Zanubrutinib (BGB-3111) in Participants With Previously Treated B-Cell Lymphoma Intolerant of Prior Bruton Tyrosine Kinase Inhibitor (BTKi) Treatment

Last updated: June 23, 2025
Sponsor: BeiGene
Overall Status: Active - Not Recruiting

Phase

2

Condition

Mantle Cell Lymphoma

Waldenstrom Macroglobulinemia

Lymphoma

Treatment

Zanubrutinib

Clinical Study ID

NCT04116437
BGB-3111-215
  • Ages > 18
  • All Genders

Study Summary

The primary objective of this study is to evaluate the safety of zanubrutinib (also known as BGB-3111) in chronic lymphocytic leukemia/small lymphocytic lymphoma, Waldenström macroglobulinemia, mantle cell lymphoma, or marginal zone lymphoma patients who have become intolerant of prior ibrutinib and/or acalabrutinib treatment, by comparing intolerance to adverse event profile as assessed by the recurrence and the change in severity of adverse events.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Participants must meet protocol defined disease criteria requiring treatment fortheir respective disease prior to initiation of ibrutinib or acalabrutinib

  2. Ibrutinib and acalabrutinib intolerance is defined as an unacceptable toxicitywhere, in the opinion of the investigator, treatment should be discontinued in spiteof optimal supportive care as a result of one of the following:

  3. For ibrutinib and acalabrutinib intolerance events:

  • 1 or more ≥ Grade 2 nonhematologic toxicities for >7 days (with or withouttreatment)
  • 1 or more ≥ Grade 3 nonhematologic toxicity of any duration
  • 1 or more Grade 3 neutropenia with infection or fever of any duration; or
  • Grade 4 heme toxicity which persists to the point that the investigatorchose to stop therapy due to toxicity NOT progression.
  1. For acalabrutinib intolerance events only;
  • 1 or more ≥ Grade 1 nonhematologic toxicities of any duration with > 3recurrent episodes; or
  • 1 or more ≥ Grade 1 nonhematologic toxicities for > 7 days (with orwithout treatment); or
  • Inability to use acid-reducing agents or anticoagulants (eg, proton pumpinhibitors, warfarin) due to concurrent acalabrutinib use
  1. Ibrutinib and/or acalabrutinib-related ≥ Grade 2 toxicities must have resolved to ≤Grade 1 or baseline prior to initiating treatment with zanubrutinib. Grade 1acalabrutinib-related toxicities must have resolved to Grade 0 or baseline prior toinitiating treatment with zanubrutinib.

  2. Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2

  3. Absolute neutrophil count (ANC) ≥ 1000/mm^3 with or without growth factor supportand platelet count ≥ 50,000/mm^3 (may be post-transfusion), on or prior to C1D1 ofzanubrutinib

Exclusion

Key Exclusion Criteria:

  1. Clinically significant cardiovascular disease including the following:

  2. Myocardial infarction within 6 months before the Screening

  3. Unstable angina within 3 months before the Screening

  4. New York Heart Association class III or IV congestive heart failure

  5. History of sustained ventricular tachycardia, ventricular fibrillation, and/orTorsades de Pointes

  6. QT interval corrected by Fridericia's formula > 480 milliseconds

  7. History of Mobitz II second-degree or third-degree heart block without apermanent pacemaker in place

  8. History of central nervous system (CNS) hemorrhage

  9. Documented progressive disease (PD) during ibrutinib and/or acalabrutinib treatment.

  10. Have received any anticancer therapy (other than immunotherapy) for CLL/SLL, WM,MCL, and MZL < 7 days before any Screening assessments are performed or anyimmunotherapy treatment, taken alone or as part of a chemoimmunotherapy regimen, < 4weeks before any Screening assessments are performed

  11. Requires ongoing need for corticosteroid treatment > 10 mg daily of prednisone orequivalent corticosteroid. Note: Systemic corticosteroids must be fully taperedoff/discontinued ≥ 5 days before the first dose of study drug is administered.

