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BGB-43395

Phase 3

HR+/HER2- Breast Cancer | Small molecule | Oncology |BeOne Medicines Ltd.|Trials Updated: Oct 16, 2026

BGB-43395 development status

Highest phase Phase 3
Registered trials 8 across 2 sponsors since Nov 2023

BGB-43395 target and mechanism

Molecular targetCDK4
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment1,522

FDA Designations

No designations recorded

BGB-43395 clinical trials

BGB-43395 · 3 trials · 11 indications

Phase 3 1Phase 1 2
NCT07492641BGB-43395 Plus Letrozole Versus CDK4/6i Plus Letrozole for Patients With Advanced or Metastatic HR+/HER2- Breast Cancer Who Have Not Received Prior Treatment for Advanced or Metastatic DiseaseHR+/HER2- Breast Cancer
RECRUITING1,056 Analytics
PHASE3RECRUITING
BGB-43395 Plus Letrozole Versus CDK4/6i Plus Letrozole for Patients With Advanced or Metastatic HR+/HER2- Breast Cancer Who Have Not Received Prior Treatment for Advanced or Metastatic Disease
HR+/HER2- Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-Free Survival (PFS) Determined by Blinded Independent Central Review (BICR)
Up to approximately 4 years

PFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by BICR per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Phase 1a: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Up to approximately 30 months

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

Phase 1a: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD) of BGB-43395
Up to approximately 30 months

MTD is defined as the highest dose evaluated for which estimated toxicity rate is the closest to the target toxicity rate. MAD is defined as the highest dose administered if MTD is not reached.

Phase 1a: Recommended Dose for Expansion (RDFE) of BGB-43395
Up to approximately 30 months

RDFE of BGB-43395 alone or as part of combination therapies will be determined based upon the MTD or MAD.

Phase 1b: Objective Response Rate (ORR)
Up to approximately 30 months

ORR is defined as the percentage of participants who have 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

Overall Survival (OS)
Up to approximately 11 years
Overall Response Rate (ORR)
Up to approximately 4 years
Duration of Response (DOR)
Up to approximately 4 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm A: BGB-43395 + LetrozoleEXPERIMENTALParticipants will receive BGB-43395 in combination with letrozole.
Arm B: Cyclin-Dependent Kinase 4/6 Inhibitor + LetrozoleACTIVE_COMPARATORParticipants will receive either abemaciclib, palbociclib, or ribociclib based on the Investigator's choice in combination with letrozole.
Phase 1a: Dose EscalationEXPERIMENTALSequential cohorts of increasing dose levels of BGB-43395 will be evaluated as monotherapy and in combination with either fulvestrant or letrozole.
Phase 1b: Dose ExpansionEXPERIMENTALThe recommended dose for expansion (RDFE) for BGB-43395 in combination with fulvestrant from Phase 1a will be evaluated in HR+ breast cancer and selected tumor cohorts.
Dose EscalationEXPERIMENTALPhase 1a: Sequential cohorts of increasing dose levels of BGB-43395 will be evaluated as monotherapy and in combination with either fulvestrant, letrozole, or elacestrant to assess for safety and tolerability.
Safety ExpansionEXPERIMENTALPhase 1a: Cohorts of selected dose levels of BGB-43395 in combination with fulvestrant or letrozole in HR+/HER2 breast cancer.
Dose Expansion Cohort 1EXPERIMENTALPhase 1b: The recommended dose for expansion (RFDE) for BGB-43395 (in combination with fulvestrant) from Phase 1a will be evaluated in HR+ breast cancer.
Dose Expansion Cohort 2EXPERIMENTALPhase 1b: The recommended dose for expansion (RFDE) for BGB-43395 in combination with letrozole from Phase 1a will be evaluated in HR+ breast cancer.
Dose Expansion Cohort 3EXPERIMENTALPhase 1b: The recommended dose for expansion (RFDE) for BGB-43395 in combination with letrozole from Phase 1a will be evaluated in HR+ breast cancer. Participants will also receive an anti-diarrheal agent for prophylaxis.

