Clinical Trials /

A Study of HMPL-306 in Advanced Hematological Malignancies With mIDH

NCT04764474

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.

Related Conditions:
  • Hematopoietic and Lymphoid Malignancy
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

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

DrugSynonymsArms
HMPL-306Part 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

NameTypeDescriptionInterventions
Part 1 Dose Escalation CohortsExperimentalPatients from each cohort will be administered HMPL-306 orally QD
  • HMPL-306
Part 2 Dose Expansion CohortsExperimentalPatients from each cohort will be administered HMPL-306 orally QD at the recommended phase 2 dose
  • HMPL-306

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