An Investigational Study of BG-75202 Alone and in Combination With Other Agents in Adults With Advanced Solid Tumors

November 9, 2026 updated by: BeOne Medicines

A Phase 1a/1b Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Antitumor Activity of BG-75202, Alone and in Combination With Other Agents in Patients With Advanced Solid Tumors

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary antitumor activity of BG-75202 (KAT6A/B inhibitor) alone and in combination with other therapies in participants with breast cancer and other advanced solid tumors.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

This study will enroll participants with advanced or metastatic solid tumors, including breast cancer. Breast cancer is one of the most common cancers in women.

BG-75202 is an experimental drug that blocks proteins called KAT6A and 6B. These proteins are believed to help tumor growth in a number of cancers including certain types of breast cancer and other solid tumors. By blocking KAT6A and 6B, BG-75202 may be able to slow down or stop the growth of tumor cells.

This study consists of 2 parts, one called dose escalation and safety expansion and the other called dose optimization and dose expansion.

During the dose escalation and safety expansion part, the study doctors will test different doses of the study drug. This part of the study will evaluate BG-75202 alone (monotherapy) and combined with another drug (combination therapy).

During the dose optimization and dose expansion part, the study doctors will test the study drug in a larger number of people using the dose(s) identified from dose escalation and safety expansion. In this part of the study, BG-75202 will be taken with 1 or 2 other drugs.

The study will enroll participants with advanced or metastatic solid tumors at multiple centers worldwide.

The overall time to participate in this study may be up to approximately five years. Participants will make regular visits to the clinic for treatment, health checks, blood tests, and tumor and imaging tests.

Study Type

Interventional

Enrollment (Estimated)

