This study will evaluate the safety and efficacy of the BCL2 inhibitor sonrotoclax (BGB-11417) in participants with relapsed/refractory Waldenström's Macroglobulinemia (R/R WM) and in combination with zanubrutinib in adult participants with previously untreated WM.
This study will test whether sonrotoclax (BGB-11417) can be used to improve outcomes in participants with Waldenström's Macroglobulinemia (WM) both when used alone in those who have not responded well to conventional treatments and when used in combination with zanubrutinib in those who have not yet received treatment. The main goals of the study are to determine how many participants no longer have evidence of cancer or have some improvement in the signs and symptoms of cancer after treatment, and to determine what adverse events, or side effects, participants might experience. BCL2 is a key protein involved in cell death, and abnormal levels of BCL2 are associated with many cancers. Blocking the action of BCL2 proteins is a promising approach with potential therapeutic benefits in participants with different types of cancers, including WM. This study will enroll approximately 105 participants. All participants will receive sonrotoclax orally as a tablet. The study will take place at multiple centers worldwide. The overall time to participate in this study is approximately 5 years. Note: 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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
114
Administered orally as a tablet.
Administered orally as a capsule.
City of Hope National Medical Center
Duarte, California, United States
Colorado Blood Cancer Institute
Denver, Colorado, United States
Medstar Georgetown University Hospital
Washington D.C., District of Columbia, United States
University of Miami
Miami, Florida, United States
Northwestern Medicine Cancer Center
Warrenville, Illinois, United States
Cohort 1: Major Response Rate (MRR)
MRR is defined as the percentage of participants achieving partial response (PR) or better, as assessed by the Independent Review Committee (IRC) per the 11th International Workshop on Waldenström Macroglobulinemia (IWWM-11) WM response criteria.
Time frame: Up to approximately 4 years
Cohorts 2 and 3: MRR as assessed by the IRC
MRR is defined as the percentage of participants achieving PR or better.
Time frame: Up to approximately 5 years
All Cohorts: MRR as assessed by the Investigator
MRR is defined as the percentage of participants achieving PR or better.
Time frame: Up to approximately 5 years
Cohorts 1, 2, and 3: Duration of Major Response (DoMR) as assessed by the IRC
DoMR is defined as the time from first determination of major response until first documentation of progression or death, whichever occurs first.
Time frame: Up to approximately 5 years
All Cohorts: DoMR as assessed by the Investigator
DoMR is defined as the time from first determination of major response until first documentation of progression or death, whichever occurs first.
Time frame: Up to approximately 5 years
Cohorts 1, 2, and 3: Complete Response (CR) + Very Good Partial Response (VGPR) as assessed by the IRC
CR + VGPR is defined as the percentage of participants who achieve CR or VGPR.
Time frame: Up to approximately 5 years
All Cohorts: CR + VGPR as assessed by the Investigator
CR + VGPR is defined as the percentage of participants who achieve CR or VGPR.
Time frame: Up to approximately 5 years
Cohorts 1, 2, and 3: Overall Response Rate (ORR) as assessed by the IRC
ORR is defined as the percentage of participants with minor response (MR) or better.
Time frame: Up to approximately 5 years
All cohorts: ORR as assessed by the investigator
ORR is defined as the percentage of participants with MR or better.
Time frame: Up to approximately 5 years
Cohorts 1, 2, and 3: Duration of Response (DOR) as assessed by the IRC
DOR is defined as the time from first determination of response until first documentation of progression or death, whichever occurs first.
Time frame: Up to approximately 5 years
All Cohorts: DOR as assessed by the investigator
DOR is defined as the time from first determination of response until first documentation of progression or death, whichever occurs first.
Time frame: Up to approximately 5 years
Cohorts 1, 2, and 3: Progression-Free Survival (PFS)
PFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by the IRC and by the investigator.
Time frame: Up to approximately 5 years
Cohorts 1, 2, and 3: Time to major response as assessed by the IRC
Time to major response is defined as the time from start of study treatment to the first documentation of major response.
Time frame: Up to approximately 5 years
All Cohorts: Time to major response as assessed by the investigator
Time to major response is defined as the time from start of study treatment to the first documentation of major response.
Time frame: Up to approximately 5 years
Cohorts 1, 2, and 3: Overall Survival (OS)
OS is defined as the time from first study drug administration to the date of death due to any cause.
Time frame: Up to approximately 5 years
Cohort 4: Time to next treatment
Defined as the time from the start of treatment to the start of first subsequent therapy for WM.
Time frame: Up to approximately 5 years
Number of participants reporting adverse events
Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including laboratory abnormalities, physical examination results, and vital signs.
Time frame: Up to approximately 5 years
All Cohorts: Change from Baseline in Health-Related Quality of Life (HRQoL): NFLymSI-18 Disease-related Symptoms-Physical and Treatment-Related Side Effects Subscales
HRQoL based on participant-reported outcomes using National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Lymphoma Cancer Symptom Index - 18 Item (NFLymSI-18) Version 4. The questionnaire contains 18 items, each of which utilizes a Likert scale with 5 possible responses ranging from 0 'Not at all' to 4 'Very much' and is divided into a total score.
Time frame: Baseline and approximately months 7, 13, 19, and 25
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