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En fase 1-dosis-eskalering og -udvidelsesundersøgelse af BGB-16673 hos patienter med B-celle malignitet (CaDAnCe-101)

30. september 2026 opdateret af: BeOne Medicines

En fase 1, åben-label, dosis-eskalering og -udvidelsesundersøgelse af Bruton Tyrosinkinase-målrettet protein-nedbryder BGB-16673 i patienter med B-celle maligniteter

Study consists of two main parts to explore tacabrutideg recommended dosing, a Phase 1 monotherapy dose finding comprised of monotherapy dose escalation and monotherapy safety expansion of selected doses, and a Phase 2 (expansion cohorts)

Studieoversigt

Detaljeret beskrivelse

A B-cell malignancy is a type of cancer that starts in white blood cells called B-cells. These cancers can affect the lymph nodes, bone marrow, blood, spleen, and other organs. Examples of these cancers include chronic lymphocytic leukemia/small lymphocytic lymphoma, marginal zone lymphoma, follicular lymphoma, Waldenström macroglobulinemia, mantle cell lymphoma, and diffuse large B cell lymphoma.

Tacabrutideg is a type of medicine called a BTK degrader. BTK (Bruton's tyrosine kinase) is a protein that helps cancer cells survive. Tacabrutideg is designed to attach to the BTK protein and tag it for removal, so that the body's own cellular "clean-up" system breaks it down and clears it away. When more BTK is removed from the body, it interferes with the signals needed for the cancer cells to multiply and survive and may also reduce the chance of the cancer becoming resistant to treatment.

The purpose of this study is to test whether tacabrutideg is safe and if it can treat B-cell malignancies. The main goals are to ensure the drug is safe by monitoring side effects and to understand how well patients respond to the treatment and whether their cancers shrink or disappear.

This study consists of two parts: dose escalation and dose expansion. During the dose escalation part, the study doctors will test different doses of the study drug to find the recommended dose that people can take without having serious side effects. During the dose expansion part, the study doctors will test the study drug in a larger number of people using the dose or doses identified from dose escalation. The study is open label, which means that the participants and the study doctors will know what treatment is received.

This study will enroll approximately 689 participants with B-cell malignancies at multiple centers worldwide.

The overall time to participate in this study is approximately 3 years. Participants will make regular visits to the clinic for treatment, health checks, blood tests, and tumor and imaging tests.

Our company, previously known as BeiGene, is now officially BeOne Medicines. Because some of our older studies were sponsored under the name BeiGene, you may see both names used for this study on this website.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

