Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as Zanubrutinib Oral Capsule
Zanubrutinib · 35 trials · 40 indications
Safety as assessed by incidence of all treatment-emergent adverse events (TEAEs) and serious AEs (SAEs) and according to National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE v5.0)
PFS is defined as the time from randomization to the date of first documentation of disease progression or death, whichever occurs first.
ORR is defined as the percentage of participants with a complete response (CR) / complete response with incomplete bone marrow recovery (CRi), nodular partial response (nPR) or partial response (PR) per investigator assessment. Disease response was assessed in accordance with the 2008 criteria of the International Workshop on CLL (IWCLL), with modification for treatment-related lymphocytosis in participants with CLL and in accordance with the Lugano classification in participants with SLL.
ORR is defined as the percentage of participants with a complete response (CR) / complete response with incomplete bone marrow recovery (CRi), nodular partial response (nPR) or partial response (PR) assessed by a blinded independent review committee. Overall response was assessed by the IRC for the purpose of regulatory filing with the Food and Drug Administration (FDA). Disease response was assessed in accordance with the 2008 criteria of the International Workshop on CLL (IWCLL), with modification for treatment-related lymphocytosis in participants with CLL and in accordance with the Lugano classification in participants with SLL.
PFS is defined as the time from randomization until first documentation of progression or death from any cause, whichever occurs first, as assessed by the ICR per 2008 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) guidelines with modifications for treatment-related lymphocytosis in participants with CLL and the Revised Criteria for Response for Malignant Lymphoma in participants with small lymphocytic lymphoma (SLL).
CRR after maintenance treatment is defined as the proportion of participants who experienced complete response (CR) with peripheral blood (PB) MRD-negativity after 1-year of maintenance therapy.
Best ORR to induction therapy is defined as the best response between the start of induction therapy until the end of induction therapy based on the criteria set forth in "Report of an international workshop to standardize baseline evaluation and response criteria for primary CNS lymphoma" (2005).
EFS was defined as the time from initiation of zanubrutinib maintenance therapy to the occurrence of any event, including death, disease progression, change in chemotherapy regimen, change to chemotherapy, addition of other treatments, occurrence of fatal or intolerable side effects, etc. Whichever occurs first.
The primary endpoint is the Progression-Free Survival (PFS).
Complete remission is defined as: UPCR (based on 24-hour urine collection) ≤ 0.3, AND a stable estimated glomerular filtration rate (eGFR) (remains unchanged or decreases by \< 15% compared with the baseline)
Defined as the percentage of participants who achieved complete response (CR) or partial response (PR) by investigator assessment according to the Lugano classification for Non-Hodgkin's Lymphoma (NHL).
Number of participants with respiratory failure-free survival, defined as not having died or gone into respiratory failure on or before Day 28
Time to return to breathing room air is defined as the time from randomization date to the earliest time where the participant is stable on room air without supplemental oxygen. Total follow-up time in days is the total time of all participants from the randomization date to the first event date or Day 28 if there is no event. The rate was calculated as total number of events in which a participant returned to breathing room air on or before Day 28 divided by the total follow-up time in days.
ORR is defined as the percentage of participants with complete or partial response as the best overall response, as determined by an IRC using the Lugano Classification
The percentage of participants whose best overall response met partial response (PR) or complete response (CR) criteria among all participants. The 95% confidence interval (CI) was calculated with the Clopper-Pearson method.
ORR was defined as the percentage of participants who achieved a best overall response of complete response (CR) or partial response (PR) per the Lugano Classification for Non-Hodgkin's Lymphoma.
MRR is defined as the percentage of participants who achieved complete response (CR) + very good partial response (VGPR) + partial response (PR), as assessed by an independent review committee according to modified Owen's criteria
Overall response rate was defined as the percentage of participants achieving either a partial response (PR) or complete response (CR) as determined by investigator according to the 2014 modification of the International Working Group (IWG) in Non-Hodgkin's lymphoma (NHL) Criteria.
ORR is defined as the number of participants who achieve a best response of CR or, CRi, Nodular Partial Response, PR, and PR with Lymphocytosis as assessed by IRC per the modified IWCLL Guidelines in participants with CLL and the Revised Criteria for Response for Malignant Lymphoma in participants with SLL.
