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BGB-11417

Phase 2

Leukemia | Small molecule | Oncology |BeOne Medicines Ltd.|Last Updated: Jul 13, 2026

Target and mechanism

Molecular targetBCL2
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDBiomarker
Total Trials1
Total Enrollment100

FDA Designations

No designations recorded

Clinical trial landscape

BGB-11417 · 5 trials · 13 indications

Phase 2 1Phase 1 4
NCT05479994Study of BGB-11417 in Participants With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic LymphomaLeukemia
ACTIVE NOT_RECRUITING100 Analytics
PHASE2ACTIVE NOT_RECRUITING
Study of BGB-11417 in Participants With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
LeukemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Response Rate (ORR) as assessed by the Independent Review Committee (IRC)
Up to 2 Years

Defined as the proportion of participants who achieved a complete response (CR), complete remission with incomplete marrow recovery (CRi), nodular partial response (nPR), or partial response (PR) per the 2018 iwCLL guidelines for participants with chronic lymphocytic leukemia (CLL) or Defined as the proportion of participants who achieved PR or better per the Lugano Classification for partiticpants with small lymphocytic lymphoma (SLL)

Area under the concentration curve (AUC) from time 0 to the last quantifiable concentration (AUC0-t) of BGB-11417
From 0 to 168 hours after study drug administration
Maximum concentration (Cmax) of BGB-11417 in Plasma
From 0 to 168 hours after study drug administration
Time to Cmax (Tmax) of BGB-11417 in Plasma
From 0 to 168 hours after study drug administration
Amount of BGB-11417-106 excreted (Ae) and Cumulative amount of BGB-11417-106 (Cum Ae) excreted in urine and feces
From 0 to 168 hours after study drug administration
Percentage (%Fe) and cumulative percentage (Cum %Fe) of BGB-11417 or radioactive dose excreted in urine and feces
From 0 to 168 hours after study drug administration
Part 1: Number Of Participants Experiencing Dose-limiting Toxicities (DLTs)
Up to 1 Year
Part 1: Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and adverse events leading to discontinuation.
Up to 5 Years
Part 1: Number of participants experiencing tumor lysis syndrome (TLS) relevant events
Up to 5 Years
Part 2: Overall Response Rate (ORR) as assessed by the Independent Review Committee (IRC)
Up to 4 Years

Defined as the proportion of participants who achieved a complete response (CR), or partial response (PR) per the Lugano Classification

MTD Of BGB-11417 As Recommended By The Bayesian Logistic Regression Model Or The MAD
Approximately 3 years
RP2D Of BGB-11417
Approximately 3 years

The RP2D will be decided by the sponsor and based on the safety monitoring committee recommendation considering totality of data.

Incidence And Severity Of Treatment-emergent Adverse Events, Serious Adverse Events, Adverse Events (AEs) Leading To Discontinuation, And Dose-Limiting Toxicities (DLTs)
Approximately 3 years

All AEs, including DLT events, will be assessed per National Cancer Institute Common Terminology Criteria for Adverse Events v5.0 (or the Grading Scale for Hematologic Toxicity in CLL Studies as appropriate).

Incidence And Severity Of Tumor Lysis Syndrome-relevant Events
Approximately 3 years
Part 1 And 2: Number Of Participants Experiencing Dose-limiting Toxicities (DLTs)
Cycle 1 (Up to 28 days for non-hematologic DLTs and up to 42 days for hematologic DLTs)
Part 1 And 2: Number Of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Approximately 24 months
Part 3 AML Cohort: Complete Remission (CR) Plus CR With Partial Hematologic Recovery (CRh) Rate
Approximately 24 months

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
Approximately 24 months

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).

