Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
BGB-16673 · 9 trials · 18 indications
PFS is defined as time from the date of randomization to the date of first disease progression or death, whichever occurs first, as determined by IRC using modified 2018 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria for participants with chronic lymphocytic leukemia (CLL) and Lugano classification for participants with small lymphocytic lymphoma (SLL).
PFS is defined as time from the date of randomization to the date of first disease progression or death, whichever occurs first, as determined by IRC using modified 2018 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria for participants with R/R CLL and the Lugano Classification for patients with R/R SLL.
PFS is defined as time from the date of randomization to the date of first disease progression or death, whichever occurs first, as determined by IRC using modified 2018 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria for participants with chronic lymphocytic leukemia (CLL) and Lugano classification for participants with small lymphocytic lymphoma (SLL).
Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including findings from laboratory tests and electrocardiogram results.
Number of participants with AEs and SAEs as graded by the National Cancer Institute- Common Terminology Criteria for Adverse Events Version 5 (NCI CTCAE 5.0), including AEs that meet protocol-defined dose-limiting toxicity (DLT) criteria.
As determined by the sponsor based on the Safety Monitoring Committee's recommendation considering totality of the available clinical safety, clinical efficacy, pharmacokinetics, and pharmacodynamics data.
The highest dose evaluated as recommended by the Bayesian Optimal Interval Design with Informative Prior (iBOIN) design or the maximum assessed dose (MAD).
ORR is defined as the percentage of participants with partial response or better according to the Independent Review Committee (IRC) assessment and as determined by Lugano criteria.
ORR is defined as the percentage of participants with partial response or better as assessed by the IRC and determined by the International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria for CLL and by Lugano criteria for SLL
Number of participants with Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) including results from laboratory assessments, electrocardiograms (ECGs), and physical examinations, and that meet protocol-defined dose-limiting toxicities (DLTs); as graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0.
MTD is defined as the highest evaluated dose with an estimated toxicity rate closest to the target, while MAD is the highest dose given if MTD is not reached.
RDFE of BGB-16673 alone will be determined based upon the MTD or MAD.
Defined as the percentage of participants achieving a best overall response of partial response (PR) or better, assessed by the Independent Review Committee for participants with R/R CLL/SLL and R/R WM (in participants with WM, this is also referred to as major response rate) and by the investigator for other cohorts (R/R MCL, R/R MZL, R/R FL, R/R non-GCB DLBCL, R/R Richter's transformation to DLBCL), evaluated using the Lugano criteria for NHL and SLL, International Workshop of Chronic Lymphocytic Leukemia (iwCLL) criteria for CLL, and the 11th International Workshop on Waldenstrom's Macroglobulinemia (IWWM-11) criteria for WM.
| Arm | Type | Description |
|---|---|---|
| Arm A: BGB-16673 | EXPERIMENTAL | Participants will receive BGB-16673 orally. |
| Arm B: Pirtobrutinib | ACTIVE_COMPARATOR | Participants will receive pirtobrutinib orally. |
| Arm A: BGB-16673 Monotherapy | EXPERIMENTAL | Participants will receive BGB-16673 once daily until any of the treatment discontinuation criteria are met |
| Arm B: Investigator's Choice | ACTIVE_COMPARATOR | Participants will receive investigator's choice of bendamustine plus rituximab or high-dose methylprednisolone plus rituximab or chlorambucil plus obinutuzumab for up to six 28-day cycles. Participants with unequivocal disease progression confirmed by Independent Review Committee (IRC) may cross over to receive treatment with BGB-16673 at the Investigator's discretion |
| BGB-16673 | EXPERIMENTAL | Participants will receive BGB-16673 orally |
| Placebo | PLACEBO_COMPARATOR | Participants will receive placebo orally for 28 days and then crossover to receive BGB-16673. |
| Part A: BGB-16673 + Phenytoin (CYP3A Inducer) | EXPERIMENTAL | Participants will receive multiple doses of Phenytoin to determine its effect on BGB-16673 |
| Part B: BGB-16673 + Itraconazole (CYP3A Inhibitor) | EXPERIMENTAL | Participants will receive multiple doses of Itraconazole to determine its effect on BGB-16673 |
| Single Arm: [14C]-BGB-16673 | EXPERIMENTAL | Participants will receive a single dose of \[14C\]-BGB-16673 |
| Substudy 1 Part 1a: Dose Escalation | EXPERIMENTAL | Sequential cohorts of increasing dose level combinations of BGB-16673 and sonrotoclax will be evaluated in participants with selected B-cell malignancies. |
