New hope for multiple myeloma: sonrotoclax trial targets resistant cancer
NCT ID NCT04973605
First seen Jun 27, 2026 · Last updated Sep 15, 2026 · Updated 9 times
Summary
This study tests a new drug called sonrotoclax, alone or with other medicines, in people with a type of multiple myeloma that has come back or stopped responding to treatment. The trial includes 246 participants and aims to find the safest and most effective dose. Researchers will monitor side effects and measure how well the cancer responds.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Sonrotoclax (also called BGB-11417), a drug taken by mouth
- What this could lead to
- If successful, this could provide a new treatment option for people with a specific type of multiple myeloma that has stopped responding to other therapies.
- What could go wrong
- This is an early-phase trial (1b/2) with a small number of participants, so results may not apply to everyone. The drug may cause side effects or not work as hoped.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 246 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2021
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 2. A confirmed diagnosis of multiple myeloma (must have an M-component in serum and/or urine) 3. Measurable disease defined as: i. M-spike ≥ 500mg/dL, or ii. Urine protein M-spike of ≥ 200 mg/day, or iii. Serum free light chains ≥ 10 mg/dL, and an abnormal κ:λ ratio 4. Participant has documented relapsed or progressive MM on or after any regimen or who are refractory to the most recent line of therapy. i. Relapsed MM is defined as previously treated MM that progresses and requires initiation of salvage therapy but does not meet the criteria for refractory MM. ii. Refractory MM is defined as disease that is nonresponsive (failure to achieve minimal response or development of progressive disease) while on primary or salvage therapy or progresses within 60 days of last therapy. 1. In Part 1 and Part 2 Cohorts 1 and 2 participants should have relapsed or progressive disease and have had ≥ 3 prior lines of therapy including a proteasome inhibitor, an IMiD, and an anti-CD38 monoclonal antibody, and no more available approved therapies. 2. Participants in Part 2 Cohorts 3, 4, and 5 should have relapsed or progressive disease and have had ≥ 1 prior line of therapy. Prior treatment with carfilzomib is allowed but the patient must not be considered carfilzomib refractory by the investigator. 3. Participants in Part 2 Cohorts 6 and 7 should have relapsed or progressive disease and have had 1 to 3 prior lines of therapy and previously treated with a proteasome inhibitor and an IMiD 5. Positivity for t(11;14) translocation must be confirmed by validated fluorescence in situ hybridization (FISH) testing assay in a pre-defined laboratory a. fresh bone marrow aspirate sample must be collected at screening and sent to central laboratory for t(11;14) FISH testing. 6. Adequate organ function defined as: 1. Hemoglobin ≥ 8.0 g/dL within 7 days before first dose of study treatment, (transfusions, in accordance with institutional guidelines, are permitted) 2. Platelet count ≥ 75,000/μL, within 7 days before first dose of study treatment, independent of growth factor support and transfusions 3. Absolute neutrophil count (ANC) ≥ 1000/mm\^3 within 7 days before first dose of study treatment 4. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 3 x upper limit of normal (ULN) and total bilirubin ≤ 2.0 x ULN N (total bilirubin must be \< 3 x ULN for patients with Gilbert's syndrome) Exclusion Criteria: 1. Participant has any of the following conditions: 1. Non secretory MM (Serum free light chains \< 10 mg/dL) 2. Solitary plasmacytoma 3. Active plasma cell leukemia (ie, either 20% of peripheral white blood cells or \> 2.0 x 109/L circulating plasma cells by standard differential) 4. Waldenström macroglobulinemia (WM) 5. Amyloidosis. 6. Polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, skin changes (POEMS) syndrome 7. Chronic respiratory disease that requires continuous oxygen 2. Significant cardiovascular disease, including but not limited to: 1. Myocardial infarction ≤ 6 months before screening 2. Ejection fraction ≤ 50% 3. Unstable angina≤ 3 months before screening 4. New York Heart Association Class III or IV congestive heart failure 5. History of clinically significant arrhythmias (eg, sustained ventricular tachycardia, ventricular fibrillation, or torsades de pointes) 6. Heart rate-corrected QT interval \> 480 milliseconds based on Fridericia's formula 7. History of Mobitz II second-degree or third-degree heart block without a permanent pacemaker in place 8. Uncontrolled hypertension at screening, defined as systolic blood pressure \> 170 mmHg and diastolic blood pressure \> 105 mmHg by ≥ 2 consecutive measurements. Prior therapy with sonrotoclax or other agents inhibiting BCL2 activity (eg, venetoclax) 3. Known infection with human immunodeficiency virus (HIV) 4. Serologic status reflecting active viral hepatitis B (HBV) or viral hepatitis C (HCV) infection as follows: 1. Presence of hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb). Participants with presence of HBcAb, but absence of HBsAg, are eligible if HBV DNA is undetectable (limitation of sensitivity \< 20 IU/mL) ,), and if they are willing to undergo monthly monitoring for HBV reactivation. 2. Presence of HCV antibody. Participants with presence of HCV antibody are eligible if HCV RNA is undetectable (limitation of sensitivity \< 15 IU/mL). Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
69 sites in 13 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Affiliated Zhongshan Hospital of Fudan University
