Recruiting
Phase 1
Phase 2

BGB-16673

Sponsor:

BeOne Medicines

Code:

NCT05006716

Conditions

B-cell Malignancy

Marginal Zone Lymphoma

Follicular Lymphoma

Non-Hodgkin Lymphoma

Waldenström Macroglobulinemia

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Tacabrutideg

Study Details

Brief summary:

Study consists of two main parts to explore tacabrutideg recommended dosing, a Phase 1 monotherapy dose finding comprised of monotherapy dose escalation and monotherapy safety expansion of selected doses, and a Phase 2 (expansion cohorts)

Conditions

B-cell Malignancy

Marginal Zone Lymphoma

Follicular Lymphoma

Non-Hodgkin Lymphoma

Waldenström Macroglobulinemia

Study ID

NCT05006716

Start date

Sep 13, 2021

Status verified date

Aug, 2026

Completion date

Nov, 2029

Anticipated

Primary completion date

Nov, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria :

1. Confirmed diagnosis (per World Health Organization (WHO) guidelines, unless otherwise noted) of one of the following: Marginal Zone Lymphoma (MZL), R/R follicular lymphoma (FL), mantle cell lymphoma (MCL), chronic lymphocytic leukemia and small lymphocytic lymphoma (CLL/SLL), Waldenström macroglobulinemia (WM), R/R diffuse large B-cell lymphoma (DLBCL), or Richter's transformation to DLBCL.
2. Participants who have previously received a covalently-binding Bruton´s tyrosine kinase (BTK) inhibitor (BTKi) in any line of therapy must have received treatment with the BTK inhibitor for ≥ 8 weeks (unless reason for discontinuation is intolerance).
3. For dose-finding and dose-expansion, participants who had previously received a covalently-binding BTK inhibitor as monotherapy or in combination with other anticancer agents are eligible for the study if they meet any of the following criteria: discontinued the previous BTK inhibitor due to disease progression, experienced disease progression after completing treatment with a BTK inhibitor or discontinued the BTK inhibitor due to toxicity or intolerance.
4. Phase 2 Cohorts in R/R CLL/SLL, R/R MCL, and R/R WM only: Participants who previously received a BTKi are eligible if they had disease progression on only one regimen containing a covalent BTKi. Note: Participants may have received treatment with ≥ 2 different covalent BTKis if additional BTKis were discontinued secondary to an event other than disease progression.
5. Measurable disease by radiographic assessment or serum IgM level (WM only)
6. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2
7. Participants enrolling in the dose finding phase of the study may be previously treated with a BTKi or may be naïve to BTKi therapy depending on the diagnosis and country of enrollment; participants with MCL enrolling in the expansion cohorts (Phase 2) must have been treated with a BTKi in a prior line of therapy; CLL/SLL participants, in addition to being treated with a BTKi in a prior line of therapy, must also have received a Bcl-2 inhibitor in a prior line of therapy as well (Phase 2).

Exclusion Criteria:

1. Prior malignancy (other than the disease under study) within the past 2 years, except in situ malignancies that have been curatively resected, localized breast cancer treated with curative intent with no evidence of breast active disease for more than 3 years and receiving adjuvant hormonal therapy, localized Gleason score ≤ 6 prostate cancer undergoing observation or treatment with androgen depravation, or any other cancer treated with curative intent, not on adjuvant treatment, and in the opinion of the investigator is unlikely to recur.
2. Requires ongoing systemic treatment for any other malignancy
3. Requires ongoing systemic (defined as ≥ 10 mg/day of prednisone or equivalent) corticosteroid treatment.
4. Current or history of central nervous system involvement including the brain, spinal cord, leptomeninges, and cerebrospinal fluid (as documented by imaging, cytology, or biopsy) by B-cell malignancy, regardless of whether participants had received treatment for central nervous system disease
5. Known active plasma cell neoplasm, prolymphocytic leukemia, T-cell lymphoma, Burkitt lymphoma, acquired immunodeficiency syndrome (AIDS)-related B-cell lymphoma, Castleman disease, post-transplant lymphoproliferative disorders, hairy cell leukemia, germinal center B-cell (GCB), DLBCL, EBV+ DLBCL NOS, primary DLBCL of the central nervous system (CNS), primary cutaneous DLBCL - leg type, DLBCL associated with chronic inflammation, primary mediastinal (thymic) large B-cell lymphoma, intravascular large B-cell lymphoma, ALK+ large B-cell lymphoma, primary effusion lymphoma, high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements, high-grade B-cell lymphoma - NOS, B-cell lymphoma unclassifiable with features intermediate between DLBCL and classical Hodgkin lymphoma, or history of or currently suspected transformation of an indolent lymphoma to an aggressive histology (except for participants with Richter Transformation to DLBCL are eligible for Part 1a, 1c, or Phase 2 and participants with history of follicular lymphoma transforming to non-GCB DLBCL who are eligible for Part 1a, 1c, or Phase 2).

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

Study Design

Enrollment

645 participants

Anticipated

Allocation

Randomized

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Part 1a (Monotherapy Dose Escalation)

Dose escalation in specific subtypes of non-Hodgkin lymphoma (NHL), including relapsed or refractory (R/R) marginal zone lymphoma (MZL), R/R follicular lymphoma (FL) Grades 1, 2, and 3a, R/R mantle cell lymphoma (MCL), R/R chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL), R/R diffuse large B-cell lymphoma (DLBCL), R/R Richter's transformation (RT), and R/R Waldenström macroglobulinemia (WM), to evaluate the safety and tolerability of tacabrutideg.

experimental: Part 1b (Monotherapy Safety Expansion)

Participants with R/R MZL, MCL, CLL/SLL, and WM will be enrolled at selected doses to help determine the recommended dose(s) for expansion (RDFE(s)) for tacabrutideg.

experimental: Part 1c (Additional Monotherapy Safety Expansion)

Additional safety data will be collected from participants with R/R MZL, WM, RT, DLBCL, or FL to confirm the RDFE(s) of tacabrutideg for those with non-CLL/SLL/MCL histologies.

experimental: Part 1d (Additional Monotherapy Safety Expansion in R/R CLL/SLL)

Participants with R/R CLL/SLL will be enrolled at selected RDFE(s) to generate additional safety and efficacy data for tacabrutideg.

experimental: Part 1e (Japan-only Cohort)

Japanese participants with R/R MZL, FL, MCL, CLL/SLL, and WM will be enrolled at selected RDFE(s) to assess the safety and tolerability of tacabrutideg.

experimental: Part 1f (Additional Monotherapy Safety Expansion in BTKi Naive B-Cell Malignancies)

Participants with CLL/SLL, MCL, WM, MZL, or Richter's transformation to DLBCL who have not received a prior BTKi (either covalent or noncovalent) will be enrolled at selected dose levels.

experimental: Phase 2 (Monotherapy Expansion)

Cohorts of participants with R/R CLL/SLL, R/R MCL, R/R WM, R/R MZL, R/R FL, R/R RT, and R/R DLBCL will be enrolled to receive the RDFE(s) identified in Phase 1 to further evaluate the safety and efficacy of tacabrutideg.

