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Advanced Solid TumorPhase 1NCT06120283

BGB-43395 Alone or as Part of Combination Therapies in Participants With Breast Cancer and Other Advanced Solid Tumors

A Phase 1 study testing BGB-43395, Fulvestrant and Letrozole in people with Advanced Solid Tumor and Advanced Breast Cancer, run by BeOne Medicines at 61 sites in 11 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a dose escalation and dose expansion study to compare how well BGB-43395, a selective cyclin-dependent kinase 4 (CDK4) inhibitor, works as monotherapy or in combination with fulvestrant, letrozole, or elacestrant in participants with hormone receptor positive (HR+) and human epidermal growth factor 2 negative… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
BGB-43395, Fulvestrant and Letrozole
Could I receive a placebo?
No, everyone receives an active treatment
How many people
433 participants
Where
61 sitesin 11 countries
Study dates
1 Dec 2023to Dec 2029
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Phase 1a (Dose Escalation): Participants with histologically or cytologically confirmed advanced, metastatic, or unresectable solid tumors associated with dependency on CDK4, including HR+ breast cancer, ovarian cancer, endometrial cancer, non-small cell lung cancer, and others. For combination with elacestrant, participants must have received at least 1 prior line of treatment for advanced/metastatic disease including prior endocrine therapy and CDK4/6 inhibitor in either the adjuvant or advanced/metastatic setting.
  • Phase 1a Safety Expansion: For combination with fulvestrant in regions where approved and available, participants with HR+ breast cancer must have received at least 1 prior line of treatment including endocrine therapy and a CDK4/6 inhibitor. For combination with letrozole, participants must be CDK4/6 inhibitor treatment naïve and have not received any previous systemic treatment for advanced disease.
  • Phase 1b: Participants with HR+/HER2- breast cancer.
  • Phase 1b: For combination with fulvestrant, participants with HR+/HER2- breast cancer enrolled in regions where CDK4/6 inhibitors are approved and available must have received 1-2 lines of therapy for advanced/metastatic disease including endocrine therapy and a CDK4/6 inhibitor. Participants can have received up to 2 lines of prior cytotoxic chemotherapy for advanced disease. For combination cohorts with letrozole, participants must be CDK4/6 inhibitor treatment naïve and have not received any previous systemic treatment for advanced disease.
  • Stable Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1.
  • Female participants with metastatic HR+/HER2- breast cancer must be postmenopausal or receiving ovarian function suppression treatment.
  • Adequate organ function without symptomatic visceral disease.

Who cannot join

  • Known leptomeningeal disease or uncontrolled, untreated brain metastases.
  • 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).
  • Uncontrolled diabetes.
  • Infection requiring systemic antibacterial, antifungal, or antiviral therapy ≤ 28 days before the first dose of study drug(s), or symptomatic COVID-19 infection.
  • Participants with untreated chronic hepatitis B or chronic hepatitis B virus (HBV) carriers with HBV DNA ≥ 500 IU/mL (or ≥ 2500 copies/mL) at screening.
  • Participants with active hepatitis C infection.
  • Prior allogeneic stem cell transplantation, or organ transplantation.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

61 sites in 11 countries. Contact the study team or a site near you to ask about taking part.

61 sites in 11 countries

Brazil11 sites, 11 recruiting
  • Fundacao Pio Xii Hospital de Amor de Barretos

    Barretos, 14.784-400

    Recruiting
  • Hospital Sirio Libanes Brasilia

    Brasília, 70200-730

    Recruiting
  • Fundacao Universidade de Caxias Do Sul

    Caxias do Sul, 95070-560

    Recruiting
  • Centro de Pesquisas Oncologicas Cepon

    Florianópolis, 88034-000

    Recruiting
  • Liga Norte Riograndene Contra O Cancer

    Natal, 59062-000

    Recruiting
  • Hospital Sao Lucas Da Pucrs Uniao Brasileira de Educacao E Assistencia

    Porto Algre, 90610-000

    Recruiting
  • Instituto Nacional de Cancer

    Rio de Janeiro, 20560-120

    Recruiting
  • Instituto Dor de Pesquisa E Ensino Hospital Sao Rafael

    Salvador, 41253-190

    Recruiting
  • Icesp Instituto Do Cancer Do Estado de Sao Paulo Octavio Frias de Oliveira

    São Paulo, 01246-000

    Recruiting
  • Clinica de Pesquisa E Centro de Estudos Em Oncologia Ginecologica E Mamaria

    São Paulo, 01318-001

    Recruiting
  • Hospital Israelita Albert Einstein

    São Paulo, 05652-900

    Recruiting

Other trials in Brazil

United States9 sites, 7 recruiting
  • James Cancer Hospital and Solove Research Institute

