Recent Updates
Recently added Catalysts

BGB-21447

Phase 1

Relapsed Non-Hodgkin Lymphoma | Small molecule | Oncology |BeOne Medicines Ltd.|Last Updated: Mar 12, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment112
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05828589A Study of BGB-21447, a Bcl-2 Inhibitor, in Mature B-Cell MalignanciesPHASE1 ACTIVE NOT_RECRUITING 112Jun 20, 2023May 1, 2026Mar 12, 202628 United States, Australia +2
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Part 1: Number of participants with dose limiting toxicities (DLTs)
Up to approximately 1 month

Number of participants with dose limiting toxicities, as defined in the study protocol.

Number of participants with adverse events (AEs)
From the first dose of study drug to 30 days after the last dose or initiation of new anticancer therapy, whichever occurs first; up to approximately 12 months

Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) assessed and graded based upon the National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE v5.0).

Number of participants with Tumor Lysis Syndrome (TLS)
From the first dose of study drug to 30 days after the last dose or initiation of new anticancer therapy, whichever occurs first; up to approximately 12 months

TLS will be determined via laboratory values and assessed by the investigator. In laboratory tumor lysis syndrome, 2 or more metabolic abnormalities must be present during the 24-hour period within 3 days before the start of study drug treatment or up to 7 days afterward. Clinical tumor lysis syndrome requires the presence of laboratory tumor lysis syndrome plus an increased creatinine level, seizures, cardiac dysrhythmia, or death.

Secondary Endpoints
Maximum observed plasma concentration (Cmax) After a Single Dose of BGB-21447
Up to approximately 8 weeks
Area under the curve from time 0 to the last sampling time point within the dose interval (AUC0-t) After a Single Dose of BGB-21447
Up to approximately 8 weeks
Area under the curve from time 0 extrapolated to infinity time (AUCinf) After a Single Dose of BGB-21447
Up to approximately 8 weeks
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1 (Cohort A1): Dose escalation in patients with B-cell non-Hodgkin lymphoma (NHL)EXPERIMENTALParticipants with R/R B-cell NHL (including diffuse large B-cell lymphoma \[DLBCL\], follicular lymphoma \[FL\], marginal zone lymphoma \[MZL\], transformed B-cell NHL (B-NHL), and Richter's transformation to DLBCL) will receive BGB-21447 once a day.
Part 1 (Cohort B): Dose escalation in R/R CLL/SLL participants with low tumor burdenEXPERIMENTALParticipants with relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) will receive BGB-21447 once a day.
Part 2 (Cohort A2.1): BGB-21447 Monotherapy Dose Optimization in R/R DLBCLEXPERIMENTALParticipants will receive BGB-21447 with two dose levels from Cohort A1 for further evaluation of safety and efficacy.
Part 2 (Cohort A2.2): BGB-21447 Monotherapy Dose Optimization in R/R FL or R/R MZLEXPERIMENTALParticipants will receive BGB-21447 with two dose levels from Cohort A1 for further evaluation of safety and efficacy.
Interventions
NameTypeDescription
BGB-21447DRUGBGB-21447 will be administered orally
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites28

Inclusion Criteria 1. Confirmed diagnosis (per World Health Organization \[WHO\] guidelines, unless otherwise noted) of one of the following: Cohort A1 and Cohort A2: 1. R/R DLBCL (for Cohort A1 and Cohort A2.1) * High-grade B-cell lymphomas with translocations of MYC and Bcl-2 and/or...

Countries:United StatesAustraliaChinaNew Zealand
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05828589primaryCompletionDate: changed
LOWMay 24, 2026NCT05828589studyFirstPostDate: changed