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BGB-A445

Phase 3

Advanced Solid Tumor | Small Molecules | Oncology |BeOne Medicines Ltd.|Trials Updated: May 11, 2026

BGB-A445 development status

Highest phase Phase 3 (NCT04164199)
Phase scored for ONCPhase 1
Registered trials 5 across 2 sponsors since Nov 2019

BGB-A445 target and mechanism

Molecular targetOX40
Target classReceptor
ModalitySmall Molecules

Also known as Gimistotug

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment352

FDA Designations

No designations recorded

BGB-A445 clinical trials

BGB-A445 · 3 trials · 9 indications

Phase 2 1Phase 1/2 1Phase 1 1
NCT06029127A Study of Gimistotug (BGB-A445) in Combination With Other Investigational Agents in Participants With Non-Small Cell Lung CancerNon-Small Cell Lung Cancer
COMPLETED35 Analytics
PHASE2COMPLETED
A Study of Gimistotug (BGB-A445) in Combination With Other Investigational Agents in Participants With Non-Small Cell Lung Cancer
Non-Small Cell Lung CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Response Rate
Response was assessed every 6 weeks for the first 9 months and every 12 weeks thereafter; maximum time on follow-up was up to 13.5 months

Overall response rate (ORR) is defined as the percentage of participants with best overall response (BOR) of a confirmed complete response (CR) or partial response (PR) as assessed by the investigators per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v)1.1. CR is defined as: * Disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to \< 10 mm. * Disappearance of all nontarget lesions and normalization of tumor marker level. All lymph nodes must be nonpathological in size (\< 10 mm short axis). * No new lesions. PR is defined as: * At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. * Non-progressive disease with regard to non-target lesions, persistence of 1 or more nontarget lesion(s) and/or maintenance of tumor marker level above the normal limits. * No new lesions.

Overall Response Rate (ORR) as Assessed by the Investigator
Up to approximately 26 months

ORR is defined as the percentage of participants who had confirmed complete response Complete Response (CR) or Partial Response (PR)

Phase 1a: Number of Participants Experiencing Adverse Events (AEs)
Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy
Phase 1a: Number of Participants Experiencing Serious Adverse Events (SAEs)
Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy
Phase 1a: Number of Participants Experiencing AEs meeting protocol defined Dose-Limiting Toxicity (DLT) criteria
Up to 90 days after the last dose of study drug(s) regardless of whether the participant starts a subsequent anticancer therapy
Phase 1a: Maximum Tolerated Dose (MTD) of BGB-A445
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

The MTD is defined as the highest dose evaluated for which the estimated toxicity rate is closest to the target toxicity rate of 30%

Phase 1b: RP2D of BGB-A445 when Administered Alone
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first
Phase 1b: Overall Response Rate (ORR) as Assessed by the Investigator
Up to 30 days after the last dose of study drug(s) or before the initiation of a new anticancer treatment, whichever occurs first

ORR is defined as the proportion of participants who had confirmed complete response Complete Response (CR) or Partial Response (PR)