689

Fase

  • Fase 2
  • Fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

  • Navn: Study Director, MD

Undersøgelse Kontakt Backup

Studiesteder

    • New South Wales
      • Concord, New South Wales, Australien, NSW 2139
        • Rekruttering
        • Concord Repatriation General Hospital
      • Waratah, New South Wales, Australien, NSW 2298
        • Rekruttering
        • Calvary Mater Newcastle
    • Queensland
      • Woolloongabba, Queensland, Australien, QLD 4102
        • Rekruttering
        • Princess Alexandra Hospital
    • Victoria
      • Fitzroy, Victoria, Australien, VIC 3065
        • Rekruttering
        • St Vincents Hospital Melbourne
      • Heidelberg, Victoria, Australien, VIC 3084
        • Rekruttering
        • Austin Health
      • Melbourne, Victoria, Australien, VIC 3004
        • Rekruttering
        • The Alfred Hospital
      • Melbourne, Victoria, Australien, VIC 3000
        • Rekruttering
        • Peter Maccallum Cancer Centre
    • Western Australia
      • Nedlands, Western Australia, Australien, WA 6009
        • Rekruttering
        • Linear Clinical Research
      • West Perth, Western Australia, Australien, WA 6005
        • Rekruttering
        • Perth Blood Institute
      • Brasília, Brasilien, 70200-730
        • Rekruttering
        • Hospital Sirio Libanes Brasilia
      • Curitiba, Brasilien, 81520-060
        • Rekruttering
        • Hospital Erasto Gaertner
      • Porto Alegre, Brasilien, 90110-270
        • Rekruttering
        • Centro Gaucho Integrado de Oncologia Hospital Mae de Deus
      • São Paulo, Brasilien, 05652-900
        • Rekruttering
        • Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein
      • São Paulo, Brasilien, 01321-001
        • Rekruttering
        • Real E Benemerita Associacao Portuguesa de Sao Paulo
      • São Paulo, Brasilien, 01409-001
        • Rekruttering
        • Hospital Nove de Julho Dasa
      • São Paulo, Brasilien, 01401-004
        • Rekruttering
        • Instituto Dor de Pesquisa E Ensino Sao Paulo
    • Alberta
      • Calgary, Alberta, Canada, T2N 5G2
        • Rekruttering
        • Arthur Je Child Comprehensive Cancer Centre
      • Edmonton, Alberta, Canada, T6G 1Z2
        • Rekruttering
        • Cross Cancer Institute
    • British Columbia
      • Vancouver, British Columbia, Canada, V5Z 4E6
        • Rekruttering
        • British Columbia Cancer Agency the Vancouver Centre
    • Ontario
      • Toronto, Ontario, Canada, M5G 2M9
        • Rekruttering
        • Princess Margaret Cancer Centre
    • Quebec
      • Québec, Quebec, Canada, G1J 1Z4
        • Rekruttering
        • Chu de Quebec Universite Laval, Hopital de Lenfant Jesus, Centre Integre de Cancerologie (Cic)
      • Edinburgh, Det Forenede Kongerige, EH4 2XU
        • Rekruttering
        • Edinburgh Cancer Centre
      • Leeds, Det Forenede Kongerige, LS9 7TF
        • Rekruttering
        • St Jamess University Hospital
      • Newcastle upon Tyne, Det Forenede Kongerige, NE7 7DN
        • Rekruttering
        • Freeman Hospital
      • Newmarket, Det Forenede Kongerige, CB8 7XN
        • Rekruttering
        • Genesiscare Cambridge
      • Norwich, Det Forenede Kongerige, NR4 7UY
        • Rekruttering
        • Norfolk and Norwich University Hospitals Nhs Foundation Trust
      • Nottingham, Det Forenede Kongerige, NG5 1PB
        • Rekruttering
        • Nottingham University Hospitals Nhs Trust
      • Plymouth, Det Forenede Kongerige, PL6 8DH
        • Rekruttering
        • Derriford Hospital
    • Alabama
      • Birmingham, Alabama, Forenede Stater, 35294-0004
        • Rekruttering
        • University of Alabama At Birmingham Hospital
    • Arizona
      • Phoenix, Arizona, Forenede Stater, 85054-4502
        • Afsluttet
        • Mayo Clinic Phoenix
      • Scottsdale, Arizona, Forenede Stater, 85258-4566
        • Rekruttering
        • Honor Health Research Institute
      • Tucson, Arizona, Forenede Stater, 85724-0001
        • Rekruttering
        • University of Arizona Cancer Center
    • California
      • La Jolla, California, Forenede Stater, 92093-1503
        • Rekruttering
        • University of California San Diego (Ucsd) Moores Cancer Center
      • Palo Alto, California, Forenede Stater, 94304-2205
        • Rekruttering
        • Stanford Medicine
      • Santa Monica, California, Forenede Stater, 90404-2023
        • Rekruttering
        • UCLA Santa Monica Cancer Care
    • Colorado
      • Fort Collins, Colorado, Forenede Stater, 80528-3413
        • Rekruttering
        • Uchealth North
    • Florida
      • Jacksonville, Florida, Forenede Stater, 32224-1865
        • Rekruttering
