BGB-43395 treatment for advanced breast cancer and other solid tumors
A Phase 1a/1b Study Investigating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Antitumor Activity of the CDK4 Inhibitor BGB-43395, Alone or as Part of Combination Therapies in Patients With Metastatic HR+/HER2- Breast Cancer and Other Advanced Solid Tumors
PHASE1 · BeOne Medicines · NCT06120283
This study is testing a new treatment called BGB-43395 for people with advanced breast cancer and other solid tumors to see if it works better alone or with other medications.
Quick facts
| Phase | PHASE1 |
|---|---|
| Study type | Interventional |
| Enrollment | 399 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | BeOne Medicines (industry) |
| Drugs / interventions | chemotherapy |
| Locations | 63 sites (Denver, Colorado and 62 other locations) |
| Trial ID | NCT06120283 on ClinicalTrials.gov |
What this trial studies
This clinical trial evaluates the effectiveness of BGB-43395, a CDK4 inhibitor, either alone or in combination with fulvestrant or letrozole for patients with hormone receptor positive and HER2-negative breast cancer, as well as other advanced solid tumors. The study is designed in two phases: a dose escalation phase to determine the optimal dosing and a dose expansion phase focusing on specific tumor types. Participants must have advanced, metastatic, or unresectable tumors and have previously received standard therapies.
Who should consider this trial
Good fit: Ideal candidates include individuals with advanced, metastatic, or unresectable hormone receptor positive breast cancer who have received prior treatments.
Not a fit: Patients with early-stage breast cancer or those who have not received prior therapies may not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced breast cancer and other solid tumors that are resistant to current therapies.
How similar studies have performed: Other studies involving CDK4 inhibitors have shown promise in treating similar conditions, indicating a potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Phase 1a (Dose Escalation): Participants with histologically or cytologically confirmed advanced, metastatic, or unresectable solid tumors associated with dependency on CDK4, including HR+ breast cancer, ovarian cancer, endometrial cancer, non-small cell lung cancer, and others. For combination with elacestrant, participants must have received at least 1 prior line of treatment for advanced/metastatic disease including prior endocrine therapy and CDK4/6 inhibitor in either the adjuvant or advanced/metastatic setting. * Phase 1a Safety Expansion: For combination with fulvestrant in regions where approved and available, participants with HR+ breast cancer must have received at least 1 prior line of treatment including endocrine therapy and a CDK4/6 inhibitor. For combination with letrozole, participants must be CDK4/6 inhibitor treatment naïve and have not received any previous systemic treatment for advanced disease. * Phase 1b: Participants with HR+/HER2- breast cancer. * Phase 1b: For combination with fulvestrant, participants with HR+/HER2- breast cancer enrolled in regions where CDK4/6 inhibitors are approved and available must have received 1-2 lines of therapy for advanced/metastatic disease including endocrine therapy and a CDK4/6 inhibitor. Participants can have received up to 2 lines of prior cytotoxic chemotherapy for advanced disease. Prior cytotoxic treatment is prohibited. For combination cohorts with letrozole, participants must be CDK4/6 inhibitor treatment naïve and have not received any previous systemic treatment for advanced disease. * Stable Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1. * Female participants with metastatic HR+/HER2- breast cancer must be postmenopausal or receiving ovarian function suppression treatment. * Adequate organ function without symptomatic visceral disease. Exclusion Criteria: * Known leptomeningeal disease or uncontrolled, untreated brain metastases. * Any malignancy ≤ 3 years before the first dose of study treatment(s) except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated with curative intent (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast). * Uncontrolled diabetes. * Infection requiring systemic antibacterial, antifungal, or antiviral therapy ≤ 28 days before the first dose of study drug(s), or symptomatic COVID-19 infection. * Participants with untreated chronic hepatitis B or chronic hepatitis B virus (HBV) carriers with HBV DNA ≥ 500 IU/mL (or ≥ 2500 copies/mL) at screening. * Participants with active hepatitis C infection. * Prior allogeneic stem cell transplantation, or organ transplantation. Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Where this trial is running
