Phase 1
N=44
A Study to Investigate Zanubrutinib in Chinese Participants With B-cell Lymphoma
B-cell Lymphoma
Bottom Line
View on ClinicalTrials.gov: NCT03189524 ↗Enrolled (actual)
44
Serious AEs
20.5%
Results posted
Oct 2021
Primary outcome: Primary: Part I: Number Of Participants Experiencing Treatment-emergent Adverse Events And Treatment-emergent Serious Adverse Events — 11; 10; 2; 2 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Zanubrutinib (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- BeiGene
- Primary completion
- Aug 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Part I: Number Of Participants Experiencing Treatment-emergent Adverse Events And Treatment-emergent Serious Adverse Events |
11; 10; 2; 2 | — |
| PRIMARY Part II: Overall Response Rate (ORR) Of Zanubrutinib In Participants With FL And MZL |
30.4 | — |
| PRIMARY Part II: Complete Response Rate (CRR) Of Zanubrutinib In Participants With FL And MZL |
13 | — |
| PRIMARY Part II: Partial Response Rate (PRR) Of Zanubrutinib In Participants With FL And MZL |
30.4 | — |
| PRIMARY Part II: Duration of Response (DOR) Of Zanubrutinib In Participants With FL And MZL |
11.2 | — |
| PRIMARY Part II: Progression Free Survival (PFS) Of Zanubrutinib In Participants With FL And MZL |
5.5 | — |
| SECONDARY Part I and Part II: Area Under The Plasma Concentration-time Curve From Zero To The Last Measurable Concentration (AUClast) For Single-dose Zanubrutinib |
981.6; 1404 | — |
| SECONDARY Part I and Part II: Area Under The Plasma Concentration-time Curve Zero To Infinity (AUC0-inf) For Single-dose Zanubrutinib |
1025; 1537 | — |
| SECONDARY Part I And Part II: Maximum Plasma Concentration (Cmax) For Single-dose Zanubrutinib |
319; 409 | — |
| SECONDARY Part I and Part II: Time To Maximum Plasma Concentration (Tmax) For Single-dose Zanubrutinib |
2.00; 2.50 | — |
| SECONDARY Part I and Part II: Apparent Terminal Half Life (t1/2) For Single-dose Zanubrutinib |
2.27; 3.43 | — |
| SECONDARY Part I and Part II: Apparent Plasma Clearance (CL/F) For Single-dose Zanubrutinib |
251; 235 | — |
| SECONDARY Part I and Part II: Terminal Apparent Volume Of Distribution (Vz/F) For Single-dose Zanubrutinib |
713; 1120 | — |
| SECONDARY Part I and Part II: Area Under The Plasma Concentration-time Curve For Steady State (AUCss) Zanubrutinib |
738.3; 1277 | — |
| SECONDARY Part I and Part II: Maximum Plasma Concentration At Steady State (Cmax,ss) For Zanubrutinib |
257; 389 | — |
| SECONDARY Part I and Part II: Time To Steady Plasma Concentration (Tmax,ss) For Zanubrutinib |
2.00; 2.0 | — |
| SECONDARY Part I: Percentage of BTK Occupied In Peripheral Blood Mononuclear Cells In Participants Who Received Zanubrutinib |
96.69 | — |
| SECONDARY Part II: Number Of Participants Experiencing Treatment-emergent Adverse Events And Treatment-emergent Serious Adverse Events |
22; 5 | — |
Summary
This phase I clinical study was to investigate the safety, tolerability, and pharmacokinetics/pharmacodynamics of Bruton tyrosine kinase (BTK) inhibitor zanubrutinib (BGB-3111) in Chinese participants with B-cell lymphoma by conducting in two stages, the first stage being the safety assessment of dose and the second stage being the dose expansion.
Part I: Safety evaluation - according to the results of preclinical toxicological trials and the results of the phase I clinical study conducted in Australia and New Zealand, two regimens of zanubrutinib 320 milligrams (mg) daily (160 mg twice daily [BID]), administered in the morning and at night, or 320 mg once daily [QD]) and "3+3" design was adopted for the assessment. The recommended dose and method of administration of the phase II clinical study was determined according to the Part I results.
Part II: Dose expansion - this stage was to further evaluate the preliminary anti-tumor effects of zanubrutinib in Chinese participants with follicular lymphoma (FL) or marginal zone lymphoma (MZL), approximately 20 participants with relapsed or refractory FL or MZL were to be enrolled. The recommended Phase 2 dose (RP2D) was used in Part II.
Eligibility Criteria
Key Inclusion Criteria
- Men and women between the age of 18-75 years.
- Participants with B-cell lymphoma (defined by World Health Organization classification) refractory or relapsed following at least one line of therapy.
- Judged by the investigator as requiring treatment.
- Eastern Cooperative Oncology Group performance status of 0-1.
- Life expectancy of at least 4 months.
- Adequate hematological function.
- Adequate renal function.
- Adequate liver function.
- Adequate coagulation function.
- Female participants of childbearing potential and non-sterile males must have practiced at least one of the following methods of birth control with partner(s) throughout the study and for 90 days after discontinuing study drug: total abstinence from sexual intercourse, double-barrier contraception, intrauterine device or hormonal contraceptive initiated at least 3 months prior to first dose of study drug.
- Male participants must not have donated sperm from start of study drug administration, until 90 days after discontinuation of treatment.
Key Exclusion Criteria
- With central nervous system involvement of the disease.
- The pathological type of the disease had disease transformation.
- Had underdone allogeneic hematopoietic stem cell transplantation.
- Had received corticosteroid anti-neoplastic treatment within 7 days before the first dose, has received radiotherapy and chemotherapy within 4 weeks before the first dose or has received treatment with monoclonal antibody within 4 weeks before the first dose.
- Had received BTK inhibitor treatment prior to enrollment.
- Had received chemotherapy and has not yet recovered from toxicity
- Had received Chinese herbal medicine as anti-neoplastic therapy within 4 weeks before starting study treatment.
- History of other malignancies within 2 years before study.
- With uncontrolled systemic infection.
- Major surgery in the past 4 weeks.
- With known HIV, or active hepatitis B or hepatitis C virus infection.
- With cardiovascular disease of New York Heart Association Classification ≥ 3.
- Significant electrocardiogram abnormalities.
- Significant active renal, neurologic, psychiatric, hepatic or endocrinologic disease that in the investigator's opinion would adversely impact on his/her participation in the study.
- Inability to comply with study procedures.
- Was currently taking anticoagulant drugs.
- Was currently taking potent cytochrome P450 3A inhibitor or inducer.
- Had stroke or cerebral hemorrhage within 6 months before enrollment.
Note: Other protocol defined Inclusion/Exclusion criteria may have applied.
Data sourced from ClinicalTrials.gov (NCT03189524). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.