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zanubrutinib + BGB-11417

Phase 2

Waldenstrom Macroglobulinemia | Small molecule | Other |BeOne Medicines Ltd.|Last Updated: Mar 31, 2026

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
UNCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment157
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06547866Study Evaluating the Efficacy and Tolerance of a Zanubrutinib and BGB-11417 Combination in Patients Previously Treated for Waldenström MacroglobulinemiaPHASE2 NOT YET_RECRUITING 102Dec 1, 2025Dec 31, 2031Nov 26, 202537 France
NCT06561347Zanubrutinib, Bendamustine, Rituximab Prev. Untreated WMPHASE2 RECRUITING 55Dec 20, 2024Dec 1, 2027Mar 31, 20265 United States
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Study Endpoints
Primary Endpoints
Primary endpoint
twenty 28-days cycles

Number of subjects achieving a CR or VGPR at any time during the course of treatment

Very Good Partial Response (VGPR) or Better Response Rate
Day 1 to 5 years post treatment

Assessed using 11th International Workshop on Waldenstrom's Macroglobulinemia (IWWM11) criteria. All participants will be gauged for very good partial response (VGPR) rate or better.

Secondary Endpoints
Overall response rate (ORR)
at any time during the course of study treatment (twenty 28-days cycles)
Major response rate (MRR)
at any time during the course of study treatment (twenty 28-days cycles)
Time to response (TTR)
From start to end of treatment (twenty 28-days cycles)
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Zanubrutinb + BGB-11417EXPERIMENTALcf intervention
Zanubrutinib + Bendamustine + RituximabEXPERIMENTALZanubrutinib will be taken orally once daily on days 1-28 of cycles 1-15. Bendamustine will be given by intravenous infusion over about 10 to 60 minutes on days 1 and 2 of cycles 1 to 4. Rituximab will be given by intravenous infusion over about 30 minutes on day 1 of cycles 1 to 4. Drug diaries will be provided to participants to document information about the study treatment being taken.
Interventions
NameTypeDescription
zanubrutinib + BGB-11417DRUGThe investigational medicinal products (IMP) are Zanubrutinib (BGB- 3111) and BGB-11417.Treatment will be administered for a total of twenty 28 day cycles: Cycle 1 with zanubrutinib only Cycle 2 with zanubrutinib plus BGB-11417 ramp-up cycle 2, day 1 : 10mg cycle 2, day 2 : 20 mg cycle 2, day 3 : 40mg cycle 2, day 4-7 : 80md daily cycle 2, day 8 and beyond : 160 mg daily Cycles 3-20 with zanubrutinib plus BGB-11417 full dose
ZanubrutinibDRUGA potent, specific, and irreversible Bruton tyrosine kinase (BTK) inhibitor
BendamustineDRUGAlkylating agent
RituximabDRUGMonoclonal antibody
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites37

Inclusion Criteria: 1. Be ≥ 18-year-old. 2. Have received at least 1 prior line of treatment (excluding treatment with any BTKi or Bcl-2 antagonist, see non-inclusion criteria). 3. Provide written informed consent. 4. Have an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 3. 5. Have...

Countries:FranceUnited States
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT06561347studyFirstPostDate: changed
LOWMay 24, 2026NCT06547866studyFirstPostDate: changed