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NCT04973605From ClinicalTrials.govRecruiting

A Phase 1b/2 Study of Sonrotoclax (BGB-11417) as Monotherapy and in Various Combinations With Dexamethasone Plus Carfilzomib, Dexamethasone Plus Daratumumab, and Dexamethasone Plus Pomalidomide in Multiple Myeloma

A Phase 1b/2 Dose-Escalation and Cohort-Expansion Study to Determine the Safety and Efficacy of BGB-11417as Monotherapy, in Combination With Dexamethasone, Dexamethasone/Carfilzomib, Dexamethasone/Daratumumab, and Dexamethasone/Pomalidomide in Patients With Relapsed/Refractory Multiple Myeloma and t(11;14)

  • Relapsed/Refractory Multiple Myeloma

At a glance

Phase
Phase 1
Study type
Interventional
Sponsor
BeOne Medicines
Enrolment target
246
Started
16 September 2021
Main results due
November 2026
Study sites
77
Registry updated
28 September 2026

Can you take part?

  • Aged 18 years and over.
  • Open to any sex.
  • You need the condition being studied — healthy volunteers are not accepted.

These are the headline rules only. Every study has a longer list, and whether you are eligible is decided by the research team at the site — never by this page.

Read the full eligibility criteria
Inclusion Criteria:

1. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
2. A confirmed diagnosis of multiple myeloma (must have an M-component in serum and/or urine)
3. Measurable disease defined as:

   i. M-spike ≥ 500mg/dL, or ii. Urine protein M-spike of ≥ 200 mg/day, or iii. Serum free light chains ≥ 10 mg/dL, and an abnormal κ:λ ratio
4. Participant has documented relapsed or progressive MM on or after any regimen or who are refractory to the most recent line of therapy.

   i. Relapsed MM is defined as previously treated MM that progresses and requires initiation of salvage therapy but does not meet the criteria for refractory MM.

   ii. Refractory MM is defined as disease that is nonresponsive (failure to achieve minimal response or development of progressive disease) while on primary or salvage therapy or progresses within 60 days of last therapy.
   1. In Part 1 and Part 2 Cohorts 1 and 2 participants should have relapsed or progressive disease and have had ≥ 3 prior lines of therapy including a proteasome inhibitor, an IMiD, and an anti-CD38 monoclonal antibody, and no more available approved therapies.
   2. Participants in Part 2 Cohorts 3, 4, and 5 should have relapsed or progressive disease and have had ≥ 1 prior line of therapy. Prior treatment with carfilzomib is allowed but the patient must not be considered carfilzomib refractory by the investigator.
   3. Participants in Part 2 Cohorts 6 and 7 should have relapsed or progressive disease and have had 1 to 3 prior lines of therapy and previously treated with a proteasome inhibitor and an IMiD
5. Positivity for t(11;14) translocation must be confirmed by validated fluorescence in situ hybridization (FISH) testing assay in a pre-defined laboratory

   a. fresh bone marrow aspirate sample must be collected at screening and sent to central laboratory for t(11;14) FISH testing.
6. Adequate organ function defined as:

   1. Hemoglobin ≥ 8.0 g/dL within 7 days before first dose of study treatment, (transfusions, in accordance with institutional guidelines, are permitted)
   2. Platelet count ≥ 75,000/μL, within 7 days before first dose of study treatment, independent of growth factor support and transfusions
   3. Absolute neutrophil count (ANC) ≥ 1000/mm\^3 within 7 days before first dose of study treatment
   4. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 3 x upper limit of normal (ULN) and total bilirubin ≤ 2.0 x ULN N (total bilirubin must be \< 3 x ULN for patients with Gilbert's syndrome)

Exclusion Criteria:

1. Participant has any of the following conditions:

   1. Non secretory MM (Serum free light chains \< 10 mg/dL)
   2. Solitary plasmacytoma
   3. Active plasma cell leukemia (ie, either 20% of peripheral white blood cells or \> 2.0 x 109/L circulating plasma cells by standard differential)
   4. Waldenström macroglobulinemia (WM)
   5. Amyloidosis.
   6. Polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, skin changes (POEMS) syndrome
   7. Chronic respiratory disease that requires continuous oxygen
2. Significant cardiovascular disease, including but not limited to:

   1. Myocardial infarction ≤ 6 months before screening
   2. Ejection fraction ≤ 50%
   3. Unstable angina≤ 3 months before screening
   4. New York Heart Association Class III or IV congestive heart failure
   5. History of clinically significant arrhythmias (eg, sustained ventricular tachycardia, ventricular fibrillation, or torsades de pointes)
   6. Heart rate-corrected QT interval \> 480 milliseconds based on Fridericia's formula
   7. History of Mobitz II second-degree or third-degree heart block without a permanent pacemaker in place
   8. Uncontrolled hypertension at screening, defined as systolic blood pressure \> 170 mmHg and diastolic blood pressure \> 105 mmHg by ≥ 2 consecutive measurements. Prior therapy with sonrotoclax or other agents inhibiting BCL2 activity (eg, venetoclax)
3. Known infection with human immunodeficiency virus (HIV)
4. Serologic status reflecting active viral hepatitis B (HBV) or viral hepatitis C (HCV) infection as follows:

   1. Presence of hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb). Participants with presence of HBcAb, but absence of HBsAg, are eligible if HBV DNA is undetectable (limitation of sensitivity \< 20 IU/mL) ,), and if they are willing to undergo monthly monitoring for HBV reactivation.
   2. Presence of HCV antibody. Participants with presence of HCV antibody are eligible if HCV RNA is undetectable (limitation of sensitivity \< 15 IU/mL).

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

What this study is about

In the sponsor’s own words, from the registry.

The purpose of this study is to assess the safety, tolerability, and efficacy of sonrotoclax as monotherapy and in various combinations in patients with relapsed/refractory (R/R) multiple myeloma (MM) and chromosomal translocation t(11;14).

The study investigates sonrotoclax alone and in combination with dexamethasone and other agents, including carfilzomib, daratumumab, and pomalidomide.

Study sites(77)

  • University of Alabama At Birmingham Hospital

    Birmingham, Alabama, United States

    Recruiting

  • City of Hope National Medical Center

    Duarte, California, United States

    Recruiting

  • City of Hope Irvine Lennar

    Irvine, California, United States

    Recruiting

  • University of Miami

    Miami, Florida, United States

    Recruiting

  • Emory University Winship Cancer Center

    Atlanta, Georgia, United States

    Recruiting

  • University of Chicago Medical Center

    Chicago, Illinois, United States

    Recruiting

  • Massachusetts General Hospital

    Boston, Massachusetts, United States

    Completed

  • Washington University School of Medicine

    St Louis, Missouri, United States

    Recruiting

  • Hackensack University Medical Center

    Hackensack, New Jersey, United States

    Recruiting

  • Memorial Sloan Kettering Cancer Center Mskcc

    New York, New York, United States

    Recruiting

  • The James Cancer Hospital and Solove Research Institute At Ohio State University

    Columbus, Ohio, United States

    Recruiting

  • Huntsman Cancer Institute

    Salt Lake City, Utah, United States

    Recruiting

  • University of Washington

    Seattle, Washington, United States

    Recruiting

  • University of Wisconsin Carbone Cancer Center

    Madison, Wisconsin, United States

    Recruiting

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, United States

    Recruiting

  • Canberra Hospital

    Garran, Australian Capital Territory, Australia

    Recruiting

  • Nepean Hospital

    Kingswood, New South Wales, Australia

    Recruiting

  • Monash Health

    Clayton, Victoria, Australia

    Recruiting

  • St Vincents Hospital Melbourne

    Fitzroy, Victoria, Australia

    Recruiting

  • The Alfred Hospital

    Melbourne, Victoria, Australia

    Recruiting

  • Royal Perth Hospital

    Perth, Western Australia, Australia

    Recruiting

  • Hospital Sirio Libanes Brasilia

    Brasília, Brazil

    Recruiting

  • Instituto Dor de Pesquisa E Ensino Distrito Federal

    Brasília, Brazil

    Recruiting

  • Centro Gaucho Integrado de Oncologia Hospital Mae de Deus

    Porto Alegre, Brazil

    Recruiting

  • Hospital Sao Rafael (Rede Dor)