Part 3 AML Cohort (DDI Sub-cohort): Area Under Plasma Concentration-time Curve (AUC) from time 0 to the last quantifiable timepoint (t) (AUC0-t) Of BGB-11417 When Administered Alone and when Co-administered With Posaconazole
Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, 2, 4, 6, 8, and 24 hours postdose)
Part 3 AML Cohort (DDI Sub-cohort): Maximum Observed Plasma Concentration (Cmax) Of BGB-11417 When Administered Alone and When Co-administered With Posaconazole
Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, 2, 4, 6, 8, and 24 hours postdose)
Part 3 AML Cohort (DDI Sub-cohort): Area Under Plasma Concentration-time Curve (AUC) from time 0 to infinity (AUC0-infinity) Of BGB-11417 When Administered Alone and When Co-administered With Posaconazole
Cycle 2 Day 12 and Cycle 2 Day 20 (predose and 1, , 4, 6, 8, and 24 hours postdose)
Part 3 AML and MDS Cohorts (Treated with Monotherapy): Number Of Participants Experiencing DLTs
Cycle 2
Part 3 AML and MDS Cohorts (Treated with Monotherapy): Number of Participants Experiencing TEAEs
Approximately 24 months

Secondary Endpoints

Overall Response Rate (ORR) as assessed by the investigator
Up to 2 Years
Duration of response (DoR) as determined by the IRC and the investigator
Up to 5 Years
Progression Free Survival (PFS) as determined by the IRC and the investigator
Up to 5 Years
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment ArmEXPERIMENTALParticipants will receive BGB-11417 orally until disease progression, intolerable toxicity, or other scenarios specified in the protocol
[14C] radiolabeled BGB-11417EXPERIMENTALParticipants will receive a single dose of \[14C\]-BGB-11417
Single ArmEXPERIMENTALParticipants will receive sonrotoclax
Cohort A: R/R NHLEXPERIMENTALParticipants with R/R NHL, including follicular lymphoma (FL), diffuse large B-cell lymphoma (DLBCL), marginal zone lymphoma (MZL), or transformed NHL, will receive oral BGB-11417 until the MTD (or maximum ascending dose \[MAD\]) and the RP2D can be determined.
Cohort B: R/R CLL/SLL (low tumor burden)EXPERIMENTALParticipants with low tumor burden R/R CLL/SLL will receive oral BGB-11417 until the MTD (or MAD) and the RP2D can be determined.
Cohort C: R/R CLL/SLL (high tumor burden)EXPERIMENTALParticipants in this cohort will not be enrolled until the RP2D for Cohort B is established. Participants will be treated with the monotherapy ramp-up schedule and the RP2D established in Cohort B.
Parts 1 and 2: AML CohortsEXPERIMENTALParticipants with AML will receive BGB-11417 and azacitidine on a 28-day cycle.
Parts 1 and 2: MDS CohortsEXPERIMENTALParticipants with MDS will receive BGB-11417 and azacitidine on a 28-day cycle.
Part 3: AML and MDS CohortsEXPERIMENTALParticipants with AML and MDS will receive BGB-11417 and azacitidine on a 28-day cycle. A subset of the participants will receive a modified second cycle of treatment to explore drug-drug interactions (DDI) with posaconazole.
Part 3: AML and MDS CohortEXPERIMENTALParticipants with MDS and R/R AML (China only) will receive BGB-11417 on a 28-day cycle.

Interventions

NameTypeDescription
BGB-11417DRUGAdministered orally
[14C]-BGB-11417DRUGA single oral dose of liquid formulation
AzacitidineDRUGIntravenous or subcutaneous administration for 7 days.
PosaconazoleDRUGOral administration for 8 days on second cycle only.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites50

Key Inclusion Criteria 1. Participants with a histologically confirmed diagnosis of CLL/SLL based on the International Workshop on CLL (iwCLL) criteria: 1. Treatment intolerance or failure during or after treatment with chemoimmunotherapy (CIT) and BTK inhibitors (BTKi) or 2. Treatment intol...

Countries:ChinaUnited StatesArgentinaBelgiumBrazilCanadaFranceGermanyIsraelItalyPolandPuerto RicoSpainTurkey (Türkiye)United KingdomAustraliaNew ZealandSouth Korea
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Competitive Landscape -Leukemia 327 trials

