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JOURNAL ONKOLOGIE – STUDIE

A Dose-Escalation and Expansion Study of BGB-16673 in Participants With B-Cell Malignancies

Rekrutierend

NCT-Nummer:
NCT05006716

Studienbeginn:
September 2021

Letztes Update:
03.04.2024

Wirkstoff:
BGB-16673

Indikation (Clinical Trials):
Lymphoma, Neoplasms, Leukemia, Lymphocytic, Chronic, B-Cell, Lymphoma, Mantle-Cell, Lymphoma, Large B-Cell, Diffuse, Waldenstrom Macroglobulinemia

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
-

Sponsor:
BeiGene

Collaborator:
-

Kontakt

Study Director, MD

Studienlocations
(3 von 58)

Universitaetsklinikum Ulm, Innere Medizin Iii
89081 Ulm
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
University of Alabama At Birmingham Hospital
35294 Birmingham
United StatesRekrutierend» Google-Maps
University of Arizona Cancer Center
85724 Tucson
United StatesRekrutierend» Google-Maps
University of California San Diego (Ucsd) Moores Cancer Center
92037 La Jolla
United StatesRekrutierend» Google-Maps
Valkyrie Clinical Trials
90067 Los Angeles
United StatesRekrutierend» Google-Maps
UCLA Santa Monica Cancer Care
90404 Santa Monica
United StatesRekrutierend» Google-Maps
Mayo Clinic Jacksonville
32224 Jacksonville
United StatesRekrutierend» Google-Maps
Tampa General Hospital Cancer Institute
33606 Tampa
United StatesRekrutierend» Google-Maps
University of Iowa Hospitals and Clinics
52242 Iowa City
United StatesRekrutierend» Google-Maps
Norton Cancer Institute Pavilion
40207 Louisville
United StatesRekrutierend» Google-Maps
Mary Bird Perkins Cancer Center
70809 Baton Rouge
United StatesRekrutierend» Google-Maps
American Oncology Partners of Maryland Pa
20817 Bethesda
United StatesRekrutierend» Google-Maps
Dana Farber Cancer Institute
02215 Boston
United StatesRekrutierend» Google-Maps
Mayo Clinic Rochester
55905 Rochester
United StatesRekrutierend» Google-Maps
Nebraska Cancer Specialists
68803 Grand Island
United StatesRekrutierend» Google-Maps
Comprehensive Cancer Centers of Nevada
89169 Las Vegas
United StatesRekrutierend» Google-Maps
Weill Cornell Medical College Newyork Presbyterian Hospital
10021 New York
United StatesRekrutierend» Google-Maps
Columbia University Medical Center
10032 New York
United StatesRekrutierend» Google-Maps
Memorial Sloan Kettering Cancer Center Mskcc
10065 New York
United StatesRekrutierend» Google-Maps
Md Anderson Cancer Center
77030 Houston
United StatesRekrutierend» Google-Maps
Virginia Commonwealth University Massey Cancer Center
23298 Richmond
United StatesRekrutierend» Google-Maps
Fred Hutchinson Cancer Research Center
98109 Seattle
United StatesRekrutierend» Google-Maps
Concord Repatriation General Hospital
2139 Concord
AustraliaRekrutierend» Google-Maps
St Vincents Hospital Melbourne
3065 Fitzroy
AustraliaRekrutierend» Google-Maps
Peter Maccallum Cancer Centre
3000 Melbourne
AustraliaRekrutierend» Google-Maps
Centre de Lutte Contre Le Cancer Institut Bergonie
33076 Bordeaux
FranceRekrutierend» Google-Maps
Chu Montpellier Hopital Saint Eloi
34295 Montpellier Cedex
FranceRekrutierend» Google-Maps
Hopital de La Pitie Salpetriere
75013 Paris
FranceRekrutierend» Google-Maps
Arensia Exploratory Medicine Llc
0112 Tbilisi
GeorgiaRekrutierend» Google-Maps
Policlinico Sorsola Malpighi, Aou Di Bologna
40138 Bologna
ItalyRekrutierend» Google-Maps
Niguarda Cancer Center Division of Hematology
20162 Milano
ItalyRekrutierend» Google-Maps
Centroricerche Cliniche Di Verona Srl
37134 Verona
ItalyRekrutierend» Google-Maps
Inje University Busan Paik Hospital
47392 Busan
Korea, Republic ofRekrutierend» Google-Maps
Seoul National University Hospital
03080 Seoul
Korea, Republic ofRekrutierend» Google-Maps
The Institute of Oncology, Arensia Exploratory Medicine
2025 Chisinau
Moldova, Republic ofRekrutierend» Google-Maps
Hospital de La Santa Creu I Sant Pau
08025 Barcelona
SpainRekrutierend» Google-Maps
Hospital Universitario Vall Dhebron
08035 Barcelona
SpainRekrutierend» Google-Maps
Hospital General Universitario Gregorio Maranon
28007 Madrid
SpainRekrutierend» Google-Maps
Md Anderson Cancer Center Madrid Spain
28033 Madrid
SpainRekrutierend» Google-Maps
Hospital Universitario Fundacion Jimenez Diaz
28040 Madrid
SpainRekrutierend» Google-Maps
Hospital Universitario Puerta de Hierro Majadahonda
28222 Majadahonda
SpainRekrutierend» Google-Maps
Hospital Clinico Universitario de Valencia
46010 Valencia
SpainRekrutierend» Google-Maps
Sahlgrenska University Hospital Hematology
41345 Goteborg
SwedenRekrutierend» Google-Maps
Karolinska Universitetssjukhuset Solna
171 76 Stockholm
SwedenRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Brief Summary:

Study consists of two main parts to explore BGB-16673 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)

Ein-/Ausschlusskriterien

Inclusion Criteria :

1. Confirmed diagnosis (per World Health Organization (WHO) guidelines, unless otherwise

noted) of one of the following: Marginal Zone Lymphoma (MZL) , Follicular Lymphoma

(FL), R/R Mantle Cell Lymphoma (MCL), R/R chronic lymphocytic leukemia and small

lymphocytic lymphoma (CLL/SLL), Waldenström macroglobulinemia (WM), Diffuse large

B-cell lymphoma (DLBCL), or >2 treatments per the 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.

Studien-Rationale

Primary outcome:

1. Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) with adverse events leading to discontinuation, and Adverse Events (AEs) graded according NCI-CTCAE V5. (Time Frame - approximately 3 years):
TEAE is defined as an AE that had an onset date or a worsening in severity from baseline (pretreatment) on or after the date of the first dose of the study drug and up to 30 days after the last dose of study treatment or the initiation of a new anticancer therapy, whichever is earlier

2. Recommended Phase 2 Dose (RP2D) of BGB-16673 (Time Frame - approximately 3 years):
RP2D is the recommended dose for further evaluation in Part 2, determined based on the totality of the available clinical safety, clinical efficacy, pharmacokinetics (PK), and pharmacodynamic data in Part 1.

3. Maximum Tolerated Dose (MTD) of BGB-16673 (Time Frame - approximately 3 years):
determined by the sponsor based on the Safety Monitoring Committee's recommendation considering the totality of the available clinical safety, clinical efficacy, pharmacokinetics (PK), and pharmacodynamic data

4. Phase 2: Overall response rate (ORR) (Time Frame - approximately 3 years):
Cohort specific ORRs based on best overall response of partial response (PR) or better as assessed by Independent Review Committee (IRC) for prticipants in cohorts 1 and 2; by investigator for other cohorts.

Secondary outcome:

1. Single Dose Maximum observed plasma concentration (Cmax) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

2. Single Dose Minimum observed plasma concentration (Cmin) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

3. Single Dose Time to reach Cmax (tmax) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

4. Single Dose Time to reach half of Cmax (T1/2) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

5. Single Dose Area under the plasma concentration-time curve (AUC) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

6. Single Dose apparent total clearance of drug from plasma after oral administration (CL/F) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

7. Single Dose apparent volume of distribution (Vz/F) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

8. Single Dose accumulation ratios of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

9. Steady State Maximum observed plasma concentration (Cmax) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

10. Steady State minimum observed plasma concentration (Cmin) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

11. Steady State Time to reach Cmax (tmax) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

12. Steady State Time to reach half of Cmax (T1/2) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

13. Steady State Area under the plasma concentration-time curve (AUC) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