The ORR was assessed in accordance with the 2014 modification of the International Working Group on non-Hodgkin Lymphoma Criteria. The ORR was defined as the percentage of participants achieving a best overall response (BOR) of complete response (CR) or partial response (PR). The BOR was defined as the best response recorded from the start of zanubrutinib until data cut or start of new antineoplastic treatment. Participants with no post-baseline response assessment (due to any reason) were considered non-responders for BOR.
The number of participants experiencing dose-limiting toxicities (DLTs) after starting study therapy. Toxicity will be assessed using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0, per physician discretion.
An adverse event (AE) is defined as any untoward medical occurrence in a patient temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product (zanubrutinib in combination with lenalidomide). A serious adverse event (SAE) is any untoward medical occurrence that, at any dose: * Resulted in death. * Was life threatening. * Required hospitalization or prolongation of existing hospitalization. * Resulted in disability/incapacity. * Was a congenital anomaly/birth defect. * Was considered a significant medical AE by the investigator based on medical judgement (eg, may have jeopardized the patient or may have required medical/surgical intervention to prevent one of the outcomes listed above).
ORR is defined as the percentage of participants who achieved a best overall response of partial response (PR) or complete response (CR) based on the Lugano classification as assessed by the investigator. Response was evaluated using computed tomography (CT) and metabolic imaging (fluorodeoxyglucose-positron emission tomography (FDG-PET)). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤ 1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). PR is partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by \> 50% in length beyond normal) and no new lesions.
Plasma concentration of Zanubrutinib (BGB-3111) to evaluate Area Under the Plasma Concentration-Time Curve (AUC) of Zanubrutinib
All adverse events were treatment emergent and were defined as an adverse event with a reported onset time or increase in severity after the initial dose of study drug and within 30 days after the last dose of study drug or initiation of new anticancer therapy, whichever was sooner. A serious adverse event was any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, or is significant medical event requiring intervention. All toxicity and adverse events were assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.03 (NCI-CTCAE v4.03) grading criteria. A summary of serious and all other non-serious adverse events, regardless of causality, is located in the Reported Adverse Events module.
Overall response in overall response rate (ORR) was defined as a participant's best overall response: CR or PR for NHL participants; CR, complete remission with incomplete blood count recovery, nodular PR, PR, or PR with lymphocytosis for the CLL participants; CR, very good PR, PR, or minor response for the Waldenström macroglobulinemia participants. ORR was defined as the percentage of participants who achieved an overall response.
CRR was defined as the percentage of participants who achieved CR as the best overall response.
PRR was defined as the percentage of participants who achieved PR or higher as the best overall response.
Duration of response for responders (those who achieved an overall response of PR or better) was defined as the time interval (in number of days) between the date of the earliest qualifying response and the date of progressive disease or death for any cause (whichever occurs earlier). Duration of response analysis included only responders.
Progression-free survival was defined as the time (in months) from the date of first study treatment to disease progression or death (due to any cause), whichever occurred first. For purposes of calculating PFS, the start date of progressive disease was the date at which progression was first observed. The duration and primary analysis of PFS was right-censored for participants who met 1 of the following conditions: 1) no baseline disease assessments; 2) starting a new anticancer therapy before documentation of disease progression or death; 3) death or disease progression immediately after more than 1 consecutively missed disease assessment visit; and 4) alive without documentation of disease progression before the data cutoff date.
The MTD of tislelizumab is considered the dose level below that at which at least 2 participants (or at least 33%) experience a dose-limiting toxicity (DLT).
The RP2D of tislelizumab in combination with zanubrutinib will be selected by taking into account the safety, tolerability, and pharmacokinetic (PK) profile.
An AE was defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product (zanubrutinib in combination with obinutuzumab). An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of the study drug. A serious AE (SAE) was any untoward medical occurrence that, at any dose. * resulted in death, * was life threatening, * required hospitalization or prolongation of existing hospitalization, * resulted in disability/incapacity, * was a congenital anomaly/birth defect.
Laboratory results are reported as participants with shifts towards (high directionality) or away (low directionality) from Grade 3 or Higher Toxicity.
An AE was defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product (zanubrutinib in combination with obinutuzumab). An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug. An SAE was any untoward medical occurrence that, at any dose: * resulted in death, * was life threatening, * required hospitalization or prolongation of existing hospitalization, * resulted in disability/incapacity, * was a congenital anomaly/birth defect.