        • Mayo Clinic Jacksonville
      • Miami, Florida, Forenede Stater, 33140
        • Rekruttering
        • Mount Sinai Medical Center Braman Comprehensive Cancer Center
      • Tampa, Florida, Forenede Stater, 33606-3571
        • Rekruttering
        • Tampa General Hospital Cancer Institute
    • Georgia
      • Augusta, Georgia, Forenede Stater, 30912-0002
        • Rekruttering
        • Augusta University
      • Newnan, Georgia, Forenede Stater, 30265-8001
        • Rekruttering
        • Southeastern Regional Medical Center
    • Illinois
      • Zion, Illinois, Forenede Stater, 60099-2676
        • Afsluttet
        • Midwestern Regional Medical Center
    • Iowa
      • Iowa City, Iowa, Forenede Stater, 52242-1009
        • Rekruttering
        • University of Iowa Hospitals and Clinics
    • Kentucky
      • Louisville, Kentucky, Forenede Stater, 40207-4700
        • Aktiv, ikke rekrutterende
        • Norton Cancer Institute Pavilion
    • Louisiana
      • Baton Rouge, Louisiana, Forenede Stater, 70809-3738
        • Rekruttering
        • Mary Bird Perkins Cancer Center
    • Maryland
      • Bethesda, Maryland, Forenede Stater, 20817-7847
        • Rekruttering
        • American Oncology Partners of Maryland Pa
    • Massachusetts
      • Boston, Massachusetts, Forenede Stater, 02215-5418
        • Rekruttering
        • Dana Farber Cancer Institute
    • Michigan
      • Detroit, Michigan, Forenede Stater, 48201-2013
        • Rekruttering
        • Karmanos Cancer Institute
    • Minnesota
      • Rochester, Minnesota, Forenede Stater, 55905-0001
        • Rekruttering
        • Mayo Clinic Rochester
    • Nevada
      • Las Vegas, Nevada, Forenede Stater, 89169-3321
        • Rekruttering
        • Comprehensive Cancer Centers of Nevada
    • New York
      • Buffalo, New York, Forenede Stater, 14203
        • Rekruttering
        • Roswell Park Comprehensive Cancer Center
      • New York, New York, Forenede Stater, 10032
        • Rekruttering
        • Columbia University Medical Center
      • New York, New York, Forenede Stater, 10065-6800
        • Rekruttering
        • Memorial Sloan Kettering Cancer Center Mskcc
      • New York, New York, Forenede Stater, 10065-4870
        • Rekruttering
        • Weill Cornell Medical College Newyork Presbyterian Hospital
    • Tennessee
      • Chattanooga, Tennessee, Forenede Stater, 37404
        • Rekruttering
        • Tennesse Oncology Chattanooga Downtown
      • Nashville, Tennessee, Forenede Stater, 37203
        • Rekruttering
        • Tennessee Oncology, Pllc Nashville
    • Texas
      • Houston, Texas, Forenede Stater, 77030-3907
        • Rekruttering
        • Md Anderson Cancer Center
    • Virginia
      • Richmond, Virginia, Forenede Stater, 23298
        • Rekruttering
        • Virginia Commonwealth University Massey Cancer Center
    • Washington
      • Seattle, Washington, Forenede Stater, 98109-4433
        • Rekruttering
        • Fred Hutchinson Cancer Research Center
      • Bordeaux, Frankrig, 33076
        • Rekruttering
        • Centre de Lutte Contre Le Cancer Institut Bergonie
      • ClermontFerrand, Frankrig, 63100
        • Rekruttering
        • Hopital Estaing
      • Créteil, Frankrig, 94000
        • Rekruttering
        • Chu Henri Mondor
      • Lille, Frankrig, 59000
        • Rekruttering
        • Hopital Claude Huriez Chu Lille
      • Lyon, Frankrig, 69373
        • Rekruttering
        • Centre Leon Berard
      • Marseille, Frankrig, 13009
        • Rekruttering
        • Institut Paoli Calmettes
      • Montpellier, Frankrig, 34090
        • Rekruttering
        • Chu Montpellier Hopital Saint Eloi
      • Paris, Frankrig, 75013
        • Rekruttering
        • Hopital de La Pitie Salpetriere
      • Rouen, Frankrig, 76038
        • Rekruttering
        • Centre Henri Becquerel
      • Tbilisi, Georgien, 0119
        • Rekruttering
        • Arensia Exploratory Medicine Llc
      • Bologna, Italien, 40138
        • Rekruttering
        • Policlinico Sorsola Malpighi, Aou Di Bologna
      • Milan, Italien, 20132
        • Rekruttering
        • Ospedale San Raffaele
      • Milan, Italien, 20162
        • Rekruttering
        • Niguarda Cancer Center Division of Hematology
      • Milan, Italien, 20141
        • Rekruttering
        • Istituto Europeo Di Oncologia
      • Roma, Italien, 00168
        • Rekruttering
        • Fondazione Policlinico Universitario Agostino Gemelli
      • Verona, Italien, 37134
        • Rekruttering
        • Centroricerche Cliniche Di Verona Srl
      • Yokohama, Japan, 221-0855
        • Rekruttering
        • Yokohama Municipal Citizens Hospital
