RecruitingPhase 1NCT05981703

A Study Investigating BGB-26808 Alone or in Combination With Tislelizumab in Participants With Advanced Solid Tumors

A Phase 1 Study Investigating the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of HPK1 Inhibitor BGB-26808 Alone or in Combination With Anti-PD-1 Monoclonal Antibody Tislelizumab in Patients With Advanced Solid Tumors


Sponsor

BeOne Medicines

Enrollment

217 participants

Start Date

Sep 21, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This is an open-label, multicenter, and nonrandomized dose escalation and dose expansion study to evaluate BGB-26808 as monotherapy or in combination with tislelizumab in participants with advanced solid tumors. The main purpose of this study is to explore the recommended dosing for BGB-26808.


Eligibility

Min Age: 18 Years

Inclusion Criteria9

  • Able to provide a signed and dated written informed consent prior to any study-specific procedures, sampling, or data collection.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1.
  • Phase 1a: Participants with histologically or cytologically confirmed advanced, metastatic, and unresectable solid tumors that are immune-sensitive who have previously received standard systemic therapy, or for whom treatment is not available or not tolerated, or for whom treatment is determined not appropriate based on investigator's judgment and who have not received prior therapy targeting hematopoietic progenitor kinase 1 (HPK1).
  • Phase 1b: Participants with histologically confirmed locally advanced unresectable or metastatic tumor types and who have not had prior systemic treatment. Participants who received prior systemic therapy in a neo-adjuvant or adjuvant setting with curative intent for nonmetastatic disease must have experienced a disease-free interval of ≥ 6 months from the last dose of systemic therapy prior to the first dose of study treatments.
  • ≥ 1 measurable lesion per RECIST v1.1.
  • Able to provide an archived tumor tissue sample.
  • Adequate organ function.
  • Females of childbearing potential must be willing to use a highly effective method of birth control for the duration of the study, and for ≥ 90 days after the last dose of BGB-26808, or for ≥ 120 days after the last dose of tislelizumab, or for ≥ 180 days after the last dose of chemotherapy.
  • Nonsterile males must be willing to use a highly effective method of birth control for the duration of the study treatment period and for ≥ 90 days after the last dose of BGB-26808, or for ≥ 120 days after the last dose of tislelizumab, or for ≥ 180 days after the last dose of chemotherapy.

Exclusion Criteria10

  • Prior treatment with anti-PD-1, anti-PD-L1, anti-PD-L2, anti-TIGIT, anti-CTLA4, or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways.
  • Uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage or medical intervention.
  • Clinically significant bleeding from the gastrointestinal tract within 28 days before the first dose of study treatment(s).
  • Active leptomeningeal disease or uncontrolled, untreated brain metastasis.
  • Active autoimmune diseases or history of autoimmune diseases that may relapse
  • Any malignancy ≤ 3 years before the first dose of study treatment(s) except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated with curative intent (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast).
  • Any condition that required systemic treatment with either corticosteroids (> 10 mg daily of prednisone or equivalent) or other immunosuppressive medication ≤ 14 days before the first dose of study treatment(s).
  • History of interstitial lung disease, noninfectious pneumonitis, or uncontrolled lung diseases including pulmonary fibrosis, acute lung diseases.
  • Uncontrolled diabetes.
  • Infection (including tuberculosis infection) requiring systemic (oral or intravenous) antibacterial, antifungal, or antiviral therapy ≤ 14 days before the first dose of study treatment(s).

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Interventions

DRUGBGB-26808

Planned doses administered orally as a tablet daily.

DRUGTislelizumab

Planned doses administered by intravenous infusion.

DRUGChemotherapy

Administered in accordance with relevant local guidelines and/or prescribing information.


Locations(26)

City of Hope National Medical Center

Duarte, California, United States

University of Southern Californianorris Comprehensive

Los Angeles, California, United States

Yale University, Yale Cancer Center

New Haven, Connecticut, United States

Sylvester Cancer Center, University of Miami

Miami, Florida, United States

John Theurer Cancer Center Hackensack University Medical Center

Hackensack, New Jersey, United States

Icahn School of Medicine At Mount Sinai

New York, New York, United States

Providence Portland Medical Center

Portland, Oregon, United States

The University of Texas Md Anderson Cancer Center

Houston, Texas, United States

Southside Cancer Care

Miranda, New South Wales, Australia

Macquarie University

North Ryde, New South Wales, Australia

Icon Cancer Centre Kurralta Park

Kurralta Park, South Australia, Australia

Linear Clinical Research

Nedlands, Western Australia, Australia

The First Affiliated Hospital of Anhui Medical Universitygaoxin Branch

Hefei, Anhui, China

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, China

Hubei Cancer Hospital

Wuhan, Hubei, China

Tongji Hospital,Tongji Medical College of Hustsino French New City Branch

Wuhan, Hubei, China

The First Hospital of China Medical University Hunnan Branch

Shenyang, Liaoning, China

Jining No1 Peoples Hospital West Branch

Jining, Shandong, China

Yantai Yuhuangding Hospital

Yantai, Shandong, China

Shanghai East Hospital Branch Hospital

Shanghai, Shanghai Municipality, China

Shanghai Pulmonary Hospital

Shanghai, Shanghai Municipality, China

Sichuan Academy of Medical Sciences and Sichuan Provincial Peoples Hospital

Chengdu, Sichuan, China

Hangzhou First Peoples Hospital

Hangzhou, Zhejiang, China

Taizhou Hospital of Zhejiang Province (East)

Taizhou, Zhejiang, China

Auckland City Hospital

Auckland, New Zealand

Harbour Cancer and Wellness

Auckland, New Zealand

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NCT05981703


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