Dose-limiting toxicities were defined as a toxicity or AE occurring during the DLT assessment period (first 29 days of treatment), which is not clearly attributable to a cause other than zanubrutinib and/or obinutuzumab (such as disease progression, underlying illness, concurrent illness or concomitant medication) and meets one of the following criteria: * Grade 3 or 4 drug-related non-hematologic toxicity (excluding Grade 3 nausea, vomiting, hypertension, and asymptomatic laboratory abnormalities), * Grade 4 drug-related hematologic toxicity persisting for \>14 days, * any grade toxicity, which in the judgment of the investigator or Sponsor, required removal of the participant from the study.
Partial response was defined as follows: * ≥ 50% reduction of serum IgM from baseline, * reduction in lymphadenopathy/splenomegaly (if present at baseline). For response assessments that occurred during cycles where a CT scan was not required, then results from prior scans (up to 12 weeks during the first 48 weeks and up to 24 weeks thereafter) could be carried forward in those participants with extramedullary disease at baseline.
Number of participants with adverse events and serious adverse events, including clinically relevant physical examinations and laboratory measurements
RP2D for zanubrutinib was the maximum tolerated dose (MTD) or less, which was determined by testing increasing doses up to 320 mg QD
| Arm | Type | Description |
|---|---|---|
| Follicular Lymphoma Arm A: Zanubrutinib plus Obinutuzumab | EXPERIMENTAL | Participants will receive zanubrutinib and Obinutuzumab. Following the completion of the combination treatment, participants will continue receiving zanubrutinib monotherapy until confirmed disease progression, unacceptable toxicity, withdrawal of consent, or study termination, whichever occurs first. |
| Follicular Lymphoma Arm B: Lenalidomide plus Rituximab | ACTIVE_COMPARATOR | Participants will receive lenalidomide and rituximab. |
| Marginal Zone Lymphoma Arm C: Zanubrutinib plus Rituximab | EXPERIMENTAL | Participants will receive zanubrutinib and rituximab. Following the completion of the combination treatment, participants will continue receiving zanubrutinib monotherapy until confirmed disease progression, unacceptable toxicity, withdrawal of consent, or study termination, whichever occurs first. |
| Marginal Zone Lymphoma Arm D: Lenalidomide plus Rituximab | ACTIVE_COMPARATOR | Participants will receive lenalidomide and rituximab. |
| Zanubrutinib (BGB-3111) | EXPERIMENTAL | All participants to receive open-label zanubrutinib |
| Zanubrutinib in combination with Tislelizumab | EXPERIMENTAL | Participants to receive the combination as in the parent study (Australia Only) |
| Arm A: zanubrutinib plus rituximab | EXPERIMENTAL | Participants will receive zanubrutinib plus rituximab, followed by zanubrutinib monotherapy until Independent Review Committee (IRC)-confirmed disease progression. |
| Arm B: bendamustine plus rituximab | ACTIVE_COMPARATOR | Participants will receive bendamustine plus rituximab, followed by observation. |
| Zanubrutinib | EXPERIMENTAL | Participants received 160 mg zanubrutinib orally twice daily until disease progression, intolerable toxicity, initiation of alternative anticancer therapy, investigator/Sponsor decision, need for prohibited medication, study withdrawal, or pregnancy. |
| Ibrutinib | ACTIVE_COMPARATOR | Participants received Ibrutinib 420 mg orally once daily until disease progression, intolerable toxicity, initiation of alternative anticancer therapy, investigator/Sponsor decision, need for prohibited medication, study withdrawal, or pregnancy. |
| Cohort 1: Bendamustine + Rituximab | EXPERIMENTAL | Participants will receive bendamustine plus rituximab for up to six 28-day cycles (Arm B) |
| Cohort 1: Zanubrutinib | EXPERIMENTAL | Participants will receive zanubrutinib until unacceptable toxicity or disease progression (Arm A) |
| Cohort 1a (China only): Bendamustine + Rituximab | EXPERIMENTAL | Participants will receive bendamustine plus rituximab for up to six 28-day cycles (Arm B, China only) |
| Cohort 1a (China only): Zanubrutinib | EXPERIMENTAL | Participants will receive zanubrutinib until unacceptable toxicity or disease progression (Arm A, China only) |
