An Investigational Study of BG-89894 Tablets in Participants With Advanced Solid Tumors
A Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Antitumor Activity of BG-89894 (SYH2039) Tablets in Patients With Advanced Solid Tumors
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Study Director
- Phone Number: 1.877.828.5568
- Email: clinicaltrials@beonemed.com
Study Locations
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New South Wales
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Blacktown, New South Wales, Australia, NSW 2148
- Blacktown Cancer and Haematology Centre
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South Australia
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Adelaide, South Australia, Australia, SA 5000
- Cancer Research South Australia
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Victoria
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Fitzroy, Victoria, Australia, VIC 3065
- St Vincents Hospital
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Western Australia
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Nedlands, Western Australia, Australia, WA 6009
- Linear Clinical Research
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100142
- Beijing Cancer Hospital
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Beijing, Beijing Municipality, China, 100021
- Cancer Hospital Chinese Academy of Medical Sciences
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Beijing, Beijing Municipality, China, 102218
- Beijing Tsinghua Changgung Hospital
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Guangdong
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Guangzhou, Guangdong, China, 510120
- Guangdong Provincial Peoples Hospital Huifu Branch
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Guangxi
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Nanning, Guangxi, China, 530021
- Guangxi Medical University Cancer Hospital
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Hebei
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Shijiazhuang, Hebei, China, 050011
- The Fourth Hospital of Hebei Medical University
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Hubei
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Wuhan, Hubei, China, 430022
- Union Hospital of Tongji Medical College, Huazhong University of Science and Technology
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Jiangsu
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Nanjing, Jiangsu, China, 210029
- Jiangsu Province Hospital
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Liaoning
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Shenyang, Liaoning, China, 110167
- The First Hospital of China Medical University Hunnan Branch
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200433
- Shanghai Pulmonary Hospital
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Sichuan
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Chengdu, Sichuan, China, 610041
- West China Hospital, Sichuan University
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Tianjin Municipality
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Tianjin, Tianjin Municipality, China, 300060
- Tianjin Medical University Cancer Institute and Hospital
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Maryland
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Baltimore, Maryland, United States, 21287
- Sidney Kimmel Comprehensive Cancer At Johns Hopkins
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Missouri
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St Louis, Missouri, United States, 63110-1010
- Washington University School of Medicine
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New York
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New York, New York, United States, 10032-3725
- Columbia University Irving Medical Center
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Virginia
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Fairfax, Virginia, United States, 22031
- Next Virginia
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Must sign a written informed consent and willing to comply with all study-related procedures and requirements.
- Age ≥18 years (or the legal age of consent according to local regulations).
- Histologically or cytologically confirmed diagnosis of advanced, metastatic, or unresectable solid tumors that have progressed on or after standard therapy, or for which no appropriate standard therapy is available.
- Evidence of Methylthioadenosine phosphorylase (MTAP) homozygous deletion or loss of MTAP expression in tumor tissue.
- Participants must be able to provide an archived tumor tissue sample or unstained fresh biopsy if there is no archival tissue at baseline.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 and evidence of adequate organ function and bone marrow reserve, as defined in the study protocol.
Key Exclusion Criteria:
- History of other malignancies or concurrent active malignancies within 3 years.
- Prior treatment with methionine adenosyltransferase 2 alpha (MAT2A) inhibitors (e.g., AG-270, IDE397) or methylthioadenosine (MTA)-cooperative protein arginine methyltransferase 5 (PRMT5) inhibitors (e.g., AMG193).
- Uncontrolled or active central nervous system (CNS) disease, including untreated or symptomatic brain metastases, spinal cord compression, or leptomeningeal carcinomatosis.
- Active bleeding, history of major bleeding events within the past 6 months, or tumors associated with a high risk of vascular invasion.
- Receipt of systemic anticancer therapy, radiation therapy, live vaccine, or major surgical procedures within protocol-specified washout periods.
- Active or uncontrolled infections, including tuberculosis (TB), (COVID-19, known human immunodeficiency virus (HIV) infection, or uncontrolled hepatitis B virus (HBV) infection.
Note: Additional eligibility criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Phase 1a: Dose Escalation and Safety Expansion
Sequential cohorts of increasing dose levels of BG-89894 (SYH2039) will be evaluated as monotherapy.
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Administered orally
Other Names:
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Experimental: Phase 1b: Dose Expansion and Optimization
Multiple indication-specific cohorts will be evaluated for safety, tolerability, and potential dose optimization of BG-89894 (SYH2039).
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Administered orally
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Phase 1a: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD)
Time Frame: Approximately 1 month
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MTD is defined as the highest dose evaluated for which estimated toxicity rate is the closest to the target toxicity rate.
