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NCT02343120

Study of the Safety and Pharmacokinetics of BGB-3111 in Subjects With B-Cell Lymphoid Malignancies

Completed Phase 1, PHASE2 Results posted Last updated 28 April 2022
What this trial tests

Phase 1, PHASE2 trial testing Zanubrutinib in B-cell Malignancies in 385 participants. Completed in 31 March 2021.

Timeline
4 September 2014
Primary endpoint
31 March 2021
31 March 2021

Quick facts

Lead sponsorBeiGene
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment385
Start date4 September 2014
Primary completion31 March 2021
Estimated completion31 March 2021
Sites23 locations across Italy, New Zealand, United Kingdom, South Korea, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

BeiGene — full company profile →

Who can join

18 and older, any sex, with B-cell Malignancies. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Part 1 and Part 2: Number of Participants With Adverse Events Primary · Up to approximately 6 years and 7 months

Number of participants with adverse events and serious adverse events, including clinically relevant physical examinations and laboratory measurements

At least one treatment-emergent adverse event
GroupValue95% CI
Part 1: 40 mg QD3
Part 1: 80 mg QD4
Part 1: 160 mg QD5
Parts 1 and 2: 160 mg BID274
Parts 1 and 2: 320 mg QD94
Serious adverse events
GroupValue95% CI
Part 1: 40 mg QD1
Part 1: 80 mg QD2
Part 1: 160 mg QD3
Parts 1 and 2: 160 mg BID157
Parts 1 and 2: 320 mg QD45
Part 1: Recommended Phase 2 Dose (RP2D) for Zanubrutinib Primary · Month 9

RP2D for zanubrutinib was the maximum tolerated dose (MTD) or less, which was determined by testing increasing doses up to 320 mg QD

GroupValue95% CI
Part 1: Zanubrutinib320
Part 1 and Part 2: Area Under the Curve From Time 0 to the Last Sampling Time Point Within the Dose Interval (AUClast) of Zanubrutinib Secondary · Week 1 Day 1 pre-dose, 0.5, 1, 2, 3, 4, and 8 hours
GroupValue95% CI
Part 1: 40 mg QD274.7± 47.8
Part 1: 80 mg QD436.8± 103.5
Part 1: 160 mg QD1480± 53.0
Parts 1 and 2: 160 mg BID1132± 61.1
Parts 1 and 2: 320 mg QD2281± 60.5
Part 1 and Part 2: Area Under the Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of Zanubrutinib Secondary · Week 1 Day 1 pre-dose, 0.5, 1, 2, 3, 4, and 8 hours
GroupValue95% CI
Part 1: 40 mg QD301.1± 51.5
Part 1: 80 mg QD460.0± 100.6
Part 1: 160 mg QD1505± 52.7
Part 1 and Part 2: 160 mg BID1253± 59.0
Part 1 and Part 2: 320 mg QD2538± 47.8
Part 1 and Part 2: Maximum Observed Plasma Concentration (Cmax) After Administration of Zanubrutinib Secondary · Week 1 Day 1 pre-dose, 0.5, 1, 2, 3, 4, and 8 hours
GroupValue95% CI
Part 1: 40 mg QD86.0± 46.6
Part 1: 80 mg QD125± 77.6
Part 1: 160 mg QD397± 76.1
Part 1 and Part 2: 160 mg BID304± 63.8
Part 1 and Part 2: 320 mg QD566± 65.6
Part 1 and Part 2: Maximum Observed Plasma Concentration (Cmax) After Administration of Zanubrutinib Secondary · Week 2 Day 1 pre-dose and 24 hours
GroupValue95% CI
Part 1: 40 mg QD75.7± 36.2
Part 1: 80 mg QD169± 50.0
Part 1: 160 mg QD387± 60.7
Part 1 and Part 2: 160 mg BID299± 56.1
Part 1 and Part 2: 320 mg QD533± 55.0
Part 1 and Part 2: Time to Maximum Observed Plasma Concentration (Tmax) of Zanubrutinib Secondary · Week 1 Day 1 pre-dose, 0.5, 1, 2, 3, 4, and 8 hours
GroupValue95% CI
Part 1: 40 mg QD1.000.50 – 1.98
Part 1: 80 mg QD2.001.17 – 2.00
Part 1: 160 mg QD1.920.93 – 2.08
Part 1 and Part 2: 160 mg BID2.000.83 – 8.00
Part 1 and Part 2: 320 mg QD2.000.72 – 3.08
Part 1 and Part 2: Time to Maximum Observed Plasma Concentration (Tmax) of Zanubrutinib Secondary · Week 2 Day 1 pre-dose and 24 hours
GroupValue95% CI
Part 1: 40 mg QD2.002.00 – 2.00
Part 1: 80 mg QD2.501.08 – 3.00
Part 1: 160 mg QD2.001.00 – 3.17
Part 1 and Part 2: 160 mg BID2.000.53 – 6.00
Part 1 and Part 2: 320 mg QD2.000.33 – 6.00
Part 1 and Part 2: Apparent Terminal Half-life (t1/2) of Zanubrutinib Secondary · Week 1 Day 1 pre-dose, 0.5, 1, 2, 3, 4, and 8 hours
GroupValue95% CI
Part 1: 40 mg QD1.94± 28.5
Part 1: 80 mg QD1.97± 29.8
Part 1: 160 mg QD3.87± 24.9
Part 1 and Part 2: 160 mg BID2.73± 60.2
Part 1 and Part 2: 320 mg QD3.30± 61.2
Part 1 and Part 2: Apparent Clearance (CL/F) of Zanubrutinib Secondary · Week 1 Day 1 pre-dose, 0.5, 1, 2, 3, 4, and 8 hours
GroupValue95% CI
Part 1: 40 mg QD133± 51.5
Part 1: 80 mg QD174± 100.6
Part 1: 160 mg QD106± 52.7
Part 1 and Part 2: 160 mg BID128± 59.4
Part 1 and Part 2: 320 mg QD126± 47.8
Part 1 and Part 2: Apparent Volume of Distribution of Zanubrutinib During the Terminal Phase (Vz/F) Secondary · Week 1 Day 1 pre-dose, 0.5, 1, 2, 3, 4, and 8 hours
GroupValue95% CI
Part 1: 40 mg QD371± 47.5
Part 1: 80 mg QD494± 78.9
Part 1: 160 mg QD593± 61.6
Part 1 and Part 2: 160 mg BID530± 70.0
Part 1 and Part 2: 320 mg QD600± 97.6
Part 1 and Part 2: Overall Response Rate (ORR) Secondary · Up to 6 years and 7 months

