Study of Bcl-2 Inhibitor BGB-11417 in Participants With Mature B-Cell Malignancies

Not Recruiting

Trial ID: NCT04277637

Purpose

The purpose of this study is to determine the safety, tolerability; and to define the maximum tolerated dose (MTD) and Recommended Phase 2 Dose (RP2D); and to evaluate the safety and tolerability of the ramp-up dosing schedule and at the RP2D of BGB-11417 monotherapy, and when given in combination with zanubrutinib and obinutuzumab.

Official Title

A Phase 1a/1b Open-Label Dose Escalation and Expansion Study of Bcl-2 Inhibitor BGB-11417 in Patients With Mature B-Cell Malignancies

Eligibility


Key Inclusion Criteria:

   - Confirmed diagnosis of one of the following:

NHL Cohorts:

   1. MZL i. R/R extranodal, splenic, or nodal MZL defined as disease that relapsed after,
   or was refractory to, at least one prior therapy ii. Active disease requiring
   treatment

   2. FL i. R/R FL (Grade 1, 2 or 3a based on the WHO 2008 classification of tumors of
   hematopoietic and lymphoid tissue) and defined as disease that relapsed after, or was
   refractory to, at least 1 prior systemic therapy

   3. DLBCL i. R/R DLBCL (including all subtypes of DLBCL) defined as disease that relapsed
   after, or was refractory to, at least two prior systemic therapies and has either
   progressed following or is not a candidate for autologous stem cell transplant (due to
   comorbidities or non-responsiveness to salvage chemotherapy)

   4. Transformed indolent B-cell NHL i. Any lymphoma otherwise eligible for Part 1 that has
   transformed into a more aggressive lymphoma. Patients with transformation from CLL or
   SLL (Richter's transformation) are not eligible for Part 1

   CLL/SLL Cohorts:

   5. CLL/SLL diagnosis that meets the International Workshop on Chronic Lymphocytic
   Leukemia (IWCLL) criteria i. Disease characterized as Treatment Naive (TN) or R/R
   disease defined as disease that relapsed after, or was refractory to, at least 1 prior
   therapy ii. Requiring treatment as defined by history

   MCL cohorts:

   6. WHO-defined MCL I. R/R MCL defined as disease that relapsed after, or was refractory
   to, at least 1 prior systemic therapy; ii. Requiring treatment in the opinion of the
   investigatorr

WM cohorts:

g. WHO-defined WM (clinical and definitive histologic diagnosis) i. R/R disease defined as
disease that relapsed after, or was refractory to, at least 1 prior therapy; ii. Meeting at
least 1 criterion for treatment according to consensus panel criteria from the Seventh
International Workshop on Waldenström's Macroglobulinemia (Dimopoulos et al 2014)

   - Measurable disease by computed tomography (CT)/magnetic resonance imaging (MRI),
   defined as:

      1. CLL: at least 1 lymph node > 1.5 cm in longest diameter and measurable in 2
      perpendicular dimensions or clonal lymphocytes measured by flow cytometry

      2. DLBCL, FL, MZL, SLL: at least 1 lymph node > 1.5 cm in longest diameter OR 1
      extranodal lesion > 1.0 cm in the longest diameter, measurable in at least 2
      perpendicular dimensions. For MZL, isolated splenomegaly is considered measurable
      for this study

   - Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2

   - Adequate organ function

   - Adequate pancreatic function indicated by:

      1. Serum amylase ≤ 1.5 x upper limit of normal (ULN)

      2. Serum lipase ≤ 1.5 x ULN

Key Exclusion Criteria:

   - Known central nervous system involvement by lymphoma/leukemia

   - Known plasma cell neoplasm, prolymphocytic leukemia, history of or currently suspected
   Richter's syndrome

   - Prior therapy ≥ 2 months with or progression on a B-cell lymphoma-2 (Bcl-2) inhibitor

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

Intervention(s):

drug: BGB-11417

drug: Zanubrutinib

drug: obinutuzumab

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Jhina Patro
650-721-4094

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