About this trial
The study will determine the safety, tolerability, recommended Phase 2 dose (RP2D) and preliminary efficacy of BGB-11417 as monotherapy and in combination with azacitidine in participants with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS)or MDS/myeloproliferative neoplasm (MPN) .
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
AML, nonacute promyelocytic leukemia
MDS
MDS/MPN
Eastern Cooperative Oncology Group performance status of 0 to 2.
Disqualifiers
A diagnosis of acute promyelocytic leukemia.
History of prior malignancy, with the exception of either a history of MDS or MDS/MPN that has transformed to AML, or other prior malignancy that was treated with a full curative intent and no evidence of recurrence within the past 2 years (eg, localized skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast, or localized Gleason score ≤ 6 prostate cancer)
Antecedent MPN including myelofibrosis, essential thrombocytosis, polycythemia vera, or chronic myelogenous leukemia with or without BCR-ABL1 translocation and AML with BCR-ABL1 translocation.
Prior therapy with a B-cell lymphoma-2 inhibitor
Trial design
Parallel
Treatments tested in this trial
BGB-11417
DrugOral administration for 10, 21, 14 or 28 days on a 28-day cycle.
Azacitidine
DrugIntravenous or subcutaneous administration for 7 days.
Posaconazole
DrugOral administration for 8 days on second cycle only.
BGB-11417
DrugOral administration for 28 days on a 28-day cycle.
BGB-11417
DrugOral administration for 10, 14 or 21 days on a 28-day
Treatment groups
Trial outcomes
Primary outcomes
Part 1 And 2: Number Of Participants Experiencing Dose-limiting Toxicities (DLTs)
Part 1 And 2: Number Of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Part 3 AML Cohort: Complete Remission (CR) Plus CR With Partial Hematologic Recovery (CRh) Rate
CR plus CRh will be defined as the percentage of participants whose best overall response (BOR) is CR plus CRh. BOR will be defined as the best response recorded from the first dose of study drug until data cut or the initiation of new anticancer treatment.
Part 3 MDS Cohort: Modified Overall Response (mOR) Rate
The mOR will be defined as the percentage of participants whose BOR is achieving CR, marrow complete remission (mCR), or partial remission (PR) at any time point during the study for myelodysplastic/myeloproliferative neoplasm (MDS/MPN).
Secondary outcomes
Parts 1 And 2 AML Cohort: Complete remission (CR) + Morphologic CR With Partial Hematologic Recovery (CRh)
Parts 1 And 2 MDS Cohort: mOR Rate
Parts 1 And 2: Cmax Of Azacitidine When Coadministered With BGB-11417
Parts 1 And 2: Terminal Half-life (t1/2) Of Azacitidine When Coadministered With BGB-11417
Sponsors and contacts
Click on the lead sponsor to view all of their trials.