BeiGene to Present Dynamic View of Development Programs for Hematologic Malignancies at 64th ASH Meeting
Nov 03, 2022 9:00 AM
Accepted presentations to showcase broad and deep development programs targeting B-cell and myeloid malignancies
15 accepted abstracts, including three oral presentations for cornerstone BTKi, BRUKINSA®, and promising Bcl-2 inhibitor, BGB-11417
Key presentations
- Phase 1 trial results demonstrating proof of concept for BGB-11417, a novel B-cell lymphoma 2 (Bcl-2) inhibitor in chronic lymphocytic leukemia/small lymphocytic leukemia;
- Long-term efficacy and safety data from the MAGNOLIA trial of BRUKINSA (zanubrutinib) in patients with relapsed/refractory (R/R) marginal zone lymphoma; and
- Updated results from a Phase 2 trial showing tolerability and efficacy of zanubrutinib in patients with B-cell malignancies who were intolerant to acalabrutinib.
“BeiGene has established a solid foundation in both the research and development of innovative medicines for hematologic malignancies,” said
Additional presentations highlight combinability and strength of pipeline
- Preliminary safety and efficacy of zanubrutinib in combination with lenalidomide in patients with R/R diffuse large B-cell lymphoma;
- Multiple posters for Phase 1 studies with BGB-11417 as monotherapy or in combination, showing promising efficacy in B-cell and myeloid malignancies, along with a manageable safety profile; and
- Safety and efficacy of zanubrutinib in combination with zandelisib in patients with R/R follicular lymphoma or mantle cell lymphoma.
Investor event
Hematologic Malignancy |
Title |
Presentation details |
Oral |
|
|
R/R Follicular Lymphoma
R/R Mantle Cell Lymphoma |
Safety and Efficacy of the PI3Kδ Inhibitor Zandelisib in Combination with the BTK Inhibitor Zanubrutinib in Patients with Relapsed/Refractory (R/R) Follicular Lymphoma (FL) or Mantle Cell Lymphoma (MCL) |
#78
Date:
Time:
|
R/R Marginal Zone Lymphoma |
Long-Term Efficacy and Safety of Zanubrutinib in Patients With Relapsed/Refractory (R/R) Marginal Zone Lymphoma (MZL): Final Analysis of the MAGNOLIA (BGB-3111-214) Trial |
#234
Date:
Time:
|
Chronic Lymphocytic Leukemia
Small Lymphocytic Leukemia |
A Phase 1 Study With The Novel B-Cell Lymphoma 2 (Bcl-2) Inhibitor BGB-11417 As Monotherapy or in Combination With Zanubrutinib (ZANU) in Patients (Pts) With CLL/SLL: Preliminary Data |
#962
Date:
Time:
|
Poster |
|
|
B-Cell Malignancies |
Efficacy and Safety of Zanubrutinib in Japanese Patients With Mature B-Cell Malignancies |
#1590
Date:
Time:
|
B-Cell Malignancies |
Zanubrutinib in Acalabrutinib-Intolerant Patients (Pts) with B-Cell Malignancies |
#1587
Date:
Time:
|
R/R Diffuse Large B-Cell Lymphoma |
Preliminary Safety and Efficacy of Zanubrutinib in Combination With Lenalidomide in Patients With Relapsed/Refractory Diffuse Large B-Cell Lymphoma |
#1627
Date:
Time:
|
R/R B-Cell Malignancies |
Biomarker Analysis of Zanubrutinib and Tislelizumab Combination Therapy in Patients with Relapsed/Refractory B-Cell Malignancies |
#1529
Date:
Time:
|
Acute Myeloid Leukemia |
Preliminary Safety and Efficacy of BGB-11417, a Novel BCL2 Inhibitor, in Combination With Azacitidine in Patients With Acute Myeloid Leukemia (AML) |
#1443
Date:
Time:
|
Mature B-cell Malignancies |
A Phase 1 Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of BCL2 Inhibitor BGB-11417 in Adult Patients With Mature B-cell Malignancies: Preliminary Data |
#2989
Date:
Time:
|
Multiple Myeloma |