    Columbus, Ohio, 43210-1240

    Recruiting
  • Sarah Cannon Research Institute (Scri) At Health One

    Denver, Colorado, 80218-1238

    Recruiting
  • Karmanos Cancer Institute

    Detroit, Michigan, 48201-2013

    Completed
  • Duke Cancer Center

    Durham, North Carolina, 27710-2000

    Recruiting
  • The University of Texas Md Anderson Cancer Center

    Houston, Texas, 77030-4009

    Recruiting
  • Next Oncology Dallas

    Irving, Texas, 75039-2743

    Recruiting
  • Florida Cancer Specialists and Research Institute

    Lake Mary, Florida, 32746-2115

    Completed
  • Scri Oncology Partners

    Nashville, Tennessee, 37203-1503

    Recruiting
  • Next Oncology

    San Antonio, Texas, 78229-6028

    Recruiting

Other trials in United States

Australia8 sites, 7 recruiting
  • Genesiscare St Andrews

    Adelaide, South Australia, SA 5000

    Recruiting
  • Blacktown Cancer and Haematology Centre

    Blacktown, New South Wales, NSW 2148

    Recruiting
  • Southern Highlands Private Hospital

    Bowral, New South Wales, NSW 2576

    Recruiting
  • Concord Repatriation General Hospital

    Concord, New South Wales, NSW 2139

    Recruiting
  • Townsville University Hospital

    Douglas, Queensland, QLD 4814

    Recruiting
  • Austin Health

    Heidelberg, Victoria, VIC 3084

    Completed
  • Peter Maccallum Cancer Centre

    Melbourne, Victoria, VIC 3000

    Recruiting
  • Macquarie University

    North Ryde, New South Wales, NSW 2109

    Recruiting

Other trials in Australia

France8 sites, 8 recruiting
  • Centre de Lutte Contre Le Cancer Institut Bergonie

    Bordeaux, 33076

    Recruiting
  • Centre Francois Baclesse

    Caen, 14000

    Recruiting
  • Centre Oscar Lambret

    Lille, 59000

    Recruiting
  • Institut Paoli Calmettes

    Marseille, 13009

    Recruiting
  • Institut Curie

    Paris, 75005

    Recruiting
  • Centre Eugene Marquis

    Rennes, 35043

    Recruiting
  • Institut de Cancerologie de Louest

    Saint-Herblain, 44800

    Recruiting
  • Institut Gustave Roussy

    Villejuif, 94800

    Recruiting

Other trials in France

South Korea8 sites, 8 recruiting
  • Samsung Medical Center

    GangnamGu, Seoul Teugbyeolsi, 06351

    Recruiting
  • Gachon University Gil Medical Center

    NamdongGu, Incheon Gwang'Yeogsi, 21565

    Recruiting
  • The Catholic University of Korea, Seoul St Marys Hospital

    SeochoGu, Seoul Teugbyeolsi, 06591

    Recruiting
  • Severance Hospital Yonsei University Health System

    SeodaemunGu, Seoul Teugbyeolsi, 03722

    Recruiting
  • Korea University Anam Hospital

    SeongbukGu, Seoul Teugbyeolsi, 02841

    Recruiting
  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggi-do, 13620

    Recruiting
  • Seoul National University Hospital

    Seoul, Seoul Teugbyeolsi, 03080

    Recruiting
  • Asan Medical Center

    SongpaGu, Seoul Teugbyeolsi, 05505

    Recruiting

Other trials in South Korea

China7 sites, 7 recruiting
  • Beijing Cancer Hospital

    Beijing, Beijing Municipality, 100142

    Recruiting
  • Fujian Cancer Hospital

    Fuzhou, Fujian, 350014

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

    Guangzhou, Guangdong, 510245

    Recruiting
  • Harbin Medical University Cancer Hospital

    Harbin, Heilongjiang, 150000

    Recruiting
  • The First Affiliated Hospital of Nanchang University Branch Donghu

    Nanchang, Jiangxi, 330006

    Recruiting
  • Fudan University Shanghai Cancer Centerpudong

    Shanghai, Shanghai Municipality, 201321

    Recruiting
  • Liaoning Cancer Hospital and Institute

    Shenyang, Liaoning, 110042

    Recruiting

Other trials in China

Malaysia4 sites, 4 recruiting
  • Pulau Pinang Hospital

    George Town, 10450

    Recruiting
  • University Malaya Medical Centre

    Kuala Lumpur, 59100

    Recruiting
  • Sarawak General Hospital

    Kuching, 93586

    Recruiting
  • National Cancer Institute (Institut Kanser Negara)

