Cancerify Logo
Log inSign up
Back to clinical trials
RecruitingInterventionalPhase 1

A Phase 1a/b Study Investigating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Antitumor Activity of PRMT5 Inhibitor BGB-58067 Alone and in Combination With Anticancer Agents in Patients With Advanced Solid Tumors

NCT ID: NCT06589596Sponsor: BeOne MedicinesLast updated: 2026-06-03

Summary

This is an open-label, multicenter, first-in-human dose escalation and dose expansion study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity of BGB-58067 alone, in combination with BG-89894 (discontinued), and in combination with standard of care therapy in participants with advanced solid tumors and with methylthioadenosine phosphorylase (MTAP) deficiency.

Detailed description

BGB-58067 is a new drug designed to target a specific protein called protein arginine methyltransferase 5 (PRMT5). This protein is involved in many cell activities and can promote cancer growth when it is overactive. High levels of PRMT5 are linked to poor outcomes in several types of cancer. This new study will check how safe and helpful a potential anticancer drug called BGB-58067 is. This drug will be tested alone, in combination with BG-89894 (discontinued), and in combination with standard of care therapy in participants with advanced solid tumors and with MTAP deficiency. 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.

Arms & interventions

  • DrugBGB-58067

    Planned doses administered on specified days per protocol.

  • DrugBG-89894

    Planned doses administered on specified days per protocol.

  • DrugStandard of Care Therapy

    Administered in accordance with relevant local guidelines and/or prescribing information.

Outcome measures

Primary

  • Phase 1a: Number of Participants with Adverse Events and Serious Adverse Events

    Number of participants with AEs and SAEs, including findings from physical examinations, electrocardiograms (ECGs), and laboratory assessments.

    Time frame: From first dose of the study drug(s) to 30 days after the last dose or initiation of a new anticancer therapy, whichever occurs first (approximately 13 months)

  • Phase 1a: Number of Participants with Adverse Events that meet Dose-Limiting Toxicity (DLT) criteria

    Time frame: Approximately 1 month

  • Phase 1a: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD) of BGB-58067 alone, in combination with BG-89894, and in combination with standard of care therapy

    MTD is defined as the highest dose evaluated for which estimated toxicity rate is the closest to the target toxicity rate. MAD is defined as the highest dose administered if MTD is not reached. Note: BGB-58067 + BG-89894 combination has been discontinued.

    Time frame: Approximately 1 month

  • Phase 1a: Recommended Dose(s) for Expansion (RDFE[s]) of BGB-58067 alone, in combination with BG-89894, and in combination with standard of care therapy

    RDFE of BGB-58067 alone, in combination with BG-89894, and in combination with standard of care therapy will be determined based upon the MTD or MAD. Note: BGB-58067 + BG-89894 combination has been discontinued.

    Time frame: Approximately 13 months

  • Phase 1b: Recommended Phase 2 Dose (RP2D) of BGB-58067 alone and in combination with standard of care therapy

    RP2D established from Phase 1a for BGB-58067 alone and in combination with standard of care therapy for administration in selected tumor types.

    Time frame: Approximately 2 years

  • Phase 1b: Objective Response Rate (ORR)

    ORR is defined as the percentage of participants with confirmed complete response (CR) or partial response (PR), as assessed by the investigator.

    Time frame: Approximately 2 years

Secondary

  • Phase 1a: Objective Response Rate (ORR)

    Time frame: Approximately 2 years

  • Phase 1a and 1b: Maximum observed plasma concentration (Cmax) of BGB-58067

    Time frame: Approximately 2 months

  • Phase 1a and 1b: Minimum observed plasma concentration (Cmin) of BGB-58067

    Time frame: Approximately 9 months

  • Phase 1a and 1b: Time to reach maximum observed plasma concentration (Tmax) of BGB-58067

