NCT04771130

Brief Summary

The study will determine the safety, tolerability, recommended Phase 2 dose (RP2D) and preliminary efficacy of BGB-11417 as monotherapy and in combination with azacitidine in participants with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS)or MDS/myeloproliferative neoplasm (MPN) .

Trial Health

88
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
260

participants targeted

Target at P75+ for phase_1

Timeline
22mo left

Started May 2021

Longer than P75 for phase_1

Geographic Reach
10 countries

46 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress74%
May 2021Feb 2028

First Submitted

Initial submission to the registry

February 23, 2021

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 25, 2021

Completed
3 months until next milestone

Study Start

First participant enrolled

May 24, 2021

Completed
6.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 8, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 8, 2028

Last Updated

April 23, 2026

Status Verified

April 1, 2026

Enrollment Period

6.7 years

First QC Date

February 23, 2021

Last Update Submit

April 21, 2026

Conditions

Keywords

BGB-11417AzacitidinePosaconazoleAMLMDSMDS/MPN

Outcome Measures

Primary Outcomes (9)

  • Part 1 And 2: Number Of Participants Experiencing Dose-limiting Toxicities (DLTs)

    Cycle 1 (Up to 28 days for non-hematologic DLTs and up to 42 days for hematologic DLTs)

  • Part 1 And 2: Number Of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)

    Approximately 24 months

  • Part 3 AML Cohort: Complete Remission (CR) Plus CR With Partial Hematologic Recovery (CRh) Rate

    CR plus CRh will be defined as the percentage of participants whose best overall response (BOR) is CR plus CRh. BOR will be defined as the best response recorded from the first dose of study drug until data cut or the initiation of new anticancer treatment.

    Approximately 24 months

  • Part 3 MDS Cohort: Modified Overall Response (mOR) Rate

    The mOR will be defined as the percentage of participants whose BOR is achieving CR, marrow complete remission (mCR), or partial remission (PR) at any time point during the study for myelodysplastic/myeloproliferative neoplasm (MDS/MPN).

    Approximately 24 months

  • Part 3 AML Cohort (DDI Sub-cohort): Area Under Plasma Concentration-time Curve (AUC) from time 0 to the last quantifiable timepoint (t) (AUC0-t) Of BGB-11417 When Administered Alone and when Co-administered With Posaconazole

    Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, 2, 4, 6, 8, and 24 hours postdose)

  • Part 3 AML Cohort (DDI Sub-cohort): Maximum Observed Plasma Concentration (Cmax) Of BGB-11417 When Administered Alone and When Co-administered With Posaconazole

    Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, 2, 4, 6, 8, and 24 hours postdose)

  • Part 3 AML Cohort (DDI Sub-cohort): Area Under Plasma Concentration-time Curve (AUC) from time 0 to infinity (AUC0-infinity) Of BGB-11417 When Administered Alone and When Co-administered With Posaconazole

    Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, , 4, 6, 8, and 24 hours postdose)

  • Part 3 AML and MDS Cohorts (Treated with Monotherapy): Number Of Participants Experiencing DLTs

    Cycle 2

  • Part 3 AML and MDS Cohorts (Treated with Monotherapy): Number of Participants Experiencing TEAEs

    Approximately 24 months

Secondary Outcomes (31)

  • Parts 1 And 2 AML Cohort: Complete remission (CR) + Morphologic CR With Partial Hematologic Recovery (CRh)

    Approximately 24 months

  • Parts 1 And 2 MDS Cohort: mOR Rate

    Approximately 24 months

  • Parts 1 And 2: Cmax Of Azacitidine When Coadministered With BGB-11417

    Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose

  • Parts 1 And 2: Terminal Half-life (t1/2) Of Azacitidine When Coadministered With BGB-11417

    Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose

  • Parts 1 And 2: AUC From Time Zero To Time t (AUC0-t) Of Azacitidine When Coadministered With BGB-11417

    Day 0 and 4 (Cycle 1) predose and at multiple time points up to 4 hours postdose

  • +26 more secondary outcomes

Study Arms (4)

Parts 1 and 2: AML Cohorts

EXPERIMENTAL

Participants with AML will receive BGB-11417 and azacitidine on a 28-day cycle.

Drug: BGB-11417Drug: Azacitidine

Parts 1 and 2: MDS Cohorts

EXPERIMENTAL

Participants with MDS will receive BGB-11417 and azacitidine on a 28-day cycle.

Drug: AzacitidineDrug: BGB-11417

Part 3: AML and MDS Cohorts

EXPERIMENTAL

Participants with AML and MDS will receive BGB-11417 and azacitidine on a 28-day cycle. A subset of the participants will receive a modified second cycle of treatment to explore drug-drug interactions (DDI) with posaconazole.

Drug: BGB-11417Drug: AzacitidineDrug: Posaconazole

Part 3: AML and MDS Cohort

EXPERIMENTAL

Participants with MDS and R/R AML (China only) will receive BGB-11417 on a 28-day cycle.

Drug: BGB-11417

Interventions

Oral administration for 10, 21, 14 or 28 days on a 28-day cycle.

Also known as: Sonrotoclax
Part 3: AML and MDS CohortsParts 1 and 2: AML Cohorts

Intravenous or subcutaneous administration for 7 days.

Part 3: AML and MDS CohortsParts 1 and 2: AML CohortsParts 1 and 2: MDS Cohorts

Oral administration for 8 days on second cycle only.

Part 3: AML and MDS Cohorts

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Confirmed diagnosis of one of the following by 2016 World Health Organization criteria:
  • AML, nonacute promyelocytic leukemia
  • MDS
  • MDS/MPN
  • Eastern Cooperative Oncology Group performance status of 0 to 2.
  • Adequate organ function defined as:
  • Creatinine clearance ≥ 50 milliliters/minute (mL/min) (or between 30 and 49 mL/min in unfit AML cohort)
  • Adequate liver function
  • Life expectancy of \> 12 weeks.
  • Ability to comply with the requirements of the study.

You may not qualify if:

  • A diagnosis of acute promyelocytic leukemia.
  • History of prior malignancy, with the exception of either a history of MDS or MDS/MPN that has transformed to AML, or other prior malignancy that was treated with a full curative intent and no evidence of recurrence within the past 2 years (eg, localized skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast, or localized Gleason score ≤ 6 prostate cancer)
  • Antecedent MPN including myelofibrosis, essential thrombocytosis, polycythemia vera, or chronic myelogenous leukemia with or without BCR-ABL1 translocation and AML with BCR-ABL1 translocation.
  • Prior therapy with a B-cell lymphoma-2 inhibitor
  • Known central nervous system involvement by leukemia.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (46)

City of Hope National Medical Center

Duarte, California, 91010-3012, United States

TERMINATED

Tampa General Hospital

Tampa, Florida, 33606-3571, United States

RECRUITING

Upmc Hillman Cancer Center(Univ of Pittsburgh)