    Putrajaya, 62250

    Recruiting

Other trials in Malaysia

Japan3 sites, 3 recruiting
  • National Cancer Center Hospital East

    Kashiwa, Chiba, 277-8577

    Recruiting
  • Nagoya University Hospital

    Nagoya, Aichi-ken, 466-8560

    Recruiting
  • Shizuoka Cancer Center

    Suntogun, Shizuoka, 411-8777

    Recruiting

Other trials in Japan

Moldova1 site, 1 recruiting
  • The Institute of Oncology, Arensia Exploratory Medicine

    Chisinau, 2025

    Recruiting

Other trials in Moldova

New Zealand1 site, 1 recruiting
  • Harbour Cancer and Wellness

    Auckland, 1023

    Recruiting

Other trials in New Zealand

Thailand1 site
  • Srinagarind Hospital (Khon Kaen University)

    Muang, 40002

    Active, not recruiting

Other trials in Thailand

About this study

Official title: A Phase 1a/1b Study Investigating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Antitumor Activity of the CDK4 Inhibitor BGB-43395, Alone or as Part of Combination Therapies in Patients With Metastatic HR+/HER2- Breast Cancer and Other Advanced Solid Tumors

This is a dose escalation and dose expansion study to compare how well BGB-43395, a selective cyclin-dependent kinase 4 (CDK4) inhibitor, works as monotherapy or in combination with fulvestrant, letrozole, or elacestrant in participants with hormone receptor positive (HR+) and human epidermal growth factor 2 negative (HER2-) breast cancer (BC) and other advanced solid tumors. The main purpose of this study is to explore the recommended dosing for BGB-43395.

Read the detailed description

Our company, previously known as BeiGene, is now officially BeOne Medicines. Because some of our older studies were sponsored under the name BeiGene, you may see both names used for this study on this website.

Being tested
BGB-43395, Fulvestrant, Letrozole, Elacestrant, Anti-Diarrheal Agent
Keywords
breast cancer, advanced solid tumor, advanced breast cancer, hormone receptor positive breast cancer, HER2-negative breast cancer, Hormone Receptor Positive HER-2 Negative Breast Cancer, BGB-43395
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BGB-43395Drug

    Planned doses administered orally.

  • FulvestrantDrug

    Standard dose administered via intramuscular injection.

  • LetrozoleDrug

    Standard dose administered orally as a tablet.

  • ElacestrantDrug

    Standard dose administered orally as a tablet.

  • Anti-Diarrheal AgentDrug

    Administered orally as a tablet.

Study groups in NCT06120283
Study groupRoleWhat they receive
Dose EscalationExperimentalPhase 1a: Sequential cohorts of increasing dose levels of BGB-43395 will be evaluated as monotherapy and in combination with either fulvestrant, letrozole, or elacestrant to assess for safety and tolerability.
Receives: Drug: BGB-43395; Drug: Fulvestrant; Drug: Letrozole; Drug: Elacestrant
Safety ExpansionExperimentalPhase 1a: Cohorts of selected dose levels of BGB-43395 in combination with fulvestrant or letrozole in HR+/HER2 breast cancer.
Receives: Drug: BGB-43395; Drug: Fulvestrant; Drug: Letrozole
Dose Expansion Cohort 1ExperimentalPhase 1b: The recommended dose for expansion (RFDE) for BGB-43395 (in combination with fulvestrant) from Phase 1a will be evaluated in HR+ breast cancer.
Receives: Drug: BGB-43395; Drug: Fulvestrant
Dose Expansion Cohort 2ExperimentalPhase 1b: The recommended dose for expansion (RFDE) for BGB-43395 in combination with letrozole from Phase 1a will be evaluated in HR+ breast cancer.
Receives: Drug: BGB-43395; Drug: Letrozole
Dose Expansion Cohort 3ExperimentalPhase 1b: The recommended dose for expansion (RFDE) for BGB-43395 in combination with letrozole from Phase 1a will be evaluated in HR+ breast cancer. Participants will also receive an anti-diarrheal agent for prophylaxis.
Receives: Drug: BGB-43395; Drug: Letrozole; Drug: Anti-Diarrheal Agent

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Phase 1a: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Number of participants with AEs and SAEs, including findings from physical examinations, electrocardiograms (ECGs), laboratory assessments, and that meet protocol-defined dose-limiting toxicity (DLT) criteria.

    Measured: Up to approximately 60 months

  2. Phase 1a: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD) of BGB-43395

    MTD is defined as the highest dose evaluated for which estimated toxicity rate is the closest to the target toxicity rate of 28%. MAD is defined as the highest dose administered if MTD is not reached.