| Substudy 1 Part 1b: Safety Expansion | EXPERIMENTAL | Cohorts of select dose level combinations of BGB-16673 and sonrotoclax will be evaluated in participants with selected B-cell malignancies. |
| Substudy 2 Part 1a: Dose Escalation | EXPERIMENTAL | Sequential cohorts of increasing dose level combinations of BGB-16673 and zanubrutinib will be evaluated in participants with selected B-cell malignancies. |
| Substudy 2 Part 1b: Safety Expansion | EXPERIMENTAL | Cohorts of select dose level combinations of BGB-16673 and zanubrutinib will be evaluated in participants with selected B-cell malignancies. |
| Substudy 3 Part 1a: Dose Escalation | EXPERIMENTAL | Sequential cohorts of increasing dose level combinations of BGB-16673 and mosunetuzumab will be evaluated in participants with selected B-cell malignancies. |
| Substudy 3 Part 1b: Safety Expansion | EXPERIMENTAL | Cohorts of select dose level combinations of BGB-16673 and mosunetuzumab will be evaluated in participants with selected B-cell malignancies. |
| Substudy 4 Part 1a: Dose Escalation | EXPERIMENTAL | Sequential cohorts of increasing dose level combinations of BGB-16673 and glofitamab will be evaluated in participants with selected B-cell malignancies. Participants will receive obinutuzumab as pretreatment prior to the start of combination treatment. |
| Substudy 4 Part 1b: Safety Expansion | EXPERIMENTAL | Cohorts of select dose level combinations of BGB-16673 and glofitamab will be evaluated in participants with selected B-cell malignancies. |
| Phase 1a Monotherapy Dose Escalation | EXPERIMENTAL | BGB-16673 will be orally administered. |
| Phase 1b Monotherapy Safety Expansion | EXPERIMENTAL | BGB-16673 will be orally administered. |
| Phase 2 Monotherapy Dose Expansion | EXPERIMENTAL | BGB-16673 will be administered at the recommended Phase 2 dose (RP2D) that was identified in Part 1. |
| Part 1a (Monotherapy Dose Escalation) | EXPERIMENTAL | Dose escalation in specific subtypes of non-Hodgkin lymphoma (NHL), including relapsed or refractory (R/R) marginal zone lymphoma (MZL), R/R follicular lymphoma (FL) Grades 1, 2, and 3a, R/R mantle cell lymphoma (MCL), R/R chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL), R/R diffuse large B-cell lymphoma (DLBCL), R/R Richter's transformation (RT), and R/R Waldenström macroglobulinemia (WM), to evaluate the safety and tolerability of BGB-16673. |
| Part 1b (Monotherapy Safety Expansion) | EXPERIMENTAL | Participants with R/R MZL, MCL, CLL/SLL, and WM will be enrolled at selected doses to help determine the recommended dose(s) for expansion (RDFE(s)) for BGB-16673. |
| Part 1c (Additional Monotherapy Safety Expansion) | EXPERIMENTAL | Additional safety data will be collected from participants with R/R MZL, WM, RT, DLBCL, or FL to confirm the RDFE(s) of BGB-16673 for those with non-CLL/SLL/MCL histologies. |
| Part 1d (Additional Monotherapy Safety Expansion in R/R CLL/SLL) | EXPERIMENTAL | Participants with R/R CLL/SLL will be enrolled at selected RDFE(s) to generate additional safety and efficacy data for BGB-16673. |
| Part 1e (Japan-only Cohort) | EXPERIMENTAL | Japanese participants with R/R MZL, FL, MCL, CLL/SLL, and WM will be enrolled at selected RDFE(s) to assess the safety and tolerability of BGB-16673. |
| Part 1f (Additional Monotherapy Safety Expansion in BTKi Naive B-Cell Malignancies) | EXPERIMENTAL | Participants with CLL/SLL, MCL, WM, MZL, or Richter's transformation to DLBCL who have not received a prior BTKi (either covalent or noncovalent) will be enrolled at selected dose levels. |
| Phase 2 (Monotherapy Expansion) | EXPERIMENTAL | Cohorts of participants with R/R CLL/SLL, R/R MCL, R/R WM, R/R MZL, R/R FL, R/R RT, and R/R DLBCL will be enrolled to receive the RDFE(s) identified in Phase 1 to further evaluate the safety and efficacy of BGB-16673. |
| Name | Type | Description |
|---|---|---|
| BGB-16673 | DRUG | BGB-16673 will be administered orally |
| Pirtobrutinib | DRUG | Pirtobrutinib will be administered orally |
| Bendamustine | DRUG | Administered intravenously |
| Rituximab | DRUG | Administered intravenously |
| Methylprednisolone | DRUG | Administered intravenously |
| Chlorambucil | DRUG | Administered orally |
| Obinutuzumab | DRUG | Administered intravenously |
| Idelalisib | DRUG | Administered orally |
| Venetoclax | DRUG | Administered orally |
| Placebo | DRUG | Administered orally |
| Itraconazole | DRUG | Administered orally |
| Phenytoin | DRUG | Administered orally |
| [14C]-BGB-16673 | DRUG | Administered orally as suspension in lipid vehicle |
| Sonrotoclax | DRUG | Administered orally |
| Zanubrutinib | DRUG | Administered orally |
| Mosunetuzumab | DRUG | Administered subcutaneously |
| Glofitamab | DRUG | Administered intravenously |
Inclusion Criteria: * Confirmed diagnosis of CLL or SLL, requiring treatment, based on 2018 iwCLL criteria * Previously received treatment for CLL/SLL with a covalent Bruton tyrosine kinase inhibitor (cBTKi). Patients should have disease relapsed after or refractory to at least 1 line of therapy in...