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

Study Design

Total Participants: 90
Treatment Group(s): 1
Primary Treatment: Zanubrutinib
Phase: 2
Study Start date:
October 15, 2019
Estimated Completion Date:
October 31, 2025

Connect with a study center

  • Cci Clearview Cancer Insitute

    Huntsville, Alabama 35805
    United States

    Site Not Available

  • Oncology Specialties, PC

    Huntsville, Alabama 35805
    United States

    Site Not Available

  • Arizona Oncology Associates - Tucson - Rudasill Road

    Tucson, Arizona 85704
    United States

    Active - Recruiting

  • Arizona Oncology Associates, Pc Hope

    Tucson, Arizona 85711
    United States

    Site Not Available

  • Innovative Clinical Research Institute

    Whittier, California 90603
    United States

    Site Not Available

  • Rocky Mountain Cancer Centers

    Aurora, Colorado 80012
    United States

    Site Not Available

  • Rocky Mountain Cancer Centers (Williams) Usor

    Aurora, Colorado 80012-5405
    United States

    Site Not Available

  • Rocky Mountain Cancer Centers

    Lone Tree, Colorado 80124
    United States

    Site Not Available

  • Christiana Care

    Newark, Delaware 19713-2055
    United States

    Site Not Available

  • Medical Oncology Hematology Consultants, PA

    Newark, Delaware 19713
    United States

    Active - Recruiting

  • SCRI Florida Cancer Specialists South

    Fort Myers, Florida 33901
    United States

    Active - Recruiting

  • Scri Florida Cancer Specialists South

    Fort Myers, Florida 33901-8108
    United States

    Site Not Available

  • 21st Century Oncology of Jacksonville - Medical Oncology Division

    Jacksonville, Florida 32256
    United States

    Active - Recruiting

  • St Century Oncology

    Jacksonville, Florida 32204-1128
    United States

    Site Not Available

  • Florida Cancer Specialsts - Largo

    Largo, Florida 33770
    United States

    Site Not Available

  • Mid Florida Hematology and Oncology Center

    Orange City, Florida 32763-8316
    United States

    Site Not Available

  • Florida Cancer Specialists

    Saint Petersburg, Florida 33770
    United States

    Active - Recruiting

  • Scri Florida Cancer Specialists North

    Saint Petersburg, Florida 33705-1449
    United States

    Site Not Available

  • Healthcare Research Network

    Flossmoor, Illinois 60472
    United States

    Site Not Available

  • Healthcare Research Network Iii, Llc

    Flossmoor, Illinois 60422-2067
    United States

    Site Not Available

  • Healthcare Research Network

    Tinley Park, Illinois 60487
    United States

    Site Not Available

  • Healthcare Research Network Iii, Llc

    Tinley Park, Illinois 60487
    United States

    Site Not Available

  • Minnesota Oncology Burnsville Clinic

    Burnsville, Minnesota 55337-6749
    United States

    Site Not Available

  • Comprehensive Cancer Centers of Nevada

    Las Vegas, Nevada 89169-3321
    United States

    Site Not Available

  • Comprehensive Cancer Centers of Nevada(CCCN)

    Las Vegas, Nevada 89169
    United States

    Active - Recruiting

  • Summit Medical Group

    Florham Park, New Jersey 07932-1049
    United States

    Site Not Available

  • Summit Medical Group (SMG) - Florham Park Campus

    Florham Park, New Jersey 07932
    United States

    Active - Recruiting

  • Hackensack University Medical Center

    Hackensack, New Jersey 07601
    United States

    Site Not Available

  • John Theurer Cancer Center Hackensack University Medical Center

    Hackensack, New Jersey 07601
    United States

    Site Not Available

  • Atlantic Health System/Morristown Medical Center

    Morristown, New Jersey 07960
    United States

    Active - Recruiting

  • Morristown Medical Center

    Morristown, New Jersey 07960-6136
    United States

    Site Not Available

  • Clinical Research Alliance

    New York, New York 10021
    United States

    Site Not Available

  • Manhattan Hematology Oncology Associates, P.C.

