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

Last updated: April 8, 2025
Sponsor: Hutchmed
Overall Status: Terminated

Phase

1

Condition

Hematologic Neoplasms

Treatment

HMPL-306

Clinical Study ID

NCT04764474
2020-306-GLOB1
  • Ages > 18
  • All Genders

Study Summary

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.

Eligibility Criteria

Inclusion

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 hematologicalmalignancies, as defined below:

Part 1:

  • Subjects with documented IDH mutation per local or institutional next generationsequence (NGS).

  • Subjects must be refractory to or intolerant of established therapies.

  • Subjects who have received prior IDH inhibitor treatment may be enrolled in theescalation phase.

Part 2:

  • Subjects with documented IDH mutation of any of these subsets: IDH1 (R132C), IDH1 (R132H), IDH (R140Q), and IDH2 (R172K), including co-mutations and any combinationthereof per local and institutional NGS.

  • Patients must have received at least 1 prior line of therapy with an IDH inhibitor.An established standard of care with proven benefit for which the patient iseligible, must not be available at the time of enrollment.

  • Patients with AML must not have standard therapeutic options available (includingIDH inhibitors where approved) and have the following:

  • i. Relapsed AML unsuitable for intensive chemotherapy or venetoclax-basedregimen or target agents;

  • ii. Primary refractory AML unsuitable for intensive chemotherapy orvenetoclax-based regimen or target agents.

  • iii. Relapsed/refractory AML that has progressed on prior IDH treatment

Exclusion

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 ofstudy drug administration.

  • Subjects who are pregnant or breastfeeding.

  • Subjects with an active severe infection, some treated infections and with anexpected or with an unexplained fever >38.3°C during screening visits or on theirfirst 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 beeligible.

  • Subjects with immediately life-threatening, severe complications of leukemia such asuncontrolled bleeding, pneumonia with hypoxia or shock, and/or disseminatedintravascular coagulation.

  • Some subjects with some current or prior gastrointestinal or liver diseases.

  • Subjects with inadequate organ function as defined by the protocol.

  • Subjects with a medical condition, physical examination finding, or clinicallaboratory finding that, in the Investigators opinion, contraindicates the use of aninvestigational drug or that may affect the interpretation of the results or rendersthe subject at high risk from treatment complications.

  • Subjects with a known hypersensitivity to HMPL-306 or to any of its excipients.

  • Subjects with presence of second primary malignant tumors within the last 2 years,with the exception of the following, if medically controlled: basal cell carcinomaof the skin, squamous cell carcinoma of the skin, carcinoma in situ of the cervix,and carcinoma in situ of the breast.

  • Part 2 Only: The time since the last dose of prior IDH inhibitor treatment is within 30 days prior to the first day of study drug administration

Study Design

Total Participants: 46
Treatment Group(s): 1
Primary Treatment: HMPL-306
Phase: 1
Study Start date:
February 28, 2021
Estimated Completion Date:
January 15, 2025

Study 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 AML

Connect with a study center

  • Clinica Universidad de Navarra

    Pamplona, Navarra 31008
    Spain

    Site Not Available

  • Hospital Universitario Vall d'Hebron

    Barcelona, 08035
    Spain

    Site Not Available

  • Institut Catala d'Oncologia de l'Hospitalet de Llobregat - Hospital Duran i Reynals

    Barcelona, 08908
    Spain

    Site Not Available

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Site Not Available

  • START Madrid - Hospital Universitario Fundacion Jimenez Diaz

    Madrid, 28040
    Spain

    Site Not Available

  • Hospital Universitario de Salamanca

    Salamanca, 58-182
    Spain

    Site Not Available

  • Hospital Clinico Universitario de Valencia

    Valencia, 46010
    Spain

    Site Not Available

  • Hospital Universitario La Fe

    Valencia, 46026
    Spain

    Site Not Available

  • University of California Irvine Medical Center

    Orange, California 92868
    United States

    Active - Recruiting

  • University of California Irvine Medical Center (UCIMC) - Chao Family Comprehensive Cancer Center

    Orange, California 92868
    United States

    Site Not Available

  • Emory University

    Atlanta, Georgia 30322
    United States

    Active - Recruiting

  • Winship Cancer Institute - Emory University

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • University of Massachusetts Medical School

    Worcester, Massachusetts 01655
    United States

    Site Not Available

  • Rutgers Cancer Institute of New Jersey

    New Brunswick, New Jersey 08901
    United States

    Site Not Available

  • The Ohio State University Comprehensive Cancer Center

    Columbus, Ohio 43210
    United States

    Site Not Available

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • Froedtert-Medical College of WI

    Milwaukee, Wisconsin 53226
    United States

    Site Not Available

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