Secondary Endpoints

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From first dose of study drug to 30 days after last dose. Maximum time on treatment was 11.2 months
Duration of Response (DOR)
From first dose to the end of study; maximum time on follow-up was up to 13.5 months.
Disease Control Rate (DCR)
From first dose to the end of study; maximum time on follow-up was up to 13.5 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Gimistotug + DocetaxelEXPERIMENTALParticipants received gimistotug and docetaxel 75 mg/m\^2 both by intravenous infusion once every 3 weeks until disease progression, intolerable toxicity, withdrawal of informed consent, or other discontinuation criterion were met.
Gimistotug + BGB-15025EXPERIMENTALParticipants received gimistotug by intravenous infusion once every 3 weeks and BGB-15025 orally once daily during each 3-week cycle until disease progression, intolerable toxicity, withdrawal of informed consent, or other discontinuation criterion were met.
Cohort A: Previously Treated UCEXPERIMENTALBGB-A445 Monotherapy
Cohort B: Previously Treated UCEXPERIMENTALBGB-A445 and Tislelizumab
Cohort C: Previously Treated RCCEXPERIMENTALBGB-A445 Monotherapy
Cohort D: Previously Treated RCCEXPERIMENTALBGB-A445 and Tislelizumab
Cohort E: Previously Treated MelanomaEXPERIMENTALBGB-A445 Monotherapy
Cohort F: Previously Treated MelanomaEXPERIMENTALBGB-A445 and Tislelizumab
Cohort G: First Line Cisplatin Ineligible UCEXPERIMENTALBGB-A445 and Tislelizumab
Cohort H: First Line Non-mucosal MelanomaEXPERIMENTALBGB-A445 and Tislelizumab
Cohort I: Previously Treated Non-mucosal MelanomaEXPERIMENTALBGB-A445 and Tislelizumab
Phase 1a: BGB-A445 MonotherapyEXPERIMENTALDose Escalation Part A: Participants will receive intravenous (IV) infusion of BGB-A445 in sequential cohorts of approximately 8 increasing dose levels on day 1 of each 21-day cycle
Phase 1a: BGB-A445 + Tislelizumab Combination TherapyEXPERIMENTALDose Escalation Part B: Participants will receive IV infusion of BGB-A445 in sequential cohorts of approximately 6 increasing dose levels plus 200mg tislelizumab on day 1 of each 21-day cycle
Phase 1b:BGB-A445 MonotherapyEXPERIMENTALDose Expansion Part A: Participants will receive recommended doses of IV BGB-A445 as determined from Phase 1a Dose Escalation; BGB-A445 will be evaluated in two tumor types
Phase 1b: BGB-A445 + Tislelizumab and Chemotherapy Combination TherapyEXPERIMENTALDose Expansion Part B: Participants will receive recommended dose IV infusion of BGB-A445 plus 200mg tislelizumab and chemotherapy
Phase 1b: BGB-A445 MonotherapyEXPERIMENTALDose Expansion Part C: Participants will receive 1 dose level of BGB-A445

Interventions

NameTypeDescription
GimistotugDRUGAdministered intravenously
DocetaxelDRUG75 milligrams per square meter (mg/m\^2) administered intravenously
BGB-15025DRUGAdministered orally
BGB-A445DRUGadministered intravenously
TislelizumabDRUGadministered intravenously
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites18

Inclusion Criteria: * Advanced or metastatic NSCLC (nonsquamous or squamous) that is histologically or cytologically confirmed * Participants who have received no more than 2 lines of prior systemic therapies which must include anti-programmed cell death protein ligand-1 (anti-PD-(L)1) treatment an...

Countries:ChinaSouth KoreaUnited StatesAustraliaMalaysiaNew ZealandTaiwanThailand
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Competitive Landscape -Other Solid Tumors 10 trials (matched to "Advanced Solid Tumor")

Frequently asked questions about BGB-A445

What is BGB-A445 used for?

BGB-A445 is an investigational small molecule being studied for the treatment of advanced solid tumors, including urothelial carcinoma, non-small cell lung cancer, head and neck squamous cell carcinoma, nasopharyngeal carcinoma, renal cell carcinoma, and melanoma. It is currently in Phase 1 clinical development and is not yet approved by regulatory authorities.

What does BGB-A445 target?

BGB-A445 targets OX40, a receptor involved in immune response regulation. By targeting OX40, the drug is designed to modulate T-cell activity, potentially enhancing the body's immune response against tumor cells. It is being evaluated in combination with tislelizumab in clinical trials for advanced solid tumors.

Who is developing BGB-A445?

BGB-A445 is being developed by BeOne Medicines Ltd., a biopharmaceutical company listed on the stock exchange under the ticker ONC. The company is conducting clinical trials to evaluate the safety and effectiveness of BGB-A445 in patients with advanced solid tumors.

What phase is BGB-A445 in?

BGB-A445 is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities and is still being studied for safety and preliminary effectiveness in patients with advanced solid tumors. Two Phase 1 trials have been conducted or are ongoing.

What clinical trials is BGB-A445 in?

BGB-A445 has been studied in two Phase 1 clinical trials. NCT04215978, which is completed, evaluated BGB-A445 in combination with tislelizumab in advanced solid tumors. NCT05661955, which is active but not recruiting, is investigating the combination in select advanced solid tumors including urothelial carcinoma and renal cell carcinoma.

Is BGB-A445 the same as tislelizumab?

No, BGB-A445 is not the same as tislelizumab. BGB-A445 is an investigational small molecule targeting OX40, while tislelizumab is a separate drug used in combination with BGB-A445 in clinical trials. The two drugs are being studied together to assess their combined antitumor activity in advanced solid tumors.