| Cohort 2: Zanubrutinib | EXPERIMENTAL | Participants will receive zanubrutinib until unacceptable toxicity or disease progression (Arm C) |
| Cohort 3: Venetoclax + Zanubrutinib | EXPERIMENTAL | Approximately 110 participants, 50 without del17p and 60 with del\[17p\] or TP53 mutation will receive zanubrutinib plus venetoclax; Participants will also receive zanubrutinib starting on Cycle 1 Day 1 then daily for a minimum of 27 cycles, or until unacceptable toxicity or disease progression, whichever occurs first. Participants will receive venetoclax starting Cycle 4 Day 1 according to a 5-week dose-up schedule then daily until unacceptable toxicity, disease progression, or for a maximum of 24 cycles. Each cycle is 28 days. (Arm D) |
| Zanubrutinib + Sonrotoclax | EXPERIMENTAL | - |
| Induction Therapy (All Patients) | EXPERIMENTAL | Enrolled participants will complete: * Baseline visit with PET/CT, lymph node biopsy, and bone marrow biopsy * Cycles 1 through 3 (28-day cycles): * Days 1 - 28: Predetermined dose of Zanubrutinib 2x daily * Days 1 and 2: Predetermined dose of Bendamustine 1x daily * Day 1: Predetermined dose of Rituximab 1x daily * PET/CT scan * Cycles 4 through 6 (21-day cycles): * Day 1: Predetermined dose of Rituximab 1x daily * Days 1 and 2: Predetermined dose of Cytarabine 2x daily * PET/CT scan Participants without disease progression will proceed to randomization to either Arm A or Arm B for maintenance therapy. |
| Maintenance Arm A: Zanubrutinib + Rituximab | EXPERIMENTAL | Following randomization participants with a complete response to induction therapy will complete: * Cycles 1 - 24 (28-day cycles): * Days 1 through 28: Predetermined dose of Zanubrutinib 2x daily * Day 1 every other cycle: Predetermined dose of Rituximab 1x daily * PET/CT on Cycles 7, 12, 19, and at end of treatment * Post-treatment follow up: every 6 months. PET/CT every 12 months |
| Maintenance Arm B: Zanubrutinib + Rituximab + Sonrotoclax | EXPERIMENTAL | Following randomization participants with a complete response to induction therapy will complete: * Cycles 1 - 24 (28-day cycles): * Days 1 through 28: Predetermined dose of Zanubrutinib 2x daily * Days 1 through 28: Predetermined dose of Sonrotoclax 1x daily * Day 1 every other cycle: Predetermined dose of Rituximab 1x daily * PET/CT on Cycles 7, 12, 19, and at end of treatment * Post-treatment follow up: every 6 months. PET/CT every 12 months |
| Maintenance Arm B with Sonrotoclax Ramp-Up: Zanubrutinib + Rituximab + Sonrotoclax | EXPERIMENTAL | Following randomization participants with an incomplete response to induction therapy will require a ramp-up initiation of sonrotoclax and will complete: * Cycles 1 - 24 (28-day cycles): * Days 1 through 28: Predetermined dose of Zanubrutinib 2x daily * Days 1 through 28: Predetermined dose of Sonrotoclax 1x daily \*\*Cycles 1 and 2: Predetermined dose of Sonrotoclax 1x daily will be increased weekly. * Day 1 every other cycle: Predetermined dose of Rituximab 1x daily * PET/CT on Cycles 7, 12, 19, and at end of treatment * Post-treatment follow up: every 6 months. PET/CT every 12 months |
| Induction Therapy + SOC Treatment | EXPERIMENTAL | Participants will receive the induction therapy (oral zanubrutinib + IV pemetrexed) and be placed into one of the cohorts according to standard of care (SOC) treatment: Cohort 1: Induction Therapy + Autologous Stem Cell Transplant (ASCT) After completion of the induction therapy, ASCT candidates will undergo transplant as per SOC. If the transplant is delayed and 8 induction cycles have been completed, oral zanubrutinib maintenance will proceed until transplant, but will not occur after transplant. Cohort 2: Induction Therapy + Whole Brain Radiation Therapy (WBRT) After completion of the induction therapy, WBRT candidates will undergo WBRT as per SOC. Oral zanubrutinib maintenance will start 7-10 days after the completion of WBRT. 28-d maintenance cycles will continue until disease progression. Cohort 3: Induction Therapy Alone After completion of the induction therapy, 28-day oral zanubrutinib maintenance cycles will begin and continue until disease progression |