    • Aichi-ken
      • Nagoya, Aichi-ken, Japan, 464-8681
        • Rekruttering
        • Aichi Cancer Center Hospital Clinical Oncology
    • Chiba
      • Chiba, Chiba, Japan, 260-8717
        • Rekruttering
        • Chiba Cancer Center
      • Kashiwa, Chiba, Japan, 277-8577
        • Rekruttering
        • National Cancer Center Hospital East
    • Tokyo
      • Kotoku, Tokyo, Japan, 135-8550
        • Rekruttering
        • Cancer Institute Hospital of Jfcr
    • Beijing Municipality
      • Beijing, Beijing Municipality, Kina, 100730
        • Aktiv, ikke rekrutterende
        • Peking Union Medical College Hospital
    • Guangdong
      • Guangzhou, Guangdong, Kina, 510515
        • Aktiv, ikke rekrutterende
        • Nanfang Hospital, Southern Medical University
    • Henan
      • Zhengzhou, Henan, Kina, 450000
        • Aktiv, ikke rekrutterende
        • Henan Cancer Hospital
    • Hubei
      • Yichang, Hubei, Kina, 443001
        • Aktiv, ikke rekrutterende
        • Yichang Central Peoples Hospitaljiangnan Branch
    • Shanghai Municipality
      • Shanghai, Shanghai Municipality, Kina, 200025
        • Aktiv, ikke rekrutterende
        • Rui Jin Hospital Shanghai Jiao Tong University School of Medicine
    • Tianjin Municipality
      • Tianjin, Tianjin Municipality, Kina, 301617
        • Aktiv, ikke rekrutterende
        • Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciencestuanbo Branch
    • Zhejiang
      • Wenzhou, Zhejiang, Kina, 325000
        • Aktiv, ikke rekrutterende
        • The First Affiliated Hospital of Wenzhou Medical University
      • Chisinau, Moldova, 2025
        • Rekruttering
        • The Institute of Oncology, Arensia Exploratory Medicine
      • Barcelona, Spanien, 08035
        • Rekruttering
        • Hospital Universitario Vall Dhebron
      • Madrid, Spanien, 28046
        • Rekruttering
        • Hospital Universitario La Paz
      • Madrid, Spanien, 28033
        • Rekruttering
        • Md Anderson Cancer Center Madrid Spain
      • Madrid, Spanien, 28007
        • Rekruttering
        • Hospital General Universitario Gregorio Maranon
      • Madrid, Spanien, 28040
        • Rekruttering
        • Hospital Universitario Fundacion Jimenez Diaz
      • Majadahonda, Spanien, 28222
        • Rekruttering
        • Hospital Universitario Puerta de Hierro Majadahonda
      • Valencia, Spanien, 46010
        • Rekruttering
        • Hospital Clinico Universitario de Valencia
      • Gothenburg, Sverige, 413 46
        • Rekruttering
        • Sahlgrenska University Hospital Hematology
      • Stockholm, Sverige, 171 76
        • Rekruttering
        • Karolinska Universitetssjukhuset Solna
    • Busan Gwang'Yeogsi
      • Seogu, Busan Gwang'Yeogsi, Sydkorea, 49241
        • Rekruttering
        • Pusan National University Hospital
    • Seoul Teugbyeolsi
      • GangnamGu, Seoul Teugbyeolsi, Sydkorea, 06351
        • Rekruttering
        • Samsung Medical Center
      • SeochoGu, Seoul Teugbyeolsi, Sydkorea, 06591
        • Rekruttering
        • The Catholic University of Korea, Seoul St Marys Hospital
      • SeodaemunGu, Seoul Teugbyeolsi, Sydkorea, 03722
        • Rekruttering
        • Severance Hospital Yonsei University Health System
      • Seoul, Seoul Teugbyeolsi, Sydkorea, 03080
        • Rekruttering
        • Seoul National University Hospital
      • SongpaGu, Seoul Teugbyeolsi, Sydkorea, 05505
        • Rekruttering
        • Asan Medical Center
      • Balçova, Tyrkiet (Türkiye), 35330
        • Rekruttering
        • Dokuz Eylul University
      • Kayseri, Tyrkiet (Türkiye), 38030
        • Rekruttering
        • Erciyes University
      • Sakarya, Tyrkiet (Türkiye), 54100
        • Rekruttering
        • Sakarya Training and Research Hospital
      • Samsun, Tyrkiet (Türkiye), 55200
        • Rekruttering
        • Ondokuz Mayis University
      • Cologne, Tyskland, 50937
        • Rekruttering
        • Uniklinik Koeln (Aoer)
      • Dresden, Tyskland, 01307
        • Rekruttering
        • Universitatsklinikum Carl Gustav Carus An Der Technischen Universitat Dresden
      • Leipzig, Tyskland, 04103
        • Rekruttering
        • Universitares Krebszentrum Leipzig
      • Lübeck, Tyskland, 23538
        • Rekruttering
        • Universitaetsklinikum Schleswig Holstein Campus Luebeck
      • Mainz, Tyskland, 55131
        • Rekruttering
        • Klinikum Johannes Gutenberg Universitaet Mainz
      • München, Tyskland, 81377
        • Rekruttering
        • Klinikum Grosshadern Ludwig Maximilians Universitat Munchen
      • Ulm, Tyskland, 89081
        • Rekruttering
        • Universitaetsklinikum Ulm

