa

🇧🇷

Rio de Janeiro, Brazil

Churchill Hospital Oxford University Hospital Nhs Trust

🇬🇧

Headington, United Kingdom

University College Hospital

🇬🇧

London, United Kingdom

Clatterbridge Cancer Centre

🇬🇧

Wirral, United Kingdom

Hospital Universitario Virgen Del Rocio

🇪🇸

Sevilla, Spain

Ankara University Medical Faculty

🇹🇷

Ankara, Turkey

AZ DELTA

🇧🇪

Roeselare, Belgium

Hospital Erasto Gaertner

🇧🇷

Curitiba, Brazil

Hospital Mae de Deus

🇧🇷

Porto Alegre, Brazil

Dr Abdurrahman Yurtaslan Oncology Teaching and Research Hospital

🇹🇷

Ankara, Turkey

Gazi University

🇹🇷

Ankara, Turkey

Ondokuz Mayis University Medicine Faculty Hospital

🇹🇷

Atakum Samsun, Turkey

Bagcilar Medipol Mega Hospital

🇹🇷

Istanbul, Turkey

Vkv American Hospital

🇹🇷

Istanbul, Turkey

Ege University Medical Faculty

🇹🇷

Izmir, Turkey

Erciyes University School of Medicine

🇹🇷

Kayseri, Turkey

Kocaeli Universitesi Tip Fakultesi

🇹🇷

Kocaeli, Turkey

The Christie Hospital

🇬🇧

Greater Manchester, United Kingdom

Az Sint Jan Brugge

🇧🇪

Brugge, Belgium

Universitair Ziekenhuis Gent

🇧🇪

Gent, Belgium

University of Alabama At Birmingham Hospital

🇺🇸

Birmingham, Alabama, United States

Medstar Georgetown University Hospital

🇺🇸

Washington, District of Columbia, United States

University Hospitals Leuven

🇧🇪

Leuven, Belgium

Fort Wayne Medical Oncology and Hematology

🇺🇸

Fort Wayne, Indiana, United States

Des Moines Oncology Research Association

🇺🇸

Des Moines, Iowa, United States

Tulane Cancer Center

🇺🇸

New Orleans, Louisiana, United States

Luminis Health Anne Arundel Medical Center

🇺🇸

Annapolis, Maryland, United States

Maryland Oncology Hematology, Pa

🇺🇸

Columbia, Maryland, United States

University of Missouri Hospital, Ellis Fischel Cancer Center

🇺🇸

Columbia, Missouri, United States

Nebraska Cancer Specialists

🇺🇸

Grand Island, Nebraska, United States

Dartmouth Cancer Center

🇺🇸

Lebanon, New Hampshire, United States

Hackensack University Medical Center

🇺🇸

Hackensack, New Jersey, United States

Novant Health Hematology Charlotte

🇺🇸

Charlotte, North Carolina, United States

The University of Texas Md Anderson Cancer Center

🇺🇸

Houston, Texas, United States

Hospital Aleman

🇦🇷

Ciudad Autonoma de Buenos Aires, Argentina

Instituto Americas Ensino, Pesquisa E Inovacao

🇧🇷

Rio de Janeiro, Brazil

Hospital Sao Rafael (Rede Dor)

🇧🇷

Salvador, Brazil

Hcfmusp Servico de Hematologia, Hemoterapia E Terapia Celular

🇧🇷

Sao Paulo, Brazil

Hospital Beneficencia Portuguesa de Sao Paulo

🇧🇷

Sao Paulo, Brazil

Instituto Dor de Pesquisa E Ensino Sao Paulo

🇧🇷

Sao Paulo, Brazil

Accamargo Cancer Center

🇧🇷

Sao Paulo, Brazil

Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein

🇧🇷

Sao Paulo, Brazil

Qeii Health Science Center

🇨🇦

Halifax, Nova Scotia, Canada

Anhui Provincial Cancer Hospital Aka West Branch of Anhui Province Hospital

🇨🇳

Hefei, Anhui, China

China Japan Friendship Hospital

🇨🇳

Beijing, Beijing, China

Beijing Cancer Hospital

🇨🇳

Beijing, Beijing, China

Beijing Friendship Hospital, Capital Medical University(Tongzhou)

