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临床试验/2023-503235-18-00
2023-503235-18-00招募中2 期

An Open Label, Multicenter Phase 2 Study to Evaluate the Efficacy and Safety of the BCL2 Inhibitor Sonrotoclax (BGB 11417) as Monotherapy and in Combination with Zanubrutinib (BGB-3111) in Patients With Waldenström Macroglobulinemia

BeOne Medicines AG21 个研究点 分布在 4 个国家目标入组 64 人开始时间: 2024年3月1日最近更新:
干预措施

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
64
试验地点
21
主要终点
Major response rate (MRR, defined as the proportion of patients achieving partial response [PR] or better per the 11th International Workshop on Waldenström Macroglobulinemia (IWWM) (hereafter as IWWM-11 WM response criteria) as assessed by the Independent Review Committee (Cohort 1)

研究概览

简要总结

To evaluate the efficacy of sonrotoclax in patients with WM who have R/R disease to both Bruton tyrosine kinase (BTK) inhibitor and anti CD20 antibody-based systemic therapy containing chemotherapy or proteasome inhibitor (Cohort 1)

入排标准

年龄范围
18 years 至 65+ years(18-64 Years, 65+ Years)
接受健康志愿者

入选标准

  • Age ≥ 18 years.
  • Clinical and definitive histologic diagnosis of WM.
  • Meeting ≥ 1 criterion for treatment according to consensus panel criteria from the 2nd International Workshop on Waldenström’s Macroglobulinemia (IWWM) at study entry.
  • For Cohorts 1 to 3, patients must have R/R disease at study entry unless patients had intolerance to the most recent therapy: • Refractory disease is defined as not attaining at least a MR or progressing while on or within 6 months of completing therapy. • Relapsed disease is defined as attaining at least a MR and meeting the criteria for disease progression beyond 6 months after completing therapy.
  • Adequate organ function.
  • For cohort 1 only, patients must meet the following: - Experienced disease progression on or after BTK inhibitor treatment before next treatment, or treated with BTK inhibitor (continuous treatment for ≥ 12 weeks) without attaining at least a MR. - Experienced disease progression on or after anti CD20 monoclonal antibody based systemic therapy (containing chemotherapy or proteasome inhibitor) before the next treatment, or completed ≥ 2 continuous treatment cycles of therapy without attaining at least a MR.
  • For cohort 2 only, patients must meet the following: - Inability to tolerate a BTK inhibitor despite optimal supportive care measures during BTK inhibitor treatment at the discretion of the investigator. - Experienced disease progression on or after anti-CD20 monoclonal antibody-based systemic therapy (containing chemotherapy or proteasome inhibitor) before the next treatment, or completed ≥ 2 continuous treatment cycles of therapy without attaining at least a MR.
  • For cohort 3 only, patients must meet the following: – Experienced disease progression on or after BTK inhibitor treatment before next treatment, or treated with BTK inhibitor (continuous treatment for ≥ 12 weeks) without attaining at least a MR. – Patients considered by their treating physician to be unsuitable for chemoimmunotherapy regimens.
  • For Cohort 4 only, patients must not have received prior therapy for WM (except for plasmapheresis).

排除标准

  • Central nervous system (CNS) involvement by WM.
  • Transformation to aggressive lymphoma, such as diffuse large B cell lymphoma.
  • History of other malignancies ≤ 2 years before study entry.
  • Having uncontrolled active systemic infection or recent infection requiring parenteral antimicrobial therapy that was completed ≤ 14 days before the first dose of the study drug.
  • Received BCL2 inhibitor previously

研究组 & 干预措施

BGB-11417, BGB-11417

Test

干预措施: BGB-11417 (Drug)

Zanubrutinib

Test

干预措施: Zanubrutinib (Drug)

结局指标

主要结局

Major response rate (MRR, defined as the proportion of patients achieving partial response [PR] or better per the 11th International Workshop on Waldenström Macroglobulinemia (IWWM) (hereafter as IWWM-11 WM response criteria) as assessed by the Independent Review Committee (Cohort 1)

Major response rate (MRR, defined as the proportion of patients achieving partial response [PR] or better per the 11th International Workshop on Waldenström Macroglobulinemia (IWWM) (hereafter as IWWM-11 WM response criteria) as assessed by the Independent Review Committee (Cohort 1)

次要结局

  • MRR as assessed by the IRC in Cohorts 2 and 3 and by the investigator in Cohorts 1 to 4
  • Duration of major response (DoMR) as assessed by the IRC in Cohort 1 to 3 and by the investigator in Cohorts 1 to 4
  • Complete response (CR) + very good partial response (VGPR) rate as assessed by the IRC in Cohorts 1 to 3 and by the investigator in Cohorts 1 to 4
  • Overall response rate (ORR, defined as the proportion of patients achieving minor response [MR] or better) as assessed by the IRC in Cohorts 1 to 3 and by the investigator in Cohorts 1 to 4
  • Progression free survival (PFS) as assessed by the IRC and investigator in Cohorts 1 to 3
  • Time to major response as assessed by the IRC in Cohorts 1 to 3 and by the investigator in Cohorts 1 to 4
  • Overall survival (OS) in Cohorts 1 to 3
  • The frequency and severity of adverse events, serious adverse events, and laboratory abnormalities according to National Cancer Institute Common Terminology for Adverse Event (NCI CTCAE v5.0)
  • Health-related quality of life (HRQoL) based on patient reported outcomes (PRO) using National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Lymphoma Cancer Symptom Index 18 Item (NFLymSI-18) Version 4
  • Duration of response (DOR) as assessed by the IRC in Cohorts 1 to 3 and by the investigator in Cohorts 1 to 4
  • Time to next treatment in Cohort 4

研究者

发起方
BeOne Medicines AG
申办方类型
Pharmaceutical company
责任方
Principal Investigator
主要研究者

BeOne Medical Officer

Scientific

BeOne Medicines AG

研究点 (21)

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