14. Steady State apparent total clearance of drug from plasma after oral administration (CL/F) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

15. Steady State apparent volume of distribution (Vz/F) of BGB-16673 (Time Frame - Day 1 pre-dose and 2, 4, 6,8,24, 48 and 72 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

16. Bruton's tyrosine kinase (BTK) protein degradation in peripheral blood after BGB-16673 monotherapy (Time Frame - Day 1 pre-dose and 8 hours post-dose (approximately 2 years)):
Collected for both Part 1 and Part 2

17. Phase 1: Overall response rate (ORR) (Time Frame - approximately 3 years):
defined as the proportion of participants whose best overall response is better than stable disease.

18. Phase 1: Number of Waldenström Macroglobulinemia (WM) Participants with major response rate (MRR) (Time Frame - approximately 3 years):
MRR is defined as the proportion of participants whose best overall response (BOR) is partial response (PR) or better (PR, very good partial response (VGPR), or complete response (CR)).

19. Phase 2: Duration of Response (DOR) (Time Frame - 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 objectively documented or death, whichever comes first as assessed by the investigator and the IRC.

20. Phase 2: Time to Response (TTR) (Time Frame - approximately 3 years):
TTR 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

21. Phase 2: Progression- Free Survival (PFS) (Time Frame - 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 and the investigator

22. Phase 2: Overall Survival (OS) (Time Frame - approximately 3 years):
OS is defined as the time from first study drug administration to the date of death due to any cause

23. Phase 2 (Cohort 1): Best Overall Response (BOR) of partial response with lymphocytosis or better (Time Frame - approximately 3 years):
Best overall response is defined as the best response recorded from the first dose of the study drug until the data cutoff date or initiation of a new anticancer treatment, whichever occurs first. As determined by IRC and investigators.

24. Phase 2 (Cohort 3): BOR of minor response or better (Time Frame - approximately 3 years)

25. Phase 2 (Cohort 1): Participant-reported outcomes (PRO) via Functional Assessment of Cancer Therapy-Leukemia (FACT-Leu) questionarre (Time Frame - approximately 3 years):
FACT-Leu is a PRO questionnaire that is developed to measure disease-specific symptoms and/or treatment-related concerns in participants with leukemia (Cela et al. 2012). It has been linguistically validated in over 50 languages, and frequently to measure HRQoL in chronic lymphocytic leukemia (CLL) participants. The questionnaire is comprised of 44 questions and 5 subscales including Physical Well-being (7 items), Social / Family Well-being (7 items), Emotional Well-being (6 items), Functional Wellbeing (7 items), and 17 single items under Additional Concerns).

26. Phase 2 (Cohort 2): Participant-reported outcomes (PRO) via National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Lymphoma Cancer Symptom Index - 18 (NFLymSI-18) (Time Frame - approximately 3 years):
The NFlymSI-18 is a participant-reported outcome questionnaire that is developed to measure disease-specific symptoms and/or treatment-related concerns in participants with advanced lymphoma

Studien-Arme

  • Experimental: Part 1a (Monotherapy Dose Escalation)
    Dose escalation in selected R/R B-Cell malignancies to inform safety, tolerability and MTD.
  • Experimental: Part 1b (Monotherapy Safety Expansion)
    Additional participants with selected R/R B-Cell malignancies will be enrolled at selected doses to help inform the selection of the recommended phase two dose (RP2D).
  • Experimental: Part 1c (Additional Monotherapy Safety Expansion)
    After RP2D is determined, additional safety data will be collected to confirm RP2D for participants with selected B-cell malignancies not being evaluated in Part 2
  • Experimental: Part 2 (Monotherapy Expansion)
    The totality of the data from Part 1a, Part 1b, and Part 1c will be used to further evaluate the safety and efficacy of BGB-16673 at the recommended dose(s) for Phase 2 expansion in specific histologies.

Geprüfte Regime

  • BGB-16673:
    Orally administered

Quelle: ClinicalTrials.gov


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