186

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • New South Wales
      • Blacktown, New South Wales, Australia, NSW 2148
        • Recruiting
        • Blacktown Cancer and Haematology Centre
      • Camperdown, New South Wales, Australia, NSW 2050
        • Recruiting
        • Chris Obrien Lifehouse
    • South Australia
      • Adelaide, South Australia, Australia, SA 5000
        • Recruiting
        • Cancer Research South Australia
    • Victoria
      • Heidelberg, Victoria, Australia, VIC 3084
        • Recruiting
        • Austin Health
      • Melbourne, Victoria, Australia, VIC 3000
        • Recruiting
        • Peter Maccallum Cancer Centre
    • Beijing Municipality
      • Beijing, Beijing Municipality, China, 100142
        • Recruiting
        • Beijing Cancer Hospital
      • Beijing, Beijing Municipality, China, 100021
        • Recruiting
        • Cancer Hospital Chinese Academy of Medical Sciences
    • Chongqing Municipality
      • Chongqing, Chongqing Municipality, China, 400030
        • Recruiting
        • Chongqing University Cancer Hospital
    • Fujian
      • Xiamen, Fujian, China, 361003
        • Recruiting
        • The First Affiliated Hospital of Xiamen University
    • Guangdong
      • Guangzhou, Guangdong, China, 510555
        • Recruiting
        • Sun Yat Sen University Cancer Center Huangpu Branch
    • Heilongjiang
      • Harbin, Heilongjiang, China, 150000
        • Recruiting
        • Harbin Medical University Cancer Hospital
    • Hunan
      • Changsha, Hunan, China, 410013
        • Recruiting
        • Hunan Cancer Hospital
    • Jiangsu
      • Nanjing, Jiangsu, China, 210036
        • Recruiting
        • Jiangsu Province Hospital Longjiang Branch
    • Shanghai Municipality
      • Shanghai, Shanghai Municipality, China, 201321
        • Recruiting
        • Fudan University Shanghai Cancer Centerpudong
    • Tianjin Municipality
      • Tianjin, Tianjin Municipality, China, 300060
        • Recruiting
        • Tianjin Medical University Cancer Institute and Hospital
    • Zhejiang
      • Hangzhou, Zhejiang, China, 310016
        • Recruiting
        • Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
      • Milan, Italy, 20141
        • Recruiting
        • Istituto Europeo Di Oncologia
      • Naples, Italy, 80131
        • Recruiting
        • Istituto Nazionale Tumori Fondazione G Pascale
      • Roma, Italy, 00168
        • Recruiting
        • Fondazione Policlinico Universitario Agostino Gemelli
      • Rozzano, Italy, 20089
        • Recruiting
        • Istituto Clinico Humanitas
      • Auckland, New Zealand, 1023
        • Recruiting
        • Auckland City Hospital
      • Barcelona, Spain, 08035
        • Recruiting
        • Hospital Universitario Vall Dhebron
      • Barcelona, Spain, 8023
        • Recruiting
        • Next Oncology Barcelona
      • Madrid, Spain, 28041
        • Recruiting
        • Hospital Universitario 12 de Octubre
      • Madrid, Spain, 28240
        • Recruiting
        • Hospital Clinico San Carlos
      • Málaga, Spain, 29010
        • Recruiting
        • Hospital Universitario Virgen de La Victoria
    • Alabama
      • Birmingham, Alabama, United States, 35294-0004
        • Recruiting
        • University of Alabama At Birmingham Hospital
    • Connecticut
      • New Haven, Connecticut, United States, 06510
        • Recruiting
        • Yale Cancer Center
    • Missouri
      • St Louis, Missouri, United States, 63110-1010
        • Recruiting
        • Washington University in St Louis
    • Texas
      • Austin, Texas, United States, 78758
        • Recruiting
        • Next Oncology Austin
      • Houston, Texas, United States, 77030-4009
        • Recruiting
        • The University of Texas Md Anderson Cancer Center
    • Washington
      • Seattle, Washington, United States, 98109-4433
        • Recruiting
        • Fred Hutchinson Cancer Research Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Part 1A: Participants with histologically or cytologically confirmed advanced, metastatic breast cancer and other solid tumors who have exhausted, are intolerant of all available standard of care therapies, and/or without available standard of care therapies.
  • Part 1B, Part 2A, 2B, and SE Parts 1A and 1B (except Food Effect): Participants with advanced breast cancer with 1 to 3 prior lines of systemic therapy in the metastatic setting. Prior lines in the advanced/ metastatic setting may not exceed 1 line of chemotherapy (inclusive of antibody-drug conjugate with cytotoxic payload) in the advanced/metastatic setting.
  • Food Effect only in SE Parts 1A or 1B: Patients with histologically or cytologically confirmed advanced, metastatic breast cancer who have exhausted, are intolerant of all available standard-of-care therapies, and/or without available standard-of-care therapies.
  • Parts 2C: Participants with advanced breast cancer enrolled in regions where cyclin-dependent kinase 4/6 (CDK4/6) inhibitors are not approved and/or not available as the first-line treatment and who are CDK4/6 inhibitor treatment naïve and did not receive any previous systemic treatment for advanced disease.
  • Participants with breast cancer must have histologically or cytologically confirmed advanced breast cancer at the time of most recent testing, based on American Society of Clinical Oncology (ASCO)/College of American Pathologists (CAP) guidelines.
  • Female participants with metastatic breast cancer must be postmenopausal or receiving ovarian function suppression treatment.
  • Measurable disease as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) v 1.1.
  • Stable Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
  • Adequate organ function.

Exclusion Criteria:

  • Prior exposure to KAT6A/B or KAT7 inhibitors/degraders.
  • Patients with active leptomeningeal disease or uncontrolled, untreated brain metastasis.
  • Participants with any malignancy ≤ 3 years before screening for the study except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated curatively which in the opinion of the investigator is unlikely to require intervention during the study.

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Sequential Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Part 1A: Dose Escalation and Safety Expansion, BG-75202 Monotherapy

Sequential cohorts of increasing dose levels of BG-75202 will be evaluated as monotherapy.

Administered orally.

Experimental: Part 1B: Dose Escalation and Safety Expansion, BG-75202 + Estrogen Receptor Antagonist

Sequential cohorts of increasing dose levels of BG-75202 will be evaluated in combination with an estrogen receptor antagonist.

Administered orally.

Administered by intramuscular injection.

Experimental: Part 2A: Dose Optimization, BG-75202 + Estrogen Receptor Antagonist

Participants will receive BG-75202 in combination with an estrogen receptor antagonist.

Administered orally.

Administered by intramuscular injection.

Experimental: Part 2C: Dose Expansion, BG-75202 + CDK4 inhibitor + Aromatase Inhibitor

Participants will receive BG-75202 in combination with a CDK4 inhibitor and an aromatase inhibitor.

Administered orally.

Administered orally.

Administered orally.

Experimental: Part 2B: Safety Lead-In, BG-75202 + CDK4 inhibitor + Aromatase Inhibitor

Participants will receive BG-75202 in combination with a cyclin-dependent kinase 4 (CDK4) inhibitor and an aromatase inhibitor.