🇨🇳

Beijing, Beijing, China

Fujian Cancer Hospital

🇨🇳

Fuzhou, Fujian, China

Sun Yat Sen University Cancer Center

🇨🇳

Guangzhou, Guangdong, China

Guangdong Provincial Peoples Hospital Huifu Branch

🇨🇳

Guangzhou, Guangdong, China

Jiangmen Central Hospital

🇨🇳

Jiangmen, Guangdong, China

The Tumor Hospital Affiliated to Guangxi Medical University

🇨🇳

Nanning, Guangxi, China

Cancer Hospital of Guizhou Medical University

🇨🇳

Guiyang, Guizhou, China

Hainan General Hospital

🇨🇳

Haikou, Hainan, China

Henan Cancer Hospital

🇨🇳

Zhengzhou, Henan, China

The First Affiliated Hospital of Zhengzhou University

🇨🇳

Zhengzhou, Henan, China

Hunan Cancer Hospital

🇨🇳

Changsha, Hunan, China

Jiangsu Province Hospital

🇨🇳

Nanjing, Jiangsu, China

Affiliated Hospital of Nantong University

🇨🇳

Nantong, Jiangsu, China

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

🇨🇳

Wuhan, Hubei, China

The Affiliated Hospital of Xuzhou Medical University

🇨🇳

Xuzhou, Jiangsu, China

The First Affiliated Hospital of Nanchang University Branch Donghu

🇨🇳

Nanchang, Jiangxi, China

Jiangxi Province Cancer Hospital

🇨🇳

Nanchang, Jiangxi, China

Liaoning Cancer Hospital and Institute

🇨🇳

Shenyang, Liaoning, China

General Hospital of Ningxia Medical University

🇨🇳

Yinchuan, Ningxia, China

Shandong Cancer Hospital

🇨🇳

Jinan, Shandong, China

The Affiliated Hospital of Qingdao University Branch West Coast

🇨🇳

Qingdao, Shandong, China

Shanxi Provincial Cancer Hospital

🇨🇳

Taiyuan, Shanxi, China

West China Hospital, Sichuan University

🇨🇳

Chengdu, Sichuan, China

Institute of Hematology and Hospital of Blood Disease

🇨🇳

Tianjin, Tianjin, China

Tianjin Medical University Cancer Institute and Hospital

🇨🇳

Tianjin, Tianjin, China

The First Peoples Hospital of Kashgar

🇨🇳

Kashgar, Xinjiang, China

Affiliated Cancer Hospital of Xinjiang Medical University

🇨🇳

Urumqi, Xinjiang, China

The First Affiliated Hospital, Zhejiang University School of Medicine

🇨🇳

Hangzhou, Zhejiang, China

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

Centre Hospitalier Le Mans

🇫🇷

Le Mans, France

Centre Hospitalier Universitaire Nantes Hotel Dieu

🇫🇷

Nantes Cedex, France

Hopital Pitie Salpetriere Service Hematologie

🇫🇷

Paris, France

Necker University Hospital

🇫🇷

Paris, France

Chu Hopital Lyon Sud

🇫🇷

PierreBenite, France

Chu Tours Hopital Bretonneau Service Pneumologie

🇫🇷

Tours, France

Universitatsklinikum Dusseldorf

🇩🇪

Dusseldorf, Germany

Universitatsklinikum Essen (Aor)

🇩🇪

Essen, Germany

Universitatsklinikum Schleswig Holstein, Campus Kiel

🇩🇪

Kiel, Germany

Universitatsklinikum Koln, Innere Medizin I

🇩🇪

Koeln, Germany

Assuta Ashdod Medical Center

🇮🇱

Ashdod, Israel

Shaare Zedek Medical Center

🇮🇱

Jerusalem, Israel

Hadassah En Karem Medical Center

🇮🇱

Jerusalem, Israel

Rabin Medical Center

🇮🇱

Petach Tikva, Israel

Sheba Medical Center

🇮🇱

Tel Aviv, Israel

Sourasky Tel Aviv Medical Center

🇮🇱

Tel Aviv, Israel

Irccs Istituto Tumori Giovanni Paolo Ii

🇮🇹

Bari, Italy

Policlinico Sorsola Malpighi, Aou Di Bologna

🇮🇹

Bologna, Italy

Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia

🇮🇹

Brescia, Italy

Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori Irst

🇮🇹

Meldola, Italy

Aou Maggiore Della Carita

🇮🇹

Novara, Italy

Uniwersyteckie Centrum Kliniczne

🇵🇱

Gdansk, Poland

Pratia McM Krakow

🇵🇱

Krakow, Poland

Uniwersytecki Szpital Kliniczny Nr W Lublinie

🇵🇱

Lublin, Poland

Narodowy Instytut Onkologii Im Marii Skodowskiej Curie Pastwowy Instytut Badawczy

🇵🇱

Warszawa, Poland

Auxilio Mutuo Cancer Center

🇵🇷

San Juan, Puerto Rico

Hospital Universitario Vall Dhebron

🇪🇸

Barcelona, Spain

Hospital Universitario Fundacion Jimenez Diaz

🇪🇸

Madrid, Spain

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