Preliminary Safety and Efficacy of a BCL-2 Inhibitor, BGB-11417, in Patients With Relapsed/Refractory Multiple Myeloma Harboring t(11,14): A Non-randomized, Open-label, Phase 1b/2 Study |
#3235
Date:
Time:
|
Relapsed/Refractory B-Cell Malignancies |
Genomic Characterization of Patients in Phase 2 Study of Zanubrutinib in BTK Inhibitor-Intolerant Patients With Relapsed/Refractory B-Cell Malignancies |
#4176
Date:
Time:
|
Non-Hodgkin’s Lymphoma Waldenström Macroglobulinemia |
A Phase 1 Study With the Novel B-Cell Lymphoma 2 (Bcl-2) Inhibitor BGB-11417 As Monotherapy or in Combination with Zanubrutinib (ZANU) in Patients (Pts) With Non-Hodgkin’s Lymphoma (NHL) or Waldenström macroglobulinemia (WM): Preliminary Data |
#4201
Date:
Time:
|
R/R Mantle Cell Lymphoma |
Long-Term Outcomes of Second-Line vs Later-Line Zanubrutinib Treatment in Patients With Relapsed/Refractory MCL: An Updated Pooled Analysis |
#2894
Date:
|
Online Only |
|
|
RWE |
Real-World Evidence (RWE) Studies Supported By Hematologic Oncology FDA Approval: What Do They Look Like
|
|
RWE |
Development of Hypertension and Atrial Fibrillation Following Diagnosis of B-Cell Malignancies – A Retrospective Analysis of US MarketScan Insurance Claims Database
|
|
About BRUKINSA
BRUKINSA (zanubrutinib) is a small-molecule inhibitor of Bruton’s tyrosine kinase (BTK) discovered by
BRUKINSA is supported by a broad clinical program which includes more than 4,500 subjects in 35 trials across 28 markets. To date, BRUKINSA has received approvals covering more than 55 countries and regions, including
About BGB-11417
BGB-11417 is a highly potent and selective Bcl-2 inhibitor designed to produce deeper and more sustained target inhibition.
Compared with venetoclax, BGB-11417 exhibited greater potency (>10-fold) and higher target selectivity and showed signs of overcoming treatment resistance in pre-clinical studies and tumor models i
BRUKINSA IMPORTANT SAFETY INFORMATION AND
Warnings and Precautions
Hemorrhage
Fatal and serious hemorrhagic events have occurred in patients with hematological malignancies treated with BRUKINSA monotherapy. Grade 3 or higher hemorrhage events including intracranial and gastrointestinal hemorrhage, hematuria and hemothorax have been reported in 3.4% of patients treated with BRUKINSA monotherapy. Hemorrhage events of any grade occurred in 35% of patients treated with BRUKINSA monotherapy.
Bleeding events have occurred in patients with and without concomitant antiplatelet or anticoagulation therapy. Co-administration of BRUKINSA with antiplatelet or anticoagulant medications may further increase the risk of hemorrhage.
Monitor for signs and symptoms of bleeding. Discontinue BRUKINSA if intracranial hemorrhage of any grade occurs. Consider the benefit-risk of withholding BRUKINSA for 3-7 days pre- and post-surgery depending upon the type of surgery and the risk of bleeding.
Infections
Fatal and serious infections (including bacterial, viral, or fungal) and opportunistic infections have occurred in patients with hematological malignancies treated with BRUKINSA monotherapy. Grade 3 or higher infections occurred in 27% of patients, most commonly pneumonia. Infections due to hepatitis B virus (HBV) reactivation have occurred.
Consider prophylaxis for herpes simplex virus, pneumocystis jiroveci pneumonia and other infections according to standard of care in patients who are at increased risk for infections. Monitor and evaluate patients for fever or other signs and symptoms of infection and treat appropriately.