Administered orally.

Administered orally.

Administered orally.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Part 1 and Part 2B (Safety Lead-in): Number of Participants with Adverse Events (AEs)
Time Frame: From first dose to 30 days after last dose or initiation of a new anticancer therapy, whichever occurs first, up to approximately 12 months

Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including physical examination findings, electrocardiogram results, laboratory values, and AEs meeting protocol-defined dose-limiting toxicity (DLT) criteria.

From first dose to 30 days after last dose or initiation of a new anticancer therapy, whichever occurs first, up to approximately 12 months
Part 1 and Part 2B (Safety Lead-in): Recommended Dose for Expansion (RDFE)
Time Frame: Estimated approximately 1 year

The RDFE is based on the maximum tolerated dose (MTD) or maximum administered dose (MAD) with consideration of the tolerability, pharmacokinetics (PK), pharmacodynamics, antitumor activity, and any other available relevant data.

Estimated approximately 1 year
Part 2 A and Part 2C: Overall Response Rate (ORR)
Time Frame: Up to approximately 2 years

ORR is defined as the percentage of participants with partial or complete response, as assessed by the investigator using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1).

Up to approximately 2 years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Parts 1 and 2: Maximum Observed Plasma Concentration (Cmax) of BG-75202
Time Frame: Up to approximately 4 months
Up to approximately 4 months
Parts 1 and 2: Minimum Observed Plasma Concentration (Ctrough) of BG-75202
Time Frame: Up to approximately 4 months
Up to approximately 4 months
Parts 1 and 2: Area Under the Plasma Concentration-Time Curve (AUC) of BG-75202
Time Frame: Up to approximately 4 months
Up to approximately 4 months
Parts 1 and 2: Terminal Half-Life (t1/2) of BG-75202
Time Frame: Up to approximately 4 months
Up to approximately 4 months
Part 1 and Part 2B (Safety Lead-in): ORR
Time Frame: Up to approximately 1 year

ORR is defined as the percentage of participants with partial response (PR) or complete response (CR), as assessed by the investigator using RECIST v1.1.

Up to approximately 1 year
Duration of Response (DOR)
Time Frame: Up to approximately 2 years

DOR is defined as the time from the first determination of an objective response to disease progression documented after treatment initiation or death, whichever occurs first.

Up to approximately 2 years
Disease Control Rate (DCR)
Time Frame: Up to approximately 2 years

DCR is defined as the percentage of participants who achieve CR, PR, or stable disease as assessed by investigator's review.

Up to approximately 2 years
Clinical Benefit Rate (CBR)
Time Frame: Up to approximately 2 years

CBR is defined as the percentage of participants who achieve CR, PR, or durable stable disease (stable disease ≥ 24 weeks).

Up to approximately 2 years
Part 2: Time to Response (TTR)
Time Frame: Up to approximately 2 years

TTR is defined as the time from treatment initiation to the first determination of objective response.

Up to approximately 2 years
Part 2A and Part 2C: Progression-Free Survival (PFS)
Time Frame: Up to approximately 2 years

PFS is defined as the time from the date of the first dose of study treatment(s) to the date of the first documentation of disease progression assessed by investigator's review or death, whichever occurs first.

Up to approximately 2 years
Part 2A and Part 2C: Number of Participants with Adverse Events (AEs)
Time Frame: Up to approximately 2 years

Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including physical examination findings, electrocardiogram results, and laboratory values.

Up to approximately 2 years
Part 2A and Part 2C: Recommended Phase 2 Dose (RP2D) or Recommended Phase 3 Dose (RP3D)
Time Frame: Up to approximately 2 years

The RP2D or RP3D of BG-75202 will take into consideration the totality of data including, but not limited to, PK, pharmacodynamics, safety, tolerability, and antitumor activity.

Up to approximately 2 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Study Director, BeOne Medicines

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 11, 2025

Primary Completion (Estimated)

September 30, 2029

Study Completion (Estimated)

January 13, 2037

Study Registration Dates

First Submitted

October 28, 2025

First Submitted That Met QC Criteria

October 28, 2025

First Posted (Actual)

October 29, 2025

Study Record Updates

Last Update Posted (Actual)

November 12, 2026

Last Update Submitted That Met QC Criteria

November 9, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

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

See plan description

IPD Sharing Access Criteria

See plan description

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • CSR

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

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.