Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT06756932

BGB-21447 (Bcl-2 Inhibitor) Combinations for Adults With Hormone-Receptor Positive (HR+)/Human Epidermal Growth Factor Receptor 2 Negative (HER2-) Metastatic Breast Cancer

Led by BeOne Medicines · Updated on 2025-11-10

120

Participants Needed

16

Research Sites

129 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a dose escalation and dose expansion study to assess the safety and tolerability of BGB-21447 (a B-cell leukemia/lymphoma 2 inhibitor, Bcl-2i) in combination with fulvestrant, with or without BGB-43395 (cyclin-dependent kinase 4 inhibitor, CDK4i), in adults with HR+/HER2- metastatic breast cancer.

CONDITIONS

Official Title

BGB-21447 (Bcl-2 Inhibitor) Combinations for Adults With Hormone-Receptor Positive (HR+)/Human Epidermal Growth Factor Receptor 2 Negative (HER2-) Metastatic Breast Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically or cytologically confirmed HR+/HER2- metastatic breast cancer
  • Part 1A and 1B: Received at least 1 prior line of treatment for advanced/metastatic disease including endocrine therapy and CDK4/6 inhibitor
  • Part 2: Received 1 to 3 prior lines of treatment for advanced/metastatic disease including endocrine therapy and CDK4/6 inhibitor
  • Female participants must have ovarian function suppression or be postmenopausal
  • Male participants may need to use GnRH agonists when treated with fulvestrant
  • Stable Eastern Cooperative Oncology Group (ECOG) Performance Status of 1 or less
  • Adequate organ function
  • Willingness to use effective birth control during the study and specified periods after last dose
  • Ability and willingness to fast overnight and consume a high-fat meal (food effect substudy only)
Not Eligible

You will not qualify if you...

  • Prior exposure to Bcl-2 inhibitors
  • For triplet combination cohorts: Prior therapy targeting CDK4
  • Known leptomeningeal disease or uncontrolled, untreated brain metastases
  • Any malignancy within 3 years before first dose except the study cancer or certain treated local cancers
  • Uncontrolled diabetes (Part 1B only)
  • History of hepatitis B or active hepatitis C infection
  • In China only: Untreated chronic hepatitis B or HBV carriers with high viral load at screening
  • Other protocol-defined inclusion/exclusion criteria may apply

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 16 locations

1

Hoag Memorial Presbyterian

Newport Beach, California, United States, 92663-4162

Actively Recruiting

2

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States, 52242-1009

Actively Recruiting

3

Md Anderson Cancer Center

Houston, Texas, United States, 77030-3907

Actively Recruiting

4

Fred Hutchinson Cancer Research Center

Seattle, Washington, United States, 98109-4433

Actively Recruiting

5

Saint Vincents Hospital Sydney

Darlinghurst, New South Wales, Australia, NSW 2010

Actively Recruiting

6

Calvary Mater Newcastle

Waratah, New South Wales, Australia, NSW 2298

Actively Recruiting

7

Sunshine Coast University Private Hospital

Birtinya, Queensland, Australia, QLD 4575

Actively Recruiting

8

Peter Maccallum Cancer Centre

Melbourne, Victoria, Australia, VIC 3000

Actively Recruiting

9

Western Health Sunshine Hospital

St Albans, Victoria, Australia, VIC 3021

Actively Recruiting

10

Linear Clinical Research

Nedlands, Western Australia, Australia, WA 6009

Actively Recruiting

11

Sun Yat Sen Memorial Hospital, Sun Yat Sen University (South)

Guangzhou, Guangdong, China, 510245

Actively Recruiting

12

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China, 450052

Actively Recruiting

13

The First Affiliated Hospital of Nanchang University Branch Donghu

Nanchang, Jiangxi, China, 330006

Actively Recruiting

14

Fudan University Shanghai Cancer Centerpudong

Shanghai, Shanghai Municipality, China, 201321

Actively Recruiting

15

Tianjin Medical University Cancer Institute and Hospital

Tianjin, Tianjin Municipality, China, 300060

Actively Recruiting

16

Sir Run Run Shaw Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, China, 310016

Actively Recruiting

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Research Team

S

Study Director

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

4

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