Pittsburgh, Pennsylvania, 15232-1309, United States

RECRUITING

Md Anderson Cancer Center

Houston, Texas, 77030-3907, United States

RECRUITING

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226-1222, United States

RECRUITING

Concord Repatriation General Hospital

Concord, New South Wales, NSW 2139, Australia

RECRUITING

St George Hospital

Kogarah, New South Wales, NSW 2217, Australia

RECRUITING

Orange Health Hospital

Orange, New South Wales, NSW 2800, Australia

RECRUITING

Gold Coast University Hospital

Southport, Queensland, QLD 4215, Australia

RECRUITING

Monash Health

Clayton, Victoria, VIC 3168, Australia

RECRUITING

St Vincents Hospital Melbourne

Fitzroy, Victoria, VIC 3065, Australia

RECRUITING

Austin Health

Heidelberg, Victoria, VIC 3084, Australia

RECRUITING

The Alfred Hospital

Melbourne, Victoria, VIC 3004, Australia

RECRUITING

Fiona Stanley Hospital

Murdoch, Western Australia, WA 6150, Australia

RECRUITING

Linear Clinical Research

Nedlands, Western Australia, WA 6009, Australia

RECRUITING

One Clinical Research

Nedlands, Western Australia, WA 6009, Australia

RECRUITING

Peking University Peoples Hospital

Beijing, Beijing Municipality, 100044, China

RECRUITING

The First Hospital of Lanzhou University

Lanzhou, Gansu, 730000, China

RECRUITING

Guangdong Provincial Peoples Hospital

Guangzhou, Guangdong, 510080, China

RECRUITING

Nanfang Hospital, Southern Medical University

Guangzhou, Guangdong, 510515, China

RECRUITING

The Second Peoples Hospital of Shenzhen

Shenzhen, Guangdong, 518037, China

COMPLETED

Henan Cancer Hospital

Zhengzhou, Henan, 450000, China

RECRUITING

Union Hospital of Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, 430022, China

RECRUITING

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, 215006, China

RECRUITING

The First Affiliated Hospital of Nanchang University Branch Donghu

Nanchang, Jiangxi, 330006, China

RECRUITING

West China Hospital, Sichuan University

Chengdu, Sichuan, 610041, China

RECRUITING

Tianjin Medical University Cancer Institute and Hospital

Tianjin, Tianjin Municipality, 300060, China

COMPLETED

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, 310003, China

RECRUITING

Hopital Claude Huriez Chu Lille

Lille, 59000, France

RECRUITING

Hopital Larchet

Nice, 06200, France

RECRUITING

Hopital Saint Louis

Paris, 75010, France

RECRUITING

Universitaetsklinikum Leipzig Aor

Leipzig, 04103, Germany

RECRUITING

Universitaetsklinikum Ulm

Ulm, 89081, Germany

RECRUITING

Policlinico Sorsola Malpighi, Aou Di Bologna

Bologna, 40138, Italy

RECRUITING

Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori Irst

Meldola, 47014, Italy

RECRUITING

Niguarda Cancer Center Division of Hematology

Milan, 20162, Italy

RECRUITING

North Shore Hospital

Auckland, 0622, New Zealand

RECRUITING

Wellington Regional Hospital (Ccdhb)

Wellington, 6021, New Zealand

RECRUITING

Samsung Medical Center

GangnamGu, Seoul Teugbyeolsi, 06351, South Korea

RECRUITING

Severance Hospital Yonsei University Health System

SeodaemunGu, Seoul Teugbyeolsi, 03722, South Korea

RECRUITING

Hospital de La Santa Creu I Sant Pau

Barcelona, 08041, Spain

RECRUITING

Hospital Universitario de Salamanca

Salamanca, 37007, Spain

RECRUITING

Hospital Universitario Virgen Del Rocio

Seville, 41013, Spain

RECRUITING

Hospital Universitari I Politecnic La Fe

Valencia, 46026, Spain

RECRUITING

Edinburgh Cancer Centre

Edinburgh, EH4 2XU, United Kingdom

RECRUITING

The Christie Hospital

Greater Manchester, M20 4BX, United Kingdom

RECRUITING

MeSH Terms

Conditions

Leukemia, Myeloid, AcuteMyelodysplastic SyndromesMyelodysplastic-Myeloproliferative Diseases

Interventions

Azacitidineposaconazole

Condition Hierarchy (Ancestors)

Leukemia, MyeloidLeukemiaNeoplasms by Histologic TypeNeoplasmsHematologic DiseasesHemic and Lymphatic DiseasesBone Marrow Diseases

Intervention Hierarchy (Ancestors)

Aza CompoundsOrganic ChemicalsCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsNucleosidesNucleic Acids, Nucleotides, and NucleosidesRibonucleosides

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 23, 2021

First Posted

February 25, 2021

Study Start

May 24, 2021

Primary Completion (Estimated)

February 8, 2028

Study Completion (Estimated)

February 8, 2028

Last Updated

April 23, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

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Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
See plan description
Access Criteria
See plan description
More information

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