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria :

  1. Confirmed diagnosis (per World Health Organization (WHO) guidelines, unless otherwise noted) of one of the following: Marginal Zone Lymphoma (MZL), R/R follicular lymphoma (FL), mantle cell lymphoma (MCL), chronic lymphocytic leukemia and small lymphocytic lymphoma (CLL/SLL), Waldenström macroglobulinemia (WM), R/R diffuse large B-cell lymphoma (DLBCL), or Richter's transformation to DLBCL.
  2. Participants who have previously received a covalently-binding Bruton´s tyrosine kinase (BTK) inhibitor (BTKi) in any line of therapy must have received treatment with the BTK inhibitor for ≥ 8 weeks (unless reason for discontinuation is intolerance).
  3. For dose-finding and dose-expansion, participants who had previously received a covalently-binding BTK inhibitor as monotherapy or in combination with other anticancer agents are eligible for the study if they meet any of the following criteria: discontinued the previous BTK inhibitor due to disease progression, experienced disease progression after completing treatment with a BTK inhibitor or discontinued the BTK inhibitor due to toxicity or intolerance.
  4. Measurable disease by radiographic assessment or serum IgM level (WM only)
  5. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2
  6. Participants enrolling in the dose finding phase of the study may be previously treated with a BTKi or may be naïve to BTKi therapy depending on the diagnosis and country of enrollment; participants with MCL enrolling in the expansion cohorts (Phase 2) must have been treated with a BTKi in a prior line of therapy; CLL/SLL participants, in addition to being treated with a BTKi in a prior line of therapy, must also have received a Bcl-2 inhibitor in a prior line of therapy as well (Phase 2).

Exclusion Criteria:

  1. Prior malignancy (other than the disease under study) within the past 2 years, except in situ malignancies that have been curatively resected, localized breast cancer treated with curative intent with no evidence of breast active disease for more than 3 years and receiving adjuvant hormonal therapy, localized Gleason score ≤ 6 prostate cancer undergoing observation or treatment with androgen depravation, or any other cancer treated with curative intent, not on adjuvant treatment, and in the opinion of the investigator is unlikely to recur.
  2. Requires ongoing systemic treatment for any other malignancy
  3. Requires ongoing systemic (defined as ≥ 10 mg/day of prednisone or equivalent) corticosteroid treatment.
  4. Current or history of central nervous system involvement including the brain, spinal cord, leptomeninges, and cerebrospinal fluid (as documented by imaging, cytology, or biopsy) by B-cell malignancy, regardless of whether participants had received treatment for central nervous system disease
  5. Known active plasma cell neoplasm, prolymphocytic leukemia, T-cell lymphoma, Burkitt lymphoma, acquired immunodeficiency syndrome (AIDS)-related B-cell lymphoma, Castleman disease, post-transplant lymphoproliferative disorders, hairy cell leukemia, germinal center B-cell (GCB), DLBCL, EBV+ DLBCL NOS, primary DLBCL of the central nervous system (CNS), primary cutaneous DLBCL - leg type, DLBCL associated with chronic inflammation, primary mediastinal (thymic) large B-cell lymphoma, intravascular large B-cell lymphoma, ALK+ large B-cell lymphoma, primary effusion lymphoma, high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements, high-grade B-cell lymphoma - NOS, B-cell lymphoma unclassifiable with features intermediate between DLBCL and classical Hodgkin lymphoma, or history of or currently suspected transformation of an indolent lymphoma to an aggressive histology (except for participants with Richter Transformation to DLBCL are eligible for Part 1a, 1c, or Phase 2 and participants with history of follicular lymphoma transforming to non-GCB DLBCL who are eligible for Part 1a, 1c, or Phase 2).