| experimental group | EXPERIMENTAL | According to the initial treatment plan of the patients, the patients were divided into R-CHOP and R-chemo groups. Both groups received zanubrutinib 160 mg bid p.o. d1-28 maintenance treatment for 12 months after induction and consolidation therapy reached the maximum efficacy. |
| Part 1: Zanubrutinib High Dose | EXPERIMENTAL | Participants will receive zanubrutinib twice daily. |
| Part 2: Zanubrutinib High Dose | EXPERIMENTAL | Participants will receive zanubrutinib twice daily. |
| Part 2: Zanubrutinib Low Dose | EXPERIMENTAL | Participants will receive zanubrutinib once daily. |
| Part 2: Tacrolimus | ACTIVE_COMPARATOR | Participants will receive tacrolimus capsules twice daily for 64 weeks. |
| Zanubrutinib Low Dose | EXPERIMENTAL | Participants will receive zanubrutinib 40 mg twice daily (BID) for 72 weeks |
| Zanubrutinib High Dose | EXPERIMENTAL | Participants will receive zanubrutinib 160 mg twice daily (BID) for 72 weeks |
| Zanubrutinib Medium Dose | EXPERIMENTAL | Participants will receive zanubrutinib 160 mg once daily (QD) for 72 weeks |
| Placebo | EXPERIMENTAL | Participants will receive placebo to match zanubrutinib for 72 weeks |
| Zanubrutinib + Supportive Care | EXPERIMENTAL | Participants received zanubrutinib plus supportive care |
| Placebo + Supportive Care | ACTIVE_COMPARATOR | Participants received placebo plus supportive care alone |
| R/R Non-GCB DLBCL | EXPERIMENTAL | Participants with non-GCB DLBCL received zanubrutinib plus rituximab for up to progressive disease or intolerance. |
| R/R FL or MZL | EXPERIMENTAL | Participants with R/R FL or MZL received zanubrutinib plus rituximab for up to progressive disease or intolerance. |
| Obinutuzumab | EXPERIMENTAL | Participants received obinutuzumab 1000 milligrams (mg) intravenously on Days 1, 8, and 15 of Cycle 1, Day 1 of Cycles 2 to 6; and then every 8 weeks for an additional 24 months or until disease progression. Each treatment cycle was 28 days. Participants who experienced progressive disease or did not respond to therapy within 12 months may have received crossover treatment with zanubrutinib + obinutuzumab at the investigator's discretion. |
| Zanubrutinib + Obinutuzumab | EXPERIMENTAL | Participants received zanubrutinib 160 mg twice a day orally with or without food and obinutuzumab 1000 mg intravenously on Days 1, 8, and 15 of Cycle 1, Day 1 of Cycles 2 to 6, and then every 8 weeks for an additional 24 months or until disease progression. Each treatment cycle was 28 days. |
| Zanubrutinib in combination with Pola-R-CHP and in combination with Methotrexate Group | EXPERIMENTAL | Participants will be in this group for up to 2 years |
| Sequence 1 | EXPERIMENTAL | Zanubrutinib will be administered as a single dose of treatment (tablet) or reference (capsule) on separate occasions. |
| Sequence 2 | EXPERIMENTAL | Zanubrutinib will be administered as a single dose of treatment (tablet) or reference (capsule) on separate occasions. |
| Low Dose Cohort | EXPERIMENTAL | Zanubrutinib will be administered as a single low dose of treatment (tablet) or reference (capsule) on separate occasions across several treatment sequences |
| High Dose Cohort | EXPERIMENTAL | Zanubrutinib will be administered as a single high dose of treatment (tablet) or reference (capsule) on separate occasions across several treatment sequences |
| Arm A: Zanubrutinib with or without Moderate CYP3A | EXPERIMENTAL | Cycle 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 CYP3A | EXPERIMENTAL | Cycle 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. |
| Part 1: Zanubrutinib + Lenalidomide 15 mg | EXPERIMENTAL | Participants received zanubrutinib 160 mg orally twice a day (BID) and lenalidomide 15 mg orally once a day (QD) on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| Part 1: Zanubrutinib + Lenalidomide 20 mg | EXPERIMENTAL | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| Part 1: Zanubrutinib + Lenalidomide 25 mg | EXPERIMENTAL | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| Part 2: Zanubrutinib + Lenalidomide 25 mg | EXPERIMENTAL | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| Zanubrutinib + Rifabutin | EXPERIMENTAL | Day 1: zanubrutinib Days 3 to 10: rifabutin Day 11: zanubrutinib and rifabutin |