Cytopenias
Grade 3 or 4 cytopenias, including neutropenia (26%), thrombocytopenia (11%) and anemia (8%) based on laboratory measurements, were reported in patients treated with BRUKINSA monotherapy. Grade 4 neutropenia occurred in 13% of patients, and Grade 4 thrombocytopenia occurred in 3.6% of patients.
Monitor complete blood counts regularly during treatment and interrupt treatment, reduce the dose, or discontinue treatment as warranted. Treat using growth factor or transfusions, as needed.
Second Primary Malignancies
Second primary malignancies, including non-skin carcinoma, have occurred in 14% of patients treated with BRUKINSA monotherapy. The most frequent second primary malignancy was non-melanoma skin cancer, reported in 8% of patients. Other second primary malignancies included malignant solid tumors (4.0%), melanoma (1.7%) and hematologic malignancies (1.2%). Advise patients to use sun protection and monitor patients for the development of second primary malignancies.
Cardiac Arrhythmias
Atrial fibrillation and atrial flutter were reported in 3.2% of patients treated with BRUKINSA monotherapy. Patients with cardiac risk factors, hypertension, and acute infections may be at increased risk. Grade 3 or higher events were reported in 1.1% of patients treated with BRUKINSA monotherapy. Monitor signs and symptoms for atrial fibrillation and atrial flutter and manage as appropriate.
Embryo-Fetal Toxicity
Based on findings in animals, BRUKINSA can cause fetal harm when administered to a pregnant woman. Administration of zanubrutinib to pregnant rats during the period of organogenesis caused embryo-fetal toxicity including malformations at exposures that were 5 times higher than those reported in patients at the recommended dose of 160 mg twice daily. Advise women to avoid becoming pregnant while taking BRUKINSA and for 1 week after the last dose. Advise men to avoid fathering a child during treatment and for 1 week after the last dose.
If this drug is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to a fetus.
Adverse reactions
The most common adverse reactions, including laboratory abnormalities, in ≥ 30% of patients who received BRUKINSA (N = 847) included decreased neutrophil count (54%), upper respiratory tract infection (47%), decreased platelet count (41%), hemorrhage (35%), decreased lymphocyte count (31%), rash (31%) and musculoskeletal pain (30%).
Drug Interactions
CYP3A Inhibitors: When BRUKINSA is co-administered with a strong CYP3A inhibitor, reduce BRUKINSA dose to 80 mg once daily. For coadministration with a moderate CYP3A inhibitor, reduce BRUKINSA dose to 80 mg twice daily.
CYP3A Inducers: Avoid coadministration with moderate or strong CYP3A inducers.
Specific Populations
Hepatic Impairment: The recommended dose of BRUKINSA for patients with severe hepatic impairment is 80 mg orally twice daily.
INDICATIONS
-
BRUKINSA is a kinase inhibitor indicated for the treatment of adult patients with mantle cell lymphoma (MCL) who have received at least one prior therapy.
This indication is approved under accelerated approval based on overall response rate. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial.
- BRUKINSA is indicated for the treatment of adult patients with Waldenström’s macroglobulinemia (WM).
-
BRUKINSA is indicated for the treatment of adult patients with relapsed or refractory marginal zone lymphoma (MZL) who have received at least one anti-CD20-based regimen.
This indication is approved under accelerated approval based on overall response rate. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial.
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About
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 and other federal securities laws, including statements regarding the potential for BRUKINSA or BGB-11417, alone or in combination, to provide clinical benefit to patients with B-cell or myeloid malignancies, the future development, regulatory filing and approval, commercialization, and market access of BRUKINSA or BGB-11417, and BeiGene’s plans, commitments, aspirations, and goals under the headings “BeiGene Oncology” and “About BeiGene.” Actual results may differ materially from those indicated in the forward-looking statements as a result of various important factors, including
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