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

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Part 1a (Monotherapy Dose Escalation)

Dose escalation in specific subtypes of non-Hodgkin lymphoma (NHL), including relapsed or refractory (R/R) marginal zone lymphoma (MZL), R/R follicular lymphoma (FL) Grades 1, 2, and 3a, R/R mantle cell lymphoma (MCL), R/R chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL), R/R diffuse large B-cell lymphoma (DLBCL), R/R Richter's transformation (RT), and R/R Waldenström macroglobulinemia (WM), to evaluate the safety and tolerability of tacabrutideg.

Orally administered

Andre navne:
  • BGB-16673
Eksperimentel: Part 1b (Monotherapy Safety Expansion)

Participants with R/R MZL, MCL, CLL/SLL, and WM will be enrolled at selected doses to help determine the recommended dose(s) for expansion (RDFE(s)) for tacabrutideg.

Orally administered

Andre navne:
  • BGB-16673
Eksperimentel: Part 1c (Additional Monotherapy Safety Expansion)

Additional safety data will be collected from participants with R/R MZL, WM, RT, DLBCL, or FL to confirm the RDFE(s) of tacabrutideg for those with non-CLL/SLL/MCL histologies.

Orally administered

Andre navne:
  • BGB-16673
Eksperimentel: Part 1d (Additional Monotherapy Safety Expansion in R/R CLL/SLL)

Participants with R/R CLL/SLL will be enrolled at selected RDFE(s) to generate additional safety and efficacy data for tacabrutideg.

Orally administered

Andre navne:
  • BGB-16673
Eksperimentel: Part 1e (Japan-only Cohort)

Japanese participants with R/R MZL, FL, MCL, CLL/SLL, and WM will be enrolled at selected RDFE(s) to assess the safety and tolerability of tacabrutideg.

Orally administered

Andre navne:
  • BGB-16673
Eksperimentel: Part 1f (Additional Monotherapy Safety Expansion in BTKi Naive B-Cell Malignancies)

Participants with CLL/SLL, MCL, WM, MZL, or Richter's transformation to DLBCL who have not received a prior BTKi (either covalent or noncovalent) will be enrolled at selected dose levels.

Orally administered

Andre navne:
  • BGB-16673
Eksperimentel: Phase 2 (Monotherapy Expansion)

Cohorts of participants with R/R CLL/SLL, R/R MCL, R/R WM, R/R MZL, R/R FL, R/R RT, and R/R DLBCL will be enrolled to receive the RDFE(s) identified in Phase 1 to further evaluate the safety and efficacy of tacabrutideg.

Orally administered

Andre navne:
  • BGB-16673

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Phase 1: Number of Participants with Adverse Events (AEs)
Tidsramme: From the first dose of tacabrutideg until 30 days after the last dose of the study drug or before the initiation of a new anticancer therapy, whichever occurs first (Up to 47 weeks)

Number of participants with Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) including results from laboratory assessments, electrocardiograms (ECGs), and physical examinations, and that meet protocol-defined dose-limiting toxicities (DLTs); as graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0.

From the first dose of tacabrutideg until 30 days after the last dose of the study drug or before the initiation of a new anticancer therapy, whichever occurs first (Up to 47 weeks)
Phase 1: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD) of Tacabrutideg
Tidsramme: Approximately 28 days

MTD is defined as the highest evaluated dose with an estimated toxicity rate closest to the target, while MAD is the highest dose given if MTD is not reached.

Approximately 28 days
Phase 1: Recommended dose(s) for Expansion (RDFE) of tacabrutideg
Tidsramme: Approximately 3 years

RDFE of tacabrutideg alone will be determined based upon the MTD or MAD.

