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.
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
- Conditions the study is for
- Advanced Solid Tumor, Advanced Breast Cancer, Metastatic Breast Cancer
- What is being tested?
- BGB-43395, Fulvestrant and Letrozole
- Type of treatment
- Pill or oral medicine, Injection or infusion
- 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
- 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
United States9 sites, 7 recruiting
- 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
- Completed
Karmanos Cancer Institute
Detroit, Michigan, 48201-2013
- Recruiting
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
- Completed
Florida Cancer Specialists and Research Institute
Lake Mary, Florida, 32746-2115
- Recruiting
Scri Oncology Partners
Nashville, Tennessee, 37203-1503
- Recruiting
Next Oncology
San Antonio, Texas, 78229-6028
Australia8 sites, 7 recruiting
- 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
- Completed
Austin Health
Heidelberg, Victoria, VIC 3084
- Recruiting
Peter Maccallum Cancer Centre
Melbourne, Victoria, VIC 3000
- Recruiting
Macquarie University
North Ryde, New South Wales, NSW 2109
France8 sites, 8 recruiting
- 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
South Korea8 sites, 8 recruiting
- 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
China7 sites, 7 recruiting
- 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
Malaysia4 sites, 4 recruiting
- 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
Japan3 sites, 3 recruiting
- 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
Moldova1 site, 1 recruiting
- Recruiting
The Institute of Oncology, Arensia Exploratory Medicine
Chisinau, 2025
New Zealand1 site, 1 recruiting
- Recruiting
Harbour Cancer and Wellness
Auckland, 1023
Thailand1 site
- Active, not recruiting
Srinagarind Hospital (Khon Kaen University)
Muang, 40002
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.
- Conditions
- Advanced Solid Tumor, Advanced Breast Cancer, Metastatic Breast Cancer, Hormone-receptor-positive Breast Cancer, Hormone Receptor Positive Breast Carcinoma, Hormone Receptor Positive Malignant Neoplasm of Breast
- 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 group | Role | What they receive |
|---|---|---|
| Dose Escalation | Experimental | Phase 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 Expansion | Experimental | Phase 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 1 | Experimental | Phase 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 2 | Experimental | Phase 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 3 | Experimental | Phase 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.
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
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
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
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)
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
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
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
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
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
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
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
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)
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)
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)
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)
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.
- First posted7 Nov 2023
- Study start1 Dec 2023
- Primary completionDec 2029 (estimated)
- Study completionDec 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Solid TumorStudies of the same condition, open and under way.
- More trials run by BeOne MedicinesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- BeOne Medicines
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, BeOne Medicines
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.
Study at a glance
From the registry record, last updated by the sponsor on 15 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT06120283
- Acronym / sponsor ID
- BGB-43395-101
- Conditions
- Advanced Solid Tumor, Advanced Breast Cancer, Metastatic Breast Cancer, Hormone-receptor-positive Breast Cancer, Hormone Receptor Positive Breast Carcinoma, Hormone Receptor Positive Malignant Neoplasm of Breast
- 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
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 433 participants (estimated)
- Lead sponsor
- BeOne MedicinesIndustry (pharma, biotech, devices)
- Study start
- 1 Dec 2023 (actual)
- Primary completion
- Dec 2029 (estimated)
- Study completion
- Dec 2029 (estimated)
- First posted
- 7 Nov 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Dose Escalation | Experimental | Drug: BGB-43395, Drug: Fulvestrant, Drug: Letrozole, Drug: ElacestrantPhase 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. |
| Safety Expansion | Experimental | Drug: BGB-43395, Drug: Fulvestrant, Drug: LetrozolePhase 1a: Cohorts of selected dose levels of BGB-43395 in combination with fulvestrant or letrozole in HR+/HER2 breast cancer. |
| Dose Expansion Cohort 1 | Experimental | Drug: BGB-43395, Drug: FulvestrantPhase 1b: The recommended dose for expansion (RFDE) for BGB-43395 (in combination with fulvestrant) from Phase 1a will be evaluated in HR+ breast cancer. |
| Dose Expansion Cohort 2 | Experimental | Drug: BGB-43395, Drug: LetrozolePhase 1b: The recommended dose for expansion (RFDE) for BGB-43395 in combination with letrozole from Phase 1a will be evaluated in HR+ breast cancer. |
| Dose Expansion Cohort 3 | Experimental | Drug: BGB-43395, Drug: Letrozole, Drug: Anti-Diarrheal AgentPhase 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. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- 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.
Key exclusion criteria (8 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BGB-43395Planned doses administered orally. | Drug | Dose Escalation, Dose Expansion Cohort 1, Dose Expansion Cohort 2, Dose Expansion Cohort 3, Safety Expansion |
| FulvestrantStandard dose administered via intramuscular injection. | Drug | Dose Escalation, Dose Expansion Cohort 1, Safety Expansion |
| LetrozoleStandard dose administered orally as a tablet. | Drug | Dose Escalation, Dose Expansion Cohort 2, Dose Expansion Cohort 3, Safety Expansion |
| ElacestrantStandard dose administered orally as a tablet. | Drug | Dose Escalation |
| Anti-Diarrheal AgentAdministered orally as a tablet. | Drug | Dose Expansion Cohort 3 |
Primary outcome
Phase 1a: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: Up to approximately 60 months
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.
Phase 1a: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD) of BGB-43395
Time frame: Up to approximately 60 months
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.
Phase 1a: Recommended Dose for Expansion (RDFE) of BGB-43395
Time frame: Up to approximately 60 months
RDFE of BGB-43395 alone or in combination with fulvestrant, letrozole, or elacestrant will be determined based upon the MTD or MAD.
Phase 1b: Objective Response Rate (ORR)
Time frame: Up to approximately 60 months
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.
12 secondary outcomes
Phase 1a: ORR
Time frame: Up to approximately 60 months
Phase 1a and 1b: Duration of Response (DOR)
Time frame: Up to approximately 60 months
Phase 1a and 1b: Time to Response (TTR)
Time frame: Up to approximately 60 months
Phase 1b: Disease Control Rate (DCR)
Time frame: Up to approximately 60 months
Phase 1b: Clinical Benefit Rate (CBR)
Time frame: Up to approximately 60 months
Phase 1b: Progression-Free Survival (PFS)
Time frame: Up to approximately 60 months
Phase 1b: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: Up to approximately 60 months
Phase 1a: Observed Plasma Maximum Concentration (Cmax) of BGB-43395 and its metabolite
Time frame: From Cycle 1 Day 1 up to Cycle 7 Day 1 (each cycle is 28 days)
Phase 1a: Observed Plasma Trough Concentration (Ctrough) of BGB-43395 and its metabolite
Time frame: From Cycle 1 Day 1 up to Cycle 7 Day 1 (each cycle is 28 days)
Phase 1a: Area under the concentration-time curve (AUC) of BGB-43395 and its metabolite
Time frame: From Cycle 1 Day 1 up to Cycle 7 Day 1 (each cycle is 28 days)
Phase 1a: Half-life (t1/2) of BGB-43395 and its metabolite
Time frame: From Cycle 1 Day 1 up to Cycle 7 Day 1 (each cycle is 28 days)
Phase 1b: Plasma concentrations of BGB-43395 and its metabolite
Time frame: From Cycle 1 Day 1 up to Cycle 5 Day 1 (each cycle is 28 days)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Oct 2026.
- Individual participant dataSharing planned: 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Study Director study director
BeOne Medicines
61 sites in 11 countries: see every site and its status.
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.