| Normal Hepatic Function | EXPERIMENTAL | Participants with normal hepatic function will be administered a single oral dose of Zanubrutinib (80 mg). |
| Mild Hepatic Impairment | EXPERIMENTAL | Participants with mild hepatic impairment (Child-Pugh Class A, score of 5 to 6, inclusive) will be administered a single dose of Zanubrutinib (80 mg). |
| Moderate Hepatic Impairment | EXPERIMENTAL | Participants with moderate hepatic impairment (Child-Pugh Class B, score of 7 to 9, inclusive) will be administered a single dose of Zanubrutinib (80 mg). |
| Severe Hepatic Impairment | EXPERIMENTAL | Participants with severe hepatic impairment (Child-Pugh Class C, score of 10 to 15, inclusive) will be administered a single dose of Zanubrutinib (80 mg). |
| Part I: 160 mg BID | EXPERIMENTAL | Safety Evaluation: Two regimens of zanubrutinib 320 milligrams (mg) daily (160 mg twice daily \[BID\]) administered in the morning and at night, or 320 mg (once daily \[QD\]), and a "3+3" design was adopted for Part I of the study to determine recommended Phase 2 dose (RP2D). |
| Part I: 320 mg QD | EXPERIMENTAL | Safety Evaluation: Two regimens of zanubrutinib 320 mg daily (160 mg BID, administered in the morning and at night, or 320 mg QD) and a "3+3" design was adopted for Part I of the study to determine RP2D. |
| Part II: 160 mg BID | EXPERIMENTAL | Dose Expansion: The RP2D determined in Part I was used in Part II to further evaluate the preliminary anti-tumor effects of zanubrutinib in Chinese participants with follicular lymphoma (FL) or marginal zone lymphoma (MZL). |
| Zanubrutinib abd Tislelizumab | OTHER | Based on results of the dose escalation cohorts and the identified recommended Phase 2 dose, all patients will receive zanubrutinib at 160 mg orally twice daily in combination with intravenous infusion of tislelizumab 200mg given every 21 days, to be continued until disease progression, unacceptable toxicity, treatment consent withdrawal, or study termination |
| Treatment Sequence 1 | EXPERIMENTAL | 5 Subjects received Period 1- 320 mg BGB-3111 administered after an overnight fast; Period 2- 320 mg BGB-3111 administered after High Fat/Calorie Meal; Period 3 - Day 15: 320 mg BGB-3111 administered after Low Fat/Calorie Meal |
| Treatment Sequence 2 | EXPERIMENTAL | 5 Subjects received Period 1 - Day 1: 320 mg BGB-3111 administered after High Fat/Calorie Meal; Period 2- Day 8: 320 mg BGB-3111 administered after Low Fat/Calorie Meal; Period 3- Day 15: 320 mg BGB-3111 administered after an overnight fast |
| Treatment Sequence 3 | EXPERIMENTAL | Approximately 5 Subjects receive Period 1-Day 1: 320 mg BGB-3111 administered after Low Fat/Calorie Meal; Period 2-Day 8: 320 mg BGB-3111 administered after an overnight fast; Period 3- Day 15: 320 mg BGB-3111 administered after High Fat/Calorie Meal |
| Zanubrutinib and Obinutuzumab | EXPERIMENTAL | In the dose-escalation part, dose levels and regimens were evaluated. In the indication-specific expansion cohorts, participants were assigned to different cohorts based on histology type. |
| Name | Type | Description |
|---|---|---|
| Zanubrutinib | DRUG | Zanubrutinib will be administered orally as two 80-milligram (mg) capsules twice a day (160 mg twice a day) or four 80-mg capsules once a day (320 mg once a day) continuously in repeated 28-day cycles. |
| Rituximab | DRUG | Rituximab will be administered intravenously at a dose of 375 mg/meter squared on Days 1, 8, 15, and 22 of Cycle 1 and on Day 1 of Cycles 2 to 5. Each cycle is 28 days in length. |
| Lenalidomide | DRUG | Lenalidomide will be administered orally as 20-mg capsules (10 mg if creatinine clearance ≥ 30 mL/min but \< 60 mL/min) once a day on Days 1 to 21 of each 28-day cycle for a total of 12 cycles. |
| Obinutuzumab | DRUG | Obinutuzumab will be administered at a dose of 1000 mg on Cycle 1 Days 1, 8, 15 and then on Cycles 2 to 6 Day 1. |
| Tislelizumab | DRUG | Patients 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. |
| bendamustine | DRUG | Administered intravenously at a dose of 90 mg/m2/day on Days 1 and 2 of Cycles 1 to 6 |
| Ibrutinib | DRUG | Ibrutinib 420 mg orally once daily |