Interventions

NameTypeDescription
BGB-43395DRUGAdministered orally.
LetrozoleDRUGAdministered orally.
AbemaciclibDRUGAdministered orally.
PalbociclibDRUGAdministered orally.
RibociclibDRUGAdministered orally.
FulvestrantDRUGAdministered via intramuscular injection.
ElacestrantDRUGStandard dose administered orally as a tablet.
Anti-Diarrheal AgentDRUGAdministered orally as a tablet.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites206

Inclusion Criteria: * Participants must be at least 18 years of age or the legal age of consent in the jurisdiction in which the study is taking place at the time of signing the informed consent. * Participants with histologically confirmed locally advanced or metastatic HR+ HER2- breast cancer. * ...

Countries:United StatesAustraliaBrazilChinaFranceGermanyItalyJapanMalaysiaPolandPuerto RicoSouth KoreaSpainTaiwanTurkey (Türkiye)United KingdomMoldovaNew ZealandThailand
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Competitive Landscape -Breast Cancer 609 trials (matched to "HR+/HER2- Breast Cancer")

Recent Changes (Last 90 Days)

LOWOct 16, 2026NCT07492641lastUpdatePostDate: changed
LOWOct 16, 2026NCT07492641lastUpdatePostDate: changed
LOWOct 15, 2026NCT06120283lastUpdatePostDate: changed
LOWOct 15, 2026NCT06120283lastUpdatePostDate: changed
LOWSep 28, 2026NCT07492641lastUpdatePostDate: changed
LOWSep 28, 2026NCT06120283lastUpdatePostDate: changed
LOWSep 28, 2026NCT07492641lastUpdatePostDate: changed
LOWSep 28, 2026NCT06120283lastUpdatePostDate: changed
LOWSep 16, 2026NCT07492641lastUpdatePostDate: changed
LOWSep 16, 2026NCT07492641lastUpdatePostDate: changed
LOWSep 16, 2026NCT07492641lastUpdatePostDate: changed
LOWSep 16, 2026NCT07492641lastUpdatePostDate: changed
LOWSep 11, 2026NCT06120283lastUpdatePostDate: changed
LOWSep 11, 2026NCT06120283lastUpdatePostDate: changed
MEDIUMAug 28, 2026NCT06120283Enrollment: 399 → 433
MEDIUMAug 28, 2026NCT06120283Enrollment: 399 → 433
LOWAug 20, 2026NCT07492641lastUpdatePostDate: changed
LOWAug 20, 2026NCT06120283lastUpdatePostDate: changed
LOWAug 20, 2026NCT07492641lastUpdatePostDate: changed
LOWAug 20, 2026NCT06120283lastUpdatePostDate: changed

Frequently asked questions about BGB-43395

What is BGB-43395?

BGB-43395 is an investigational small molecule drug being developed by BeOne Medicines Ltd. for advanced solid tumors and HR+/HER2- breast cancer. It is a CDK4-targeted therapy currently in clinical development, including a Phase 3 trial in HR+/HER2- breast cancer and Phase 1 studies in advanced solid tumors.

What is BGB-43395 used for in HR+/HER2- breast cancer?

BGB-43395 is being studied for HR+/HER2- breast cancer, including advanced or metastatic disease. A Phase 3 trial is evaluating BGB-43395 plus letrozole versus CDK4/6 inhibitor plus letrozole in patients who have not received prior treatment for advanced or metastatic disease. It is also being studied in other advanced solid tumors.

What does BGB-43395 target?

BGB-43395 targets CDK4, a protein involved in cell cycle regulation. By inhibiting CDK4, the drug aims to interfere with cancer cell proliferation. This targeted approach is being evaluated in HR+/HER2- breast cancer and other advanced solid tumors.

Who is developing BGB-43395?

BGB-43395 is being developed by BeOne Medicines Ltd., which trades under the ticker ONC. The company is running clinical trials for the drug in multiple countries, including the United States, China, Australia, and several European and Asian nations.

What phase is BGB-43395 in?

BGB-43395 is in Phase 3 clinical development. A Phase 3 trial (NCT07492641) is currently recruiting participants with HR+/HER2- breast cancer. Additionally, Phase 1 trials have been conducted, with one completed (NCT06253195) and one ongoing (NCT06120283). The drug is investigational and has not been approved by the FDA.

What clinical trials is BGB-43395 in?

BGB-43395 is being evaluated in three registered clinical trials. The Phase 3 trial NCT07492641 is recruiting patients with HR+/HER2- breast cancer. The Phase 1 trial NCT06120283 is recruiting patients with breast cancer and other advanced solid tumors. Another Phase 1 trial, NCT06253195, has been completed in Chinese participants.