FDA record · Cancer

Beqalzi (sonrotoclax)

What FDA's own documents say about Beqalzi: what it is approved for, the trials FDA reviewed, the results it reported and the risks on the label.

Sponsor
Beone Medicines Usa
Application
NDA 220711
First approved
May 13, 2026
Status
Accelerated approval
Read from
11 FDA documents, 495 pages

What it is approved for

“BEQALZI is a BCL-2 inhibitor indicated for the treatment of adult patients with relapsed or refractory mantle cell lymphoma (MCL) after at least two lines of systemic therapy, including a Bruton's tyrosine kinase (BTK) inhibitor.”

Prescribing Information (Label) · PDF p. 2 · fda.gov ↗

Trials FDA reviewed

TrialClinicalTrials.govPhaseMentionsDocuments
BGB-11417-201NCT054718431/21777 of 11
BGB-11417-101NCT042776371612 of 11
Study 180not given284 of 11
BGB-11417-102NCT048839571242 of 11
BGB-11417-202NCT054799942172 of 11
BGB-11417-103NCT047711301/2141 of 11
BGB-11417-107NCT065430431101 of 11
BGB-11417-302NCT06742996362 of 11
BGB-11417-106NCT05844111141 of 11

Mentions: how many sentences across the FDA documents name the trial. NCT ids are read from the documents or, where they give none, matched on ClinicalTrials.gov by the trial's name or protocol code.

Results FDA reported

Sentences from FDA's reviews that give an endpoint's p-value, effect or confidence interval, those reporting a treatment effect first.

BGB-11417-201 · ORR

“The registrational trial, Study 201 supporting this application, met the primary endpoint, demonstrating a statistically significant improvement in ORR by IRC (52.4%, n=103) compared to the predefined historical control of 30% (p < 0.0001) in the 320 mg once daily group.”

Risk Assessment / REMS Review · PDF p. 4 · fda.gov ↗

52.4%p < 0.000130%

ORR

“ORR by IRC (52.4%, n=103) compared to the predefined historical control of 30% (p < 0.0001) in the 320 mg once daily total group (FDA Multi-Disciplinary Review and Evaluation 2026).e The clinical reviewer concludes the data support that sonrotoclax provides meaningful advantage in the context of ava”

Risk Assessment / REMS Review · PDF p. 8 · fda.gov ↗

52.4%p < 0.000130%

Safety

Most common adverse reactions

“The most common adverse reactions (>=15%) are pneumonia and fatigue.”

Prescribing Information (Label) · PDF p. 2 · fda.gov ↗

Adverse events the documents discuss most

Dosing on the label

“After completion of the 4-week ramp-up phase, the recommended dosage of BEQALZI is 320 mg (four 80 mg tablets) taken orally once daily until disease progression or unacceptable toxicity.”

Prescribing Information (Label) · PDF p. 4 · fda.gov ↗

FDA documents read

DocumentDatePagesCopysha256
Approval letter220711Orig1s000ltr.pdfMay 15, 2026102faa651ae5b9
Prescribing information, original approval220711Orig1s000lbl.pdfJune 1, 2026247aa8a030bf7e
Administrative Correspondence220711Orig1s000AdminCorres.pdfJune 10, 202620e618d5b997ac
Approval Letter220711Orig1s000Approv.pdfJune 10, 2026133be60b65aa06
Chemistry Review220711Orig1s000ChemR.pdfJune 10, 20266291dd89ffbe7f
Prescribing Information (Label)220711Orig1s000Lbl.pdfJune 10, 202648fa600581b7ff
Multi-disciplinary Review220711Orig1s000MultidisciplineR.pdfJune 10, 2026198241dafba5882
Proprietary Name Review220711Orig1s000NameR.pdfJune 10, 2026379a0965004808
Officer/Employee List220711Orig1s000OEList.pdfJune 10, 202633e6ac97937b1
Other Reviews220711Orig1s000OtherR.pdfJune 10, 2026676b779d576b1b
Risk Assessment / REMS Review220711Orig1s000RiskR.pdfJune 10, 20261370760e72492b

Checked against FDA's copies on September 29, 2026. The sha256 is the fingerprint of the file that was read: download it from fda.gov and compare. Quotes come from the text of each file as read; pages FDA stored as images were read by OCR and are marked.

Generated automatically (auto): the trials, names and dates are drafted from the documents by rules, with no language model; see the method.

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