Top 20 of 63 competitors

CompanyTickerTrialsLead PhaseDrugs
Amgen Inc.AMGN8PHASE3Blinatumomab, Low-intensity chemotherapy regimen
Eli Lilly and CompanyLLY9PHASE3Pirtobrutinib, Idelalisib, Bendamustine, Rituximab
BeOne Medicines Ltd. Sponsored ADRONC13PHASE3Sonrotoclax, Zanubrutinib, Venetoclax, Obinutuzumab
AbbVie, Inc.ABBV24PHASE3Venetoclax
AstraZeneca PLCAZN18PHASE3Acalabrutinib, Rituximab, Chlorambucil
Merck & Co., Inc.MRK7PHASE3Nemtabrutinib, Fludarabine, Cyclophosphamide, Bendamustine, Rituximab
Johnson & JohnsonJNJ12PHASE3Ibrutinib, Venetoclax, Chlorambucil, Obinutuzumab
Novartis AG Sponsored ADRNVS21PHASE3Imatinib, Nilotinib, Bosutinib, Dasatinib, Asciminib
Kura Oncology, Inc.KURA5PHASE3Ziftomenib, Venetoclax, Azacitidine, Daunorubicin, Cytarabine
Nurix Therapeutics, Inc.NRIX5PHASE3NX-5948, Pirtobrutinib
Syndax Pharmaceuticals IncSNDX4PHASE3Revumenib, Intensive Chemotherapy Regimen
Takeda Pharmaceutical Co. Ltd. Sponsored ADRTAK1PHASE3Ponatinib, Imatinib, Vincristine, Dexamethasone, Cytarabine
SELLAS Life Sciences Group, Inc.SLS1PHASE3Galinpepimut-S, Azacitidine, Venetoclax, Decitabine, Cytarabine
Grifols, S.A. Sponsored ADR Class BGRFS1PHASE3Xembify
Bristol-Myers Squibb CompanyBMY7PHASE2Azacitidine
Pfizer Inc.PFE6PHASE2Gemtuzumab ozogamicine- Cytarabine- Gilteritinib
Ascentage Pharma Group International Unsponsored ADRAAPG11PHASE3Olverembatinib
Tango Therapeutics, Inc.TNGX7PHASE3AG-120, Azacitidine
Incyte CorporationINCY6PHASE2Ruxolitinib
Actinium Pharmaceuticals, Inc. (Delaware)ATNM2PHASE3Iomab-B, Conventional Care
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Recent Changes (Last 90 Days)

LOWJul 13, 2026NCT04771130lastUpdatePostDate: changed
LOWJul 13, 2026NCT04771130lastUpdatePostDate: changed

Frequently asked questions about BGB-11417

What is BGB-11417 used for?

BGB-11417 is an investigational small molecule being studied for the treatment of B-cell malignancies and myeloid cancers, including acute myeloid leukemia, mantle cell lymphoma, chronic lymphocytic leukemia, and small lymphocytic lymphoma. It is also being evaluated in healthy volunteers for pharmacokinetic studies. The drug is in clinical development and is not yet approved.

What does BGB-11417 target?

BGB-11417 targets BCL2, a protein that regulates apoptosis. By inhibiting BCL2, the drug is designed to promote cancer cell death. This mechanism is being investigated in several blood cancers, including acute myeloid leukemia and mantle cell lymphoma.

Who is developing BGB-11417?

BGB-11417 is being developed by BeOne Medicines Ltd., a biopharmaceutical company listed on the stock exchange under the ticker ONC. The company is conducting multiple clinical trials to evaluate the drug's safety and efficacy in patients with hematologic malignancies.

What phase is BGB-11417 in?

BGB-11417 is in Phase 1 and Phase 2 clinical trials. The Phase 1 studies are evaluating the drug in myeloid malignancies, mantle cell lymphoma, and healthy volunteers, while a Phase 2 study is ongoing in China for relapsed or refractory chronic lymphocytic leukemia or small lymphocytic lymphoma.

What clinical trials is BGB-11417 in?

BGB-11417 is being studied in several trials, including NCT04771130 for myeloid malignancies, NCT05471843 for relapsed or refractory mantle cell lymphoma, NCT05479994 for chronic lymphocytic leukemia or small lymphocytic lymphoma, and NCT05844111 in healthy volunteers. These trials are conducted across multiple countries.

Is BGB-11417 the same as sonrotoclax?

BGB-11417 is also known as sonrotoclax. The drug is being developed by BeOne Medicines Ltd. and is currently in clinical trials for various blood cancers, including acute myeloid leukemia and mantle cell lymphoma.