RECRUITINGShanghai, Shanghai Municipality, 200032, China
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Asan Medical Center
RECRUITINGSongpaGu, Seoul Teugbyeolsi, 05505, South Korea
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Azienda Ospedaliera Policlinico Di Bari
RECRUITINGBari, 70124, Italy
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Azienda Ospedaliera Universitaria Delle Marche
RECRUITINGAncona, 60020, Italy
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Beijing Chao Yang Hospital
RECRUITINGBeijing, Beijing Municipality, 100020, China
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British Columbia Cancer Agency the Vancouver Centre
RECRUITINGVancouver, British Columbia, V5Z 4E6, Canada
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Canberra Hospital
RECRUITINGGarran, Australian Capital Territory, ACT 2605, Australia
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Centre Hospitalier Universitaire Nantes Hotel Dieu
RECRUITINGNantes, 44000, France
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Centro Gaucho Integrado de Oncologia Hospital Mae de Deus
RECRUITINGPorto Alegre, 90110-270, Brazil
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Chongqing Cancer Hospital
RECRUITINGChongqing, Chongqing Municipality, 400030, China
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Chu de Poitiers Site de La Mileterie
COMPLETEDPoitiers, 86000, France
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City of Hope Irvine Lennar
RECRUITINGIrvine, California, 92618-2377, United States
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City of Hope National Medical Center
RECRUITINGDuarte, California, 91010-3012, United States
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Cross Cancer Institute
RECRUITINGEdmonton, Alberta, T6G 1Z2, Canada
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Emory University Winship Cancer Center
RECRUITINGAtlanta, Georgia, 30322-1013, United States
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Fujian Medical University Union Hospital
COMPLETEDFuzhou, Fujian, 350001, China
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General Hospital of Athens Alexandra
RECRUITINGAthens, 115 28, Greece
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Hackensack University Medical Center
RECRUITINGHackensack, New Jersey, 07601-1915, United States
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Henan Cancer Hospital
RECRUITINGZhengzhou, Henan, 450000, China
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Hopital Claude Huriez Chu Lille
RECRUITINGLille, 59000, France
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Hospital Clinic de Barcelona
RECRUITINGBarcelona, 08036, Spain
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Hospital Sao Rafael (Rede Dor)
RECRUITINGSalvador, 41253-190, Brazil
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Hospital Sirio Libanes
RECRUITINGSão Paulo, 01308-050, Brazil
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Hospital Sirio Libanes Brasilia
RECRUITINGBrasília, 70200-730, Brazil
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Hunan Cancer Hospital
COMPLETEDChangsha, Hunan, 410013, China
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Huntsman Cancer Institute
RECRUITINGSalt Lake City, Utah, 84112-5550, United States
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Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciencestuanbo Branch
RECRUITINGTianjin, Tianjin Municipality, 301617, China
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Instituto Dor de Pesquisa E Ensino Distrito Federal
RECRUITINGBrasília, 70390140, Brazil
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Instituto Dor de Pesquisa E Ensino Sao Paulo
RECRUITINGSão Paulo, 01401-004, Brazil
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Istituto Europeo Di Oncologia
RECRUITINGMilan, 20141, Italy
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Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori Irst
RECRUITINGMeldola, 47014, Italy
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Jiangsu Province Hospital
RECRUITINGNanjing, Jiangsu, 210029, China
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Massachusetts General Hospital
COMPLETEDBoston, Massachusetts, 02114, United States
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Medical College of Wisconsin
RECRUITINGMilwaukee, Wisconsin, 53226-3522, United States
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Memorial Sloan Kettering Cancer Center Mskcc
RECRUITINGNew York, New York, 10065-6800, United States
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Monash Health
RECRUITINGClayton, Victoria, VIC 3168, Australia
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National University Hospital Singapore
RECRUITINGSingapore, 119074, Singapore
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Nepean Hospital
RECRUITINGKingswood, New South Wales, NSW 2747, Australia
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Oxford University Hospitals Nhs Trust Churchill Hospital
RECRUITINGHeadington, OX3 7LE, United Kingdom
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Peking University Peoples Hospital
RECRUITINGBeijing, Beijing Municipality, 100044, China
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Peking University Third Hospital
RECRUITINGBeijing, Beijing Municipality, 100000, China
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Policlinico Sorsola Malpighi, Aou Di Bologna
RECRUITINGBologna, 40138, Italy
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Princess Margaret Cancer Centre