Approximately 3 years
Phase 2: Overall response rate (ORR)
Tidsramme: approximately 3 years

Defined as the percentage of participants achieving a best overall response of partial response (PR) or better, assessed by the Independent Review Committee for participants with R/R CLL/SLL and R/R WM (in participants with WM, this is also referred to as major response rate) and by the investigator for other cohorts (R/R MCL, R/R MZL, R/R FL, R/R non-GCB DLBCL, R/R Richter's transformation to DLBCL), evaluated using the Lugano criteria for NHL and SLL, International Workshop of Chronic Lymphocytic Leukemia (iwCLL) criteria for CLL, and the 11th International Workshop on Waldenstrom's Macroglobulinemia (IWWM-11) criteria for WM.

approximately 3 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Single dose and steady-state maximum observed plasma concentration (Cmax) of tacabrutideg
Tidsramme: Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Single dose and steady-state minimum observed plasma concentration (Cmin) of tacabrutideg
Tidsramme: Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Single dose and steady-state time to reach Cmax (tmax) of tacabrutideg
Tidsramme: Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Single dose and steady-state elimination half-life (T1/2) of tacabrutideg
Tidsramme: Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Single dose and steady-state area under the plasma concentration-time curve (AUC) of tacabrutideg
Tidsramme: Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Single dose and steady-state apparent total clearance of drug from plasma after oral administration (CL/F) of tacabrutideg
Tidsramme: Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Single dose and steady-state apparent volume of distribution (Vz/F) of tacabrutideg
Tidsramme: Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Single dose and steady-state accumulation ratios of tacabrutideg
Tidsramme: Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Week 1 Day 1 pre-dose; 2, 4, 6, 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose; and 2, 4, 6, 8 post-dose; Week 9 Day 1 pre-dose.
Bruton's tyrosine kinase (BTK) protein degradation in peripheral blood after tacabrutideg monotherapy
Tidsramme: Week 1 Day 1 pre-dose; 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose and 8 hours post-dose; Week 9 Day 1 pre-dose.
Week 1 Day 1 pre-dose; 8, 24, 48, and 72 hours post-dose; Week 5 Day 1 pre-dose and 8 hours post-dose; Week 9 Day 1 pre-dose.
Phase 1: Overall response rate (ORR)
Tidsramme: approximately 3 years

Defined as the percentage of participants whose best overall response is partial response or better, as assessed by the investigator and evaluated according to the following criteria: the International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria for R/R CLL, the International Workshop on Waldenström's Macroglobulinemia (IWWM-11) criteria for R/R WM (in participants with WM, this is also referred to as major response rate), and the Lugano criteria for R/R NHL.

approximately 3 years
Phase 1: Response Rate in Participants with R/R CLL/SLL
Tidsramme: approximately 3 years

Defined as the percentage of participants with R/R CLL/SLL whose best overall response is better than stable disease, as determined by investigators.

approximately 3 years
Phase 1: Overall Response Rate in Participants with R/R WM
Tidsramme: approximately 3 years

Defined as the percentage of participants with R/R WM who have a response rate of minor response or better.

approximately 3 years
Phase 1: Number of Participants with AEs in part 1e (Japan-only cohort)
Tidsramme: From the first dose of tacabrutideg in Part 1e until 30 days after the last dose of the study drug or before the initiation of a new anticancer therapy, whichever occurs first (approximately 3 years)

Number of Japanese participants in Part 1e with TEAEs and SAEs, including results from laboratory assessments, ECGs, and physical examinations, that meet protocol-defined DLTs, graded according to the NCI-CTCAE v5.0.

From the first dose of tacabrutideg in Part 1e until 30 days after the last dose of the study drug or before the initiation of a new anticancer therapy, whichever occurs first (approximately 3 years)
Phase 2: Recommended Phase 2 Dose (RP2D)
Tidsramme: approximately 3 years

The Recommended Phase 2 Dose (RP2D) is determined by the sponsor based on the Safety Monitoring Committee's recommendations, taking into account the overall clinical safety, efficacy, pharmacokinetic (PK), and pharmacodynamic data.

approximately 3 years
Phase 2: Number of Participants with AEs
Tidsramme: From the first dose of tacabrutideg in Phase 2 until 30 days after the last dose of the study drug or before the initiation of a new anticancer therapy, whichever occurs first (approximately 3 years)

Number of participants with TEAEs and SAEs, including results from laboratory assessments, ECGs, and physical examinations, graded according to the NCI-CTCAE v5.0.