MAD is defined as the highest dose administered if MTD is not reached.
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Approximately 1 month
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Phase 1a: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame: From first dose of the study drug to 30 days after the last dose or initiation of a new anticancer therapy, whichever occurs first (approximately 18 months)
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Number of participants experiencing adverse events and serious adverse events as determined per Common Terminology Criteria for Adverse Events version 5.0 (CTCAE v5.0), including findings from physical examinations, electrocardiograms (ECGs), laboratory assessments, and that meet protocol-defined dose-limiting toxicity (DLT) criteria.
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From first dose of the study drug to 30 days after the last dose or initiation of a new anticancer therapy, whichever occurs first (approximately 18 months)
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Phase 1a: Recommended dose(s) for expansion (RDFE) of BG-89894
Time Frame: Approximately 18 months
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RDFE is defined as dose level(s) recommended for expansion that will be determined based on the MTD or MAD, taking into consideration the longterm tolerability, pharmacokinetics, pharmacodynamics, preliminary antitumor activity, and any other relevant data, as available.
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Approximately 18 months
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Phase 1b: Recommended Phase 2 Dose (RP2D)
Time Frame: Approximately 18 months
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R2PD is defined as the dose level recommended for phase 2 that will be determined based on safety, tolerability, pharmacokinetics, pharmacodynamics, preliminary antitumor activity, and other relevant data.
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Approximately 18 months
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Phase 1b: Overall Response Rate (ORR)
Time Frame: Approximately 18 months
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ORR is defined as the percentage of participants who had confirmed complete response (CR) or partial response (PR) as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
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Approximately 18 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Phase 1a and 1b: Maximum observed plasma concentration (Cmax) of BG-89894
Time Frame: Twice in the first month
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Twice in the first month
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Phase 1a and 1b: Time to reach maximum observed plasma concentration (Tmax) of BG-89894
Time Frame: Twice in the first month
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Twice in the first month
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Phase 1a and 1b: Apparent terminal elimination half-life (t1/2) of BG-89894
Time Frame: Twice in the first month
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Twice in the first month
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Phase 1a and 1b: Apparent volume of distribution (Vd/F) of BG-89894
Time Frame: Twice in the first month
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Twice in the first month
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Phase 1a and 1b: Apparent total clearance (CL/F) of BG-89894
Time Frame: Twice in the first month
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Twice in the first month
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Phase 1a and 1b: Area under the concentration-time curve (AUC) for BG-89894
Time Frame: Twice in the first month
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Twice in the first month
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Phase 1b: Minimum observed plasma concentration (Cmin) of BG-89894
Time Frame: Approximately up to 6 months
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Approximately up to 6 months
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Phase 1b: Accumulation Ratio (AR) of BG-89894
Time Frame: Twice in the first month
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Twice in the first month
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Phase 1a: Overall response rate (ORR)
Time Frame: Approximately 18 months
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ORR is defined as the percentage of participants who had confirmed complete response (CR) or partial response (PR) as assessed by the investigator per RECIST v1.1.
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Approximately 18 months
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Phase 1a and 1b: Duration of response (DOR)
Time Frame: Approximately 18 months
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DOR is defined as the time from the first determination of objective response that is confirmed until the first documentation of disease progression or death, whichever comes first as assessed according to RECIST v1.1 by the investigator.
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Approximately 18 months
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Phase 1a and 1b: Disease Control Rate (DCR)
Time Frame: Approximately 18 months
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DCR is defined as the percentage of participants with the best overall response of confirmed CR, PR, or stable disease as assessed according to RECIST v1.1 by the investigator.
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Approximately 18 months
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Phase 1b: Progression free survival (PFS)
Time Frame: Approximately 18 months
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PFS is defined as the time from the date of the first dose of study drug to the date of the first documentation of disease progression assessed by the investigator using RECIST v1.1 or death, whichever occurs first.
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Approximately 18 months
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Phase 1b: Number of particpants with AEs and SAEs
Time Frame: From first dose of the study drug to 30 days after the last dose or initiation of a new anticancer therapy, whichever occurs first (approximately 24 months)
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Number of participants experiencing adverse events and serious adverse events as determined per CTCAE v5.0, including findings from physical examinations, ECGs, and laboratory assessments as needed.
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From first dose of the study drug to 30 days after the last dose or initiation of a new anticancer therapy, whichever occurs first (approximately 24 months)
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Phase 1b: Plasma Concentrations
Time Frame: Approximately up to 6 months
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Approximately up to 6 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Study Director, BeOne Medicines
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BG-89894-101
- SYH2039-001 (Other Identifier: BeOne)
- CTR20242626 (Registry Identifier: ChinaDrugTrials)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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