Interventions

Tacabrutideg

Orally administered

Primary outcome measure

  • Phase 1: Number of Participants with Adverse Events (AEs) [ Time Frame: From the first dose of tacabrutideg until 30 days after the last dose of the study drug or before the initiation of a new anticancer therapy, whichever occurs first (Up to 47 weeks) ]
  • Phase 1: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD) of Tacabrutideg [ Time Frame: Approximately 28 days ]
  • Phase 1: Recommended dose(s) for Expansion (RDFE) of tacabrutideg [ Time Frame: Approximately 3 years ]
  • Phase 2: Overall response rate (ORR) [ Time Frame: approximately 3 years ]

Central Contacts and Locations

Central contacts

Locations

University of Alabama At Birmingham Hospital

Recruiting

Birmingham, Alabama, United States, 35294-0004

Honor Health Research Institute

Recruiting

Scottsdale, Arizona, United States, 85258-4566

University of Arizona Cancer Center

Recruiting

Tucson, Arizona, United States, 85724-0001

University of California San Diego (Ucsd) Moores Cancer Center

Recruiting

La Jolla, California, United States, 92093-1503

Stanford Medicine

Recruiting

Palo Alto, California, United States, 94304-2205

UCLA Santa Monica Cancer Care

Recruiting

Santa Monica, California, United States, 90404-2023

Uchealth North

Recruiting

Fort Collins, Colorado, United States, 80528-3413

Mayo Clinic Jacksonville

Recruiting

Jacksonville, Florida, United States, 32224-1865

Mount Sinai Medical Center Braman Comprehensive Cancer Center

Recruiting

Miami, Florida, United States, 33140

Tampa General Hospital Cancer Institute

Recruiting

Tampa, Florida, United States, 33606-3571

Augusta University

Recruiting

Augusta, Georgia, United States, 30912-0002

Southeastern Regional Medical Center

Recruiting

Newnan, Georgia, United States, 30265-8001

University of Iowa Hospitals and Clinics

Recruiting

Iowa City, Iowa, United States, 52242-1009

Mary Bird Perkins Cancer Center

Recruiting

Baton Rouge, Louisiana, United States, 70809-3738

American Oncology Partners of Maryland Pa

Recruiting

Bethesda, Maryland, United States, 20817-7847

Dana Farber Cancer Institute

Recruiting

Boston, Massachusetts, United States, 02215-5418

Karmanos Cancer Institute

Recruiting

Detroit, Michigan, United States, 48201-2013

Mayo Clinic Rochester

Recruiting

Rochester, Minnesota, United States, 55905-0001

Comprehensive Cancer Centers of Nevada

Recruiting

Las Vegas, Nevada, United States, 89169-3321

Roswell Park Comprehensive Cancer Center

Recruiting

Buffalo, New York, United States, 14203

Columbia University Medical Center

Recruiting

New York, New York, United States, 10032

Weill Cornell Medical College Newyork Presbyterian Hospital

Recruiting

New York, New York, United States, 10065-4870

Memorial Sloan Kettering Cancer Center Mskcc

Recruiting

New York, New York, United States, 10065-6800

Tennesse Oncology Chattanooga Downtown

Recruiting

Chattanooga, Tennessee, United States, 37404

Tennessee Oncology, Pllc Nashville

Recruiting

Nashville, Tennessee, United States, 37203

Md Anderson Cancer Center

Recruiting

Houston, Texas, United States, 77030-3907

Virginia Commonwealth University Massey Cancer Center

Recruiting

Richmond, Virginia, United States, 23298

Fred Hutchinson Cancer Research Center

Recruiting

Seattle, Washington, United States, 98109-4433

Arthur Je Child Comprehensive Cancer Centre

Recruiting

Calgary, Alberta, Canada, T2N 5G2

Cross Cancer Institute

Recruiting

Edmonton, Alberta, Canada, T6G 1Z2

British Columbia Cancer Agency the Vancouver Centre

Recruiting

Vancouver, British Columbia, Canada, V5Z 4E6

Princess Margaret Cancer Centre

Recruiting

Toronto, Ontario, Canada, M5G 2M9

Chu de Quebec Universite Laval, Hopital de Lenfant Jesus, Centre Integre de Cancerologie (Cic)

Recruiting

Québec, Quebec, Canada, G1J 1Z4

More Information

Sponsor

BeOne Medicines

Last update posted

Aug 21, 2026

Last verified

Aug, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by BeOne Medicines on 2026-08-21.