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BG-C9074

Phase 1

Advanced Solid Tumor | Small molecule | Oncology |BeOne Medicines Ltd.|Last Updated: Jul 8, 2026

Target and mechanism

Molecular targetB7-H4
Target classAdc
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment308

FDA Designations

No designations recorded

Clinical trial landscape

BG-C9074 · 1 trial · 1 indication

Phase 1 1
NCT06233942Phase 1a/1b First-in-Human Study of BG-C9074 Alone and in Combination With Other Anticancer Therapies in Patients With Advanced Solid TumorsAdvanced Solid Tumor
RECRUITING308 Analytics
PHASE1RECRUITING
Phase 1a/1b First-in-Human Study of BG-C9074 Alone and in Combination With Other Anticancer Therapies in Patients With Advanced Solid Tumors
Advanced Solid TumorUnlock trial analytics

Study Endpoints

Primary Endpoints

Phase 1a: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Approximately 3 years

Number of participants with AEs and SAEs (as graded by the National Cancer Institute-Common Terminology Criteria for Adverse Events \[NCI-CTCAE\] Version \[v\] 5.0),, including findings from physical examinations, electrocardiograms (ECGs), laboratory assessments, and that meet protocol-defined dose-limiting toxicity criteria.

Phase 1a: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD) of BG-C9074
Approximately 18 months

Defined as the highest dose evaluated for which the estimated toxicity rate is closest to the target toxicity rate of 28% or the highest dose administered, respectively

Phase 1a: Recommended Dose for Expansion (RDFE) of BG-C9074.
Approximately 18 months

The potential RDFE(s) of BG-C9074 alone and in combination with tislelizumab will be determined based on the MTD or MAD, taking into consideration the long-term tolerability, PK, pharmacodynamics, preliminary antitumor activity, and any other relevant data, as available

Phase 1b: Overall Response Rate (ORR) as monotherapy and in combination with tislelizumab
Approximately 3 years

ORR is defined as the percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR) assessed by the investigator using RECIST v1.1.

Phase 1b: Recommended Phase 2 dose (RP2D) of BG-C9074 as monotherapy and in combination with bevacizumab or tislelizumab
Approximately 30 months

The RP2D of BG-C9074 will be determined based on safety, PK, pharmacodynamics, preliminary antitumor activity, and other relevant data, as available.

Secondary Endpoints

Phase 1a: ORR as monotherapy and in combination with tislelizumab
Approximately 3 years
Phase 1b: ORR as monotherapy and in combination with bevacizumab or tislelizumab
Approximately 3 years
Phase 1b: ORR per B7-H4 (B7 homolog 4) protein expression
Approximately 3 years
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Phase 1a: Part A (Monotherapy Dose Escalation)EXPERIMENTALBG-C9074 monotherapy dose escalation
Phase 1a: Part B (Monotherapy Safety Expansion)EXPERIMENTALBG-C9074 dose levels that have been determined to be safe and tolerable in Part A will be investigated.
Phase 1a: Part C (Combination Therapy Dose Escalation)EXPERIMENTALBG-C9074 plus tislelizumab combination at the recommended dose for expansion (RDFE).
Phase 1a: Part D (Japan Cohort)EXPERIMENTALA separate cohort in Japan will evaluate the safety of BG-C9074 monotherapy in Japanese participants with select solid tumors
Phase 1b: Monotherapy Dose ExpansionEXPERIMENTALThe monotherapy dose expansion phase will begin once the BG-C9074 monotherapy RDFE and dosing schedule have been determined from Parts A and B in Phase 1a.
Phase 1b: Combination Therapy Dose Expansion (BG-C9074 plus tislelizumab)EXPERIMENTALThis arm will assess BG-C9074 plus tislelizumab as first-line therapy in select solid tumors after completion of the dose escalation phase.
Phase 1b: Combination Therapy Dose Expansion (BG-C9074 plus bevacizumab)EXPERIMENTALThis arm will assess BG-C9074 plus bevacizumab in select solid tumors participants after establishing the recommended monotherapy dose and schedule.

Interventions

NameTypeDescription
BG-C9074DRUGadministered by intravenous infusion
TislelizumabDRUGadministered by intravenous infusion
BevacizumabDRUGadministered by intravenous infusion
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites37

Inclusion Criteria: 1. Able to provide a signed and dated written informed consent prior to any study-specific procedures, sampling, or data collection. 2. Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1. 3. Participants with selected histologically or cytologically confirmed advan...

Countries:United StatesAustraliaBrazilChinaJapan
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Competitive Landscape -Other Solid Tumors 9 trials (matched to "Advanced Solid Tumor")

Recent Changes (Last 90 Days)

LOWJul 8, 2026NCT06233942lastUpdatePostDate: changed
LOWJul 8, 2026NCT06233942lastUpdatePostDate: changed

Frequently asked questions about BG-C9074

What is BG-C9074 used for?

BG-C9074 is an investigational small molecule antibody-drug conjugate being developed for the treatment of advanced solid tumors. It is currently in Phase 1 clinical development and has not been approved by regulatory authorities.

What does BG-C9074 target?

BG-C9074 targets B7-H4, a protein involved in tumor immune evasion. As an antibody-drug conjugate, it is designed to deliver a cytotoxic agent to B7-H4-expressing tumor cells. This mechanism is being evaluated in patients with advanced solid tumors.

Who makes BG-C9074?

BG-C9074 is being developed by BeOne Medicines Ltd., a biopharmaceutical company listed on the stock exchange under the ticker symbol ONC. The company is conducting clinical trials to evaluate the drug's safety and efficacy in advanced solid tumors.

What phase is BG-C9074 in?

BG-C9074 is in Phase 1 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory agencies. The ongoing Phase 1a/1b trial is recruiting participants to assess the drug alone and in combination with other anticancer therapies.

What clinical trials is BG-C9074 in?

BG-C9074 is being studied in a Phase 1a/1b first-in-human trial with the identifier NCT06233942. This open-label, controlled study enrolls approximately 308 patients with advanced solid tumors across the United States, Australia, Brazil, China, and Japan. The trial is currently recruiting participants aged 18 years and older.

Is BG-C9074 the same as other B7-H4 targeting drugs?

BG-C9074 is a distinct investigational antibody-drug conjugate targeting B7-H4. While other drugs may also target B7-H4, BG-C9074 is a unique asset developed by BeOne Medicines Ltd. with its own clinical trial program and formulation.