    New York, New York 10016
    United States

    Site Not Available

  • Manhattan Hematology Oncology Associates, Pc

    New York, New York 10016
    United States

    Site Not Available

  • Clinical Research Alliance, Inc

    Westbury, New York 11590-5119
    United States

    Site Not Available

  • Oncology Associates of Oregon - Willamette Valley Cancer

    Eugene, Oregon 97401
    United States

    Active - Recruiting

  • Oncology Associates of Oregon Willamette Valley Cancer Center

    Eugene, Oregon 97401
    United States

    Site Not Available

  • St Lukes University Health Network

    Bethlehem, Pennsylvania 18015
    United States

    Site Not Available

  • St. Luke's University Health Network

    Bethlehem, Pennsylvania 18015
    United States

    Active - Recruiting

  • Abington Hematology Oncology Associates

    Drexel Hill, Pennsylvania 19026
    United States

    Site Not Available

  • St Lukes University Health Network

    Fountain Hill, Pennsylvania 18015-1153
    United States

    Site Not Available

  • Abington Hematology Oncology Associates

    Horsham, Pennsylvania 19044-2331
    United States

    Site Not Available

  • Alliance Cancer Specialist

    Horsham, Pennsylvania 19044
    United States

    Active - Recruiting

  • Tennessee Oncology

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • Tennessee Oncology, Pllc Nashville

    Nashville, Tennessee 37203-1619
    United States

    Site Not Available

  • Texas Oncology Amarillo

    Amarillo, Texas 79106-1781
    United States

    Site Not Available

  • Texas Oncology-Amarillo

    Amarillo, Texas 79106
    United States

    Active - Recruiting

  • Texas Oncology Arlington South

    Arlington, Texas 76014
    United States

    Site Not Available

  • Texas Oncology-Arlington South

    Arlington, Texas 76012
    United States

    Site Not Available

  • Texas Oncology

    Austin, Texas 78641
    United States

    Site Not Available

  • Texas Oncology Tyler Longview

    Austin, Texas 78705-1163
    United States

    Site Not Available

  • Baylor Research Institute

    Dallas, Texas 75246-2079
    United States

    Site Not Available

  • Texas Oncology, P.A. - Baylor Charles A. Sammons Cancer Center

    Dallas, Texas 75246
    United States

    Active - Recruiting

  • Texas Oncology - Fort Worth Cancer Center

    Fort Worth, Texas 76104
    United States

    Site Not Available

  • Texas Oncology Fort Worth Cancer Center

    Fort Worth, Texas 76104-2150
    United States

    Site Not Available

  • Texas Oncology McAllen South Second Street

    McAllen, Texas 78503
    United States

    Site Not Available

  • Texas Oncology-McAllen South Second Street

    McAllen, Texas 78503
    United States

    Active - Recruiting

  • Texas Oncology (West ) Usor

    Round Rock, Texas 78681
    United States

    Site Not Available

  • Texas Oncology Tyler Longview

    Tyler, Texas 75702
    United States

    Site Not Available

  • Texas Oncology, P.A. - Tyler

    Tyler, Texas 75702
    United States

    Active - Recruiting

  • Us Oncology Virginia Cancer Specialists, Pc

    Fairfax, Virginia 22031-4629
    United States

    Site Not Available

  • Virginia Cancer Specialists

    Gainesville, Virginia 20155
    United States

    Site Not Available

  • Virginia Oncology Associates

    Norfolk, Virginia 23502-2800
    United States

    Site Not Available

  • Virginia Oncology Associates Hampton

    Virginia Beach, Virginia 23456-0019
    United States

    Site Not Available

  • Fred Hutchinson Cancer Research Center

    Seattle, Washington 98109-4433
    United States

    Site Not Available

  • Medical Oncology Associates

    Spokane, Washington 99208-1129
    United States

    Site Not Available

  • Green Bay Oncology

    Green Bay, Wisconsin 54307
    United States

    Site Not Available

  • SSM Health Cancer Care

    Madison, Wisconsin 53715
    United States

    Active - Recruiting

  • Ssm Health Cancer Care Dean Medical Center

    Madison, Wisconsin 53717-1959
    United States

    Site Not Available

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