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BGB-43395

Phase 3

HR+/HER2- Breast Cancer | Small molecule | Oncology |BeOne Medicines Ltd.|Last Updated: Aug 28, 2026

Target and mechanism

Molecular targetCDK4
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment1,056

FDA Designations

No designations recorded

Clinical trial landscape

BGB-43395 · 4 trials · 12 indications

Phase 3 1Phase 1 3
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.

Part 1 and 2: Area Under the Concentration-time Curve from Time 0 Extrapolated to Infinity (AUC0-∞)
PK is assessed on days 1-15 in Part 1 and Days 1- 22 for part 2
Part 1 and 2: Area Under the Concentration-time Curve from Time 0 to the Time of the Last Quantifiable Concentration (AUC0-tlast)
PK is assessed on days 1-15 in Part 1 and Days 1- 22 for part 2
Part 1 and 2: Maximum Observed Concentration (Cmax)
PK is assessed on days 1-15 in Part 1 and Days 1- 22 for part 2
Part 1 and 2: Time of the Maximum Observed Concentration (Tmax)
PK is assessed on days 1-15 in Part 1 and Days 1- 22 for part 2
Part 1 and 2: Apparent Terminal Elimination Half-life (t1/2)
PK is assessed on days 1-15 in Part 1 and Days 1- 22 for part 2
Part 1 and 2: Apparent Total Clearance (CL/F)
PK is assessed on days 1-15 in Part 1 and Days 1- 22 for part 2
Part 1 and 2: Apparent Volume of Distribution (Vz/F)
PK is assessed on days 1-15 in Part 1 and Days 1- 22 for part 2
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.
Part 1: Relative BioavailabilityEXPERIMENTALParticipants will receive a single dose of each formulation of BGB-43395 in separate periods across various sequences.
Part 2: Food EffectEXPERIMENTALParticipants will receive three doses of the selected formulation of BGB-43395 under fasted, low-fat, or high-fat conditions in separate periods across various sequences.
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 Sites108

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 StatesAustraliaBrazilChinaJapanMalaysiaPuerto RicoSouth KoreaTaiwanUnited KingdomFranceMoldovaNew ZealandThailand
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Competitive Landscape -Breast Cancer 399 trials (matched to "HR+/HER2- Breast Cancer")

Top 20 of 91 competitors

CompanyTickerTrialsLead PhaseDrugs
AstraZeneca PLCAZN46PHASE3Fulvestrant, Capivasertib
Merck & Co., Inc.MRK12PHASE3Pembrolizumab, Paclitaxel, Doxorubicin, Epirubicin, Cyclophosphamide
Eli Lilly and CompanyLLY27PHASE3Abemaciclib, Standard Adjuvant Endocrine Therapy
BioNTech SE Sponsored ADRBNTX7PHASE3DB-1303/BNT323, T-DM1
Gilead Sciences, Inc.GILD13PHASE3Sacituzumab Govitecan-hziy, Eribulin, Capecitabine Product, Gemcitabine, Vinorelbine
Novartis AG Sponsored ADRNVS30PHASE3Ribociclib
Pfizer Inc.PFE34PHASE3ARV-471, Fulvestrant
BeOne Medicines Ltd. Sponsored ADRONC5PHASE3BGB-43395, Letrozole, Abemaciclib, Palbociclib, Ribociclib
Olema Pharmaceuticals, Inc.OLMA5PHASE3Palazestrant, Fulvestrant, Anastrozole, Letrozole, Exemestane
Jazz Pharmaceuticals Public Limited CompanyJAZZ3PHASE3Zanidatamab, Trastuzumab, Eribulin, Vinorelbine, Gemcitabine
Celcuity Inc.CELC3PHASE3Gedatolisib, Palbociclib, Fulvestrant, Alpelisib
Relay Therapeutics, Inc.RLAY2PHASE3Zovegalisib, Capivasertib, Fulvestrant
GSK plc Sponsored ADRGSK2PHASE3Niraparib
Greenwich LifeSciences, Inc.GLSI1PHASE3GLSI-100
Bristol-Myers Squibb CompanyBMY5PHASE2Iza-bren, Nab-paclitaxel, Paclitaxel, Capecitabine, Carboplatin
BriaCell Therapeutics CorpBCTX1PHASE3SV-BR-1-GM, Cyclophosphamide, Interferon infiltration of the inoculation site, Retifanlimab, Treatment of Physician's Choice
Incyte CorporationINCY4PHASE2Ruxolitinib, Capecitabine, Regorafenib
Natera, Inc.NTRA3PHASE2Discontinuation of the anti-HER2 maintenance therapy
Puma Biotechnology, Inc.PBYI3PHASE2Neratinib, Loperamide, Colesevelam
Atossa Therapeutics, Inc.ATOS1PHASE2endoxifen, goserelin
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Recent Changes (Last 90 Days)

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
LOWAug 20, 2026NCT07492641lastUpdatePostDate: changed
LOWAug 20, 2026NCT06120283lastUpdatePostDate: changed
LOWAug 20, 2026NCT07492641lastUpdatePostDate: changed
LOWAug 20, 2026NCT06120283lastUpdatePostDate: changed
LOWAug 6, 2026NCT07492641lastUpdatePostDate: changed
LOWAug 6, 2026NCT06120283lastUpdatePostDate: changed
LOWAug 6, 2026NCT07492641lastUpdatePostDate: changed
LOWAug 6, 2026NCT06120283lastUpdatePostDate: changed
LOWJul 24, 2026NCT07492641lastUpdatePostDate: changed
LOWJul 24, 2026NCT06120283lastUpdatePostDate: changed
LOWJul 24, 2026NCT07492641lastUpdatePostDate: changed
LOWJul 24, 2026NCT06120283lastUpdatePostDate: changed
MEDIUMJul 11, 2026NCT06253195TRIAL_REMOVED: changed
MEDIUMJul 11, 2026NCT06253195TRIAL_REMOVED: changed

Frequently asked questions about BGB-43395

What is BGB-43395 used for?

BGB-43395 is an investigational small molecule being studied for the treatment of advanced solid tumors, including HR+/HER2- breast cancer. It is also being evaluated in healthy volunteers to assess different formulations and food effects. The drug is in clinical development and is not yet approved by regulatory authorities.

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 mechanism is being explored in clinical trials for advanced solid tumors and HR+/HER2- breast cancer.

Who is developing BGB-43395?

BGB-43395 is being developed by BeOne Medicines Ltd., a biopharmaceutical company listed under the ticker symbol ONC. The company is conducting clinical trials to evaluate the drug's safety and efficacy in oncology indications.

What phase is BGB-43395 in?

BGB-43395 is in Phase 1 clinical development. The drug is being studied in early-stage trials for advanced solid tumors and HR+/HER2- breast cancer, as well as in healthy volunteers. It is investigational and has not received regulatory approval.

What clinical trials is BGB-43395 in?

BGB-43395 is being evaluated in several clinical trials. NCT06120283 is a Phase 1 study in advanced solid tumors and breast cancer. NCT06253195 is a completed Phase 1 study in Chinese participants. NCT06761898 is a completed healthy volunteer study. NCT07492641 is a Phase 3 trial comparing BGB-43395 plus letrozole to other CDK4/6 inhibitors.

Is BGB-43395 the same as other CDK4 inhibitors?

BGB-43395 is a CDK4 inhibitor, but it is a distinct investigational drug developed by BeOne Medicines Ltd. It is being compared to other CDK4/6 inhibitors in a Phase 3 clinical trial for HR+/HER2- breast cancer, but it is not the same as those approved agents.