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

NCT ID: NCT05828589

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

112 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-20

Study Completion Date

2027-04-30

Brief Summary

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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."

Detailed Description

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Conditions

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Relapsed Non-Hodgkin Lymphoma Refractory Non-Hodgkin Lymphoma Relapsed Chronic Lymphocytic Leukemia Refractory Chronic Lymphocytic Leukemia Relapsed Follicular Lymphoma Relapsed Marginal Zone Lymphoma Relapse Diffuse Large B Cell Lymphoma Relapsed Small Lymphocytic Lymphoma Refractory Follicular Lymphoma Refractory Marginal Zone Lymphoma Refractory Small Lymphocytic Lymphoma Richter Transformation Refractory Diffuse Large B-cell Lymphoma Transformed Non-Hodgkin Lymphoma

Keywords

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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 RT RR DLBCL Bcl-2 Bcl-2i

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part 1 (Cohort A1): Dose escalation in patients with B-cell non-Hodgkin lymphoma (NHL)

Participants 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.

Group Type EXPERIMENTAL

BGB-21447

Intervention Type DRUG

BGB-21447 will be administered orally

Part 1 (Cohort B): Dose escalation in R/R CLL/SLL participants with low tumor burden

Participants with relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) will receive BGB-21447 once a day.

Group Type EXPERIMENTAL

BGB-21447

Intervention Type DRUG

BGB-21447 will be administered orally

Part 2 (Cohort A2.1): BGB-21447 Monotherapy Dose Optimization in R/R DLBCL

Participants will receive BGB-21447 with two dose levels from Cohort A1 for further evaluation of safety and efficacy.

Group Type EXPERIMENTAL

BGB-21447

Intervention Type DRUG

BGB-21447 will be administered orally

Part 2 (Cohort A2.2): BGB-21447 Monotherapy Dose Optimization in R/R FL or R/R MZL

Participants will receive BGB-21447 with two dose levels from Cohort A1 for further evaluation of safety and efficacy.

Group Type EXPERIMENTAL

BGB-21447

Intervention Type DRUG

BGB-21447 will be administered orally

Interventions

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BGB-21447

BGB-21447 will be administered orally

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Confirmed diagnosis (per World Health Organization \[WHO\] guidelines, unless otherwise noted) of one of the following:

Cohort A1 and Cohort A2:
1. 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
2. R/R FL (for Cohort A1 and Cohort A2.2)
3. R/R MZL (for Cohort A1 and Cohort A2.2)
4. Transformed B-cell NHL (for Cohort A1 only)
5. Richter's transformation to DLBCL (for Cohort A1 only)
2. Measurable disease by computed tomography/magnetic resonance imaging.

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 or lentigo maligna melanoma that has been curatively resected
2. Known central nervous system involvement by lymphoma/leukemia
3. 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
4. Prior allogeneic stem cell transplant.
5. Major surgery \< 4 weeks before the first dose of study treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BeiGene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

BeiGene

Locations

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Sibley Memorial Hospital Johns Hopkins Medicine

Washington D.C., District of Columbia, United States

Site Status RECRUITING

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

Site Status RECRUITING

Mission Cancer and Blood

Waukee, Iowa, United States

Site Status RECRUITING

Sidney Kimmel Comprehensive Cancer At Johns Hopkins

Baltimore, Maryland, United States

Site Status RECRUITING

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

Mineola, New York, United States

Site Status RECRUITING

Laura and Isaac Perlmutter Cancer Center At Nyu Langone Health

New York, New York, United States

Site Status RECRUITING

Avera Cancer Institute

Sioux Falls, South Dakota, United States

Site Status RECRUITING

Blacktown Cancer and Haematology Centre

Blacktown, New South Wales, Australia

Site Status RECRUITING

Pindara Private Hospital

Benowa, Queensland, Australia

Site Status COMPLETED

Mater Cancer Care Centre

South Brisbane, Queensland, Australia

Site Status RECRUITING

Monash Health

Clayton, Victoria, Australia

Site Status RECRUITING

Linear Clinical Research

Nedlands, Western Australia, Australia

Site Status RECRUITING

Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Fujian Cancer Hospital

Fuzhou, Fujian, China

Site Status RECRUITING

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

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

Wuhan, Hubei, China

Site Status RECRUITING

Yichang Central Peoples Hospitaljiangnan Branch

Yichang, Hubei, China

Site Status RECRUITING

The First Peoples Hospital of Changzhou

Changzhou, Jiangsu, China

Site Status RECRUITING

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Nanchang University Branch Donghu

Nanchang, Jiangxi, China

Site Status RECRUITING

The First Affiliated Hospital of Nanchang University Branch Xianghu

Nanchang, Jiangxi, China

Site Status RECRUITING

Shengjing Hospital of China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

Shandong Provincial Hospital

Jinan, Shandong, China

Site Status RECRUITING

Linyi Peoples Hospital

Linyi, Shandong, China

Site Status COMPLETED

Affiliated Zhongshan Hospital of Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Institute of Hematology and Hospital of Blood Disease

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Auckland City Hospital

Auckland, , New Zealand

Site Status RECRUITING

Countries

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France Italy United States Australia China New Zealand

Central Contacts

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Study Director

Role: CONTACT

Phone: +1-877-828-5568

Email: [email protected]

Other Identifiers

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CT-2023-CTN-05421-1

Identifier Type: OTHER

Identifier Source: secondary_id

CTR20231287

Identifier Type: OTHER

Identifier Source: secondary_id

2025-521600-21-00

Identifier Type: CTIS

Identifier Source: secondary_id

BGB-21447-101

Identifier Type: -

Identifier Source: org_study_id