ORR is defined as the percentage of participants with partial or complete response (CR), as assessed by the investigator. For CLL/SLL, ORR includes partial response (PR) with lymphocytosis (PR-L) or better (includes PR-L, PR, nodular PR or nPR and CR with incomplete marrow recovery or CRi) and for MW, ORR includes minor response or better. Efficacy results are reported for each of the B-cell malignancy subtypes: chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL), Waldenström macroglobulinemia (WM), mantle cell lymphoma (MCL), marginal zone lymphoma (MZL), follicular lymphoma (FL

CLL/SLL
GroupValue95% CI
Part 1 and Part 2: Overall95.289.8 – 98.2
WM
GroupValue95% CI
Part 1 and Part 2: Overall95.988.5 – 99.1
MCL
GroupValue95% CI
Part 1 and Part 2: Overall82.570.1 – 91.3
MZL
GroupValue95% CI
Part 1 and Part 2: Overall85.062.1 – 96.8
FL
GroupValue95% CI
Part 1 and Part 2: Overall36.420.4 – 54.9
DLBCL
GroupValue95% CI
Part 1 and Part 2: Overall42.227.7 – 57.8
RT
GroupValue95% CI
Part 1 and Part 2: Overall61.531.6 – 86.1
HCL
GroupValue95% CI
Part 1 and Part 2: Overall58.327.7 – 84.8

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 6 years and 7 months. Reporting threshold: 3%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1: 40 mg QD
Serious: 1/3 (33%)
Deaths: 1/3
Part 1: 80 mg QD
Serious: 2/4 (50%)
Deaths: 2/4
Part 1: 160 mg QD
Serious: 3/5 (60%)
Deaths: 2/5
Part 1 and Part 2: 160 mg BID
Serious: 157/278 (56%)
Deaths: 76/278
Part 1 and Part 2: 320 mg QD
Serious: 45/95 (47%)
Deaths: 19/95

Serious adverse events (231 terms)

ReactionSystemPart 1: 40 mg QDPart 1: 80 mg QDPart 1: 160 mg QDPart 1 and Part 2: 160 mg …Part 1 and Part 2: 320 mg QD
PneumoniaInfections and infestations
Urinary tract infectionInfections and infestations
PyrexiaGeneral disorders
CellulitisInfections and infestations
Febrile neutropeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
SepsisInfections and infestations
Acute kidney injuryRenal and urinary disorders
HaematuriaRenal and urinary disorders
Acute myocardial infarctionCardiac disorders
Atrial fibrillationCardiac disorders
Pericardial effusionCardiac disorders
Abdominal painGastrointestinal disorders
FatigueGeneral disorders
BacteraemiaInfections and infestations
InfluenzaInfections and infestations
Lower respiratory tract infectionInfections and infestations
Meningitis cryptococcalInfections and infestations
Septic shockInfections and infestations
Neutrophil count decreasedInvestigations
DyspnoeaRespiratory, thoracic and mediastinal disorders
NeutropeniaBlood and lymphatic system disorders
Cardiac failure congestiveCardiac disorders
Other adverse events (190 terms — click to expand)

