Description:
An open label single-arm clinical trial to evaluate the safety, tolerability, PK, PD, and
preliminary efficacy of HMPL-306 in subjects with advanced relapsed, refractory, or resistant
hematological malignancies that harbor IDH mutations.
Title
- Brief Title: A Study of HMPL-306 in Advanced Hematological Malignancies With mIDH
- Official Title: A Phase 1, Open-Label, Multicenter Study of HMPL-306 in Advanced Hematological Malignancies With Isocitrate Dehydrogenase (IDH) Mutations
Clinical Trial IDs
- ORG STUDY ID:
2020-306-GLOB1
- NCT ID:
NCT04764474
Conditions
- Isocitrate Dehydrogenase Gene Mutation
Interventions
Drug | Synonyms | Arms |
---|
HMPL-306 | | Part 1 Dose Escalation Cohorts |
Purpose
An open label single-arm clinical trial to evaluate the safety, tolerability, PK, PD, and
preliminary efficacy of HMPL-306 in subjects with advanced relapsed, refractory, or resistant
hematological malignancies that harbor IDH mutations.
Detailed Description
HMPL-306 is a dual IDH1/2 inhibitor
This is a phase 1, open-label, multicenter, single-arm study to evaluate safety,
tolerability, PK, PD, and preliminary efficacy of HMPL-306 administered orally in treatment
of subjects with advanced relapsed, refractory, or resistant hematological malignancies that
harbor IDH mutations (or co-mutations).
The study consists of 2 parts: a dose-escalation part (Part 1) and a dose-expansion part
(Part 2). The dose-escalation part will determine the MTD/R2PD. The dose-expansion part will
administer the MTD/RP2D to subjects with mIDH-positive hematological malignancies including,
but not limited to, AML, MDS/MPN, AITL.
Trial Arms
Name | Type | Description | Interventions |
---|
Part 1 Dose Escalation Cohorts | Experimental | Patients from each cohort will be administered HMPL-306 orally QD | |
Part 2 Dose Expansion Cohorts | Experimental | Patients from each cohort will be administered HMPL-306 orally QD at the recommended phase 2 dose | |
Eligibility Criteria
Key Inclusion Criteria:
Subjects may be enrolled in this study only if they satisfy all the following criteria
(NOTE: This is not an exhaustive list):
- Subjects aged ≥18 years.
- ECOG performance status ≤ 2
- Subjects with advanced relapsed, refractory, or resistant hematological malignancies,
as defined below:
- Subjects with documented IDH mutation per local or institutional next generation
sequence (NGS).
- Subjects must be refractory to or intolerant of established therapies
Key Exclusion Criteria:
Subjects are not eligible for enrollment into this study if they meet any of the following
criteria (NOTE: This is not an exhaustive list):
- Subjects who received an investigational agent <14 days prior to their first day of
study drug administration
- Subjects who are pregnant or breastfeeding
- Subjects with an active severe infection, some treated infections and with an expected
or with an unexplained fever >38.3°C during screening visits or on their first day of
study drug administration.
- Subjects with some current or prior heart conditions
- Subjects taking medications that are known to prolong the QT interval may not be
eligible
- Subjects with immediately life-threatening, severe complications of leukemia such as
uncontrolled bleeding, pneumonia with hypoxia or shock, and/or disseminated
intravascular coagulation
- Some subjects with some current or prior gastrointestinal or liver diseases
- Subjects with inadequate organ function as defined by the protocol
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Part 1: Number of Subjects with Dose Limiting Toxicities (DLTs) |
Time Frame: | Up to 28 days after first dose of study drug |
Safety Issue: | |
Description: | DLT is defined as an adverse event (AE) that meets protocol defined DLT criteria during cycle 1 and is at least possibly related to study drug. |
Secondary Outcome Measures
Measure: | Number of Subjects with Complete Response (CR) |
Time Frame: | From 1st dose of study drug to the time of progressive disease, assessed up to 36 months |
Safety Issue: | |
Description: | |
Measure: | Number of Subjects with Complete Response with Incomplete Marrow Recovery (CRi |
Time Frame: | From 1st dose of study drug to the time of progressive disease, assessed up to 36 months |
Safety Issue: | |
Description: | |
Measure: | Number of Subjects with Complete Response with Negative Minimal Residual Disease (CRMRD-) |
Time Frame: | From 1st dose of study drug to the time of progressive disease, assessed up to 36 months |
Safety Issue: | |
Description: | |
Measure: | Number of Subjects with Partial Response (PR) |
Time Frame: | From 1st dose of study drug to the time of progressive disease, assessed up to 36 months |
Safety Issue: | |
Description: | |
Measure: | Number of Subjects with Stable Disease (SD) |
Time Frame: | From 1st dose of study drug to the time of progressive disease, assessed up to 36 months |
Safety Issue: | |
Description: | Subjects who have not achieved a CR, CRi, CRMRD-, morphologically leukemia-free state (MLFS), or PR but have no evidence of progression of disease in >8 weeks. |
Measure: | Objective Response Rate (ORR) |
Time Frame: | From 1st dose of study drug to the time of progressive disease, assessed up to 36 months |
Safety Issue: | |
Description: | ORR is defined as the proportion of subjects achieving PR and better response during the study [CR + CRi + marrow CR/MLFS + PR]. |
Measure: | Clinical Benefit Rate (CBR) |
Time Frame: | From 1st dose of study drug to the time of progressive disease, assessed up to 36 months |
Safety Issue: | |
Description: | CBR is defined as the proportion of subjects achieving objective response or SD. |
Measure: | Overall survival (OS) |
Time Frame: | From first dose of study drug to end of study or death, assessed up to 36 months |
Safety Issue: | |
Description: | OS is defined as the time from the start of the study drug until death from any cause. |
Measure: | Proportion of non-blood transfusion dependent subjects |
Time Frame: | From the first dose of study drug to last dose of study drug, assessed up to 36 months |
Safety Issue: | |
Description: | It is defined as the proportion of subjects who do not need blood transfusion for any sequential period ≥8 weeks during the study treatment period. |
Measure: | Maximum serum drug concentration |
Time Frame: | PK weeks at screening through safety follow-up, assessed up to 36 months |
Safety Issue: | |
Description: | Blood samples will be obtained from all patients for determination of the maximum serum concentration of HMPL-306 |
Measure: | Time to maximum concentration |
Time Frame: | PK weeks at screening through safety follow-up, assessed up to 36 months |
Safety Issue: | |
Description: | Blood samples will be obtained from all patients for determination time to maximum concentration of HMPL-306 |
Measure: | Area under the concentration-time curve (AUC) |
Time Frame: | PK weeks at screening through safety follow-up, assessed up to 36 months |
Safety Issue: | |
Description: | Blood samples will be obtained from all patients for determination of the AUC of HMPL-306 |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Hutchison Medipharma Limited |
Trial Keywords
- Acute Myeloid Leukemia
- Myelodysplastic Syndrome
- Myeloproliferative Neoplasm
- Angio-Immunoblastic T-Cell Lymphoma
- IDH Mutation
Last Updated
April 15, 2021