Purpose

This study aims to understand how safe and well-tolerated a drug called BGB-24714 is when used alone, or in combination with chemotherapy or radiation therapy, for people with advanced or spreading solid tumors. The main objective is to identify the highest tolerable dose or the highest administered dose of BGB-24714. Additionally, the study aims to identify the most suitable doses for further investigation in larger groups of participants.

Condition

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Criteria

Key Eligibility Criteria :

1. Participants must sign a written informed consent form (ICF); and agree to comply
with study requirement

2. Phase 1a (Dose Escalation):

Part A, A-CN, and B: Participants with histologically or cytologically confirmed
unresectable locally advanced or metastatic solid tumor previously treated with
standard systemic therapy or for whom treatment is not available or not tolerated
Note: Only Chinese participants will be eligible for Part A-CN.

Part C: Participant has histologically or cytologically confirmed, locally advanced,
unresectable Stage III Non-small cell lung cancer (NSCLC) suitable for definitive
chemoradiotherapy (CRT)

Part D: Participant with locally advanced, histologically confirmed inoperable
esophageal squamous cell carcinoma (ESCC) suitable for definitive CRT

Phase 1b (Dose Expansion): Participants with histologically or cytologically
confirmed solid tumors of selected types previously treated with standard therapy.

3. Participants must be able to provide formalin-fixed paraffin embedded (FFPE) tumor
tissue sample.

4. Phase 1a Part A, A-CN, B and Phase 1b: ≥ 1 measurable lesion per Response evaluation
criteria in solid tumors (RECIST) v1.1

5. Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1

Key Exclusion Criteria:

1. Active leptomeningeal disease or uncontrolled, untreated brain metastasis.

2. Any malignancy ≤ 3 years before the first dose of study drug(s) except for the
specific cancer under investigation in this study and any locally recurring cancer
that has been treated with curative intent

3. Any condition that required systemic treatment with either corticosteroids or other
immunosuppressive medication ≤ 14 days before the first dose of study drug(s).

4. Clinically significant infection requiring systemic therapy ≤ 14 days before the
first dose of study drug(s).

5. Prior exposure to agents with second mitochondria-derived activator of caspases
(SMAC) mimetics, or other Inhibitors of apoptosis proteins (IAPs) antagonists.

NOTE: Other protocol defined inclusion/exclusion criteria may apply.

Study Design

Phase
Phase 1
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Phase 1a: Dose Escalation Part A
Participants will receive escalating doses of BGB-24714 as monotherapy
  • Drug: BGB-24714
    administered orally
Experimental
Phase 1a: Dose Escalation Part B
Participants will receive increasing dose levels of BGB-24714 in combination with paclitaxel
  • Drug: BGB-24714
    administered orally
  • Drug: Paclitaxel
    administered intravenously
Experimental
Phase 1a: Dose Escalation Part C
Participants will receive increasing dose levels of BGB-24714 in combination with chemoradiation
  • Drug: BGB-24714
    administered orally
  • Drug: Paclitaxel
    administered intravenously
  • Drug: Carboplatin
    administered intravenously
Experimental
Phase 1a: Dose Escalation Part D
Participants will receive increasing dose levels of BGB-24714 in combination with chemoradiation
  • Drug: BGB-24714
    administered orally
  • Drug: Paclitaxel
    administered intravenously
  • Drug: Carboplatin
    administered intravenously
Experimental
Phase 1a: Dose Escalation Part A-CN
Participants will receive escalating doses of BGB-24714 as monotherapy in Chinese participants
  • Drug: BGB-24714
    administered orally
Experimental
Phase 1a: Dose Escalation Part E
Participants will receive increasing dose levels of BGB-24714 in combination with chemoradiation in Chinese participants
  • Drug: BGB-24714
    administered orally
  • Drug: Paclitaxel
    administered intravenously
  • Drug: Carboplatin
    administered intravenously
Experimental
Phase 1b: Dose Expansion
BGB 24714 will be administered in combination with paclitaxel or docetaxel in participants with selected solid tumors.
  • Drug: BGB-24714
    administered orally
  • Drug: Paclitaxel
    administered intravenously
  • Drug: Docetaxel
    administered intravenously

Recruiting Locations

Massachusetts General Hospital
Boston, Massachusetts 02114

More Details

Status
Recruiting
Sponsor
BeiGene

Study Contact

BeiGene
1-877-828-5568
ClinicalTrials@beigene.com

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.