| Venetoclax | DRUG | 400 mg tablets administered orally once daily. |
| Sonrotoclax | DRUG | assigned at enrollment |
| CAR-T Cell Therapy | BIOLOGICAL | Standard of Care |
| Cytarabine | DRUG | An Antineoplastic, single dose vial via intravenous infusion per institutional standard of care. |
| Pemetrexed | DRUG | Participants will receive 900 mg/m\^2 via IV infusion over 10 minutes every 3 weeks x 4-8 induction cycles (21 days per cycle) as part of the induction therapy. |
| Autologous Stem Cell Transplant (ASCT) | PROCEDURE | ASCT will occur in participants who are candidates for this procedure according to standard of care institutional protocols |
| Whole Brain Radiation Therapy (WBRT) | RADIATION | WBRT will occur in participants who are candidates for this procedure but not candidates for ASCT according to standard of care institutional protocols |
| Tacrolimus | DRUG | Tacrolimus capsules administered orally. |
| Placebo | DRUG | Placebo to match zanubrutinib |
| Supportive Care | DRUG | Supportive care treatment was selected and administered as deemed appropriate by the study investigator |
| Methotrexate | DRUG | Participants will receive Methotrexate as per standard of care (SOC). |
| Polatuzumab Vedotin | DRUG | Participants will receive Polatuzumab Vedotin as per standard of care (SOC). |
| Cyclophosphamide | DRUG | Participants will receive Cyclophosphamide as per standard of care (SOC), as part of combination standard of care Pola-R-CHP therapy. |
| Doxorubicin | DRUG | Participants will receive Doxorubicin as per standard of care (SOC), as part of combination standard of care Pola-R-CHP therapy. |
| Prednisone | DRUG | Participants will receive Prednisone as per standard of care (SOC), as part of combination standard of care Pola-R-CHP therapy. |
| Fluconazole | DRUG | Capsules administered at a dose and frequency as specified in the treatment arm |
| Diltiazem | DRUG | Capsules administered at a dose and frequency as specified in the treatment arm |
| Voriconazole | DRUG | Capsules administered at a dose and frequency as specified in the treatment arm |
| Clarithromycin | DRUG | Capsules administered at a dose and frequency as specified in the treatment arm |
| Rifabutin | DRUG | Oral dose of 300 mg once daily |
Key Inclusion Criteria: * Histologically confirmed grade 1-3a FL or MZL * Previously treated with ≥ 1 line of systemic therapy including anti-CD20 agent. Must have a documented failure to achieve at least partial response during the most recent systemic therapy or documented progressive disease aft...
Zanubrutinib is an investigational small molecule BTK inhibitor being studied for several B-cell malignancies, including relapsed/refractory diffuse large B-cell lymphoma, CNS lymphoma, mantle cell lymphoma, and refractory mantle cell lymphoma. It is also being evaluated in healthy volunteers. The drug is in Phase 1 clinical development.
Zanubrutinib targets Bruton's tyrosine kinase (BTK), an enzyme involved in B-cell receptor signaling. By inhibiting BTK, the drug aims to disrupt pathways that support the survival and proliferation of malignant B cells. This mechanism is relevant to the drug's evaluation in B-cell lymphomas and other conditions.
Zanubrutinib is being developed by BeOne Medicines Ltd., a company listed under the ticker ONC. The drug is currently in Phase 1 clinical trials, with multiple completed studies in various lymphoma subtypes and lupus nephritis.
Zanubrutinib is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. The development program includes completed Phase 2 studies in follicular lymphoma, marginal zone lymphoma, diffuse large B-cell lymphoma, and lupus nephritis.
Zanubrutinib has been studied in several clinical trials, including NCT03332017 comparing obinutuzumab plus zanubrutinib versus obinutuzumab alone in relapsed/refractory follicular lymphoma, NCT03520920 in Chinese participants with diffuse large B-cell lymphoma and indolent lymphomas, NCT03846427 in marginal zone lymphoma, and NCT04643470 in lupus nephritis.
Yes, Zanubrutinib is also known as BGB-3111. The drug has been referred to by this alternative name in clinical trial documentation. It is also known as Zanubrutinib Oral Capsule in some contexts.