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BGB-A445

Phase 1

Urothelial Carcinoma | Small molecule | Oncology |BeOne Medicines Ltd.|Last Updated: May 11, 2026

Target and mechanism

Molecular targetOX40
Target classReceptor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDBiomarker
Total Trials1
Total Enrollment113

FDA Designations

No designations recorded

Clinical trial landscape

BGB-A445 · 2 trials · 8 indications

Phase 1 2
NCT05661955A Study to Investigate the Antitumor Activity, Safety, Tolerability, and Pharmacokinetics of BGB-A445 in Combination With Tislelizumab in Participants With Select Advanced Solid Tumors.Urothelial Carcinoma
ACTIVE NOT_RECRUITING113 Analytics
NCT04215978Safety and Preliminary Effectiveness of BGB-A445 in Combination With Tislelizumab in Participants With Advanced Solid TumorsAdvanced Solid Tumor
COMPLETED204 Analytics
PHASE1ACTIVE NOT_RECRUITING
A Study to Investigate the Antitumor Activity, Safety, Tolerability, and Pharmacokinetics of BGB-A445 in Combination With Tislelizumab in Participants With Select Advanced Solid Tumors.
Urothelial CarcinomaUnlock trial analytics
PHASE1COMPLETED
Safety and Preliminary Effectiveness of BGB-A445 in Combination With Tislelizumab in Participants With Advanced Solid Tumors
Advanced Solid TumorUnlock trial analytics

Study Endpoints

Primary Endpoints

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

Disease-Control Rate (DCR)
Up to approximately 26 months
Clinical Benefit Rate (CBR)
Up to approximately 26 months
Number of Participants Experiencing Adverse Events (AEs) and Serious Adverse Events (SAEs)
Up to 30 days after the last dose of study drugs or the initiation of new anticancer therapy, whichever comes earlier, up to 22 months
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
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
BGB-A445DRUGadministered intravenously
TislelizumabDRUGadministered intravenously
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Eligibility Criteria

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

Key Inclusion Criteria: 1. Participants who were histologically or cytologically confirmed advanced and/or metastatic cancer. UC participants (Cohort A and B), RCC patients (Cohort C and D) or melanoma participants (Cohort E and F) who have received at least 1 but no more than 3 lines of prior syst...

Countries:ChinaUnited StatesAustraliaMalaysiaNew ZealandSouth KoreaTaiwanThailand
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Recent Changes (Last 90 Days)

LOWMay 26, 2026NCT05661955primaryCompletionDate: changed
LOWMay 24, 2026NCT05661955studyFirstPostDate: changed

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 regulation. By targeting OX40, the drug is designed to modulate immune responses in the tumor microenvironment. It is being evaluated in combination with tislelizumab in clinical trials for advanced solid tumors.

Who makes 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 efficacy 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 the FDA or other regulatory agencies. The ongoing and completed trials are early-stage studies focused on safety, tolerability, and preliminary antitumor activity.

What clinical trials is BGB-A445 in?

BGB-A445 has been studied in two Phase 1 trials. NCT04215978, completed, enrolled 204 participants with advanced solid tumors across multiple countries. NCT05661955, active but not recruiting, is enrolling 113 participants in China with urothelial carcinoma, renal cell carcinoma, and melanoma. Both trials combine BGB-A445 with tislelizumab.

Is BGB-A445 the same as tislelizumab?

No, BGB-A445 is not the same as tislelizumab. BGB-A445 is an OX40-targeting small molecule, while tislelizumab is a PD-1 inhibitor. In clinical trials, BGB-A445 is being studied in combination with tislelizumab to evaluate their combined antitumor activity in advanced solid tumors.