Denver, Colorado and 62 other locations
- Sarah Cannon Research Institute (Scri) At Health One — Denver, Colorado, United States (RECRUITING)
- Florida Cancer Specialists and Research Institute — Lake Mary, Florida, United States (COMPLETED)
- Karmanos Cancer Institute — Detroit, Michigan, United States (COMPLETED)
- Washington University School of Medicine — St Louis, Missouri, United States (RECRUITING)
- Duke Cancer Center — Durham, North Carolina, United States (RECRUITING)
- James Cancer Hospital and Solove Research Institute — Columbus, Ohio, United States (RECRUITING)
- Scri Oncology Partners — Nashville, Tennessee, United States (RECRUITING)
- The University of Texas Md Anderson Cancer Center — Houston, Texas, United States (RECRUITING)
- Next Dallas — Irving, Texas, United States (RECRUITING)
- Next Oncology — San Antonio, Texas, United States (RECRUITING)
- Blacktown Cancer and Haematology Centre — Blacktown, New South Wales, Australia (RECRUITING)
- Southern Highlands Private Hospital — Bowral, New South Wales, Australia (RECRUITING)
- Concord Repatriation General Hospital — Concord, New South Wales, Australia (RECRUITING)
- Macquarie University — North Ryde, New South Wales, Australia (RECRUITING)
- Townsville University Hospital — Douglas, Queensland, Australia (RECRUITING)
- Genesiscare St Andrews — Adelaide, South Australia, Australia (RECRUITING)
- Austin Health — Heidelberg, Victoria, Australia (RECRUITING)
- Peter Maccallum Cancer Centre — Melbourne, Victoria, Australia (RECRUITING)
- Fundacao Pio Xii Hospital de Amor de Barretos — Barretos, Brazil (RECRUITING)
- Hospital Sirio Libanes Brasilia — Brasília, Brazil (RECRUITING)
- Centro de Pesquisas Oncologicas Cepon — Florianópolis, Brazil (RECRUITING)
- Liga Norte Riograndene Contra O Cancer — Natal, Brazil (RECRUITING)
- Fundacao Universidade de Caxias Do Sul Instituto de Pesquisas Em Saude — Petrópolis, Brazil (RECRUITING)
- Hospital Sao Lucas Da Pucrs Uniao Brasileira de Educacao E Assistencia — Porto Algre, Brazil (RECRUITING)
- Instituto Nacional de Cancer — Rio de Janeiro, Brazil (RECRUITING)
- Instituto Dor de Pesquisa E Ensino Hospital Sao Rafael — Salvador, Brazil (RECRUITING)
- Icesp Instituto Do Cancer Do Estado de Sao Paulo Octavio Frias de Oliveira — São Paulo, Brazil (RECRUITING)
- Clinica de Pesquisa E Centro de Estudos Em Oncologia Ginecologica E Mamaria — São Paulo, Brazil (RECRUITING)
- Hospital Israelita Albert Einstein — São Paulo, Brazil (RECRUITING)
- Beijing Cancer Hospital — Beijing, Beijing Municipality, China (RECRUITING)
- Fujian Cancer Hospital — Fuzhou, Fujian, China (RECRUITING)
- Sun Yat Sen Memorial Hospital, Sun Yat Sen University (South) — Guangzhou, Guangdong, China (RECRUITING)
- Harbin Medical University Cancer Hospital — Harbin, Heilongjiang, China (RECRUITING)
- The First Affiliated Hospital of Nanchang University Branch Donghu — Nanchang, Jiangxi, China (RECRUITING)
- Liaoning Cancer Hospital and Institute — Shenyang, Liaoning, China (RECRUITING)
- Fudan University Shanghai Cancer Centerpudong — Shanghai, Shanghai Municipality, China (RECRUITING)
- Centre de Lutte Contre Le Cancer Institut Bergonie — Bordeaux, France (RECRUITING)
- Centre Francois Baclesse — Caen, France (RECRUITING)
- Centre Oscar Lambret — Lille, France (RECRUITING)
- Institut Paoli Calmettes — Marseille, France (RECRUITING)
- Institut Curie — Paris, France (RECRUITING)
- Centre Eugene Marquis — Rennes, France (RECRUITING)
- Institut de Cancerologie de Louest — Saint-Herblain, France (RECRUITING)
- Institut Gustave Roussy — Villejuif, France (RECRUITING)
- Nagoya University Hospital — Nagoya, Aichi-ken, Japan (RECRUITING)
- National Cancer Center Hospital East — Kashiwa, Chiba, Japan (RECRUITING)
- Shizuoka Cancer Center — Suntogun, Shizuoka, Japan (RECRUITING)
- Pulau Pinang Hospital — George Town, Malaysia (RECRUITING)
- University Malaya Medical Centre — Kuala Lumpur, Malaysia (RECRUITING)
- Sarawak General Hospital — Kuching, Malaysia (RECRUITING)
+13 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Study Director
- Email: clinicaltrials@beonemed.com
- Phone: 1.877.828.5568
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Advanced Solid Tumor, Advanced Breast Cancer, Metastatic Breast Cancer, Hormone-receptor-positive Breast Cancer, Hormone Receptor Positive Breast Carcinoma, Hormone Receptor Positive Malignant Neoplasm of Breast, HER2-negative Breast Cancer, Hormone Receptor Positive HER-2 Negative Breast Cancer