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Zanubrutinib

Phase 3

B-cell Malignancies | Small molecule | Other |BeOne Medicines Ltd.|Last Updated: Oct 21, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment1,366
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04170283Long-term Extension Study of Zanubrutinib (BGB-3111) Regimens in Participants With B-cell MalignanciesPHASE3 ACTIVE NOT_RECRUITING 955Jan 16, 2020Dec 1, 2028Oct 21, 2025152 United States, Australia +15
NCT04551963Interaction Study of Zanubrutinib With Moderate and Strong CYP3A Inhibitors in Participants With B-Cell MalignanciesPHASE1 COMPLETED 26Nov 15, 2020Feb 21, 2022Oct 26, 20247 Australia
NCT02343120Study of the Safety and Pharmacokinetics of BGB-3111 in Subjects With B-Cell Lymphoid MalignanciesPHASE1 COMPLETED 385Sep 4, 2014Mar 31, 2021Apr 28, 202223 United States, Australia +4
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Study Endpoints
Primary Endpoints
Incidence of Adverse Events (AEs)
Up to 5 years

Safety as assessed by incidence of all treatment-emergent adverse events (TEAEs) and serious AEs (SAEs)

Arm A: Area Under Plasma Concentration-time Curve up to the Last Measurable Concentration (AUC0-t)
Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
Arm B: Area Under Plasma Concentration-time Curve up to the Last Measurable Concentration (AUC0-t)
Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
Arm A: Area Under Plasma Concentration-time Curve From Time 0 Extrapolated to 24 Hours (AUC0-24h)
Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
Arm B: Area Under Plasma Concentration-time Curve From Time 0 Extrapolated to 24 Hours (AUC0-24h)
Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
Arm A: Maximum Observed Concentration (Cmax)
Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
Arm B: Maximum Observed Concentration (Cmax)
Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
Arm A: Time of the Maximum Observed Concentration (Tmax)
Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
Arm B: Time of the Maximum Observed Concentration (Tmax)
Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
Arm A: Apparent Terminal Elimination Half-life (t1/2)
Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
Arm B: Apparent Terminal Elimination Half-life (t1/2)
Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
Part 1 and Part 2: Number of Participants With Adverse Events
Up to approximately 6 years and 7 months

Number of participants with adverse events and serious adverse events, including clinically relevant physical examinations and laboratory measurements

Part 1: Recommended Phase 2 Dose (RP2D) for Zanubrutinib
Month 9

RP2D for zanubrutinib was the maximum tolerated dose (MTD) or less, which was determined by testing increasing doses up to 320 mg QD

Secondary Endpoints
Progression-Free Survival (PFS) per investigator assessment
Up to 5 years
Duration of Response (DOR) per investigator assessment
Up to 5 years
Overall Survival (OS)
Up to 5 years
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Zanubrutinib (BGB-3111)EXPERIMENTALAll participants to receive open-label zanubrutinib
Zanubrutinib in combination with TislelizumabEXPERIMENTALParticipants to receive the combination as in the parent study (Australia Only)
Arm A: Zanubrutinib with or without Moderate CYP3AEXPERIMENTALCycle 1 (30 days): Participants were administered zanubrutinib at a dose of 320 mg once a day from Day 1 to Day 3; From Day 4 to Day 10, fluconazole was administered once a day at a dose of 400 mg with zanubrutinib at a reduced dose of 80 mg twice a day; On Day 11 and Day 12, zanubrutinib monotherapy was administered at 80 mg twice a day, followed by 320 mg once a day from Day 13 to Day 21; From Day 22 to Day 28, diltiazem was administered once a day at a dose of 180 mg with 80 mg zanubrutinib twice a day; On Day 29 and Day 30, zanubrutinib monotherapy was administered 80 mg twice a day. Cycles 2 to 6 (28 days each cycle): Zanubrutinib 160 mg twice a day or 320 mg once a day.
Arm B: Zanubrutinib with or without Strong CYP3AEXPERIMENTALCycle 1 (30 days): Participants were administered zanubrutinib at a dose of 320 mg once a day from Day 1 to Day 3; From Day 4 to Day 10, voriconazole was administered twice a day at a dose of 200 mg (total daily dose of 400 mg) with zanubrutinib at a reduced dose of 80 mg once a day; On Day 11 and Day 12, zanubrutinib monotherapy was administered at 80 mg once a day, followed by 320 mg once a day from Day 13 to Day 21; From Day 22 to Day 28, clarithromycin was administered twice a day at a dose of 250 mg (total daily dose of 500 mg) with 80 mg zanubrutinib once a day; On Day 29 and Day 30, zanubrutinib monotherapy was administered 80 mg once a day. Cycles 2 to 6 (28 days each cycle): Zanubrutinib 160 mg twice a day or 320 mg once a day.
ZanubrutinibEXPERIMENTALParticipants were administered up to 320 mg total daily dose of zanubrutinib until disease progression, intolerance or death, withdrawal of consent, or loss to follow-up
Interventions
NameTypeDescription
ZanubrutinibDRUGParticipants will receive zanubrutinib at a dose of 160 mg twice daily (for a total daily dose of 320 mg), or the last dose level received in the BeiGene parent study.
TislelizumabDRUGPatients in Australia who participated in a parent study that involved combination therapy of zanubrutinib and tislelizumab will receive tislelizumab at a dose of 200mg every 3 weeks..
FluconazoleDRUGCapsules administered at a dose and frequency as specified in the treatment arm
DiltiazemDRUGCapsules administered at a dose and frequency as specified in the treatment arm
VoriconazoleDRUGCapsules administered at a dose and frequency as specified in the treatment arm
ClarithromycinDRUGCapsules administered at a dose and frequency as specified in the treatment arm
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites152

1. Currently participating or participated recently in a BeiGene parent study 2. Intent to continue or start zanubrutinib treatment after any of the following: 1. At time of final analysis or study closure of the eligible BeiGene parent study 2. At time of progressive disease (PD); and invest...

Countries:United StatesAustraliaChinaCzechiaFranceGermanyGreeceItalyJapanNetherlandsNew ZealandPolandSouth KoreaSpainSwedenTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04170283primaryCompletionDate: changed
LOWMay 24, 2026NCT04170283studyFirstPostDate: changed