Clinical Study of HMPL-653 in Treatment of Advanced Malignant Solid Tumors and TGCT

Sponsor
Hutchison Medipharma Limited (Industry)
Overall Status
Recruiting
CT.gov ID
NCT05277454
Collaborator
(none)
113
5
1
38.8
22.6
0.6

Study Details

Study Description

Brief Summary

To evaluate the safety and tolerability of HMPL-653 in patients with advanced solid tumors who have failure of standard of care or can not tolerate standard of care or those with TGCT, and to determine the maximum tolerated dose (MTD) and/or the recommended phase II clinical study dose (RP2D) of HMPL-653 in patients with advanced solid tumors.

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Anticipated Enrollment :
113 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Open-label, Phase I Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of HMPL-653 in Treatment of Patients With Advanced Malignant Solid Tumors and Tenosynovial Giant Cell Tumor
Actual Study Start Date :
Jan 18, 2022
Anticipated Primary Completion Date :
Jun 28, 2024
Anticipated Study Completion Date :
Apr 14, 2025

Arms and Interventions

Arm Intervention/Treatment
Experimental: HMPL-653 open-label treatment arm

Dose-escalation Stage: Participants will be treated with escalating doses of HMPL-653 to determine the MTD and RP2D. Dose-expansion Stage: Participants will be enrolled in the expansion stage to better characterize the safety, tolerability, PK variability, and preliminary efficacy of HMPL-653 in TGCT and specific advanced solid tumors.

Drug: HMPL-653
Dose-escalation Stage: Several dose levels will be evaluated for HMPL-653. The participants will receive oral HMPL-653 single-dose evaluation and oral HMPL-653 QD continuously treatment in a therapeutic cycle of 28 days until reaching the criteria for the end of treatment. Dose-expansion Stage: The participants will receive HMPL-653 treatment (RP2D)until reaching the criteria for the end of treatment.

Outcome Measures

Primary Outcome Measures

  1. Occurrence of Dose-Limiting Toxicities(DLTs) [up to 33 days]

    To evaluate the safety and tolerability of HMPL-653 for dose escalation period

  2. Maximum tolerated dose (MTD) [up to 12 months]

    The Maximum tolerated dose of HMPL-653

  3. Recommended phase II dose (RP2D) [up to 12 months]

    Recommended phase II dose of HMPL-653

Secondary Outcome Measures

  1. Pharmacokinetic-Cmax [up to 9 weeks]

    Peak concentration of Pharmacokinetic

  2. Pharmacokinetic-Tmax [up to 9 weeks]

    Time to peak concentration of Pharmacokinetic

  3. Pharmacokinetic-Ctrough [up to 9 weeks]

    Trough concentration of Pharmacokinetic

  4. Pharmacokinetic-t1/2 [up to 9 weeks]

    Terminal elimination half-life of Pharmacokinetic

  5. Pharmacokinetic-AUC0-t [up to 9 weeks]

    Area under the plasma concentration-time curve of Pharmacokinetic

  6. Pharmacokinetic-AUC0-∞ [From first dose up to C3D1, estimated up to 9 weeks]

    Area under the plasma concentration-time curve of Pharmacokinetic

  7. Pharmacokinetic-AUC0-τ [up to 9 weeks]

    Area under the plasma concentration-time curve of Pharmacokinetic

  8. Pharmacokinetic-CL/F [up to 9 weeks]

    Apparent clearance of Pharmacokinetic

  9. Pharmacokinetic-Vz/F [up to 9 weeks]

    Apparent volume of distribution in the terminal phase of Pharmacokinetic

  10. Pharmacokinetic-AR [up to 9 weeks]

    AUC-based accumulation coefficient of Pharmacokinetic

  11. Objective response rate (ORR) [12 months]

    The incidence of confirmed complete response or partial response.

  12. Progression-free survival (PFS) [12 months]

    The time from the first dose of study treatment to PD or death for any reason, whichever comes first.

  13. Disease control rate (DCR) [12 months]

    The proportion of patients with confirmed CR or PR or stable disease (SD) as the best response, and the duration of SD needs to be ≥6 weeks.

  14. Time to response (TTR) [12 months]

    The time from the first dose of HMPL-653 to the first objective response.

  15. Duration of response (DoR) [12 months]

    The time from the first appearance of confirmed CR or PR to PD or death for any reason (whichever comes first), in the patients with objective response.

  16. Overall survival (OS) [24 months]

    The time from the first dose of study treatment to death for any reason.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 75 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Able to understand and willing to sign the ICF.

  2. Aged 18 to 75 years.

  3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

  4. Life expectancy at least 12 weeks.

  5. Adequate bone marrow, liver and kidney function.

Exclusion Criteria:
  1. Toxicity associated with previous antitumor therapy not recovered to ≤CTCAE grade 1;

  2. Previous treatment with anti-CSF1R therapy and have progressive disease;

  3. Receiving approved systematic antitumor therapy or in the treatment period of other interventional clinical study within 4 weeks prior to the first dose.

  4. Patients with central nervous system (CNS) malignant tumor or malignant solid tumor with known CNS metastasis;

  5. Pregnant or lactating women.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Jilin Provincial Cancer Hospital Chang chun China
2 Harbin Medical University Cancer Hospital Harbin China
3 Linyi Cancer Hospital Linyi China
4 Henan Cancer Hospital Zhengzhou China
5 The First Affiliated Hospital of Zhengzhou University Zhengzhou China

Sponsors and Collaborators

  • Hutchison Medipharma Limited

Investigators

  • Principal Investigator: Ying Cheng, Prof, Jilin Provincial Cancer Hospital

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Hutchison Medipharma Limited
ClinicalTrials.gov Identifier:
NCT05277454
Other Study ID Numbers:
  • 2021-653-00CH1
First Posted:
Mar 14, 2022
Last Update Posted:
Mar 14, 2022
Last Verified:
Jan 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Mar 14, 2022