    Salvador, Brazil

    Recruiting

  • Hospital Sirio Libanes

    São Paulo, Brazil

    Recruiting

  • Instituto Dor de Pesquisa E Ensino Sao Paulo

    São Paulo, Brazil

    Recruiting

  • Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein

    São Paulo, Brazil

    Recruiting

  • Cross Cancer Institute

    Edmonton, Alberta, Canada

    Recruiting

  • British Columbia Cancer Agency the Vancouver Centre

    Vancouver, British Columbia, Canada

    Recruiting

  • Princess Margaret Cancer Centre

    Toronto, Ontario, Canada

    Recruiting

  • Peking University Third Hospital

    Beijing, Beijing Municipality, China

    Recruiting

  • Beijing Chao Yang Hospital

    Beijing, Beijing Municipality, China

    Recruiting

  • Peking University Peoples Hospital

    Beijing, Beijing Municipality, China

    Recruiting

  • Chongqing Cancer Hospital

    Chongqing, Chongqing Municipality, China

    Recruiting

  • Fujian Medical University Union Hospital

    Fuzhou, Fujian, China

    Completed

  • The First Affiliated Hospital of Xiamen University

    Xiamen, Fujian, China

    Completed

  • Sun Yat Sen University Cancer Center

    Guangzhou, Guangdong, China

    Recruiting

  • The Second Hospital of Hebei Medical University

    Shijiazhuang, Hebei, China

    Completed

  • Henan Cancer Hospital

    Zhengzhou, Henan, China

    Recruiting

  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, China

    Active, not recruiting

  • Union Hospital of Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei, China

    Recruiting

  • Hunan Cancer Hospital

    Changsha, Hunan, China

    Completed

  • Jiangsu Province Hospital

    Nanjing, Jiangsu, China

    Recruiting

  • The First Affiliated Hospital of Nanchang University Branch Xianghu

    Nanchang, Jiangxi, China

    Recruiting

  • The First Hospital of China Medical University

    Shenyang, Liaoning, China

    Recruiting

  • Qingdao Municipal Hospital

    Qingdao, Shandong, China

    Recruiting

  • Affiliated Zhongshan Hospital of Fudan University

    Shanghai, Shanghai Municipality, China

    Recruiting

  • Shanghai Fourth Peoples Hospital Affiliated to Tongji University

    Shanghai, Shanghai Municipality, China

    Completed

  • Tianjin Medical University General Hospital

    Tianjin, Tianjin Municipality, China

    Completed

  • Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciencestuanbo Branch

    Tianjin, Tianjin Municipality, China

    Recruiting

  • The First Affiliated Hospital, Zhejiang University School of Medicine

    Hangzhou, Zhejiang, China

    Recruiting

  • Hopital Claude Huriez Chu Lille

    Lille, France

    Recruiting

  • Centre Hospitalier Universitaire Nantes Hotel Dieu

    Nantes, France

    Recruiting

  • Chu de Poitiers Site de La Mileterie

    Poitiers, France

    Completed

  • Universitaetsklinikum Aachen

    Aachen, Germany

    Recruiting

  • Universitatsklinikum Carl Gustav Carus An Der Technischen Universitat Dresden

    Dresden, Germany

    Recruiting

  • Universitatsklinikum Hamburg Eppendorf

    Hamburg, Germany

    Recruiting

  • Universitatsklinikum Wurzburg

    Würzburg, Germany

    Recruiting

  • University Hospital of Alexandroupolis

    Alexandroupoli, Greece

    Recruiting

Showing 60 of 77 sites — filter to narrow it down. 68 of the 77 sites on this study are recruiting right now — a site can stop enrolling while the study as a whole is still open.

Source: ClinicalTrials.gov record NCT04973605. Trialion does not run this study, is not paid to refer anyone to it, and cannot enrol you. Eligibility is always decided by the research team at the site.

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A Phase 1b/2 Study of Sonrotoclax (BGB-11417) as Monotherapy and in Various Combinations With Dexamethasone Pl | Trialion