ReactionSystemPart 1: 40 mg QDPart 1: 80 mg QDPart 1: 160 mg QDPart 1 and Part 2: 160 mg …Part 1 and Part 2: 320 mg QD
Upper respiratory tract infectionInfections and infestations
ContusionInjury, poisoning and procedural complications
CoughRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
RashSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
FatigueGeneral disorders
HeadacheNervous system disorders
NauseaGastrointestinal disorders
NeutropeniaBlood and lymphatic system disorders
Urinary tract infectionInfections and infestations
AnaemiaBlood and lymphatic system disorders
ArthralgiaMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
PyrexiaGeneral disorders
SinusitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Oedema peripheralGeneral disorders
HaematuriaRenal and urinary disorders
VomitingGastrointestinal disorders
FallInjury, poisoning and procedural complications
DizzinessNervous system disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
ThrombocytopeniaBlood and lymphatic system disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Lower respiratory tract infectionInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
NasopharyngitisInfections and infestations
PneumoniaInfections and infestations
Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
PetechiaeSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Productive coughRespiratory, thoracic and mediastinal disorders
CellulitisInfections and infestations
Neutrophil count decreasedInvestigations
HypokalaemiaMetabolism and nutrition disorders

Most-reported serious reactions: Pneumonia, Urinary tract infection, Pyrexia, Cellulitis, Febrile neutropenia, Anaemia, Diarrhoea, Pleural effusion.

Data from ClinicalTrials.gov NCT02343120 adverse events section.

Sponsor's own description

This study evaluated the safety, tolerability, pharmacokinetic profile and efficacy of BGB-3111 in participants with B-cell lymphoid malignancies.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Phase 1 study of the selective BTK inhibitor zanubrutinib in B-cell malignancies and safety and efficacy evaluation in CLL.
    Tam CS, Trotman J, Opat S, Burger JA, et al · · 2019 · cited 280× · PMID 31340982 · DOI 10.1182/blood.2019001160
  2. Treatment of relapsed/refractory chronic lymphocytic leukemia/small lymphocytic lymphoma with the BTK inhibitor zanubrutinib: phase 2, single-arm, multicenter study.
    Xu W, Yang S, Zhou K, Pan L, et al · · 2020 · cited 99× · PMID 32393328 · DOI 10.1186/s13045-020-00884-4
  3. Advances in targeted therapy for malignant lymphoma.
    Wang L, Qin W, Huo YJ, Li X, et al · · 2020 · cited 88× · PMID 32296035 · DOI 10.1038/s41392-020-0113-2
  4. Zanubrutinib for the treatment of patients with Waldenström macroglobulinemia: 3 years of follow-up.
    Trotman J, Opat S, Gottlieb D, Simpson D, et al · · 2020 · cited 84× · PMID 32698195 · DOI 10.1182/blood.2020006449
  5. Zanubrutinib for the treatment of relapsed or refractory mantle cell lymphoma.
    Tam CS, Opat S, Simpson D, Cull G, et al · · 2021 · cited 77× · PMID 34152395 · DOI 10.1182/bloodadvances.2020004074
  6. Ibrutinib Resistance Mechanisms and Treatment Strategies for B-Cell lymphomas.
    George B, Chowdhury SM, Hart A, Sircar A, et al · · 2020 · cited 77× · PMID 32455989 · DOI 10.3390/cancers12051328
  7. Bruton Tyrosine Kinase Inhibitors in B-Cell Malignancies: Their Use and Differential Features.
    Shirley M. · · 2022 · cited 64× · PMID 34905129 · DOI 10.1007/s11523-021-00857-8
  8. Current and future treatment strategies in chronic lymphocytic leukemia.
    Patel K, Pagel JM. · · 2021 · cited 60× · PMID 33902665 · DOI 10.1186/s13045-021-01054-w

Verify or expand the search:

Other trials of Zanubrutinib

Trials testing the same drug.

Other recruiting trials for B-cell Malignancies

Currently open trials in the same condition.

Other BeiGene trials

Trials by the same sponsor.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing