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Trial · NCT04551963

Interaction Study of Zanubrutinib With Moderate and Strong CYP3A Inhibitors in Participants With B-Cell Malignancies

NCT04551963, Phase 1, Completed, BeiGene; results first posted 2023-11-27

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Interaction Study of Zanubrutinib With Moderate and Strong CYP3A Inhibitors in Participants With B-Cell Malignancies. Trials, record NCT04551963. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04551963

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Interaction Study of Zanubrutinib With Moderate and Strong CYP3A Inhibitors in Participants With B-Cell Malignancies
NCT number
NCT04551963
Status
Completed
Phases
Phase 1
Enrollment
26 participants, actual
Lead sponsor
BeiGene
Conditions
B-cell Malignancies
Interventions
Zanubrutinib, Fluconazole, Diltiazem, Voriconazole, Clarithromycin
First posted
2020-09-16
Last updated
2024-10-26
Results first posted
2023-11-27

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryArm A: Area Under Plasma Concentration-time Curve up to the Last Measurable Concentration (AUC0-t)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
PrimaryArm B: Area Under Plasma Concentration-time Curve up to the Last Measurable Concentration (AUC0-t)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
PrimaryArm A: Area Under Plasma Concentration-time Curve From Time 0 Extrapolated to 24 Hours (AUC0-24h)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
PrimaryArm B: Area Under Plasma Concentration-time Curve From Time 0 Extrapolated to 24 Hours (AUC0-24h)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
PrimaryArm A: Maximum Observed Concentration (Cmax)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
PrimaryArm B: Maximum Observed Concentration (Cmax)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
PrimaryArm A: Time of the Maximum Observed Concentration (Tmax)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
PrimaryArm B: Time of the Maximum Observed Concentration (Tmax)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
PrimaryArm A: Apparent Terminal Elimination Half-life (t1/2)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)
PrimaryArm B: Apparent Terminal Elimination Half-life (t1/2)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYArm A: Area Under Plasma Concentration-time Curve up to the Last Measurable Concentration (AUC0-t)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)The pharmacokinetic (PK) analysis set included all participants who received at last 1 dose of zanubrutinib and had evaluable PK data (at least 1 PK parameter could be calculated).h*ng/mLGEOMETRIC_MEAN
PRIMARYArm B: Area Under Plasma Concentration-time Curve up to the Last Measurable Concentration (AUC0-t)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)The PK analysis set included all participants who received at last 1 dose of zanubrutinib and had evaluable PK data (at least 1 PK parameter could be calculated).h*ng/mLGEOMETRIC_MEAN
PRIMARYArm A: Area Under Plasma Concentration-time Curve From Time 0 Extrapolated to 24 Hours (AUC0-24h)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)The PK analysis set included all participants who received at last 1 dose of zanubrutinib and had evaluable PK data (at least 1 PK parameter could be calculated).h*ng/mLGEOMETRIC_MEAN
PRIMARYArm B: Area Under Plasma Concentration-time Curve From Time 0 Extrapolated to 24 Hours (AUC0-24h)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)The PK analysis set included all participants who received at last 1 dose of zanubrutinib and had evaluable PK data (at least 1 PK parameter could be calculated).h*ng/mLGEOMETRIC_MEAN
PRIMARYArm A: Maximum Observed Concentration (Cmax)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)The PK analysis set included all participants who received at last 1 dose of zanubrutinib and had evaluable PK data (at least 1 PK parameter could be calculated).ng/mLGEOMETRIC_MEAN
PRIMARYArm B: Maximum Observed Concentration (Cmax)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)The PK analysis set included all participants who received at last 1 dose of zanubrutinib and had evaluable PK data (at least 1 PK parameter could be calculated).ng/mLGEOMETRIC_MEAN
PRIMARYArm A: Time of the Maximum Observed Concentration (Tmax)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)The PK analysis set included all participants who received at last 1 dose of zanubrutinib and had evaluable PK data (at least 1 PK parameter could be calculated).HoursMEDIAN
PRIMARYArm B: Time of the Maximum Observed Concentration (Tmax)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)The PK analysis set included all participants who received at last 1 dose of zanubrutinib and had evaluable PK data (at least 1 PK parameter could be calculated).HoursMEDIAN
PRIMARYArm A: Apparent Terminal Elimination Half-life (t1/2)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)The PK analysis set included all participants who received at last 1 dose of zanubrutinib and had evaluable PK data (at least 1 PK parameter could be calculated).HoursGEOMETRIC_MEAN
PRIMARYArm B: Apparent Terminal Elimination Half-life (t1/2)Predose, 0.5, 1, 2, 3, 4, 6, 8 and 10 hours on Cycle 1 Day 3, Day 10, and Day 28 (30-day cycle)The PK analysis set included all participants who received at last 1 dose of zanubrutinib and had evaluable PK data (at least 1 PK parameter could be calculated).HoursGEOMETRIC_MEAN

Results by group34

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Arm A: Area Under Plasma Concentration-time Curve up to the Last Measurable Concentration (AUC0-t)Arm A: Zanubrutinib With or Without Moderate CYP3AZanubrutinib 320 mg QD1899.32Geometric Coefficient of Variation 44.95h*ng/mL
Arm A: Area Under Plasma Concentration-time Curve up to the Last Measurable Concentration (AUC0-t)Arm A: Zanubrutinib With or Without Moderate CYP3AZanubrutinib 80 mg BID + 400 mg fluconazole QD921.63Geometric Coefficient of Variation 45.80h*ng/mL
Arm A: Area Under Plasma Concentration-time Curve up to the Last Measurable Concentration (AUC0-t)Arm A: Zanubrutinib With or Without Moderate CYP3AZanubrutinib 80 mg BID + 180 mg diltiazem QD797.87Geometric Coefficient of Variation 43.05h*ng/mL
Arm B: Area Under Plasma Concentration-time Curve up to the Last Measurable Concentration (AUC0-t)Arm B: Zanubrutinib With or Without Strong CYP3AZanubrutinib 320 mg QD1550.40Geometric Coefficient of Variation 49.20h*ng/mL
Arm B: Area Under Plasma Concentration-time Curve up to the Last Measurable Concentration (AUC0-t)Arm B: Zanubrutinib With or Without Strong CYP3AZanubrutinib 80 mg QD + 200 mg voriconazole BID1254.29Geometric Coefficient of Variation 22.36h*ng/mL
Arm B: Area Under Plasma Concentration-time Curve up to the Last Measurable Concentration (AUC0-t)Arm B: Zanubrutinib With or Without Strong CYP3AZanubrutinib 80 mg QD + 250 mg clarithromycin BID763.00Geometric Coefficient of Variation 54.79h*ng/mL
Arm A: Area Under Plasma Concentration-time Curve From Time 0 Extrapolated to 24 Hours (AUC0-24h)Arm A: Zanubrutinib With or Without Moderate CYP3AZanubrutinib 320 mg QD2035.32Geometric Coefficient of Variation 46.97h*ng/mL
Arm A: Area Under Plasma Concentration-time Curve From Time 0 Extrapolated to 24 Hours (AUC0-24h)Arm A: Zanubrutinib With or Without Moderate CYP3AZanubrutinib 80 mg BID + 400 mg fluconazole QD1911.93Geometric Coefficient of Variation 46.97h*ng/mL
Arm A: Area Under Plasma Concentration-time Curve From Time 0 Extrapolated to 24 Hours (AUC0-24h)Arm A: Zanubrutinib With or Without Moderate CYP3AZanubrutinib 80 mg BID + 180 mg diltiazem QD1653.07Geometric Coefficient of Variation 44.88h*ng/mL
Arm B: Area Under Plasma Concentration-time Curve From Time 0 Extrapolated to 24 Hours (AUC0-24h)Arm B: Zanubrutinib With or Without Strong CYP3AZanubrutinib 320 mg QD1578.12Geometric Coefficient of Variation 49.53h*ng/mL

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm A: Zanubrutinib With or Without Moderate CYP3A13
Overall StudySTARTEDArm B: Zanubrutinib With or Without Strong CYP3A13
Overall StudyCOMPLETEDArm A: Zanubrutinib With or Without Moderate CYP3A11
Overall StudyCOMPLETEDArm B: Zanubrutinib With or Without Strong CYP3A12
Overall StudyNOT COMPLETEDArm A: Zanubrutinib With or Without Moderate CYP3A2
Overall StudyNOT COMPLETEDArm B: Zanubrutinib With or Without Strong CYP3A1

Adverse events42

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherRashSkin and subcutaneous tissue disordersArm A: Zanubrutinib With or Without Moderate CYP3A113
otherRashSkin and subcutaneous tissue disordersArm B: Zanubrutinib With or Without Strong CYP3A213
otherPetechiaeSkin and subcutaneous tissue disordersArm A: Zanubrutinib With or Without Moderate CYP3A113
otherPetechiaeSkin and subcutaneous tissue disordersArm B: Zanubrutinib With or Without Strong CYP3A113
otherConstipationGastrointestinal disordersArm A: Zanubrutinib With or Without Moderate CYP3A113
otherConstipationGastrointestinal disordersArm B: Zanubrutinib With or Without Strong CYP3A313
otherDiarrhoeaGastrointestinal disordersArm A: Zanubrutinib With or Without Moderate CYP3A013
otherDiarrhoeaGastrointestinal disordersArm B: Zanubrutinib With or Without Strong CYP3A313
otherAbdominal pain upperGastrointestinal disordersArm A: Zanubrutinib With or Without Moderate CYP3A013
otherAbdominal pain upperGastrointestinal disordersArm B: Zanubrutinib With or Without Strong CYP3A213

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArm A: Zanubrutinib With or Without Moderate CYP3A113
Total, all-cause mortalityArm B: Zanubrutinib With or Without Strong CYP3A013
Total, other adverse eventsArm A: Zanubrutinib With or Without Moderate CYP3A1213
Total, other adverse eventsArm B: Zanubrutinib With or Without Strong CYP3A1213
Total, serious adverse eventsArm A: Zanubrutinib With or Without Moderate CYP3A313
Total, serious adverse eventsArm B: Zanubrutinib With or Without Strong CYP3A113

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
36480811RESULT

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Arm A: Zanubrutinib With or Without Moderate CYP3A vs Arm B: Zanubrutinib With or Without Strong CYP3A: deaths from any causeTrial comparisons
Arm A: Zanubrutinib With or Without Moderate CYP3A vs Arm B: Zanubrutinib With or Without Strong CYP3A: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04551963

GET https://conductscience.org/api/trials/v1/NCT04551963/results?page=2