RECRUITINGToronto, Ontario, M5G 2M9, Canada
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Qingdao Municipal Hospital
RECRUITINGQingdao, Shandong, 266000, China
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Royal Cornwall Hospitalsnhs Trust
RECRUITINGTruro, TR1 3LJ, United Kingdom
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Royal Marsden Nhs Foundation Royal Marsden Hospital
RECRUITINGSutton, SM2 5PT, United Kingdom
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Royal Perth Hospital
RECRUITINGPerth, Western Australia, WA 6000, Australia
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Samsung Medical Center
RECRUITINGGangnamGu, Seoul Teugbyeolsi, 06351, South Korea
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Seoul National University Hospital
RECRUITINGSeoul, Seoul Teugbyeolsi, 03080, South Korea
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Severance Hospital Yonsei University Health System
RECRUITINGSeodaemunGu, Seoul Teugbyeolsi, 03722, South Korea
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Shanghai Fourth Peoples Hospital Affiliated to Tongji University
COMPLETEDShanghai, Shanghai Municipality, 200434, China
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Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein
RECRUITINGSão Paulo, 05652-900, Brazil
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St Vincents Hospital Melbourne
RECRUITINGFitzroy, Victoria, VIC 3065, Australia
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Sun Yat Sen University Cancer Center
RECRUITINGGuangzhou, Guangdong, 510060, China
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The Alfred Hospital
RECRUITINGMelbourne, Victoria, VIC 3004, Australia
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The Catholic University of Korea, Seoul St Marys Hospital
RECRUITINGSeochoGu, Seoul Teugbyeolsi, 06591, South Korea
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The First Affiliated Hospital of Nanchang University Branch Xianghu
RECRUITINGNanchang, Jiangxi, 332000, China
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The First Affiliated Hospital of Xiamen University
COMPLETEDXiamen, Fujian, 361003, China
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The First Affiliated Hospital of Zhengzhou University
ACTIVE_NOT_RECRUITINGZhengzhou, Henan, 450052, China
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The First Affiliated Hospital, Zhejiang University School of Medicine
RECRUITINGHangzhou, Zhejiang, 310003, China
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The First Hospital of China Medical University
RECRUITINGShenyang, Liaoning, 110001, China
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The James Cancer Hospital and Solove Research Institute At Ohio State University
RECRUITINGColumbus, Ohio, 43210-1240, United States
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The Second Hospital of Hebei Medical University
COMPLETEDShijiazhuang, Hebei, 050000, China
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Tianjin Medical University General Hospital
COMPLETEDTianjin, Tianjin Municipality, 300052, China
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Union Hospital of Tongji Medical College, Huazhong University of Science and Technology
RECRUITINGWuhan, Hubei, 430022, China
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Universitaetsklinikum Aachen
RECRUITINGAachen, 52074, Germany
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Universitatsklinikum Carl Gustav Carus An Der Technischen Universitat Dresden
RECRUITINGDresden, 01307, Germany
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Universitatsklinikum Hamburg Eppendorf
RECRUITINGHamburg, 20251, Germany
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Universitatsklinikum Wurzburg
RECRUITINGWürzburg, 97080, Germany
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University College Hospital
RECRUITINGLondon, NW1 2PG, United Kingdom
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University Hospital of Alexandroupolis
RECRUITINGAlexandroupoli, 68100, Greece
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University of Alabama At Birmingham Hospital
RECRUITINGBirmingham, Alabama, 35294-0004, United States
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University of Chicago Medical Center
RECRUITINGChicago, Illinois, 60637-1443, United States
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University of Miami
RECRUITINGMiami, Florida, 33136-2107, United States
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University of Washington
RECRUITINGSeattle, Washington, 98195, United States
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University of Wisconsin Carbone Cancer Center
RECRUITINGMadison, Wisconsin, 53792-0001, United States
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Washington University School of Medicine
RECRUITINGSt Louis, Missouri, 63110-1010, United States
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Weill Cornell Medical College Newyork Presbyterian Hospital
RECRUITINGNew York, New York, 10065-4870, United States
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Other studies related to the condition(s) this trial covers.
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- Can a tropical tea shrink blood cancers?
- Engineered immune cells take aim at Hard-to-Treat myeloma
- Can engineered immune cells outsmart Treatment-Resistant myeloma?
- Can a lower dose of a myeloma drug keep the disease in check with fewer side effects?
- A pre-treatment pill may supercharge cancer-fighting immune cells