    Time frame: Approximately 2 months

  • Phase 1a and 1b: Apparent oral clearance (CL/F) for BGB-58067

    Time frame: Approximately 2 months

  • Phase 1a and 1b: Half-life (t1/2) of BGB-58067

    Time frame: Approximately 2 months

  • Phase 1a and 1b: Area under the concentration-time curve (AUC) of BGB-58067

    Time frame: Approximately 2 months

  • Phase 1a and 1b: Apparent volume of distribution (Vz/F) for BGB-58067

    Time frame: Approximately 2 months

  • Phase 1a and 1b: Accumulation ratio (AR) for BGB-58067

    Time frame: Approximately 2 months

  • Phase 1a and 1b: Plasma concentrations of BGB-58067

    Time frame: Approximately 9 months

  • Phase 1a and 1b: Duration of Response (DOR)

    Time frame: Approximately 2 years

  • Phase 1a and 1b: Disease Control Rate (DCR)

    Time frame: Approximately 2 years

  • Phase 1b: Number of Participants with AEs and SAEs

    Time frame: From first dose of the study drug(s) to 30 days after the last dose or initiation of a new anticancer therapy, whichever occurs first (approximately 13 months)

  • Phase 1b: Progression-Free Survival (PFS)

    Time frame: Approximately 2 years

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Participants must sign the ICF and be capable of giving written informed consent * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 or Karnofsky Performance Scale (KPS) ≥ 70 * Life expectancy ≥ 3 months * Evidence of homozygous loss of MTAP or lost MTAP expression in the tumor tissue * Able to provide tumor sample to meet the minimum tissue requirement for central MTAP deficiency testing * Participants with histologically or cytologically confirmed advanced, metastatic, or unresectable solid tumors, whose diseases have progressed or recurred after receiving standard systemic therapy or radiotherapy, or for whom standard systemic therapy is not available or tolerated, or would be unlikely to tolerate or derive clinically meaningful benefit from appropriate standard treatment in the opinion of the investigator; participants with advanced, metastatic, or unresectable solid tumors who have not received prior systemic treatment or have received one cycle of standard-of-care therapies will be enrolled in selected cohorts * Adequate organ function Exclusion Criteria: * Prior treatment with any methylthioadenosine (MTA)-cooperative PRMT5 inhibitor or methionine adenosyltransferase 2a (MAT2A) inhibitor * Active leptomeningeal disease or symptomatic spinal cord compression * Uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage * Any malignancy ≤ 2 years before first dose of study drug except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated curatively * Significantly impaired pulmonary function * Clinically significant infections * Serologically active hepatitis B or C infection * Known HIV infection. Participants with treated HIV infection may be included in Phase 1b if they meet certain criteria * High cardiovascular risk factors * QTcF \> 470 ms based on the screening triplicate 12-lead ECG records and/or a history of additional risk factors for torsade de pointes (eg, heart failure, hypokalemia, or a family history of Long QT Syndrome) * Toxicities (because of prior anticancer therapy) that have not recovered to baseline or stabilized * Participants who are unable to swallow or with disease/procedure significantly affecting gastrointestinal function * Female participants who are pregnant or are breastfeeding * Concurrent participation in another therapeutic clinical study (participation in observational or noninterventional studies is allowed) Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Study locations (11)

Usc Norris Comprehensive Cancer Center (Nccc)

Los Angeles, California, 90089-1019

Recruiting

Adventhealth

Celebration, Florida, 34747-4606

Recruiting

Dana Farber Cancer Institute

Boston, Massachusetts, 02215-5418

Recruiting

Washington University School of Medicine

St Louis, Missouri, 63110-1010

Recruiting

Nyu Langone Health

New York, New York, 10016-2708

Recruiting

Columbia University Medical Center

New York, New York, 10032

Recruiting

Sidney Kimmel Cancer Center

Philadelphia, Pennsylvania, 19107-4307

Recruiting

Tennessee Oncology, Pllc Nashville

Nashville, Tennessee, 37203

Recruiting

The University of Texas Md Anderson Cancer Center

Houston, Texas, 77030-4009

Recruiting

Next Dallas

Irving, Texas, 75039-2743

Recruiting

Next Virginia

Fairfax, Virginia, 22031

Recruiting