Recent Updates
Recently added Catalysts

BGB-21447

Phase 1

Hormone-receptor-positive Breast Cancer | Small molecule | Oncology |BeOne Medicines Ltd.|Trials Updated: Sep 14, 2026

BGB-21447 development status

Highest phase Phase 1
Registered trials 2 across 1 sponsor since Apr 2023

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

CONTROLLEDBiomarker
Total Trials1
Total Enrollment120

FDA Designations

No designations recorded

BGB-21447 clinical trials

BGB-21447 · 1 trial · 3 indications

Phase 1 1
NCT06756932BGB-21447 (Bcl-2 Inhibitor) Combinations for Adults With Hormone-Receptor Positive (HR+)/Human Epidermal Growth Factor Receptor 2 Negative (HER2-) Metastatic Breast CancerHormone-receptor-positive Breast Cancer
RECRUITING120 Analytics
PHASE1RECRUITING
BGB-21447 (Bcl-2 Inhibitor) Combinations for Adults With Hormone-Receptor Positive (HR+)/Human Epidermal Growth Factor Receptor 2 Negative (HER2-) Metastatic Breast Cancer
Hormone-receptor-positive Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Part 1: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
From the first dose of study drug(s) to 30 days after the last dose; up to approximately 6 months

Number of participants with AEs and SAEs, including findings from physical examinations, electrocardiograms (ECGs), laboratory assessments, and AEs that meet protocol-defined dose-limiting toxicity criteria.

Part 1: Recommended Dose for Expansion (RDFE) of BGB-21447 in combination with fulvestrant and in combination with fulvestrant and BGB-43395
From first dose of the study drug(s) to 30 days after the last dose or initiation of a new anticancer therapy, whichever occurs first, up to approximately 6 to 9 months

RDFE of BGB-21447 in combination with fulvestrant and in combination with fulvestrant and BGB-43395 will be determined based upon the maximum tolerated dose (MTD) or maximum administered dose (MAD).

Part 2: Objective Response Rate (ORR)
Approximately 12 months

ORR is defined as the percentage of participants who had confirmed complete response (CR) or partial response (PR) as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Secondary Endpoints

Part 1: ORR
Approximately 12 months
Parts 1 and 2: Duration of Response (DOR)
Approximately 12 months
Part 1:Time to Response (TTR)
Approximately 12 months
Unlock Study Endpoints

Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1A: BGB-21447 + FulvestrantEXPERIMENTALSequential cohorts of increasing dose levels of BGB-21447 will be evaluated in combination with fulvestrant.
Part 1B: BGB-21447 + BGB-43395 + FulvestrantEXPERIMENTALSequential cohorts of increasing dose levels of BGB-21447 will be evaluated in combination with fulvestrant and BGB-43395.
BGB-21447 + Fulvestrant Food Effect SubstudyEXPERIMENTALParticipants will receive BGB-21447 at the recommended dose with a high-fat meal and under a fasted state in combination with fulvestrant.
Part 2: Dose Expansion, BGB-21447 + FulvestrantEXPERIMENTALParticipants will receive BGB-21447 at the recommended dose(s) for expansion determined in Part 1A in combination with fulvestrant.

Interventions

NameTypeDescription
BGB-21447DRUGAdministered orally.
FulvestrantDRUGAdministered via intramuscular injection.
BGB-43395DRUGAdministered orally.
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites14

Inclusion Criteria: * Histologically or cytologically confirmed HR+/HER2- metastatic breast cancer. Part 1A and 1B: Participants must have received ≥ 1 prior line(s) of treatment for advanced/metastatic disease, including prior endocrine therapy and CDK4/6 inhibitor in either the adjuvant or advanc...

Countries:United StatesAustraliaChina
Unlock Eligibility Criteria

Recent Changes (Last 90 Days)

LOWSep 15, 2026NCT06756932lastUpdatePostDate: changed
LOWSep 15, 2026NCT06756932lastUpdatePostDate: changed
LOWSep 15, 2026NCT06756932lastUpdatePostDate: changed

Frequently asked questions about BGB-21447

What is BGB-21447?

BGB-21447 is an investigational small molecule Bcl-2 inhibitor being developed by BeOne Medicines Ltd. for hormone-receptor-positive breast cancer. It is in Phase 1 clinical development and is being studied in combination regimens for adults with HR-positive, HER2-negative metastatic breast cancer.

What is BGB-21447 used for in hormone-receptor-positive breast cancer?

BGB-21447 is being studied for hormone-receptor-positive, HER2-negative metastatic breast cancer. The Phase 1 trial enrolls adults with HR-positive and HER2-negative metastatic disease, and the study is biomarker selected. It is investigational and has not been approved for any use.

What does BGB-21447 target?

BGB-21447 targets Bcl-2, a protein that helps cancer cells avoid apoptosis. By inhibiting Bcl-2, the drug is designed to restore the cell death process in tumor cells. It is described as a Bcl-2 inhibitor and is being tested in combination with other agents.

Who is developing BGB-21447?

BGB-21447 is being developed by BeOne Medicines Ltd., which trades under the ticker ONC. The company is running the Phase 1 program for the compound in hormone-receptor-positive, HER2-negative metastatic breast cancer.

What phase is BGB-21447 in?

BGB-21447 is in Phase 1 clinical development. It is investigational and is not approved by the FDA. The single Phase 1 trial is currently recruiting participants and has an planned enrollment of 120 patients.

What clinical trials is BGB-21447 in?

BGB-21447 is being studied in the Phase 1 trial NCT06756932, titled BGB-21447 (Bcl-2 Inhibitor) Combinations for Adults With Hormone-Receptor Positive (HR+)/Human Epidermal Growth Factor Receptor 2 Negative (HER2-) Metastatic Breast Cancer. The trial is recruiting, controlled, and enrolling 120 participants across the United States, Australia, and China.