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
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
Study locations (11)
Usc Norris Comprehensive Cancer Center (Nccc)
Los Angeles, California, 90089-1019
Adventhealth
Celebration, Florida, 34747-4606
Dana Farber Cancer Institute
Boston, Massachusetts, 02215-5418
Washington University School of Medicine
St Louis, Missouri, 63110-1010
Nyu Langone Health
New York, New York, 10016-2708
Columbia University Medical Center
New York, New York, 10032
Sidney Kimmel Cancer Center
Philadelphia, Pennsylvania, 19107-4307
Tennessee Oncology, Pllc Nashville
Nashville, Tennessee, 37203
The University of Texas Md Anderson Cancer Center
Houston, Texas, 77030-4009
Next Dallas
Irving, Texas, 75039-2743
Next Virginia
Fairfax, Virginia, 22031