    Measured: Up to approximately 60 months

  3. Phase 1a: Recommended Dose for Expansion (RDFE) of BGB-43395

    RDFE of BGB-43395 alone or in combination with fulvestrant, letrozole, or elacestrant will be determined based upon the MTD or MAD.

    Measured: Up to approximately 60 months

  4. Phase 1b: Objective Response Rate (ORR)

    ORR is defined as the percentage of participants who have confirmed complete response (CR) or partial response (PR) assessed by the investigator using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

    Measured: Up to approximately 60 months

Secondary outcomes (12)
  1. Phase 1a: ORR

    ORR is defined as the percentage of participants who have confirmed CR or PR assessed by the investigator using RECIST v1.1.

    Measured: Up to approximately 60 months

  2. Phase 1a and 1b: Duration of Response (DOR)

    DOR is defined as the time from the first determination of an overall response per RECIST v1.1 until the first documentation of disease progression or death, whichever occurs first as assessed by the investigator.

    Measured: Up to approximately 60 months

  3. Phase 1a and 1b: Time to Response (TTR)

    TTR is defined as the time from the date of the first dose of study drugs to the date of the first determination of objective response by the investigator using RECIST v1.1.

    Measured: Up to approximately 60 months

  4. Phase 1b: Disease Control Rate (DCR)

    DCR is defined as the percentage of participants with best overall response of CR, PR, or stable disease assessed by the investigator using RECIST v1.1.

    Measured: Up to approximately 60 months

  5. Phase 1b: Clinical Benefit Rate (CBR)

    CBR is defined as the percentage of participants with best overall response of confirmed CR, PR, or stable disease lasting ≥ 24 weeks.

    Measured: Up to approximately 60 months

  6. Phase 1b: Progression-Free Survival (PFS)

    PFS is defined as the time from the date of the first dose of study drug(s) to the date of the first documentation of progressive disease assessed by the investigator using RECIST v1.1 or death, whichever occurs first.

    Measured: Up to approximately 60 months

  7. Phase 1b: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Number of participants with AEs and SAEs, including findings from physical examinations, electrocardiograms (ECGs), and laboratory assessments.

    Measured: Up to approximately 60 months

  8. Phase 1a: Observed Plasma Maximum Concentration (Cmax) of BGB-43395 and its metabolite

    Measured: From Cycle 1 Day 1 up to Cycle 7 Day 1 (each cycle is 28 days)

  9. Phase 1a: Observed Plasma Trough Concentration (Ctrough) of BGB-43395 and its metabolite

    Measured: From Cycle 1 Day 1 up to Cycle 7 Day 1 (each cycle is 28 days)

  10. Phase 1a: Area under the concentration-time curve (AUC) of BGB-43395 and its metabolite

    Measured: From Cycle 1 Day 1 up to Cycle 7 Day 1 (each cycle is 28 days)

  11. Phase 1a: Half-life (t1/2) of BGB-43395 and its metabolite

    Measured: From Cycle 1 Day 1 up to Cycle 7 Day 1 (each cycle is 28 days)

  12. Phase 1b: Plasma concentrations of BGB-43395 and its metabolite

    Measured: From Cycle 1 Day 1 up to Cycle 5 Day 1 (each cycle is 28 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Nov 2023
  2. Study start1 Dec 2023
  3. Primary completionDec 2029 (estimated)
  4. Study completionDec 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
433 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06120283
Sponsor's protocol ID
BGB-43395-101
Other IDs
2023-506888-34-00, CTR20243370, 2023
Status last verified
Sep 2026
First submitted
1 Nov 2023
Last updated
15 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: BeOne shares data on completed studies responsibly and provides qualified scientific and medical researchers access to data and supporting documentation for clinical trials in dossiers for medicines and indications after submission and approval in the United States, China, and Europe. Clinical trials supporting subsequent local approvals, new indications, or combination products are eligible for sharing once corresponding regulatory approvals are achieved. BeOne shares data only when permitted by applicable data privacy and security laws and regulations, when it is feasible to do so without compromising the privacy of study participants, and other considerations. Qualified researchers with appropriate competencies who are engaged in novel scientific research may submit a request for participant-level data with a research proposal for BeOne review. Research teams must include a biostatistician and sign a Data Sharing Agreement prior to receiving access to clinical trial data.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BGB-43395, Fulvestrant and Letrozole in people with Advanced Solid Tumor and Advanced Breast Cancer, run by BeOne Medicines at 61 sites in 11 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 15 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 61 sites in Brazil, United States, Australia, France, South Korea and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Study Director (1.877.828.5568, clinicaltrials@beonemed.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1a: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) (time frame: Up to approximately 60 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Oct 2026.

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