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Trial Title: Study to Evaluate the Efficacy and Safety of Sonrotoclax in Participants With Waldenström's Macroglobulinemia

NCT ID: NCT05952037

Condition: Waldenstrom Macroglobulinemia
Waldenstrom's Macroglobulinemia Recurrent
Waldenstrom's Macroglobulinemia Refractory

Conditions: Official terms:
Waldenstrom Macroglobulinemia
Zanubrutinib

Conditions: Keywords:
Waldenström's macroglobulinemia
Waldenstrom's Macroglobulinemia Recurrent
Waldenstrom's Macroglobulinemia Refractory
Lymphoma

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: BGB-11417
Description: Administered orally as a tablet.
Arm group label: Cohort 1
Arm group label: Cohort 2
Arm group label: Cohort 3
Arm group label: Cohort 4

Other name: Sonrotoclax

Intervention type: Drug
Intervention name: Zanubrutinib
Description: Administered orally as a tablet.
Arm group label: Cohort 4

Other name: BRUKINSA

Other name: BGB-3111

Summary: This study will evaluate the safety and efficacy of the BCL2 inhibitor BGB-11417 (sonrotoclax) in participants with relapsed/refractory Waldenström's Macroglobulinemia (R/R WM) and in combination with zanubrutinib in adult participants with previously untreated WM.

Detailed description: This study will test whether BGB-11417 (sonrotoclax) 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 may 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. Treatments will continue until participants experience worsening disease status, too many side effects, or withdraw consent.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Clinical and definitive histologic diagnosis of WM. - Meeting ≥ 1 criterion for treatment according to consensus panel criteria from the 2nd International Workshop on Waldenström's Macroglobulinemia (IWWM). - For Cohorts 1-3, refractory or relapsed disease to the most recent therapy at study entry unless participants had intolerance to the most recent therapy. Refractory disease is defined as not attaining at least a major response, or progressing while on or within 6 months of completing therapy. Relapsed disease is defined as attaining at least a major response to therapy and meeting the criteria for disease progression beyond 6 months after completing therapy. - For Cohort 4, patients must not have received prior therapy for WM. - Adequate organ function. Exclusion Criteria: - Central nervous system (CNS) involvement by WM. - Transformation to aggressive lymphoma, such as diffuse large B-cell lymphoma. - History of other malignancies ≤ 2 years before study entry. - Uncontrolled active systemic infection or recent infection requiring parenteral antimicrobial therapy that was completed ≤ 14 days before the first dose of the study drug. Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Colorado Blood Cancer Institute

Address:
City: Denver
Zip: 80218
Country: United States

Status: Recruiting

Facility:
Name: University of Miami

Address:
City: Miami
Zip: 33136
Country: United States

Status: Recruiting

Facility:
Name: Dana-Farber Cancer Institute

Address:
City: Boston
Zip: 02215
Country: United States

Status: Recruiting

Facility:
Name: Huntsman Cancer Institute

Address:
City: Salt Lake City
Zip: 84112
Country: United States

Status: Recruiting

Facility:
Name: Concord Repatriation General Hospital

Address:
City: Concord
Zip: 2139
Country: Australia

Status: Recruiting

Facility:
Name: Flinders Medical Centre

Address:
City: Bedford PK
Zip: 5042
Country: Australia

Status: Recruiting

Facility:
Name: Monash Health

Address:
City: Clayton
Zip: 3168
Country: Australia

Status: Recruiting

Facility:
Name: Henan Cancer Hospital

Address:
City: Zhengzhou
Zip: 450000
Country: China

Status: Recruiting

Facility:
Name: Institute of Hematology and Hospital of Blood Disease

Address:
City: Tianjin
Zip: 300020
Country: China

Status: Recruiting

Facility:
Name: Chu Clermont Ferrand Therapie Cellulaire and Hematolo

Address:
City: Clermont Ferrand
Zip: 63003
Country: France

Status: Recruiting

Facility:
Name: Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda

Address:
City: Milano
Zip: 20162
Country: Italy

Status: Recruiting

Facility:
Name: Irccs Policlinico San Matteo, Universita Degli Studi Di Pavi

Address:
City: Pavia
Zip: 27100
Country: Italy

Status: Recruiting

Facility:
Name: Hospital Universitario Fundacion Jimenez Diaz

Address:
City: Madrid
Zip: 28040
Country: Spain

Status: Recruiting

Facility:
Name: Churchill Hospital Oxford University Hospital Nhs Trust

Address:
City: Headington
Zip: OX3 7LE
Country: United Kingdom

Status: Recruiting

Facility:
Name: St Jamess University Hospital

Address:
City: Leeds
Zip: LS9 7TF
Country: United Kingdom

Status: Recruiting

Start date: September 28, 2023

Completion date: September 2028

Lead sponsor:
Agency: BeiGene
Agency class: Industry

Source: BeiGene

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05952037

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