From the first dose of tacabrutideg in Phase 2 until 30 days after the last dose of the study drug or before the initiation of a new anticancer therapy, whichever occurs first (approximately 3 years)
Phase 2: ORR in Participants with CLL/SLL assessed by investigators
Tidsramme: approximately 3 years

Defined as the percentage of participants with CLL/SLL with a best overall response of PR or better, as determined by investigators.

approximately 3 years
Phase 2: Major Response Rate for Participants with WM assessed by investigator
Tidsramme: approximately 3 years

Defined as the percentage of participants with WM whose best overall response is PR or better, as determined by investigators using the IWWM-11 criteria.

approximately 3 years
Phase 2: Overall Response Rate for Participants with WM assessed by investigator and IRC
Tidsramme: approximately 3 years

Defined as the percentage of participants who achieve at least a minor response (MR) or a more favorable outcome, as assessed by investigators for participants with R/R WM.

approximately 3 years
Phase 2: Rate of Very Good Partial Response (VGPR) or Better in Participants with WM Assessed by Investigator and IRC
Tidsramme: approximately 3 years

Defined as the percentage of participants with R/R WM with best response of VGPR or better as determined by IRC and investigator.

approximately 3 years
Phase 2: Response Rate in Participants with R/R CLL/SLL Assessed by Investigator and IRC
Tidsramme: approximately 3 years

Defined as the percentage of participants with R/R CLL/SLL whose best overall response is better than stable disease, as determined by IRC and investigator.

approximately 3 years
Phase 2: Duration of Response (DOR)
Tidsramme: approximately 3 years

DOR is defined as the time from the date that response criteria are first met to the date that progressive disease is documented or death, whichever comes first as assessed by the investigator and the IRC.

approximately 3 years
Phase 2: Time to Overall Response (TTOR)
Tidsramme: approximately 3 years

TTOR is defined as the time from study treatment start to date of the earliest qualifying response (partial response or better), as assessed by IRC and the investigator

approximately 3 years
Phase 2: Time to Major Response (TTMR) in Participants with WM
Tidsramme: approximately 3 years

Defined as the time from the date of treatment initiation to the date of first response of PR or better in participants with R/R WM.

approximately 3 years
Phase 2: Time to Response in Participants with R/R CLL/SLL Assessed by Investigator and IRC
Tidsramme: approximately 3 years

Defined as the time to first response based on best overall response of better than stable disease, per IRC and investigator.

approximately 3 years
Phase 2: Time to Response in Participants with WM Assessed by Investigator and IRC
Tidsramme: approximately 3 years

Defined as the time to first response based on best overall response of minor response or better, per IRC and investigator.

approximately 3 years
Phase 2: Time to Next Treatment (TTNT)
Tidsramme: approximately 3 years

Defined as the time from the treatment start date to the initiation of subsequent anticancer therapy.

approximately 3 years
Phase 2: Progression- Free Survival (PFS)
Tidsramme: approximately 3 years

PFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by IRC for R/R CLL/SLL and R/R WM and by the investigator for all participants.

approximately 3 years
Phase 2: Overall Survival (OS)
Tidsramme: approximately 3 years

OS is defined as the time from first study drug administration to the date of death due to any cause

approximately 3 years
Phase 2: Functional Assessment of Cancer Therapy-Leukemia (FACT-Leu) questionnaire
Tidsramme: Baseline and day 1 of Weeks 5, 13, 25, and 37

Mean change from baseline in the 'physical well-being' and 'functional well-being' subscales of the FACT-Leu for participants with R/R CLL/SLL. FACT-Leu is a 44-item PRO questionnaire with five subscales used to measure health-related quality of life (HRQoL) in leukemia patients.

Baseline and day 1 of Weeks 5, 13, 25, and 37
Phase 2: National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Lymphoma Cancer Symptom Index - 18 (NFLymSI-18)
Tidsramme: Baseline and day 1 of Weeks 5, 13, 25, and 37

Mean change from baseline in the NFlymSI-18 subscales of disease-related symptoms (DRSP) and 'treatment side effects' for participants with R/R MCL and participants with R/R WM. The NFlymSI-18 is an 18-item patient-reported outcome (PRO) tool specifically designed to assess symptoms and treatment impacts in patients with non-Hodgkin lymphoma.

Baseline and day 1 of Weeks 5, 13, 25, and 37

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studieleder: Study Director, BeOne Medicines

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

13. september 2021

Primær færdiggørelse (Anslået)

1. marts 2027

Studieafslutning (Anslået)

1. marts 2030

Datoer for studieregistrering

Først indsendt

9. august 2021

Først indsendt, der opfyldte QC-kriterier

9. august 2021

Først opslået (Faktiske)

16. august 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

30. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

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-delingstidsramme

See plan description

IPD-delingsadgangskriterier

See plan description

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP
  • CSR

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

produkt fremstillet i og eksporteret fra U.S.A.

Ingen

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